Mbega ukuntu ari byiza kurya ifunguro riryoshye iyo dushonje? Ariko kuri bamwe, cyane cyane abafite ikibazo cyo kumira bitewe n'uburwayi runaka, ibi bishobora kuba inzozi mbi. Hari igihe nk'ibi abaganga bavuga ku gisubizo cyitwa PEG tube kugira ngo umurwayi abone intungamubiri zikenewe. Ushobora kuba warigeze kubyumva. Reka tuvuge kuri byose mu buryo bworoshye kandi busobanutse uyu munsi.
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Umuyoboro wa PEG ni iki?
Mu magambo make, umuyoboro wa PEG ni umuyoboro muto, woroshye winjizwa mu nda yawe, ni ukuvuga mu nda yawe. Ushyirwa mu ruhu unyuze mu nda yawe. Ibi byitwa Percutaneous Endoscopic Gastrostomy (PEG) mu buvuzi. Ariko dukunze kubyita imiyoboro ya PEG cyangwa imiyoboro ya G.
Intego nyamukuru y'ibi ni ugutanga ibiryo by'amazi n'amazi mu gifu ku muntu udashobora kumira ibiryo mu kanwa. Ubu buryo twita indyo yuzuye . Ibi bituma umurwayi abona imbaraga n'imirire ikenewe nta cyuho.
Ni nde ukeneye umuyoboro nk'uyu?
Niba ufite ikibazo cyo kumira cyangwa dysphagia, ushobora kungukirwa no gukoresha umuyoboro wa PEG. Hari impamvu nyinshi zishobora gutuma ugira ikibazo cyo kumira.
- Indwara yo mu bwonko (stroke) .
- Gukomereka k'ubwonko .
- Kanseri yo mu mutwe n'ijosi .
- Kubura ubushake bwo kurya igihe kirekire biterwa n'indwara zikomeye nka kanseri.
Si ibyo gusa, uyu muyoboro ni ingirakamaro ku bafite indwara zimwe na zimwe zibuza umubiri kwinjiza intungamubiri neza.
Urugero, abaganga basaba gukoresha uyu muyoboro ku bantu bafite cystic fibrosis cyangwa abari kuri dialyse bitewe n'indwara z'impyiko. Bishobora kandi kuba ingenzi kugira ngo umuntu uri muri koma arokoke.
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Check Availability →Ni iki kibaho mbere yo kubagwa?
Nubwo ubu ari ukubagwa gato, hari ibintu bike ugomba kwitegura mbere y'igihe.
1. Kuganira na muganga wawe: Mbere yo kubagwa, muganga wawe azaganira nawe neza ku bijyanye n'uburyo bwo kuvura. Ni ngombwa kubwira muganga wawe indwara z'umutima, ibyago byo kuva amaraso, ndetse n'ibindi byose bishobora gutuma urwara indwara z'umutima ku miti iyo ari yo yose .
2. Guhindura imiti: Bitewe n'uko ubuzima bwawe bumeze, ushobora gukenera guhindura by'agateganyo cyangwa guhagarika gufata imwe mu miti ufata.
- Ufata insuline yo kuvura diyabete.Niba hari umuntu uyifata, azamubwira guhindura ingano y'umuti.
- Imiti igabanya amaraso , nka warfarin.
- Imiti igabanya ububabare , ni ukuvuga imiti igabanya ububabare itari iya steroide (NSAIDs) - urugero, aspirine cyangwa ibuprofen.
3. Irinde kurya cyangwa kunywa: Ntushobora kurya cyangwa kunywa ikintu icyo ari cyo cyose nibura amasaha 8 mbere yo kubagwa.
4. Umuntu wo kugutwara mu rugo: Kubera ko utazashobora gutwara imodoka yawe nyuma yo kubagwa, ugomba gutegura mbere y'igihe ko hari umuntu uzagutwara mu rugo.
Kubagwa bikorwa gute?
Ibi akenshi bikorwa nk'uburyo bwo gupima intanga , bivuze ko bikorwa nta gukata cyane, ahubwo hakoreshejwe umuyoboro muremure woroshye (endoscope) ufite kamera ifatanye binyuze mu mwobo muto.
Ku munsi wo kubagwa, uzahabwa ikinya binyuze mu ivatiri kugira ngo utuze kandi utababara. Uzahabwa kandi imiti yica udukoko kugira ngo wirinde kwandura. Ushobora kandi guhabwa ikinya cyo mu gace k'aho ugiye gukomeretsa agace kazakorerwamo.
Uburyo bukurikira ni ubu bukurikira:
1. Muganga azagukata gato cyane mu gice cyo hejuru cy'inda yawe.
2. Umuyoboro wa PEG winjizwamo unyuze muri uwo muyoboro.
3. Hakoreshejwe endoscope, umuyoboro uhujwe neza n'igifu .
Byose bifata iminota 20-30 . Akenshi, ushobora gutaha uwo munsi cyangwa mu gitondo gikurikiyeho.
Ingaruka n'ingorane zishobora kubaho
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nto cyane zishobora guterwa no gushyiramo umuyoboro wa PEG. Ni ngombwa kubimenya.
| Ingaruka/Ingorane | Ibisobanuro |
|---|---|
| Irekurwa ry'umuyoboro w'amazi ku buryo butunguranye | Umuyoboro washyizweho uba urekuye cyangwa urekuye burundu. |
| Icyifuzo | Gusohora amazi cyangwa ibiryo mu gifu mu buryo butunguranye bijya mu nzira y'ubuhumekero (ibihaha). |
| Kuva amaraso no gutobora | Umwobo mu rukuta rw'amara cyangwa igifu ukava amaraso iyo umuyoboro ushyizwemo. |
| Kwandura | Ubwandu bw'uruhu hafi y'aho hakorewe icyiciro. |
| Gusohoka kw'amazi yo mu gifu | Gusohoka kw'ibiri mu nda bikikije umuyoboro ku ruhu. |
Muganga wawe azagusobanurira ibimenyetso by'ubu bwoko bw'ingorane n'igihe cyo kwivuza. Ni ngombwa kugumisha umuyoboro wa PEG n'ahantu hawukikije isuku buri munsi kugira ngo ugabanye ibyago byo kurwara.
Ni ikihe gihe cyiza cyo kubonana na muganga?
Ibi nibyo ugomba kwitondera cyane . Niba umuyoboro wa PEG wawe ucitse ku bushake cyangwa ukava aho uherereye, ugomba guhita ubonana na muganga .
Wibuke ko umwobo uri mu nda aho umuyoboro winjizwa utangira gufunga vuba cyane. Kubwibyo, iyo umuyoboro usohotse , ni ngombwa gushaka ubuvuzi mu masaha 24. Ibi nibibaho, ntutinde kujya mu bitaro bikuru byihutirwa (ETU) biri hafi aho.
Ubutumwa bwo kujyana mu rugo
- Umuyoboro wa PEG ni uburyo bworoshye kandi bwizewe bwo kugeza intungamubiri mu gifu ku bantu bafite ikibazo cyo kurya mu kanwa.
- Ibi bikorwa binyuze mu buryo bworoshye bwitwa endoscopy. Kenshi na kenshi, ushobora gutaha uwo munsi.
- Ni ingenzi cyane kugumisha umuyoboro n'ahantu hawukikije isuku buri munsi kugira ngo hirindwe ingorane.
- Niba umuyoboro w'amazi uvuyemo ku bw'impanuka, ntugatinde umunota umwe, jya kwa muganga cyangwa ujye kwa muganga mu masaha 24 .
- Ntugatinye kuvugana na muganga wawe ku kibazo cyangwa impungenge ushobora kuba ufite. Azaguha inama zose ukeneye.
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