Ndichafanira here kuisa chubhu yekudyisa? (Chubhu yekudyisa) Musazvidya moyo, tichazviziva.

Dzimwe nguva, isu kana mumwe munhu mumhuri medu tingaomerwa nekudya kana kumedza nekuda kwekurwara, kuvhiyiwa kukuru, kana kukwegura. Chubhu yekudyisa chinhu chakakosha chinoshandiswa kupa muviri zvinovaka muviri zvaunoda. Kunyangwe vanhu vazhinji vachitya zita racho, chaizvoizvo chishandiso chakakosha chekurapa chinogona kubatsira kuponesa hupenyu. Saka, ngatitaurei nezvazvo nhasi.

Chii chinonzi chubhu yekudyisa? Inoshanda sei?

Zvichitaurwa zviri nyore, chubhu yekudyisa ichubhu yepurasitiki inochinjika inoiswa mudumbu mako kana muura kuti ikupe chikafu chaunoda. Nzira iyi inonzi "enteral nutrition". Kana uine chirwere chinoita kuti zviomere kutsenga kana kumedza chikafu, senge chirwere cheParkinson, kana kuti kana usingakwanise kudya nekuda kwechirwere chakakomba senge kenza, chiremba wako anogona kukurudzira nzira iyi.

Zvichienderana nemamiriro ako ezvinhu, chubhu iyi inopinzwa nemhuno, nemuromo, kana kuvhiyiwa zvakananga mudumbu kana muura. Machubhu emhino kana emuromo haadi kuvhiyiwa. Anowanzo shandiswa kwenguva pfupi . Mamwe marudzi emachubhu anoda kuvhiyiwa kudiki kuti apinzwe.

Ichokwadi kuti kuva nechubhu yekudyisa kunogona kunetsa dzimwe nguva. Unofanira kuchinja nzvimbo yako yekurara uye kushandisa nguva yakawanda uchichengetedza chubhu yakachena.

Asi, hazvizomisi hupenyu hwako. Unogona kubuda neshamwari, kuita maekisesaizi, uye kuita zvepabonde muhupenyu hwako hwewanano pasina zvirambidzo. Unogona kuchengetedza piritsi iri kwenguva yakareba sezvaunoda. Vamwe vanhu vanodyiswa nenzira iyi kwehupenyu hwavo hwese.

Musanganiswa wemvura wakagadzirwa zvakanaka unopihwa kwauri kuburikidza nechubhu. Chiremba wako kana nyanzvi yezvekudya achasarudza musanganiswa une zvese zvaunoda, kusanganisira mapuroteni, makabhohaidhiretsi, mafuta, mavhitamini, uye zvicherwa. Mvura nemimwe mishonga inogonawo kupihwa kuburikidza nechubhu iyi.

Ndezvipi zvirwere zvinoda chubhu yekudyisa?

Pane zvikonzero zvikuru zvakawanda nei chiremba wako angakurudzira kushandisa chubhu yekudyisa. Ngationei kuti ndezvipi.

Ndeapi marudzi emachubhu ekudyisa aripo?

Machubhu ekudyisa anowanzo patsanurwa kuita mhando dzakasiyana-siyana zvichienderana nenzvimbo uye nzira yekuiswa mumuviri. Yeuka, kana chikafu chichidiwa kwemavhiki asingasviki matanhatu, chubhu inopinzwa nemumhino kana mumuromo inoshandiswa, asi kana ichidiwa kwenguva yakareba, chubhu inopinzwa nekuvhiyiwa inoshandiswa.

Machubhu enguva pfupi anopinzwa nemumhino nemuromo

Izvi ndezvekushandisa kwenguva pfupi.

• Machubhu eNasogastric: Machubhu aya anotangira pamhuno opera mudumbu. Anoshandiswa muzvipatara kupa chikafu chenguva pfupi nemishonga.
• Machubhu eNasojejunal neNasoduodenal: Aya anotangira mumhino oguma mujejunum kana duodenum, ayo ari zvikamu zveura hudiki.
• Machubhu eOrogastric & Oroenteric: Aya anopinzwa nemuromo mudumbu kana muura hudiki panzvimbo pemhino. Aya zvakare ndeenguva pfupi.

Machubhu enguva refu anoiswa nekuvhiyiwa

Izvi zvinoshandiswa pakudya kwenguva refu.

• Machubhu emudumbu (G): Chubhu inopinzwa nepaganda redumbu zvakananga mudumbu.
• Machubhu eJejunostomy (J): Anoiswa zvakananga mujejunum.
• Tubhu rePEG `(Percutaneous endoscopic gastrostomy)`: Iyi inzira yekuvhiya `(endoscopic)`, kureva kuti, chubhu ine kamera diki (`endoscope`) inopinzwa nemuromo, yotariswa mukati medumbu, uye nzvimbo yakanakisa yekuisa chubhu inosarudzwa uye inopinzwa nedumbu.
• Tubhu yeRIG kana RIJ:Kune munhu asingakwanise kuvhiyiwa endoscopy, nzira yakaita seX-ray inoshandiswa kuisa chubhu munzvimbo chaiyo.
• Chubhu yePEG-J: Muizvi, chubhu inopinzwa nedumbu ichipinda mudumbu yobva yanamirwa pajejunum.

Kuisa chubhu mumuviri uye kupora

Kuvhiyiwa kwekuisa chubhu yekudyisa kunowanzova nyore. Chiremba anoita kucheka ganda redumbu obva aisa chubhu yacho mudumbu kana muura.

Uchaudzwa kuti usadye kana kunwa kwemaawa masere usati wavhiyiwa. Kuchipatara, uchapihwa mishonga inoderedza marwadzo, mapiritsi ekurara, uye mishonga inorwisa mabhakitiriya kuburikidza netsinga. Mushonga unobaya chiropa uchapinzwa munzvimbo ichaiswa chubhu. Izvi zvichakubatsira kuti usanyanya kurwadziwa.

Mushure mekuvhiyiwa, vanachiremba nevanamukoti vachakutarisa zvakanyanya kana paine hutachiona uye kubuda ropa. Ungangove uine mvura shoma yakatenderedza chubhu kwezuva rekutanga kana maviri. Izvi zvakajairika. Kana ronda rapora, uchafanira kuchenesa nzvimbo yacho zuva nezuva nesipo nemvura.

Kwemazuva mashoma ekutanga, unganzwa kurwadziwa papipi pakaiswa pombi, sekunge chidimbu chenyama chiri kudhonzwa. Chiremba achakupa mushonga wekurwadziwa nekuda kweizvi. Kazhinji, pombi iyi inogona kushandiswa kwemwedzi yakati wandei, dzimwe nguva kunyange makore maviri kana matatu.

Kutarisira nekudyisa chubhu

Vanachiremba nevanamukoti vachakubatsira kutarisira chubhu iyi paunenge uri muchipatara. Paunodzokera kumba, mushandi wehutano hwepamba (senge mukoti) achakupa mirairo yakajeka yekuti ungashandisa sei uye uchengetedze chubhu yacho yakachena.

Mirayiridzo yakawanda yekutarisira chubhu:

• Chengeta maoko ako akachena: Gara uchigeza maoko ako nesipo usati wabata chubhu.
• Dzivirira kuti chubhu isavhare: Iri ndiro dambudziko rinowanzoitika. Saka, `geza` chubhu nemvura yakawanda yaunoudzwa nachiremba kuti ushandise usati wapa chikafu kana mushonga uye wapedza . Unofanira `kugeza` chubhu kunyangwe pamazuva ausiri kuishandisa.
• Ngwarira hutachiona: Chengeta nzvimbo inopinda nechubhu - yatinoti "stoma" - yakachena uye yakaoma nguva dzese. Itarise zuva nezuva kuti uone kana yakatsvuka, yakazvimba, uye kana paine zviratidzo zvehutachiona.
• Hutano hwemuromo: Kunyangwe uchingopihwa mushonga wepachubhu chete, geza mazino ako, matadza, uye rurimi zuva nezuva. Shandisa mushonga wemuromo kudzivirira kuoma kwemiromo.

Migumisiro uye nguva yekuona chiremba nekukasika

Sezvinoitwa chero kurapwa kupi zvako, chubhu yekudyisa inogona kukonzera mimwe migumisiro yakaipa. Zvakare, mune dzimwe nguva, mazano ekurapa anofanira kutsvagwa nekukasika. Ngatiparadzanisei zviviri izvi.

Taura nachiremba wako nezvenyaya idzi. Izvi zvinogona kugadziriswa nekuchinja musanganiswa wezvinovaka muviri kana dose, kana nekupa mimwe mishonga.

Unogara sei hupenyu hwakajairika nechubhu yekudyisa?

Kana usingakwanise kudya sevamwe vese, unogona kunzwa sewaraswa nevamwe. Unogona kushaya kuravira kwechikafu. Unogona kushamisika kuti vamwe vachafungei nezvechubhu. Asi nekuronga zvishoma, zvese izvi zvinogona kugadziriswa.

• Zviitiko zvekushamwaridzana nekudya: Izvi zvinonetsa zvishoma. Unogona kuchengeta kadhi diki rinotsanangura muchidimbu kuti sei usiri kudya. Kana uine chivimbo, zvichava zvakajairika kune vamwewo. Vamwe vanhu vanobatanidza 'pombi' yavo vobatana nevamwe mukudya.
• Hukama hwepedyo uye hupenyu hwepabonde:Nekutaurirana pachena uye kuronga zvishoma, iwe nemumwe wako munogona kurarama hupenyu hwakajairika. Semuenzaniso, munogona kupedza nguva muri pamwe chete kana musiri kudya. Musanyara kutaura nachiremba wenyu nezvenyaya iyi.
• Kuramba uchiita zvekurovedza muviri: Haufanire kurega kurovedza muviri nekuti une chubhu. Unogona kuita zvinhu zvakaita sekumhanya nekufamba. Asi bvunza chiremba wako nezvemaekisesaizi anoshanda netsandanyama dzemudumbu, senge yoga. Kana ronda rapora zvakakwana, unogona zvakare kushambira mumvura yakachena (sedziva rekushambira rakachengetedzwa zvakanaka).
• Wana rutsigiro: Rutsigiro rwemhuri yako neshamwari runokosha panguva ino. Zvakare, kuwana mazano nerutsigiro kubva kune nyanzvi (nyanzvi yezvepfungwa, mukoti) anoshanda nevarwere verudzi urwu kuchakupa simba guru.