Zvinonaka sei kudya chikafu chinonaka kana tiine nzara? Asi kune vamwe vanhu, kunyanya avo vanonetseka nekumedza nekuda kwechimwe chirwere, izvi zvinogona kuva dambudziko guru. Dzimwe nguva vanachiremba vanotaura nezvemhinduro inonzi PEG tube yekupa murwere chikafu chinodiwa. Ungave wakambonzwa nezvazvo. Ngatitaurei nezvezvinhu zvese nenzira iri nyore uye yakajeka nhasi.
Chii chinonzi chubhu yePEG?
Zvichitaurwa zviri nyore, chubhu yePEG ichubhu diki, inochinjika inopinzwa zvakananga mudumbu mako, ndiko kuti, mudumbu mako. Inopinzwa nepaganda ichipinda mudumbu mako. Izvi zvinonzi Percutaneous Endoscopic Gastrostomy (PEG) . Asi tinowanzozvidaidza kuti maPEG tubes kana kuti maG tubes .
Chinangwa chikuru cheizvi ndechekupa chikafu chemvura chinovaka muviri nemvura zvakananga mudumbu remunhu asingakwanise kumedza chikafu nemuromo. Tinoti nzira iyi yekudya kwemukati . Izvi zvinobvumira murwere kuwana simba rinodiwa uye kudya kunovaka muviri pasina kushomeka.
Ndiani anoda pombi yakaita seiyi?
Kana uchinetseka kumedza, kana kuti une dysphagia, unogona kubatsirwa nePEG tube. Panogona kuva nezvikonzero zvakasiyana-siyana zvinoita kuti zvikuomere kumedza.
- Kurohwa nestroke .
- Kukuvara kwehuropi .
- Kenza yemusoro nemutsipa .
- Kurasikirwa nechido kwenguva refu kunokonzerwa nezvirwere zvakakomba zvakaita sekenza.
Hazvisi izvozvo chete, chubhu iyi inobatsirawo kune avo vane mamwe matambudziko ehutano anotadzisa muviri kunwa zvinovaka muviri zvakanaka.
Semuenzaniso, vanachiremba vanokurudzira kushandisa chubhu iyi kuvanhu vane cystic fibrosis kana avo vari pa dialysis nekuda kwechirwere cheitsvo. Zvingave zvakakoshawo kuponesa hupenyu hwemunhu ari pakoma.
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Kunyangwe uku kuri kuvhiyiwa kudiki, pane zvinhu zvishoma zvaunofanira kugadzirira usati waita.
1. Kukurukura nachiremba wako: Chiremba wako asati avhiyiwa, achakurukura newe zvizere nezvemaitiro acho. Zvakakosha kuudza chiremba wako nezvezvirwere zvemwoyo, njodzi dzekubuda ropa, uye chero allergies dzaungave nadzo pamishonga chero ipi zvayo .
2. Kugadzirisa mishonga: Zvichienderana nehutano hwako, ungangoda kuchinja kwenguva pfupi kana kurega kushandisa mimwe yemishonga yauri kutora.
- Unotora insulin kana uchida chirwere cheshuga.Kana mumwe munhu ari kuitora, achamuudza kuti achinje mwero wemushonga.
- Mishonga inobvisa ropa rakanyanya , yakaita sewarfarin.
- Mishonga inouraya marwadzo , kureva mishonga isiri yesteroidal inorwisa kuzvimba (NSAIDs) - semuenzaniso, aspirin kana ibuprofen.
3. Dzivisa kudya kana kunwa: Haugone kudya kana kunwa chero chinhu kwemaawa masere usati wavhiyiwa.
4. Munhu anokuendesa kumba nemotokari: Sezvo usingazokwanisi kutyaira wega mushure mekuvhiyiwa, unofanira kuronga pachine nguva kuti mumwe munhu akuendese kumba nemotokari.
Kuvhiyiwa uku kunoitwa sei?
Izvi zvinowanzoitwa senzira ye endoscopic , zvinoreva kuti zvinoitwa pasina kuchekwa kukuru, asi pachishandiswa chubhu refu, inochinjika (endoscope) ine kamera yakasungirirwa nepaburi diki.
Pazuva rekuvhiyiwa kwako, uchapihwa mushonga weanesthesia kuburikidza neIV kuti ugare wakadzikama uye usingarwadziwe. Uchapihwawo mishonga inorwisa utachiona kudzivirira hutachiona. Unogonawo kupihwa mushonga weanesthetic wemunharaunda kuti ubvise ganda panzvimbo pachachekwa.
Maitiro acho ndeekuti:
1. Chiremba achacheka dumbu rako zvishoma nezvishoma .
2. Chubhu yePEG inopinzwa nepaburi iroro.
3. Nerubatsiro rwe endoscope, chubhu yacho yakabatana chaizvo nedumbu .
Zvese izvi zvinotora maminetsi angangoita 20-30 . Kazhinji, unogona kuenda kumba zuva rimwe chete kana mangwanani anotevera.
Njodzi nematambudziko angangoitika
Sezvinoitwa chero nzira ipi zvayo yekurapa, kune dzimwe njodzi diki diki dzinobatanidzwa pakuiswa chubhu yePEG. Zvakakosha kuziva izvi.
| Njodzi/Matambudziko | Tsananguro |
|---|---|
| Kuburitswa kwechubhu netsaona | Chubhu yakaiswa inosunungurwa kana kuti inosunungurwa zvachose. |
| Kuda | Kusvuta mvura kana chikafu kubva mudumbu netsaona kuenda mumapapu. |
| Kubuda ropa uye Kuboorwa | Buri riri pamadziro eura kana dumbu uye rinobuda ropa kana chubhu yaiswa. |
| Utachiona | Utachiona hweganda hwakatenderedza nzvimbo yakachekwa. |
| Kubuda kwemvura mudumbu | Kubuda kwezviri mudumbu zvakatenderedza chubhu pamusoro peganda. |
Chiremba wako achakutsanangurira zviratidzo zvemhando iyi yedambudziko uye nguva yekuenda kunorapwa. Zvakakosha kuchengetedza chubhu yePEG nenzvimbo yakaipoteredza yakachena zuva nezuva kuderedza njodzi yematambudziko.
Ndeipi nguva yakanakisisa yekuona chiremba?
Izvi ndizvo zvaunofanira kungwarira zvikuru . Kana chubhu yako yePEG ikangoerekana yasununguka kana kuti ikabuda panzvimbo yayo, unofanira kuona chiremba nekukasika .
Yeukai, buri riri mudumbu umo chubhu inopinzwa rinotanga kuvharika nekukurumidza. Saka, kana chubhu ikabuda , zvakakosha kutsvaga rubatsiro rwechiremba mukati memaawa makumi maviri nemana . Kana izvi zvikaitika, musanonoka kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
Mharidzo Yekuenda Nayo Kumba
- Chubhu yePEG inzira iri nyore uye yakachengeteka yekuendesa chikafu zvakananga mudumbu kune vanhu vane dambudziko rekudya nemuromo.
- Izvi zvinoitwa kuburikidza nenzira iri nyore inonzi endoscopy. Kazhinji, unogona kuenda kumba zuva rimwe chete.
- Zvakakosha zvikuru kuchengetedza chubhu nenzvimbo yakaipoteredza yakachena zuva nezuva kudzivirira matambudziko.
- Kana chubhu yacho ikabva netsaona, usanonoka kweminiti imwe chete, enda kuna chiremba kana kuenda kuchipatara cheEmergency Department (ETU) mukati memaawa makumi maviri nemana .
- Sununguka kutaura nachiremba wako nezvemibvunzo kana zvinokunetsa. Iye achakupa mazano ese aunoda.
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