Zvakajairika kunzwa kutya uye kunetseka kana chiremba wako akakuudza kana mumwe munhu wemumhuri mako kuti unofanira kudyiswa nechubhu. "Ndichadya sei izvozvi?", "Izvi zvichagara kwenguva yakareba here?", nezvimwewo. Mibvunzo yakawanda ingauya mupfungwa dzako. Asi iyi inzira yakakosha uye yakachengeteka yekupa muviri chikafu chinodiwa uye mvura kune munhu asingakwanise kutsenga nekumedza chikafu zvakanaka. Ngatitaurei nezvese zviri nyore nhasi.
Zvichitaurwa zviri nyore, chii chinonzi kudyisa vana nechubhu?
Kudyisa mwana nechubhu, kana kuti mukurapa, "Enteral Nutrition," zvinoreva kushandisa chubhu yepurasitiki yakapfava uye inochinjika (chubhu) kuendesa chikafu chine mvura chinovaka muviri zvakananga mu "Gastrointestinal Tract" yako. Dzimwe nguva, chubhu idzi dzinoshandiswawo kupa mishonga.
Funga nezvazvo nenzira iyi. Kazhinji, tinodya chikafu nemuromo, uye chinopfuura nepagurokuro kuenda mudumbu, uye kubva ipapo kuenda muura hwedu. Asi kana nekuda kwechimwe chikonzero rwendo urwu rusingagoneke, tinogadzira imwe nzira. Ndizvo zvazviri neizvi. Chubhu iyi inoshandiswa kutumira chikafu chisingakwanise kupfuura nemuromo negurokuro zvakananga mudumbu redu kana muura hudiki.
Pane mhando dzemachubhu ekudyisa here?
Ehe, dzakakamurwa kuita mhando dzakasiyana-siyana, zvichienderana nekuti dzakaiswa kupi uye kuti dzinoshandiswa kwenguva yakareba sei.
Machubhu ekushandisa kwenguva pfupi (asingasviki mavhiki 4-6)
Izvi zvinowanzopihwa kuburikidza nemhino. Unogona zvakare kuiswa chubhu kutanga kuti uone kuti muviri wako unoita sei nezvikafu izvi zvine mvura.
| Rudzi rweChubhu | Nzira |
|---|---|
| Chubhu yeNasogastric (NG) | Kubva paguvhu kusvika mudumbu. |
| Chubhu yeNasoduodenal (chubhu yeNasoduodenal - ND) | Kubva paguvhu kusvika kuchikamu chekutanga cheura hudiki (duodenum). |
| Chubhu yeNasojejunal (NJ) | Kubva paguvhu kusvika kuchikamu chechipiri cheura hudiki (jejunum). |
Machubhu ekushandisa kwenguva refu (anopfuura mavhiki 4-6)
Kana pombi yekudyisa ichidikanwa kwenguva yakareba, vanachiremba vanogona kukurudzira kuti pombi ipinde nepamadziro edumbu ichipinda zvakananga mudumbu kana muura hudiki. Izvi zvinoitwa kuburikidza nekuvhiyiwa kudiki.
| Rudzi rweChubhu | Tsananguro |
|---|---|
| Chubhu yeGastrostomy (chubhu yeG) | Chubhu inopinzwa zvakananga mudumbu kuburikidza neganda redumbu. |
| Chubhu yeJejunostomy (chubhu yeJ) | Chubhu inopinzwa nepaganda remudumbu zvakananga muchikamu chechipiri cheura hudiki (jejunum). |
| Chubhu yeGastrostomy-jejunostomy (chubhu yeGJ) | Chubhu iyi inopinzwa mudumbu yozopfuudzwa kujejunum, ura hudiki. Ine migero miviri. G-port inoshandiswa kuburitsa mvura kubva mudumbu nekupa mishonga, uye J-port inoshandiswa kupa chikafu. |
Vanhu verudzii vanofanira kupiwa chikafu kuburikidza nechubhu yakaita seiyi?
Zvino ungave uchishamisika kuti, "Sei munhu achida chinhu chakadai?" Chikonzero chikuru ndechekuti haakwanise kuwana chikafu chakakwana nemuromo wake. Nzira iyi inonyanya kukosha kana aine chirwere chinonzi "Dysphagia", chinoita kuti zviome kutsenga kana kumedza chikafu.
Nzira iyi inobatsira kuchengetedza hutano hwemetabolism yemuviri wako uye system yekugaya chikafu.
Dzimwe mamiriro ezvinhu apo chubhu ingangodiwa ndeiyi:
- Kuomerwa nekumedza nekuda kwekenza yemusoro nemutsipa kana kukuvara munzvimbo idzodzo.
- Matambudziko ekudya zvakanyanya.
- Matambudziko emudumbu nemudumbu, akadai sekutetepa kwepombi yekudya.
- Zvirwere zvinokanganisa kupinza kwemuviri zvinovaka muviri, zvakaita sechirwere cheCrohn chakakomba.
- Zvirwere zvetsinga zvakaita sestroke .
- Kurasikirwa kwenguva pfupi nekukwanisa kumedza nekuda kwekuvhiyiwa kana kurwara kwakaitwa munguva pfupi yapfuura.
- Mamiriro ekushaya hope `(Coma)`.
Rudzii rwechiitiko chaunowana kana waiswa chubhu?
Izvi zvinosiyana zvichienderana nerudzi rwechubhu yaunayo uye chikonzero chayo. Paunenge uri muchipatara, vashandi vekuchengeta varwere vachakutarisira kukupa chikafu kuburikidza nechubhu uye kuichenesa. Zvisinei, kana ukadzokera kumba nechubhu, iwe nevanotarisira varwere vako muchadzidziswa mashandisirwo nekuchengetedzwa kwayo.
Chubhu inopinzwa sei mumuviri?
Izvi zvinowanzoiswa muchipatara, asi unogona kuramba uchiishandisa kumba.
- Chubhu yemhino: Iyi haisi nzira huru. Inogona kuitwa wakarara pamubhedha. Chiremba kana mukoti akadzidziswa achaisa chiveve chechubhu yacho nekungwarira oipinza nemhino yako mudumbu kana muura hwako. Ungangokumbirwa kunwa mvura netsvina panguva ino, saka chubhu yacho ichadzika zviri nyore.
- Tubhu remudumbu: Izvi zvinoda kuvhiyiwa kudiki. Uchafanirwa kutsanya kwemaawa angangoita masere usati wavhiyiwa. Kana uri kutora mishonga inorwisa ropa, uchakumbirwa kuti urege kuishandisa kwemazuva mashoma. Uchapihwa mushonga weanesthesia saka hauzonzwi kurwadziwa . Kune nzira dzakasiyana-siyana dzekuita kuvhiyiwa uku:
- Endoscopy: Chubhu ine kamera inopinzwa nemuromo kuti ione mukati medumbu. Kuchekwa kudiki kunogadzirwa paganda redumbu uye chubhu inopinzwa.
- NeX-ray: Chubhu inopinzwa nekutarisa mifananidzo yeX-ray kuti ione nzvimbo chaiyo.
- Kuburikidza nekuvhiyiwa: Dzimwe nguva chubhu inopinzwa kuburikidza nekuvhiyiwa kwakavhurika kana laparoscopy (kuburikidza nekuchekwa kudiki kushoma nerubatsiro rwekamera).
Unowana sei chikafu kuburikidza nechubhu?
Pane nzira mbiri dzekuita izvi.
1. Kudyisa vanhu vane dumbu: Sezvatinodya katatu pazuva, chikafu chine mvura chinoiswa muchubhu panguva dzakatarwa dzezuva uchishandisa sirinji. Nzira iyi inowanzoitwa kuvanhu vane chubhu mudumbu nekuti dumbu rinogona kubata chikafu chakawanda panguva imwe chete.
2. Kudya nguva dzose: Kana chubhu ikaiswa muura hudiki, hazvigoneke kupa mwana chikafu chakawanda panguva imwe chete. Saka, pombi inoshandiswa kuramba ichipa mwana chikafu zvishoma nezvishoma kwenguva yakareba.
Chiremba wako nenyanzvi yezvekudya vachaverenga huwandu hwemacalorie, mavhitamini, uye mapuroteni aunoda uye vachakurudzira fomura yemvura yakakodzera iwe.
Zvakakosha:Zvakakosha zvikuru kuchengetedza mwana akarara pasi kwemadhigirii makumi mana nemashanu panguva yekudya uye kwemaawa mashoma mushure mekudya. Kukundikana kuita izvi kunogona kukonzera kuti chikafu chipinde mumhepo uye kukonzera pneumonia yekufema.
Unochengetedza sei chubhu neganda rakaipoteredza?
Unofanira kudzivirira chubhu kuti isavharike uye kudzivirira hutachiona kuti husatange kutenderera chubhu.
| Zvekutarisira | Zvekuita |
|---|---|
| Nzvimbo yekuisa |
|
| Chubhu pachayo |
Yambiro: Usamboedza kubvisa chubhu yakavharika nechinhu chakaita sewaya. Izvi zvinogona kukuvadza chubhu nemuviri wako.
Ngozi dzipi dziripo?
Panogona kunge paine kurwadziwa mudumbu uye kuzvimba kwemazuva mashoma ekutanga mushure mekuiswa chubhu. Unogonawo kusangana nedambudziko mudumbu uye manyoka sezvo muviri wako uchijaira kudya kwawakaita. Izvi zvinowanzopera mukati memazuva mashoma.
Njodzi yemamwe matambudziko yakaderera, asi zvakanaka kuziva:
- Chubhu yacho yakanamira, yakuvara, kana kuti yabuda.
- Utachiona panzvimbo yekuisa chubhu.
- Kuramba uchingozvimbirwa, kuda kurutsa, kana manyoka.
- Chikafu chinopinda mumapapu (Aspiration pneumonia).
Kana muine kusava nechokwadi nezvechinhu chakadai, taurai nachiremba wenyu nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Kudyisa nepachubhu inzira yakachengeteka uye inoshanda yekupa chikafu kune munhu asingagoni kudya nemuromo. Usazvitya.
- Zvakakosha kuchengetedza chubhu neganda rakaipoteredza zvakachena. Tevedzera mirairo yachiremba nokungwarira.
- Kana chubhu ikaramba yakamira, ikabuda pachena, kana kuratidza zviratidzo zvehutachiona (kutsvuka, kuzvimba, kurwadziwa), tsvaga rubatsiro rwechiremba nekukasika.
- Kana chubhu ichangobva kuiswa ikasunungurwa, idambudziko. Enda kuEmergency Treatment Unit (ETU) nekukasika.
- Kunyangwe zvingasaita sekudya chikafu, nzira iyi inopa muviri wako simba nekudya zvinovaka muviri zvinodiwa kuti urarame. Inokurudzira zvikuru rwendo rwako rwekuporesa.
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