Ngaba kukho umntu kusapho lwakho, mhlawumbi umakhulu osekhulile, utatomkhulu, okanye umntu onesifo esithile, oye waba nobunzima bokuginya ukutya nokusela, waza ugqirha wathi, "Kufuneka ufake ityhubhu yokondla"? Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva loo nto. Xa usiva amagama anje "ityhubhu ye-PEG," mhlawumbi uyazibuza ukuba le nto yenza ntoni. Ungakhathazeki. Namhlanje, masithethe ngokuba yintoni ityhubhu ye-PEG, ngubani oyidingayo, kunye nendlela esebenza ngayo le nkqubo.
Kalula nje, yintoni le PEG tube?
Ityhubhu ye-PEG yityhubhu ekhethekileyo efakwa ngenxeba elincinci eluswini ukuze inike isondlo ngqo esiswini kumntu onengxaki yokutya ngomlomo. Nangona igama lisenokuvakala linzima kancinci, masilihlalutye.
- I-Percutaneous: Oku kuthetha "ngolusu."
- I-Endoskopu: Oku kuthetha ukusebenzisa ityhubhu eguquguqukayo (i-endoskopu) enekhamera eqhotyoshelweyo.
- I-Gastrostomy: Oku kuthetha ukudala umngxuma omncinci (`stomy`) esiswini (`Gastro`).
Ngoko ke xa la magama mathathu edibene, intsingiselo elula kukuba "ukuvula umngxuma esiswini ngolusu, ngoncedo lwekhamera, uze ufake ityhubhu." Abanye abantu babiza le tyhubhu ngokuthi yi-G-tube. Kwizonyango, indlela yokubonelela ngesondlo esilulwelo ngale ndlela ibizwa ngokuba yi-`(Enteral Nutrition)`.
Ngubani ofuna ityhubhu ye-PEG?
Isizathu esiphambili kubunzima bokuginya . Kwizonyango, oku sikubiza ngokuba yi-"dysphagia". Nangona ukuginya ukutya kuyinto eqhelekileyo kuthi, yinkqubo enzima ebandakanya ingqondo, imithambo-luvo, kunye nemisipha emininzi. Nanini na xa le nkqubo iphazanyiswa, kunokubakho imfuneko yombhobho wokondla. Khawuthelekelele, ukuba awukwazi ukuginya kakuhle, ukutya kunye nesiselo zinokungena emiphungeni. Oku kunokukhokelela kwi-pneumonia enzima (`Aspiration Pneumonia`).
Makhe sijonge le theyibhile ingezantsi ukuze sibone ukuba zeziphi izizathu eziphambili zokubeka ityhubhu ye-PEG.
| Imeko yezonyango | Kutheni kufuneka ityhubhu ye-PEG? |
|---|---|
| Istroke | Istroke singonakalisa iindawo zobuchopho ezilawula inkqubo yokuginya, nto leyo ebangela ukuba izihlunu ezifunekayo ukuze ziginye ziyeke ukusebenza kakuhle. |
| Umhlaza weNtloko neNtlambo | Ukuginya kunokuba nzima ngenxa yomhlaza ngokwawo. Okanye, emva konyango olufana nemitha, umqala ungonakala kwaye intlungu ingenza kube nzima ukuginya ukutya. |
| Ukulimala kobuchopho | Xa ingqondo yonakaliswe yinto efana nengozi yemoto, imisebenzi emininzi yomzimba, kuquka inkqubo yokuginya, inokuphazamiseka. |
| I-Anorexia ebangelwa kukugula kakhulu | Kwizifo ezinzima ezifana nomhlaza, ukuphelelwa ngumdla wokutya kunye nobuthathaka bomzimba kwenza kube nzima ukufunxa izondlo ezifunekayo ngomlomo. |
| Ezinye iimeko | Ezinye izigulana (umz. iCystic Fibrosis) azifunxi kakuhle izondlo. Abantu abanengxaki yezintso abakwi-dialysis, kunye nezigulana ezikwi-coma, nabo bayayidinga le ndlela ukuze basindise ubomi babo. |
Yintoni ekufuneka uyazi ngaphambi kolu tyando?
Olu asilotyando olukhulu, kodwa lutyando oluncinci. Kodwa ngaphambi koko, kufuneka uthethe ngokukhululekileyo nogqirha wakho malunga nemeko yempilo yesigulana sakho.
- Qiniseka ukuba ukhankanya naziphi na izifo ezikhoyo, ezifana nesifo sentliziyo kunye nesifo seswekile.
- Amayeza: Ukuba uthatha amayeza okunciphisa igazi (umz. `Warfarin`, `Aspirin`, `Clopidogrel`) okanye amayeza okudambisa iintlungu awela kudidi lwe-`NSAIDs`` (umz. `Ibuprofen`), kufuneka uxelele ugqirha wakho. Baza kukucela ukuba uyeke ukuwathatha kwiintsuku ezimbalwa ngaphambi kotyando. Oku kungenxa yokuba la mayeza andisa umngcipheko wokopha.
- Ii-Allergy: Ukuba kukho naziphi na ii-allergies onazo nakweyiphi na imithi, nceda uzikhankanye.
Musa ukutya okanye ukusela nantoni na kangangeeyure ezisi-8 ngaphambi kotyando. Kubalulekile nokulungiselela imoto yokufika ekhaya uvela esibhedlele.
Kwenzeka ntoni ngokwenene xa kufakwa ityhubhu ye-PEG?
Le nkqubo ithatha malunga nemizuzu engama-20-30. Kuthathwa amanyathelo ayimfuneko ukuze isigulana sihlale sikhululekile ngeli xesha.
1. I-Anesthesia:Okokuqala, isigulana silala kancinci nge-intravenous anesthesia. Ngenxa yoko, akukho ntlungu okanye ukungonwabi. Ii-antibiotics nazo zinikwa ngeli xesha ukuthintela usulelo.
2. I-local anesthesia: Kunikwa inaliti encinci (i-local anesthetic) ukuze kuthintelwe indawo ejikeleze ulusu lwesisu apho kuza kufakwa khona ityhubhu.
3. Ukufaka i-endoscope: Ugqirha ngoku uza kufaka ityhubhu encinci (i-endoscope) enekhamera eqhotyoshelwe emlonyeni nasesiswini. Oku kuvumela ukuba ingaphakathi lesisu libonakale ngokucacileyo.
4. Ukufakwa kwetyhubhu kunye nokufakwa kwe-endoscope: Ukukhanya okuvela kwi-endoscope kubonakala ngesikhumba sesisu. Ejonge oko kukhanya, ugqirha wenza i-incision encinci eluswini, malunga nesentimitha kwindawo efanayo. Emva koko, ngaloo incision, ityhubhu ye-PEG ifakwa esiswini kwaye iqiniswe.
Oku kusenokuvakala kuyoyikisa kancinci, kodwa khumbula ukuba isigulana asiyi kuva nto. Kwakhona yindlela ekhuselekileyo neqhelekileyo.
Uninzi lwexesha, ungagoduka ngokuhlwa okanye kusasa.
Yintoni onokuyilindela emva kotyando?
Kuqhelekile ukuba uzive iintlungu emva kotyando. Usenokuziva iintlungu okanye uzive ugcwele esiswini sakho apho kwenziwe khona i-incision. Le ntlungu iya kuphela kwiiyure ezingama-24-48.
- Inxeba: Ibhandeji elincinci liza kubekwa phezu kwenxeba. Kuqhelekile ukuba kubekho ulwelo oluncinci kwiintsuku ezimbini zokuqala. Ugqirha uza kukucebisa ukuba uyisuse ibhandeji emva kweentsuku ezimbini.
- Isondlo: Ukondla umntwana ngamanzi kuza kuqala emva nje kokuba kufakwe ityhubhu. Ingcali yokutya iza kukufundisa indlela yokwenza oku, uhlobo lolwelo olunesondlo omawulunike umntwana, kunye nokuba makalunike kangaphi ngosuku.
- Inkangeleko yeThubhu: Ewe, inxalenye yethubhu ingaphandle komzimba. Idla ngokuba yithubhu elingana nobukhulu bepensile kwaye imalunga ne-intshi ezi-6-12 ubude. Kukho inxalenye encinci efana nediski (`i-bumper yangaphandle`) kumphezulu wesikhumba ukuthintela ukuba ithubhu ingabuyeli ngaphakathi. Isiphelo sethubhu sigqunywe ngesiciko esincinci. Oku kuthintela i-asidi yesisu ekuphumeni. Esi sivalo sinokuvulwa xa kufuneka kunikwe ukutya, amanzi, okanye amayeza.
Ngaba kukho iingozi kunye neengxaki?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci. Nangona kunjalo, ezi azixhaphakanga. Ukucocwa kakuhle kunye nokunyamekela ityhubhu kunokunciphisa kakhulu ezi ngozi.
| Umngcipheko/Ubuntsonkothi | Izinto ekufuneka uziqwalasele |
|---|---|
| Usulelo | Ububomvu, ukudumba, ubushushu, ubomvu, okanye umkhuhlane ojikeleze umbhobho. |
| Ukopha | Ukopha ngaphakathi kwetyhubhu okanye ngaphakathi esiswini. |
| Ukuvuza okujikeleze umbhobho | Ukuphuma kwesisu ngetyhubhu kunye nolusu. |
| Ukugxothwa | Ityhubhu iphuma ngokupheleleyo ngequbuliso. Le yingxamiseko! |
| Umnqweno | Umxholo wesisu ungena emiphungeni. Ukuthintela oku, kubalulekile ukugcina intloko yesigulana iphakanyisiwe xa sisitya. |
Ungayinyamekela njani ityhubhu ye-PEG?
Kubaluleke kakhulu ukugcina ulusu olujikeleze ityhubhu lucocekile yonke imihla.
- Okokuqala, hlamba izandla zakho kakuhle ngesepha.
- Emva koko, faka ilaphu elicocekileyo okanye isiqwenga segauze emanzini anesepha uze ucoce ngobunono ulusu olujikeleze ityhubhu.
- Hlamba kwakhona ngamanzi acocekileyo ukuze ususe isepha.
- Okokugqibela, yiyeke yome kakuhle. Musa ukuthambisa naziphi na iikhrimu okanye iipowder ngaphandle kwengcebiso kagqirha.
Eminye imibuzo ebuzwa rhoqo
Ngaba umntu one-PEG tube angatya aze asele ngomlomo?
Oku kuxhomekeke kwimeko yempilo ebangele ukuba kufakwe ityhubhu. Ukuba ityhubhu ifakwe ngenxa yobunzima bokuginya, ukutya nokusela ngomlomo kuya kuthintelwa, njengoko oku kunokubangela ukuba ukutya kungene kwakhona emiphungeni. Nangona kunjalo, abanye abantu banokuvunyelwa ukuba batye kancinci ngomlomo ngugqirha wabo. Buza ugqirha wakho ngale nto ukuze uqiniseke.
Ndifanele ndigcine le tube ixesha elingakanani?
Ityhubhu ye-PEG ingasetyenziswa kangangeenyanga okanye iminyaka. Ekuhambeni kwexesha, ityhubhu inokutshintsha umbala okanye ivaleke. Ukuba ityhubhu itshintsha umbala, ivuza ulwelo, okanye ibonakala inamaqhuqhuva, lixesha lokuyitshintsha. Ukufaka ityhubhu entsha kulula kakhulu, kwaye akudingi i-anesthesia okanye utyando. Ukuba imeko yesigulana iyaphucuka kwaye sinokuginya kwakhona, ityhubhu ingasuswa ngokupheleleyo. Umngxuma osesiswini uya kuvala ngokwawo kwiintsuku ezimbalwa.
Wenza ntoni ukuba ityhubhu iphuma ngequbuliso?
Le yingxamiseko. Kufuneka uye esibhedlele, iYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko. Kuba umngxuma esiswini naselusu uza kuqala ukuvala kwiiyure ezimbalwa. Ukuba oko kuyenzeka, kuya kuba nzima ukubuyisela ityhubhu entsha. Ke ngoko, ukuba ityhubhu iyaphuma, kubalulekile ukufuna unyango kwiiyure ezingama-24 .
Ityhubhu ye-PEG sisixhobo esibaluleke kakhulu sonyango esinokusindisa ubomi bomntu, sithintele ukunqongophala kwezondlo, kwaye siphucule umgangatho wobomi bakhe. Eyona nto ibalulekileyo kukungayoyiki, ukuyiqonda ngokuchanekileyo, kwaye uyinyamekele ngokufanelekileyo.
Umyalezo Wokuya Ekhaya
- Ityhubhu ye-PEG yindlela ekhuselekileyo yokuhambisa isondlo ngqo esiswini kwabo bangakwaziyo ukutya ngomlomo.
- Le nkqubo ingenziwa ngaphantsi kwemizuzu engama-30 kwaye ayinabuhlungu.
- Ukugcina umbhobho kunye nolusu olujikeleze wona lucocekile imihla ngemihla kunokunceda ekuthinteleni usulelo.
- Ukuba ubona naziphi na iimpawu ezinje ngokuba bomvu, ukudumba, ubomvu, okanye umkhuhlane ojikeleze ityhubhu, yazisa ugqirha wakho ngoko nangoko.
- Ukuba ityhubhu iphuma ngequbuliso, yingxamiseko. Yiya esibhedlele ngokukhawuleza, zingadlulanga iiyure ezingama-24.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onazo malunga noku.
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