Kumnandi kangakanani ukutya isidlo esimnandi xa silambile? Kodwa kwabanye abantu, ingakumbi abo banengxaki yokuginya ngenxa yemeko ethile yempilo, oku kunokuba yingxaki enkulu. Ngamaxesha anje apho oogqirha bathetha ngesisombululo esibizwa ngokuba yi-PEG tube yokubonelela isigulane ngesondlo esifunekayo. Usenokuba ukhe weva ngale nto. Masithethe ngayo yonke into ngendlela elula necacileyo namhlanje.
Yintoni ityhubhu ye-PEG?
Ngamafutshane, ityhubhu ye-PEG yityhubhu encinci, eguquguqukayo efakwa ngqo esiswini sakho, oko kukuthi, esiswini sakho. Ifakwa ngesikhumba iye esiswini sakho. Oku ngokwezonyango kubizwa ngokuba yi -Percutaneous Endoscopic Gastrostomy (PEG) . Kodwa sidla ngokuyibiza ngokuba yi-PEG tubes okanye ii-G tubes .
Eyona njongo iphambili yoku kukubonelela ngokutya okunesondlo okumanzi kunye namanzi ngqo esiswini kumntu ongakwaziyo ukuginya ukutya ngomlomo. Le ndlela siyibiza ngokuba yi-enteral nutrition . Oku kuvumela isigulana ukuba sifumane amandla afunekayo kunye nesondlo ngaphandle kokunqongophala.
Ngubani ofuna umbhobho onje?
Ukuba unengxaki yokuginya, okanye i-dysphagia, ungancedakala yi-PEG tube. Kunokubakho izizathu ezahlukeneyo zokuba unokuba nengxaki yokuginya.
- Istroke .
- Ukulimala kwengqondo .
- Umhlaza wentloko nentamo .
- Ukuphelelwa ngumdla wokutya ixesha elide okubangelwa zizifo ezinzulu ezifana nomhlaza.
Ayipheleli apho, le tube ikwaluncedo kwabo baneengxaki ezithile zempilo ezithintela umzimba ekufumaneni izondlo ngendlela efanelekileyo.
Umzekelo, oogqirha bacebisa ukusebenzisa le tube kubantu abane-cystic fibrosis okanye abo bakwi-dialysis ngenxa yesifo sezintso. Kungabalulekile nokusindisa ubomi bomntu okwi-coma.
Kwenzeka ntoni ngaphambi kotyando?
Nangona olu lutyando oluncinci, kukho izinto ezimbalwa ekufuneka uzilungiselele kwangaphambili.
1. Ukuxoxa nogqirha wakho: Ngaphambi kotyando, ugqirha wakho uza kuxoxa nawe kakuhle ngale nkqubo. Kubalulekile ukuxelela ugqirha wakho ngazo naziphi na iingxaki zentliziyo, iingozi zokopha, kunye nazo naziphi na ii-allergies onokuba nazo kuyo nayiphi na imithi .
2. Ukulungisa amayeza: Ngokuxhomekeke kwimeko yakho yempilo, kunokufuneka utshintshe okwethutyana okanye uyeke ukusebenzisa amanye amayeza owasebenzisayo.
- Usebenzisa i-insulin xa unesifo seswekile.Ukuba umntu uyayithatha, uza kumxelela ukuba atshintshe umthamo.
- Izinto zokunciphisa igazi , ezifana ne-warfarin.
- Iipilisi zokunciphisa iintlungu , oko kukuthi, iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal (NSAIDs) - umzekelo, i-aspirin okanye i-ibuprofen.
3. Kuphephe ukutya okanye ukusela: Akunakutya okanye ukusela nantoni na ubuncinane iiyure ezisi-8 ngaphambi kotyando.
4. Umntu oza kukuqhubela ekhaya: Ekubeni ungazukukwazi ukuziqhubela ekhaya emva kotyando, kufuneka ulungiselele kwangaphambili ukuba umntu akuqhubele ekhaya.
Lwenziwa njani utyando?
Oku kudla ngokwenziwa njengenkqubo ye-endoscopic , oko kuthetha ukuba kwenziwa ngaphandle kokwenza umngxuma omkhulu, kodwa kusetyenziswa ityhubhu ende, eguquguqukayo (i-endoscope) enekhamera eqhotyoshelweyo ngomngxuma omncinci.
Ngomhla wotyando lwakho, uza kunikwa i-anesthesia nge-IV ukuze uhlale uzolile kwaye ungabi nantlungu. Uza kunikwa nee-antibiotics ukuthintela usulelo. Unganikwa ne-anesthetic yendawo ukuze uvale indawo apho kuza kwenziwa khona i-incision.
Inkqubo imi ngolu hlobo lulandelayo:
1. Ugqirha uza kwenza umngxuma omncinci kakhulu kwinxalenye ephezulu yesisu sakho.
2. Ityhubhu ye-PEG ifakwa ngaloo mngxuma.
3. Ngoncedo lwe-endoscope, ityhubhu iqhagamshelwe ngqo esiswini .
Lonke eli xesha lithatha malunga nemizuzu engama-20-30 . Uninzi lwexesha, ungagoduka ngaloo mini okanye ngentsasa elandelayo.
Iingozi kunye neengxaki ezinokubakho
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu ezibandakanyekayo ekufakweni kwetyhubhu ye-PEG. Kubalulekile ukuzazi ezi zinto.
| Umngcipheko/Ingxaki | Inkcazo |
|---|---|
| Ukukhululwa ngengozi kwetyhubhu | Ityhubhu efakelweyo iyakhululeka okanye ikhululeke ngokupheleleyo. |
| Umnqweno | Ukufunxwa ngengozi kolwelo okanye ukutya okuvela esiswini ukuya kwindlela yokuphefumla (imiphunga). |
| Ukopha kunye nokugqobhoka | Umngxuma eludongeni lwamathumbu okanye isisu kwaye wopha xa kufakwa ityhubhu. |
| Usulelo | Usulelo lolusu olujikeleze indawo yokusikwa. |
| Ukuvuza kolwelo lwesisu | Ukuvuza komxholo wesisu ojikeleze ityhubhu phezu kolusu. |
Ugqirha wakho uza kuchaza iimpawu zolu hlobo lwengxaki kunye nexesha lokufuna unyango. Kubalulekile ukugcina ityhubhu ye-PEG kunye nendawo eyijikelezileyo icocekile imihla ngemihla ukunciphisa umngcipheko weengxaki.
Leliphi ixesha elifanelekileyo lokubona ugqirha?
Yile nto kufuneka uyilumkele kakhulu . Ukuba ityhubhu yakho ye-PEG iphuma ngengozi okanye isuka endaweni yayo, kuya kufuneka ubone ugqirha ngoko nangoko .
Khumbula, umngxuma esiswini apho ityhubhu ifakwa khona uqala ukuvala ngokukhawuleza. Ke ngoko, ukuba ityhubhu iphuma , kubalulekile ukufuna uncedo lwezonyango zingadlulanga iiyure ezingama-24 . Ukuba oku kuyenzeka, ungalibazisi ukuya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- Ityhubhu ye-PEG yindlela elula nekhuselekileyo yokuhambisa isondlo ngqo esiswini kubantu abanobunzima bokutya ngomlomo.
- Oku kwenziwa ngenkqubo elula ebizwa ngokuba yi-endoscopy. Kwiimeko ezininzi, ungaya ekhaya ngaloo mini inye.
- Kubaluleke kakhulu ukugcina ityhubhu kunye nendawo eyijikelezileyo icocekile imihla ngemihla ukuthintela iingxaki.
- Ukuba ityhubhu iphuma ngengozi, ungalibazisi umzuzu, bona ugqirha okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele zingadlulanga iiyure ezingama-24 .
- Zive ukhululekile ukuthetha nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Uza kukunika lonke icebiso olifunayo.
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