Kuqhelekile ukuziva usoyika kwaye uxhalabile xa ugqirha wakho ekuxelela okanye umntu osapho lwakho ukuba kufuneka wondliwe ngetyhubhu. "Ndiza kutya njani ngoku?", "Ngaba oku kuza kuhlala ixesha elide?", njl. Imibuzo emininzi inokuvela engqondweni. Kodwa eneneni le yindlela ebaluleke kakhulu nekhuselekileyo yokubonelela umzimba ngesondlo esifunekayo kunye nolwelo kumntu ongakwaziyo ukuhlafuna nokuginya ukutya ngokufanelekileyo. Masithethe ngayo yonke into ngokulula namhlanje.
Ngamafutshane, yintoni ukondla ngetyhubhu?
Ukondla ngetyhubhu, okanye ngokwezonyango, "Isondlo Sokutyeba," kukusebenzisa ityhubhu yeplastiki eguquguqukayo nebhityileyo (ityhubhu) ukuhambisa ukutya okunesondlo okumanzi ngqo "kwindlela yakho yesisu." Ngamanye amaxesha, ezi tyhubhu zikwasetyenziselwa ukunika amayeza.
Cinga ngale ndlela. Ngokwesiqhelo, sitya ukutya ngomlomo, kudlule kwi-esophagus yethu uye esiswini, kuze ukusuka apho kuye emathunjini ethu. Kodwa ukuba ngesizathu esithile olu hambo alunakwenzeka, senza enye indlela. Yiyo le ndlela oku kwenzeka ngayo oku. Le tube isetyenziselwa ukuthumela ukutya okungenakudlula emlonyeni wethu kunye ne-esophagus ngqo esiswini okanye emathunjini amancinci.
Ngaba kukho iintlobo zeetyhubhu zokutyisa?
Ewe, zahlulwe zibe ziintlobo ngeentlobo, ngokuyintloko kuxhomekeke ekubeni zibekwe phi kwaye zisetyenziswa ixesha elingakanani.
Iityhubhu zokusetyenziswa kwexesha elifutshane (ngaphantsi kweeveki ezi-4-6)
Ezi zihlala zinikwa ngempumlo. Ungafakwa netyhubhu kuqala ukuze ubone ukuba umzimba wakho usabela njani kwezi zinto zilulwelo.
| Uhlobo lweThubhu | Indlela |
|---|---|
| Ityhubhu yeNasogastric (NG) | Ukusuka enkabeni ukuya esiswini. |
| Umbhobho weNasoduodenal (umbhobho weNasoduodenal - ND) | Ukusuka enkabeni ukuya kwinxalenye yokuqala yamathumbu amancinci (i-duodenum). |
| Ityhubhu yeNasojejunal (NJ) | Ukusuka kwinkaba ukuya kwinxalenye yesibini yamathumbu amancinci (i-jejunum). |
Iityhubhu ezisetyenziswa ixesha elide (ngaphezulu kweeveki ezi-4-6)
Ukuba kufuneka ityhubhu yokondla ixesha elide, oogqirha banokucebisa ukuba kufakwe ityhubhu eludongeni lwesisu iye ngqo esiswini okanye emathunjini amancinci. Oku kwenziwa ngotyando oluncinci.
| Uhlobo lweThubhu | Inkcazo |
|---|---|
| Ityhubhu ye-Gastrostomy (ityhubhu ye-G) | Umbhobho ofakwa ngqo esiswini ngolusu lwesisu. |
| Ityhubhu yeJejunostomy (ityhubhu yeJ) | Umbhobho ofakwa ngesikhumba sesisu ngqo kwinxalenye yesibini yamathumbu amancinci (i-jejunum). |
| Ityhubhu yeGastrostomy-jejunostomy (ityhubhu yeGJ) | Le tube ifakwa esiswini ize idluliselwe kwi-jejunum, amathumbu amancinci. Ineendawo ezimbini. I-G-port isetyenziselwa ukukhupha ulwelo esiswini kunye nokunika amayeza, kwaye i-J-port isetyenziselwa ukunika ukutya. |
Ngabantu abanjani abafanele bondliwe ngetyhubhu efana nale?
Ngoku usenokuba uzibuza, "Kutheni umntu edinga into efana nale?" Isizathu esiphambili kukuba akakwazi ukufumana izondlo ezaneleyo ngomlomo wakhe. Le ndlela ibaluleke kakhulu ukuba unesifo esibizwa ngokuba yi-"Dysphagia", esenza kube nzima ukuhlafuna okanye ukuginya ukutya.
Le ndlela inceda ukugcina impilo yemetabolism yomzimba wakho kunye nenkqubo yokugaya ukutya.
Ezinye zeemeko apho ityhubhu inokufuneka khona zezi:
- Ubunzima bokuginya ngenxa yomhlaza wentloko nentamo okanye ukwenzakala kwezo ndawo.
- Iingxaki zokutya ezinzulu.
- Iingxaki zesisu namathumbu, ezifana nokucutheka kombhobho wokutya.
- Izifo eziphazamisa ukufunxwa kwezondlo emzimbeni, ezifana nesifo sikaCrohn esinzima.
- Izifo zenkqubo yemithambo-luvo ezifana nestroke .
- Ukulahlekelwa yikhono lokuginya okwethutyana ngenxa yotyando okanye ukugula kutshanje.
- Iimeko zokungazi nto `(Coma)`.
Luhlobo luni lwamava olufumanayo xa ufakwe ityhubhu?
Oku kuya kwahluka ngokuxhomekeke kuhlobo lwetyhubhu onayo kunye nesizathu sayo. Ngelixa usesibhedlele, abasebenzi bonyango baya kukhathalela ukukunika ukutya ngetyhubhu kunye nokuyicoca. Nangona kunjalo, ukuba ubuyela ekhaya netyhubhu, wena kunye nabanakekeli bakho niya kuqeqeshwa ngendlela yokuyisebenzisa nokuyinyamekela.
Ithubhu ifakwa njani emzimbeni?
Ezi zihlala zifakwa esibhedlele, kodwa ungaqhubeka uzisebenzisa ekhaya.
- Umbhobho wempumlo: Le ayiyonkqubo inkulu. Ingenziwa ngelixa ulele ebhedini. Ugqirha okanye umongikazi oqeqeshiweyo uya kuyivala ityhubhu aze ayifake ngononophelo ngempumlo yakho esiswini okanye emathunjini akho. Ungacelwa ukuba usele amanzi ngengca ngeli xesha, ukuze umbhobho wehle lula.
- Umbhobho wesisu: Oku kufuna utyando oluncinci. Kuya kufuneka uzile ukutya kangangeeyure ezisi-8 ngaphambi kwenkqubo. Ukuba uthatha amayeza okunciphisa igazi, uya kucelwa ukuba uyeke ukuwasebenzisa kangangeentsuku ezimbalwa. Uya kunikwa i-anesthesia ukuze ungabi nantlungu . Kukho iindlela ezahlukeneyo zokwenza olu tyando:
- I-Endoscopy: Ityhubhu enekhamera eqhotyoshelweyo ifakwa ngomlomo ukuze ijonge ngaphakathi esiswini. Kwenziwa umngxuma omncinci eluswini lwesisu kwaye ityhubhu ifakwa.
- Nge-X-reyi: Ityhubhu ifakwa ngokujonga imifanekiso ye-X-reyi ukuze kufunyanwe indawo echanekileyo.
- Ngotyando: Ngamanye amaxesha ityhubhu ifakwa ngotyando oluvulekileyo okanye nge-laparoscopy (ngokusika okuncinci okumbalwa ngoncedo lwekhamera).
Ufumana njani ukutya ngetyhubhu?
Kukho iindlela ezimbini zokwenza oku.
1. Ukondla nge-bolus: Njengokuba sisitya izidlo ezithathu ngemini, ukutya okumanzi kunikwa kwityhubhu ngamaxesha athile emini kusetyenziswa isirinji. Le ndlela idla ngokwenziwa kubantu abanetyhubhu esiswini kuba isisu siyakwazi ukuthwala ukutya okuninzi ngexesha.
2. Ukondla rhoqo: Ukuba umbhobho ufakwe emathunjini amancinci, akunakwenzeka ukondla kakhulu ngaxeshanye. Ke ngoko, kusetyenziswa ipompo ukondla umntwana kancinci kancinci kangangeeyure ezininzi.
Ugqirha wakho kunye nengcali yesondlo baya kubala ubungakanani beekhalori, iivithamini kunye neproteni oyifunayo baze bakucebise ngefomyula yolwelo efanelekileyo.
Kubalulekile:Kubaluleke kakhulu ukugcina umntwana elele phantsi ngama-45 degrees ngelixa etyisa kwaye emva kweeyure ezimbalwa esitya. Ukungaphumeleli ukwenza njalo kunokubangela ukuba ukutya kungene kwindlela yomoya kwaye kubangele i-aspiration pneumonia.
Uyinyamekela njani ityhubhu kunye nolusu oluyijikelezileyo?
Kufuneka uthintele ityhubhu ukuba ingavaleki kwaye uthintele ukuba iintsholongwane zingaphuhli ngeenxa zonke zetyhubhu.
| Yintoni ekufuneka uyinyamekele | Kwenziwe ntoni |
|---|---|
| Indawo yokufaka |
|
| Ityhubhu ngokwayo |
Isilumkiso: Ungaze uzame ukususa ityhubhu evalekileyo ngento efana nocingo. Oku kungonakalisa ityhubhu kunye nomzimba wakho.
Zithini iingozi?
Kunokubakho iintlungu zesisu kunye nokudumba kwiintsuku zokuqala emva kokufakwa kwetyhubhu. Usenokuba neengxaki zesisu kunye norhudo njengoko umzimba wakho uqhelana nokutya okutsha. Oku kudla ngokuphela kwiintsuku ezimbalwa.
Umngcipheko wezinye iingxaki uphantsi, kodwa kulungile ukwazi:
- Umbhobho ubambekile, wonakele, okanye ukhutshiwe.
- Usulelo kwindawo yokufaka ityhubhu.
- Ukuqhinwa okungapheliyo, isicaphucaphu, okanye urhudo.
- Ukutya okungena emiphungeni (i-Aspiration pneumonia).
Ukuba unamathandabuzo ngento efana nale, thetha nogqirha wakho ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukondla ngetyhubhu yindlela ekhuselekileyo nesebenzayo yokubonelela ngesondlo kumntu ongakwaziyo ukutya ngomlomo. Musa ukoyika.
- Kubaluleke kakhulu ukugcina ityhubhu kunye nolusu oluyijikelezileyo lucocekile. Landela imiyalelo kagqirha ngononophelo.
- Ukuba ityhubhu iyabhajwa, iyakhululeka, okanye ibonisa iimpawu zosulelo (ububomvu, ukudumba, iintlungu), funa ingcebiso kagqirha ngoko nangoko.
- Ukuba ityhubhu entsha efakweyo iyakhululeka, yingxamiseko. Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko.
- Nangona isenokungabi nancasa njengokutya ukutya, le ndlela inika umzimba wakho amandla kunye nesondlo esifunekayo ukuze uphile. Yindlela entle yokuphucula uhambo lwakho lokuphiliswa.
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