Ingabe othile emndenini wakho, mhlawumbe ugogo osekhulile, umkhulu, noma othile ohlushwa ukugula, ube nobunzima bokugwinya ukudla neziphuzo, udokotela wathi, "Udinga ukufaka ipayipi lokuncelisa"? Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile uma uzwa lokho. Uma uzwa amagama anjengokuthi "ipayipi le-PEG," cishe uyazibuza ukuthi lokhu kwenzani. Ungakhathazeki. Namuhla, ake sixoxe ngokuthi iyini ipayipi le-PEG, ubani olidingayo, nokuthi le nqubo isebenza kanjani.
Kalula nje, iyini le payipi ye-PEG?
I-PEG tube iyipayipi ekhethekile efakwa ngembobo encane esikhumbeni ukuze inikeze ukudla okunomsoco ngqo esiswini kumuntu onenkinga yokudla ngomlomo. Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, ake silichaze.
- I-Percutaneous: Lokhu kusho ukuthi "ngokusebenzisa isikhumba."
- I-Endoscopic: Lokhu kusho ukusebenzisa ishubhu eliguquguqukayo (i-endoscope) elinekhamera enamathiselwe.
- I-Gastrostomy: Lokhu kusho ukudala isikhala esincane (`stomy`) esiswini (`Gastro`).
Ngakho-ke uma la magama amathathu ehlanganiswa, incazelo elula iwukuba "ukuvula imbobo esiswini ngesikhumba, ngosizo lwekhamera, bese ufaka ipayipi." Abanye abantu babiza leli payipi ngokuthi i-G-tube. Kwezokwelapha, indlela yokuhlinzeka ngokudla okumanzi ngale ndlela ibizwa ngokuthi `(Enteral Nutrition)`.
Ubani odinga ipayipi le-PEG?
Isizathu esiyinhloko ubunzima bokugwinya . Kwezokwelapha, lokhu sikubiza ngokuthi "i-dysphagia". Nakuba ukugwinya ukudla kuyinto evamile kithi, kuyinqubo eyinkimbinkimbi ehilela ubuchopho, imizwa, nemisipha eminingi. Noma nini lapho le nqubo iphazanyiswa, kungase kuvele isidingo sepayipi lokuncelisa. Cabanga nje, uma ungakwazi ukugwinya kahle, ukudla nokuphuza kungangena emaphashini. Lokhu kungaholela e-pneumonia enzima (`i-Aspiration Pneumonia`).
Ake sibheke ithebula elingezansi ukuze sibone ukuthi yiziphi izizathu eziyinhloko zokubeka ithubhu le-PEG.
| Isimo sezokwelapha | Kungani kudingeka ipayipi le-PEG? |
|---|---|
| Isifo sohlangothi | Isifo sohlangothi singalimaza izingxenye zobuchopho ezilawula inqubo yokugwinya, okubangela ukuba imisipha edingekayo ukuze igwinye iyeke ukusebenza kahle. |
| Umdlavuza Wekhanda Nentamo | Ukugwinya kungaba nzima ngenxa yomdlavuza uqobo. Noma, ngemva kokwelashwa okufana nemisebe, umphimbo ungase ulimele futhi ubuhlungu bungase bukwenze kube nzima ukugwinya ukudla. |
| Ukulimala Kobuchopho | Uma ubuchopho bonakaliswe yinto efana nengozi yemoto, imisebenzi eminingi yomzimba, okuhlanganisa nenqubo yokugwinya, ingaphazamiseka. |
| I-Anorexia ebangelwa ukugula okukhulu | Ezifweni ezinzima njengomdlavuza, ukulahlekelwa yisifiso sokudla kanye nobuthakathaka bomzimba kwenza kube nzima ukumunca ukudla okudingekile ngomlomo. |
| Ezinye izimo | Ezinye iziguli (isib. i-Cystic Fibrosis) azimunci kahle izakhamzimba. Abantu abanenkinga yezinso abasebenzisa i-dialysis, kanye neziguli ezikwi-coma, nabo badinga le ndlela ukuze basindise izimpilo zabo. |
Yini okudingeka uyazi ngaphambi kwalokhu kuhlinzwa?
Lokhu akuyona inqubo enkulu yokuhlinzwa, kodwa inqubo encane. Kodwa ngaphambi kwalokho, kufanele ukhulume ngokukhululekile nodokotela wakho ngesimo sempilo yesiguli sakho.
- Qiniseka ukuthi ukhuluma nganoma yiziphi izifo ezikhona, njengesifo senhliziyo nesifo sikashukela.
- Imithi: Uma uthatha imithi yokunciphisa igazi (isib. `Warfarin`, `Aspirin`, `Clopidogrel`) noma imithi yokunciphisa ubuhlungu ewela esigabeni ``ama-NSAID`` (isib. `Ibuprofen`), kufanele utshele udokotela wakho. Bazokucela ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Lokhu kungenxa yokuthi le mithi yandisa ingozi yokopha.
- Ukungezwani komzimba: Uma une-allergies kunoma yimuphi umuthi, sicela usho wona.
Ungadli noma uphuze lutho cishe amahora angu-8 ngaphambi kokuhlinzwa. Kubalulekile futhi ukuhlela imoto yokufika ekhaya usuka esibhedlela.
Kwenzekani ngempela uma kufakwa ithubhu le-PEG?
Le nqubo ithatha cishe imizuzu engama-20-30. Kuthathwa izinyathelo ezidingekayo ukuze isiguli sihlale sikhululekile phakathi nalesi sikhathi.
1. Ukubulala izinzwa:Okokuqala, isiguli silala kancane nge-anesthesia efakwa emthanjeni. Ngakho-ke, akukho buhlungu noma ukungakhululeki. Ama-antibiotic nawo anikezwa ngalesi sikhathi ukuvimbela ukutheleleka.
2. I-anesthesia yendawo: Kunikezwa umjovo omncane (i-anesthetic yendawo) ukuze kuncishiswe indawo ezungeze isikhumba sesisu lapho kuzofakwa khona ipayipi.
3. Ukufaka i-endoscope: Udokotela manje uzofaka ithubhu elincane (i-endoscope) elinekhamera exhunywe ngomlomo nasesiswini. Lokhu kuvumela ingaphakathi lesisu ukuthi libonakale kahle.
4. Ukusika nokufaka ithubhu: Ukukhanya okuvela ku-endoscope kubonakala ngesikhumba sesisu. Uma ebheka lokho kukhanya, udokotela wenza ukusika okuncane esikhumbeni, cishe isentimitha endaweni efanayo. Ngemuva kwalokho, ngaleyo nqubhu, ithubhu le-PEG lifakwa esiswini futhi liqiniswe.
Lokhu kungase kuzwakale kwesabisa kancane, kodwa khumbula ukuthi isiguli ngeke sizwe lutho. Futhi kuyindlela ephephile kakhulu futhi evamile.
Esikhathini esiningi, ungaya ekhaya kusihlwa noma ngakusasa ekuseni.
Yini ongayilindela ngemva kokuhlinzwa?
Kuvamile ukuzwa ubuhlungu ngemva kokuhlinzwa. Ungase uzizwe ubuhlungu noma umuzwa wokugcwala esiswini sakho lapho kwenziwa khona i-incision. Lobuhlungu buzophela zingakapheli amahora angama-24-48.
- Inxeba: Ibhandeji elincane lizobekwa phezu kwesilonda. Kujwayelekile ukuthi kuphume uketshezi oluncane ezinsukwini ezimbili zokuqala. Udokotela uzokweluleka ukuthi ususe ibhandiji ngemva kwezinsuku ezimbili.
- Ukudla Okunomsoco: Ukuphakelwa okuwuketshezi kuzoqala ngokushesha ngemva kokufakwa kwepayipi. Uchwepheshe wezokudla uzokufundisa ukuthi ungakwenza kanjani lokhu, uhlobo luni loketshezi olunomsoco okufanele ulunikeze, nokuthi ulunikeze kangaki ngosuku.
- Ukubukeka Kwepayipi: Yebo, ingxenye yepayipi ingaphandle komzimba. Ngokuvamile iyipayipi elicishe libe ugqinsi lwepensela futhi libe ngamasentimitha angu-6-12 ubude. Kukhona ingxenye encane efana nediski (`i-external bumper`) ebusweni besikhumba ukuvimbela ipayipi ukuthi lingaphindeli ngaphakathi. Isiphetho sepayipi simbozwe ngesembozo esincane. Lokhu kuvimbela i-asidi yesisu ukuthi ingaphumi. Lesi sembozo singavulwa uma kudingeka kunikezwe ukudla, amanzi, noma umuthi.
Ingabe zikhona izingozi nezinkinga?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane. Kodwa-ke, lezi azivamile. Ukuhlanza nokunakekela ithubhu ngendlela efanele kunganciphisa kakhulu lezi zingozi.
| Ingozi/Ubunkimbinkimbi | Izinto okudingeka uzinake |
|---|---|
| Ukutheleleka | Ukubomvu, ukuvuvukala, ukufudumala, ubomvu, noma umkhuhlane ozungeze ipayipi. |
| Ukopha | Ukopha eduze kwepayipi noma ngaphakathi esiswini. |
| Ukuvuza okuzungeze ipayipi | Okuqukethwe esiswini kuvuza ngepayipi kanye nesikhumba. |
| Ukuxoshwa | Ipayipi liphuma ngokuzumayo ngokuphelele. Lesi yisimo esiphuthumayo! |
| Ukuphefumula | Okuqukethwe yisisu kungena emaphashini. Ukuvimbela lokhu, kubalulekile ukugcina ikhanda lesiguli liphakeme lapho sinikeza ukudla. |
Ungayinakekela kanjani ithubhu le-PEG?
Kubaluleke kakhulu ukugcina isikhumba esizungeze ipayipi sihlanzekile nsuku zonke.
- Okokuqala, geza izandla zakho kahle ngensipho.
- Bese, cwilisa indwangu ehlanzekile noma ucezu lwe-gauze emanzini anensipho bese uhlanza isikhumba esizungeze ipayipi ngobumnene.
- Hlanza futhi ngamanzi ahlanzekile ukuze ususe insipho.
- Ekugcineni, yiyeke yome kahle. Ungafaki noma yimaphi amakhrimu noma impuphu ngaphandle kweseluleko sikadokotela.
Eminye imibuzo evame ukubuzwa
Ingabe umuntu onepayipi le-PEG angadla futhi aphuze ngomlomo?
Lokhu kuncike esimweni sezempilo esibangele ukufakwa kwepayipi. Uma ipayipi lifakwe ngenxa yobunzima bokugwinya, ukudla nokuphuza ngomlomo kuzoncishiswa, njengoba lokhu kungabangela ukuthi ukudla kuphinde kungene emaphashini. Kodwa-ke, abanye abantu bangase bavunyelwe ukudla okuncane ngomlomo ngudokotela wabo. Buza udokotela wakho ngalokhu ukuze uqiniseke.
Kufanele ngigcine leli payipi isikhathi esingakanani?
Ipayipi le-PEG lingasetshenziswa izinyanga noma ngisho neminyaka. Ngokuhamba kwesikhathi, ipayipi lingaphenduka umbala noma livaleke. Uma ipayipi lishintsha umbala, livuza uketshezi, noma libonakala linamaqhubu, sekuyisikhathi sokulishintsha. Ukufaka ipayipi elisha kulula kakhulu, futhi akudingi i-anesthesia noma ukuhlinzwa. Uma isimo sesiguli sithuthuka futhi singagwinya futhi, ipayipi lingasuswa ngokuphelele. Imbobo esiswini izobe isizivalela yodwa phakathi nezinsuku ezimbalwa.
Wenzani uma ithubhu liphuma ngokuzumayo?
Lesi yisimo esiphuthumayo. Udinga ukuya esibhedlela, i-Emergency Treatment Unit (ETU) ngokushesha. Ngoba imbobo esiswini nasesikhumbeni izoqala ukuvala zingakapheli amahora ambalwa. Uma lokho kwenzeka, kuzoba nzima ukufaka ithubhu elisha. Ngakho-ke, uma ithubhu liphuma, kubalulekile ukufuna usizo lwezokwelapha zingakapheli amahora angama-24 .
Ishubhu le-PEG liyithuluzi lezokwelapha elibaluleke kakhulu elingasindisa impilo yomuntu, livimbele ukuntuleka kokudla okunempilo, futhi lithuthukise ikhwalithi yempilo yakhe. Into ebaluleke kakhulu ukungayesabi, ukuliqonda kahle, nokulinakekela kahle.
Umlayezo Wokuya Nawe Ekhaya
- Ishubhu le-PEG liyindlela ephephile yokuletha ukudla okunomsoco ngqo esiswini kulabo abangakwazi ukudla ngomlomo.
- Le nqubo ingenziwa ngaphansi kwemizuzu engama-30 futhi ayinabuhlungu.
- Ukugcina ipayipi kanye nesikhumba esizungezile kuhlanzekile nsuku zonke kungasiza ekuvimbeleni izifo.
- Uma ubona noma yiziphi izimpawu ezifana nokubomvu, ukuvuvukala, ubomvu, noma umkhuhlane ozungeze ipayipi, yazisa udokotela wakho ngokushesha.
- Uma ithubhu likhululeka ngokuzumayo, kuyisimo esiphuthumayo. Yiya esibhedlela ngokushesha okukhulu, zingakapheli amahora angama-24.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka onakho ngalokhu.
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