Kuhle kangakanani ukudla ukudla okumnandi uma silambile? Kodwa kwabanye abantu, ikakhulukazi labo abanenkinga yokugwinya ngenxa yesimo esithile sezokwelapha, lokhu kungaba yiphupho elibi. Ngezinye izikhathi odokotela bakhuluma ngesisombululo esibizwa ngokuthi i-PEG tube ukuze banikeze isiguli ukudla okunomsoco okudingekayo. Kungenzeka ukuthi uke wezwa ngalokhu. Ake sixoxe ngakho konke ngendlela elula necacile namuhla.
Iyini ithubhu le-PEG?
Kalula nje, ithubhu le-PEG lithubhu elincane, eliguquguqukayo elifakwa ngqo esiswini sakho, okungukuthi, esiswini sakho. Lifakwa ngesikhumba liye esiswini sakho. Lokhu ngokwezokwelapha kubizwa ngokuthi i-Percutaneous Endoscopic Gastrostomy (PEG) . Kodwa sivame ukulibiza ngokuthi amathubhu e-PEG noma amathubhu e-G .
Inhloso eyinhloko yalokhu ukunikeza ukudla okunomsoco okumanzi namanzi ngqo esiswini somuntu ongakwazi ukugwinya ukudla ngomlomo. Le ndlela siyibiza ngokuthi ukudla okunomsoco okungaphakathi . Lokhu kuvumela isiguli ukuthola amandla adingekayo kanye nokudla okunomsoco ngaphandle kokuntuleka.
Ubani odinga ipayipi elinje?
Uma unenkinga yokugwinya, noma i-dysphagia, ungase uzuze ngepayipi le-PEG. Kungaba nezizathu eziningana zokuthi kungani ungaba nobunzima bokugwinya.
- Isifo sohlangothi .
- Ukulimala kobuchopho .
- Umdlavuza wekhanda nentamo .
- Ukulahlekelwa yisifiso sokudla isikhathi eside okubangelwa izifo ezinkulu njengomdlavuza.
Akukhona lokho kuphela, leli payipi liwusizo nakulabo abanezimo ezithile zezokwelapha ezivimbela umzimba ekumunceni izakhamzimba ngendlela efanele.
Isibonelo, odokotela batusa ukusebenzisa leli payipi kubantu abane-cystic fibrosis noma labo abasebenzisa i-dialysis ngenxa yesifo sezinso. Kungaba yinto ebalulekile futhi ukusindisa impilo yomuntu ose-coma.
Kwenzekani ngaphambi kokuhlinzwa?
Ngisho noma lokhu kungukuhlinzwa okuncane, kunezinto ezimbalwa okudingeka uzilungiselele kusengaphambili.
1. Ukuxoxa nodokotela wakho: Ngaphambi kokuhlinzwa, udokotela wakho uzoxoxa nawe ngokugcwele ngale nqubo. Kubalulekile ukutshela udokotela wakho nganoma yiziphi izimo zenhliziyo, izingozi zokopha, kanye nanoma yikuphi ukungezwani komzimba ongase ube nakho kunoma yimiphi imithi .
2. Ukulungisa imithi: Kuye ngesimo sakho sempilo, kungadingeka ushintshe okwesikhashana noma uyeke ukuphuza eminye yemithi oyiphuzayo.
- Uthatha i-insulin uma unesifo sikashukela.Uma othile ewuthatha, uzomtshela ukuthi ashintshe umthamo.
- Izinto zokunciphisa igazi , njenge-warfarin.
- Izibulala-zinhlungu , okungukuthi, izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala (ama-NSAID) - isibonelo, i-aspirin noma i-ibuprofen.
3. Gwema ukudla noma ukuphuza: Awukwazi ukudla noma ukuphuza noma yini okungenani amahora angu-8 ngaphambi kokuhlinzwa.
4. Umuntu ozokushayela imoto uye ekhaya: Njengoba ungeke ukwazi ukushayela imoto yakho ngemva kokuhlinzwa, kufanele uhlele kusengaphambili ukuthi othile azokushayela imoto uye ekhaya.
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuvame ukwenziwa njengenqubo ye-endoscopic , okusho ukuthi kwenziwa ngaphandle kokwenza i-incision enkulu, kodwa kusetshenziswa ithubhu ende, eguquguqukayo (i-endoscope) enekhamera enamathiselwe ngembobo encane.
Ngosuku lokuhlinzwa kwakho, uzonikezwa i-anesthesia nge-IV ukuze uhlale uzolile futhi ungenabuhlungu. Uzonikezwa nama-antibiotic ukuvimbela ukutheleleka. Unganikwa futhi i-anesthetic yendawo ukuze uvale indawo lapho kuzokwenziwa khona i-incision.
Inqubo imi kanje:
1. Udokotela uzokwenza ukusika okuncane kakhulu engxenyeni engenhla yesisu sakho.
2. Ithubhu le-PEG lifakwa ngaleyo ndlela yokusikwa.
3. Ngosizo lwe-endoscope, ithubhu ixhunywe ngqo esiswini .
Konke kuthatha imizuzu engama-20-30 . Esikhathini esiningi, ungaya ekhaya ngalolo suku noma ngakusasa ekuseni.
Izingozi kanye nezinkinga ezingaba khona
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu ezihilelekile ekufakweni kwepayipi le-PEG. Kubalulekile ukuqaphela lokhu.
| Ingozi/Inkinga | Incazelo |
|---|---|
| Ukukhishwa kwepayipi ngengozi | Ipayipi elifakiwe liyakhululeka noma likhululeke ngokuphelele. |
| Ukuphefumula | Ukukhama uketshezi noma ukudla okuvela esiswini ngengozi kuye emgudwini wokuphefumula (amaphaphu). |
| Ukopha kanye nokubhoboka | Imbobo odongeni lwamathumbu noma lwesisu bese kuphuma igazi uma kufakwa ipayipi. |
| Ukutheleleka | Ukutheleleka kwesikhumba eduze kwendawo yokusikwa. |
| Ukuvuza koketshezi esiswini | Ukuvuza kokuqukethwe esiswini okuzungeze ipayipi phezu kwesikhumba. |
Udokotela wakho uzochaza izimpawu zalolu hlobo lwezinkinga nokuthi kufanele ufune nini ukwelashwa. Kubalulekile ukugcina ipayipi le-PEG nendawo elizungezile ihlanzekile nsuku zonke ukuze kuncishiswe ingozi yezinkinga.
Yisiphi isikhathi esingcono kakhulu sokubona udokotela?
Yilokhu okudingeka ukuqaphele kakhulu . Uma ithubhu lakho le-PEG likhululeka ngengozi noma lisuka endaweni yalo, kufanele ubonane nodokotela ngokushesha .
Khumbula, imbobo esiswini lapho ipayipi lifakwa khona iqala ukuvala ngokushesha okukhulu. Ngakho-ke, uma ipayipi liphuma , kubalulekile ukufuna usizo lwezokwelapha zingakapheli amahora angama-24 . Uma lokhu kwenzeka, ungalibali ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- Ishubhu le-PEG liyindlela elula nephephile yokuletha ukudla okunomsoco ngqo esiswini kubantu abanenkinga yokudla ngomlomo.
- Lokhu kwenziwa ngenqubo elula ebizwa ngokuthi i-endoscopy. Ezimweni eziningi, ungaya ekhaya ngalolo suku.
- Kubaluleke kakhulu ukugcina ipayipi nendawo elizungezile ihlanzekile nsuku zonke ukuze kuvinjelwe izinkinga.
- Uma ipayipi liphuma ngengozi, ungalibali umzuzu, bona udokotela noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela zingakapheli amahora angama-24 .
- Zizwe ukhululekile ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Uzokunikeza zonke izeluleko ozidingayo.
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