Ishubhu yokudla ye-Gastrostomy - bolus

I-gastrostomy tube (G-tube) yengane yakho iyishubhu ekhethekile esiswini sengane yakho ezosiza ukuletha ukudla nemithi ingane yakho ize ikwazi ukuhlafuna nokugwinya. Lo mbhalo uzokutshela ukuthi yini okudingeka ukwazi ukondla ingane yakho ngepayipi.

I-gastrostomy tube (G-tube) yengane yakho iyishubhu ekhethekile esiswini sengane yakho ezosiza ukuletha ukudla nemithi ingane yakho ize ikwazi ukuhlafuna nokugwinya. Kwesinye isikhathi, ithathelwa indawo inkinobho, ebizwa ngeBard Button noma i-MIC-KEY, amasonto ama-3 kuye kwayi-8 ngemuva kokuhlinzwa.

Lokhu kudla kuzosiza ingane yakho ikhule iqinile futhi ibe nempilo. Abazali abaningi bakwenzile lokhu kwaba nemiphumela emihle.

Ngokushesha uzojwayela ukondla ingane yakho ngepayipi, noma inkinobho. Kuzothatha cishe isikhathi esifanayo nokuphakelwa okujwayelekile, cishe imizuzu engama-20 kuye kwengama-30. Kunezindlela ezimbili zokondla ngohlelo: indlela yesirinji nendlela yokudonsela phansi. Indlela ngayinye ichazwe ngezansi. Qiniseka ukuthi ulandela yonke imiyalo oyinikezwe ngumhlinzeki wakho wezokunakekelwa kwempilo.

Umhlinzeki wakho uzokutshela ukuxuba okulungile kwefomula noma okuphakelayo okuhlanganisiwe okuzosetshenziswa, nokuthi uzondla kangaki ingane yakho. Lungiselela lokhu kudla ekamelweni lokushisa ngaphambi kokuba uqale, ngokukukhipha esiqandisini imizuzu engaba ngu-30 kuye kwengu-40. Ungangezi ifomula eyengeziwe noma ukudla okuqinile ngaphambi kokukhuluma nomhlinzeki wengane yakho.

Izikhwama zokondla kufanele zishintshwe njalo emahoreni angama-24. Yonke imishini ingahlanzwa ngamanzi ashisayo, anensipho bese ilenga phezulu ukuze yome.

Khumbula ukugeza izandla kaningi ukuvimbela ukusabalala kwamagciwane. Zinakekele kahle futhi, ukuze uhlale uzolile futhi unethemba, futhi ubhekane nengcindezi.

Uzohlanza isikhumba sengane yakho nxazonke ze-G-tube izikhathi ezi-1 ukuya kwezi-3 ngosuku ngensipho namanzi amancane. Zama ukukhipha noma yimaphi amanzi noma ukuqhekeka esikhunjeni nasethunjini. Yiba mnene. Sula isikhumba kahle ngethawula elihlanzekile.

Isikhumba kufanele silapheke emavikini amabili kuya kwamathathu.

Umhlinzeki wakho angafuna futhi ukuthi ubeke iphedi ekhethekile yokumunca noma i-gauze ezungeze isiza se-G-tube. Lokhu kufanele kuguqulwe okungenani nsuku zonke noma uma kuba manzi noma kungcoliswe.

Ungasebenzisi noma yimaphi amafutha, izimpushana, noma izifutho ezungeze i-G-tube ngaphandle kokuthi utshelwe ngumhlinzeki wakho ukuthi enze njalo.

Qiniseka ukuthi ingane yakho ihlezi phezulu ezandleni noma esihlalweni esiphakeme.

Uma ingane yakho ixabana noma ikhala ngenkathi idla, cindezela ithubhu ngeminwe yakho ukumisa ukondla ingane yakho ize ithule futhi ithule.

Isikhathi sokondla isikhathi somphakathi, nesikhathi esijabulisayo. Kwenze kube mnandi futhi kujabulise. Ingane yakho izokujabulela ukukhuluma kahle nokudlala.

Zama ukugcina ingane yakho ingadonsi ishubhu.

Njengoba ingane yakho ingasebenzisi umlomo wayo okwamanje, umhlinzeki wakho uzoxoxa nawe ngezinye izindlela zokuvumela ingane yakho ukuthi imunce futhi ithuthukise imisipha yomlomo neyomhlathi.

Umhlinzeki wakho uzokukhombisa indlela engcono yokusebenzisa uhlelo lwakho ngaphandle kokuthola umoya kumashubhu. Landela lezi zinyathelo kuqala:

• Geza izandla zakho.
• Hlanganisa izimpahla zakho (isethi yokuphakela, isethi yokwandiswa uma kudingeka nge-G-button noma i-MIC-KEY, inkomishi yokulinganisa nge-spout, ukudla okushisa ekamelweni, nengilazi yamanzi).
• Bheka ukuthi ifomula yakho noma ukudla kufudumele noma kukushisa okushisa okujwayelekile ngokubeka amaconsi ambalwa esihlakaleni sakho.

Uma ingane yakho ine-G-tube, vala uqinisa kuthubhu yokondla.

• Hlanganisa isikhwama phezulu nge-hook bese ucindezela igumbi lokudonsa ngaphansi kwesikhwama ukuze uligcwalise phakathi nendawo ngokudla.
• Okulandelayo, vula ngocingo ukuze ukudla kugcwalise ishubhu elide kungabikho moya osele kule tube.
• Vala uqinisa.
• Faka i-catheter ku-G-tube.
• Vula ubheke ngocingo bese ulungisa isilinganiso sokuphakela, ulandela imiyalo yomhlinzeki wakho.
• Lapho usuqedile ukondla, umhlengikazi wakho angancoma ukuthi ungeze amanzi kushubhu ukuze uwakhiphe.
• Ama-G-tubes kuzodingeka ukuthi aboshwe eshubhu, futhi uhlelo lokudla luzodinga ukususwa.

Uma usebenzisa i-G-button, noma i-MIC-KEY, system:

• Namathisela ishubhu lokondla ohlelweni lokuphakela kuqala, bese uligcwalisa ngefomula noma ukudla.
• Dedela uqinisa lapho usukulungele ukulungisa izinga lokuphakela, ulandela imiyalo yomhlinzeki wakho.
• Lapho usuqedile ukondla, umhlinzeki wakho angancoma ukuthi ungeze amanzi kushubhu kubhathini.

Umhlinzeki wakho uzokufundisa indlela engcono yokusebenzisa uhlelo lwakho ngaphandle kokuthola umoya kumashubhu. Landela lezi zinyathelo:

• Geza izandla zakho.
• Hlanganisa izimpahla zakho (isirinji, ishubhu yokudla, isethi yokwelulwa uma kudingeka ku-G-inkinobho noma ku-MIC-KEY, inkomishi yokulinganisa nge-spout, ukudla okushisa ekamelweni, amanzi, ibhande lenjoloba, i-clamp, ne-pin yokuphepha).
• Bheka ukuthi ifomula yakho noma ukudla kufudumele noma kukushisa okushisa okujwayelekile ngokubeka amaconsi ambalwa esihlakaleni sakho.

Uma ingane yakho ine-G-tube:

• Faka isirinji ekugcineni evulekile kwethumbu lokudla.
• Thela ifomula kusipetu kuze kube yilapho isigcwele isigamu bese ukhipha ithubhu.

Uma usebenzisa i-G-button, noma i-MIC-KEY, system:

• Vula i-flap bese ufaka ishubhu yokudla ye-bolus.
• Faka isirinji ekugcineni okuvulekile kwesethi yesandiso bese uqinisa isethi yesandiso.
• Thela ukudla kwisirinji kuze kube kugcwele isigamu. Khipha isitampu kusandiso esisethwe kafushane ukuze sikugcwalise kugcwele ukudla bese uvala futhi uqinisa.
• Vula i-flap inkinobho bese uxhuma isethi eseluliwe kunkinobho.
• Khipha isitampu isandiso sesethi ukuze uqale ukuphakela.
• Bamba ichopho lesipontsho lingaphakeme kunamahlombe engane yakho. Uma ukudla kungahambi, cindezela ishubhu ngemivimbo eyehlayo ukwehlisa ukudla.
• Ungasonga ibhande lenjoloba ujikeleze isirinji bese uliphepha ulifake phezulu kwehembe lakho ukuze izandla zakho zikhululeke.

Lapho usuqedile ukondla, umhlengikazi wakho angancoma ukuthi ungeze amanzi kushubhu ukuze uwakhiphe. Ama-G-tubes lapho-ke azodinga ukuboshwa ku-tube nakuhlelo lokuphakela, futhi asuswe. Ukuze uthole inkinobho ye-G noma i-MIC-KEY, uzovala uqinisa bese ususa ishubhu.

Uma isisu sengane yakho siba nzima noma sivuvuke ngemuva kokunceliswa, zama ukukhipha, noma ukubhoboza ithubhu noma inkinobho:

• Namathisela isirinji engenalutho ku-G-tube bese uyikhumula ukuze uvumele umoya uphume.
• Namathisela isandiso sesethi kunkinobho ye-MIC-KEY bese uvula ishubhu ukuze umoya ukhiphe.
• Buza umhlinzeki wakho ngeshubhu ekhethekile yokuqeda ukucindezela i-Bard Button.

Kwesinye isikhathi kungadingeka ukuthi unikeze ingane yakho umuthi ngeshubhu. Landela le mihlahlandlela:

• Zama ukunikeza ingane yakho umuthi ngaphambi kokuyincelisa ukuze isebenze kangcono. Ungacelwa futhi ukuthi unikeze ingane yakho imithi esiswini esingenalutho ngaphandle kwesikhathi sokudla.
• Umuthi kufanele ube uketshezi, noma ucoleke kahle futhi uncibilikiswe emanzini, ukuze ithubhu lingavinjeki. Buza kumhlinzeki wakho noma usokhemisi ukuthi ungakwenza kanjani lokhu.
• Gcoba ishubhu njalo ngamanzi amancane phakathi kwemithi. Lokhu kuzoqinisekisa ukuthi yonke imithi iya esiswini futhi ayishiywanga emgodini wokudla.
• Ungalokothi uhlanganise imithi.

Shayela umhlinzeki wengane yakho uma ingane yakho:

• Kubonakala sengathi kulambile ngemuva kokuphakelwa
• Unesifo sohudo ngemuva kokuphakelwa
• Inesisu esiqinile futhi esivuvukile ihora eli-1 ngemuva kokuphakelwa
• Kubonakala sengathi kusezinhlungwini
• Inezinguquko esimweni sazo
• Usemithini emisha
• Iqunjelwe futhi idlula kanzima, izitulo ezomile

Fonela futhi uma:

• Ishubhu lokudla seliphumile futhi awazi ukuthi uzolifaka kanjani esikhundleni salo.
• Kukhona ukuvuza okuzungeze ithubhu noma uhlelo.
• Kukhona ububomvu noma ukucasuka endaweni yesikhumba ezungeze ithubhu.

Ukondla - i-gastrostomy tube - bolus; I-G-tube - i-bolus; Inkinobho ye-Gastrostomy - bolus; Inkinobho yeBard - bolus; I-MIC-KEY - i-bolus

I-La Charite J. Ukudla okunomsoco nokukhula. Ku: Kleinman K, Mcdaniel L, Molloy M, abahleli. IHarriet Lane Handbook, The. Umhlaka 22. IPhiladelphia, PA: Elsevier; 2021: isahluko 21.

LeLeiko NS, Shapiro JM, Cerezo CS, Pinkos BA. Ukudla okunomsoco. Ku: Wyllie R, Hyams JS, Kay M, eds.Izifo Zamathumbu Emathunjini Nesibindi. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2021: isahluko 89.

USamuels LE. Ukubekwa kweshubhu le-Nasogastric nokondla. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds.Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 40.

I-UCSF Department of Surgery iwebhusayithi. Amashubhu we-Gastrostomy. ukuhlinzwa.ucsf.edu/conditions-- izinqubo-ndlela/gastrostomy-tubes.aspx. Kubuyekezwe i-2018. Kufinyelelwe ngoJanuwari 15, 2021.

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