Ishubhu yokudla yeJejunostomy

Ishubhu le-jejunostomy (J-tube) liyishubhu elithambile, lepulasitiki elibekwe esikhunjeni sesisu langena phakathi nendawo yamathumbu amancane. Ishubhu liletha ukudla nemithi kuze kube yilapho umuntu esephilile ngokwanele ukuba angadla ngomlomo.

Uzodinga ukwazi ukuthi ungayinakekela kanjani i-J-tube nesikhumba lapho ishubhu lingena khona emzimbeni.

Landela noma imiphi imiyalelo ethile umhlengikazi akunikeza yona. Sebenzisa imininingwane engezansi njengesikhumbuzo sokwenza.

Kubalulekile ukunakekela kahle isikhumba esizungeze ithubhu ukugwema ukuthola ukutheleleka noma ukucasuka kwesikhumba.

Uzofunda nokuthi ungakushintsha kanjani ukugqoka okuzungeze ishubhu nsuku zonke.

Qiniseka ukuthi ugcina ishubhu livikelekile ngokulithepha esikhunjeni.

Umhlengikazi wakho angashintsha ishubhu njalo ngezikhathi ezithile.

Ukuhlanza isikhumba, kuzodingeka ushintshe amabhandeshi kanye ngosuku noma ngaphezulu uma indawo iba manzi noma ingcolile.

Indawo yesikhumba kufanele ihlale ihlanzekile futhi yomile. Uzodinga:

• Amanzi afudumele anensipho nendwangu yokuwasha
• Ithawula elomile, elihlanzekile
• Isikhwama sepulasitiki
• Amafutha noma i-hydrogen peroxide (uma udokotela wakho encoma)
• Q-amathiphu

Landela le mihlahlandlela nsuku zonke ukuthola ukunakekelwa okuhle kwezempilo nokunakekelwa kwesikhumba:

• Geza izandla zakho kahle imizuzu embalwa ngensipho namanzi.
• Susa noma yikuphi ukugqoka noma amabhandeshi esikhunjeni. Bafake esikhwameni sepulasitiki bese usilahla kude.
• Hlola isikhumba ngokubomvu, iphunga, ubuhlungu, i-puss, noma ukuvuvukala. Qiniseka ukuthi imithungo isekhona.
• Sebenzisa ithawula elihlanzekile noma i-Q-tip ukuhlanza isikhumba ezungeze i-J-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.
• Uma kukhona i-drainage, faka ucezu oluncane lwe-gauze ngaphansi kwediski elizungeze ithubhu.
• Musa ukushintshanisa ishubhu. Lokhu kungadala ukuthi ivinjwe.

Uzodinga:

• Amapayipi we-Gauze, okokugqoka noma amabhandeshi
• Tape

Umhlengikazi wakho uzokukhombisa ukuthi ungabeka kanjani amabhandeshi amasha noma i-gauze ezungeze ishubhu bese uyinamathisela ngokuphepha esiswini.

Imvamisa, imichilo ye-gauze ehlukanisiwe ishibilika phezu kweshubhu bese yehliselwa phansi nhlangothi zombili. Thepha ithubhu futhi.

Ungasebenzisi okhilimu, izimpushana, noma izifutho eduze kwesiza ngaphandle kwalapho umhlengikazi ethi kulungile.

Ukuze ukhiphe i-J-tube, landela imiyalo unesi akunikeze yona. Uzosebenzisa isirinji ukuphusha kancane amanzi afudumele ekuvuleni kohlangothi lwe-J-port.

Ungahlanza, womise, uphinde usebenzise isirinji ngokuhamba kwesikhathi.

Shayela umhlinzeki wakho wezempilo ngokushesha uma kwenzeka okunye kwalokhu okulandelayo:

• Ishubhu liyakhishwa
• Kukhona ububomvu, ukuvuvukala, iphunga, ubomvu (umbala ongajwayelekile) endaweni yeshubhu
• Kunegazi elizungeze ithubhu
• Imithungo iyaphuma
• Kukhona ukuvuza okuzungeze ishubhu
• Isikhumba noma isibazi sikhula sizungeze ithubhu
• Ukuhlanza
• Isisu siyaqunjelwa

Ukondla - i-jejunostomy tube; Ishubhu le-G-J; I-J-tube; Ishubhu leJejunum

USmith SF, uDuell DJ, uMartin BC, uGonzalez L, u-Aebersold M. Ukuphathwa kokudla okunempilo kanye nokungena ngaphakathi. Ku: Smith SF, uDuell DJ, Martin BC, Gonzalez L, Aebersold M, abahleli. Amakhono Wabahlengikazi Abasemtholampilo: Okuyisisekelo Kumakhono Athuthukile. Umhlaka 9. ENew York, NY: Pearson; 2016: isahluko 16.

I-Ziegler TR. Ukungondleki: ukuhlolwa nokusekelwa. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 204.

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