Ishubhu yokondla i-Gastrostomy - ipompo - ingane

Ingane yakho ine-gastrostomy tube (G-tube, noma i-PEG tube). Leli ishubhu elithambile, lepulasitiki elifakwe esiswini sengane yakho. Iletha umsoco (ukudla) nemithi ingane yakho ize ikwazi ukuhlafuna nokugwinya.

Kuzodingeka ufunde ukuthi unganikeza kanjani ingane yakho okuphakelayo nokuthi uyinakekela kanjani i-G-tube. Landela noma imiphi imiyalelo ethile umhlengikazi akunikeza yona. Sebenzisa imininingwane engezansi njengesikhumbuzo sokwenza.

I-G-tube yengane yakho ingashintshwa yinkinobho, ebizwa nge-Bard Button noma i-MIC-KEY, emasontweni amathathu kuya kwayisishiyagalombili ngemuva kokuhlinzwa.

Ngokushesha uzojwayela ukondla ingane yakho ngepayipi, noma inkinobho. Kuzothatha cishe isikhathi esifanayo nokuphakelwa okujwayelekile, cishe imizuzu engama-20 kuye kwengama-30. Lokhu kudla kuzosiza ingane yakho ikhule iqinile futhi ibe nempilo.

Udokotela wakho uzokutshela ukuxuba okulungile kwefomula noma okuphakelayo okuhlanganisiwe okuzosetshenziswa, nokuthi uzondla kangaki ingane yakho. Ukufudumeza ukudla, kukhiphe esiqandisini amahora amabili kuya kwayi-4 ngaphambi kokukusebenzisa. Ungangezi ifomula eyengeziwe noma ukudla okuqinile ngaphambi kokukhuluma nomhlengikazi wakho.

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

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

Isikhumba esizungeze i-G-tube sidinga ukushintshwa izikhathi eziyi-1 ukuya kwezingu-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.

Umhlengikazi wakho angakutshela ukuthi ubeke iphedi ekhethekile noma i-gauze ezungeze indawo ye-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 umhlengikazi wakho athi kulungile.

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, udokotela wakho uzoxoxa nawe ngezinye izindlela zokuvumela ingane yakho ukuthi imunce futhi ithuthukise imisipha yomlomo neyomhlathi.

Hlanganisa izimpahla:

• Iphampu yokondla (i-elekthronikhi noma ibhethri inikwe amandla)
• Isethi yokondla efana nepompo yokuphakela (kufaka phakathi isikhwama sokudla, ikamelo lokudonsa, i-roller ngocingo, kanye noshubhu omude)
• Isandiso sisethelwe, se-Bard Button noma i-MIC-KEY (lokhu kuxhuma inkinobho kushubhu ende kusethi yokuphakelayo)

Umhlengikazi wengane yakho uzokukhombisa indlela engcono yokusebenzisa uhlelo lwakho ngaphandle kokuthola umoya kumashubhu. Okokuqala:

• Geza izandla zakho kahle ngensipho namanzi afudumele.
• Bheka ukuthi ifomula noma ukudla kufudumele noma igumbi lokushisa.

Okulandelayo, landela lezi zinyathelo, nanoma yiziphi izinyathelo umhlengikazi akunikeze zona:

• Qala ngesethi yokuphakelwa, vala i-roller clamp bese ugcwalisa isikhwama sokudla ngokudla. Uma kusetshenziswa inkinobho, xhuma isandiso esisethiwe ekugcineni kwesethi yokuphakelayo.
• Phanyeka isikhwama sokuphakela phezulu ku-hook bese ucindezela igumbi lokudonsa ngaphansi kwesikhwama ukugcwalisa okungenani uhhafu wendlela ngokudla.
• Vula ngocingo lwe-roller ukuze ukudla kugcwalise ishubhu elide, kungashiyi moya kule tube.
• Vala ngocingo roller.
• Chuma ithubhu ende ngepompo yokudla. Landela izinkomba ezisepompini.
• Faka ichopho leshubhu elide ku-G-tube bese uvula ngocingo. Uma kunenkinobho esetshenziswayo, vula i-flap bese ufaka ichopho lesandiso elisethwe kunkinobho.
• Vula ngocingo roller bese uvula futha yokudla on. Qiniseka ukuthi ipompo lisethelwe ezingeni eli-odolwe ngumhlengikazi wakho.

Lapho ukuphakelwa sekuphelile, umhlengikazi wakho angancoma ukuthi ungeze amanzi esikhwameni bese uvumela amanzi ageleze kusethi yokuphaka ukuyihlanza.

Okwe-G-tube, bamba ithubhu bese uvala ugoqa lwe-roller ngaphambi kokunqamula isethi yokuphakelayo kwi-G-tube. Ngenkinobho, vala uqinisa kusethi yokuphakela, nqamula isandiso sesandiso kunkinobho, bese uvale okuchofoza inkinobho.

Isikhwama sokudla kufanele sishintshwe njalo emahoreni angama-24. Ukudla (ifomula) akufanele kushiywe esikhwameni amahora angaphezu kwama-4. Ngakho-ke, faka kuphela ukudla okungabiza amahora amane (noma ngaphansi) esikhwameni sokondla ngasikhathi.

Yonke imishini ingahlanzwa ngamanzi afudumele, anensipho bese ilenga ukuze yome.

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

• Namathisela isirinji engenalutho ku-G-tube bese uyikhumula ukuze uvumele umoya uphume.
• Namathisela isethi eseluliwe kunkinobho ye-MIC-KEY bese uvula ithubhu emoyeni ukuyidedela.
• Cela umhlengikazi wakho ithubhu ekhethekile yokuqeda ukucindezela ukuze "ugqabhuke" Inkinobho yeBard.

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

• Nikeza imithi ngaphambi kokuphakela ukuze isebenze kangcono. Ungatshelwa nokuthi unikeze imithi lapho isisu sengane yakho singenalutho.
• Umuthi kufanele ube uketshezi, noma ucoleke kahle futhi uncibilikiswe emanzini, ukuze ithubhu lingavinjeki. Buza nodokotela 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.

Shayela umhlinzeki wezokunakekelwa kwempilo yengane 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 umhlinzeki 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.

Ukudla kwe-PEG tube; Ukunakekelwa kwe-PEG tube; Ukondla - i-gastrostomy tube - ipompo; G-tube - futha; Inkinobho Gastrostomy - futha; Inkinobho yeBard - futha; MIC-KEY - futha

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; 2017: isahluko 19.

UPham AK, McClave SA. Ukuphathwa kokudla okunempilo. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 6.

• Ukusekelwa Kwezomsoco