Ukufaka i-PEG tube - ukukhipha

Ukufakwa kwesigaxa se-PEG (perosaneous endoscopic gastrostomy) ukufakwa kweshubhu ukubekwa kweshubhu lokondla ngesikhumba nodonga lwesisu. Ingena ngqo esiswini. Ukufakwa kweshubhu lokondla i-PEG kwenziwa ngokwengxenye kusetshenziswa inqubo ebizwa nge-endoscopy.

Ukudla amashubhu kuyadingeka lapho ungakwazi ukudla noma ukuphuza. Lokhu kungabangelwa ukushaywa unhlangothi noma okunye ukulimala ebuchosheni, izinkinga zomphimbo, ukuhlinzwa kwekhanda nentamo, noma ezinye izimo.

I-PEG tube yakho kulula ukuyisebenzisa. Wena (noma umnakekeli wakho) ungafunda ukuyinakekela wedwa futhi uzinike nokufunzwa ngamashubhu.

Nazi izingxenye ezibalulekile zephubhu yakho ye-PEG:

• Isigaxa sokudla se-PEG / Gastronomy.
• Ama-discs ama-2 amancane angaphandle nangaphakathi kokuvulwa kwe-gastrostomy (noma i-stoma) odongeni lwesisu sakho. Lawa madiski avimbela ishubhu lokondla ekuhambeni. Idiski engaphandle lisondele kakhulu esikhunjeni.
• Uqinisa ukuvala ishubhu lokudla.
• Umshini wokunamathisela noma wokulungisa ithubhu esikhunjeni lapho ungondli.
• 2 ukuvuleka ekugcineni kweshubhu. Enye ngeyokuphakelwa noma imishanguzo, enye ukufaka ibhubhu. (Kungaba nokuvulwa kwesithathu kwamanye amashubhu. Kulapho kunebhaluni esikhundleni sediski yangaphakathi).

Ngemuva kokuthi uthole i-gastrostomy yakho isikhashana futhi i-stoma isunguliwe, okuthile okubizwa ngedivayisi yenkinobho kungasetshenziswa. Lokhu kwenza ukuphakelwa nokunakekelwa kube lula.

Ishubhu uqobo luyoba nophawu olukhombisa lapho kufanele ishiye khona i-stoma. Ungalusebenzisa lolu phawu noma kunini lapho udinga ukuqinisekisa ukuthi ithubhu isesimweni esifanele.

Izinto wena noma abanakekeli bakho okuzodingeka uzifunde zifaka:

• Izimpawu noma izimpawu zokutheleleka
• Izimpawu zokuthi ishubhu livinjiwe nokuthi yini okufanele yenziwe
• Okufanele ukwenze uma kukhishwa ishubhu
• Ungayifihla kanjani ithubhu ngaphansi kwezingubo
• Ungasikhipha kanjani isisu ngepayipi
• Yimiphi imisebenzi efanele ukuqhubeka nokuthi yini okufanele uyigweme

Ukuphakelwa kuzoqala kancane ngeziphuzo ezicacile, futhi kukhuphuke kancane. Uzofunda ukuthi:

• Zinike ukudla noma uketshezi usebenzisa ishubhu
• Hlanza ithubhu
• Thatha imithi yakho ngeshubhu

Uma unezinhlungu ezilinganiselayo, zingelashwa ngomuthi.

Amapayipi amanzi azungeza ithubhu le-PEG ajwayelekile ezinsukwini zokuqala ezi-1 noma ezi-2. Isikhumba kufanele silapheke emavikini amabili kuya kwamathathu.

Uzodinga ukuhlanza isikhumba ezungeze i-PEG-tube izikhathi eziyi-1 ukuya kwezi-3 ngosuku.

• Sebenzisa insipho namanzi amancane noma usawoti oyinyumba (cela wena umhlinzeki). Ungasebenzisa i-swab kakotini noma i-gauze.
• Zama ukukhipha noma yimaphi amanzi noma ukuqhekeka esikhunjeni nasethunjini. Yiba mnene.
• Uma usebenzise insipho, hlanza ngobumnene futhi ngamanzi alula.
• Sula isikhumba kahle ngethawula elihlanzekile noma nge-gauze.
• Qaphela ukuthi ungadonsi ithubhu uqobo ukuyivimbela ukuthi ikhishwe.

Kumaviki oku-1 kuya kwangu-2 okuqala, umhlinzeki wakho uzokucela ukuthi usebenzise inqubo oyinyumba lapho unakekela isayithi lakho le-PEG-tube.

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

• Gwema ukugqoka okunamandla.
• Ungafaki i-gauze ngaphansi kwe-disc.

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

Buza umhlinzeki wakho uma kulungile ukugeza noma ukugeza.

Uma ithubhu yokudla iphuma, i-stoma noma ukuvulwa kungaqala ukuvalwa. Ukuvikela le nkinga, thepha ithubhu esiswini sakho noma usebenzise idivayisi yokulungisa. Kufanele kufakwe ishubhu elisha ngokushesha. Shayela umhlinzeki wakho ukuthola izeluleko ngezinyathelo ezilandelayo.

Umhlinzeki wakho angakuqeqesha noma umnakekeli wakho ukuthi ajikeleze ithubhu ye-gastrostomy lapho uhlanza. Lokhu kuyivimbela ukuthi inamathele ohlangothini lwe-stoma nokuvula okuholela esiswini.

• Bhala umaki noma inombolo yomhlahlandlela wokuthi ishubhu liphuma kuphi ku-stoma.
• Khipha ithubhu kusuka kudivayisi yokulungiselela.
• Zungezisa ithubhu kancane.

Kufanele ushayele umhlinzeki wakho 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
• Ishubhu lokudla libonakala livinjiwe
• Kukhona ukopha okuningi okuvela endaweni yokufaka ithubhu

Fonela nomhlinzeki wakho uma:

• Yiba nesifo sohudo ngemuva kokuphakelwa
• Yiba nesisu esinzima futhi esivuvukile ihora eli-1 ngemuva kokuphakelwa
• Yiba nobuhlungu obukhulayo
• Ingabe umuthi omusha
• Ziqunjelwe futhi zidlula kanzima, izitulo ezomile
• Bakhwehlela ngaphezu kokujwayelekile noma bazizwe bephefumula kanzima ngemuva kokuphakelwa
• Qaphela isixazululo sokondla emlonyeni wakho

Ukufakwa kwe-Gastrostomy tube-discharge; Ukukhishwa kwe-G-tube; Ukukhishwa kwe-PEG tube-discharge; Ukufakwa kwe-tube esiswini-ukukhishwa; Ukukhishwa kwe-endoscopic endoscopic gastrostomy tube-discharge

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-Twyman SL, iDavis PW. Ukubekwa kwe-gastosostic endoscopic gastrostomy nokubuyiselwa. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 92.

• Ukusekelwa Kwezomsoco