Ukondla ukufakwa kweshubhu - i-gastrostomy

Ukufakwa kweshubhu yokondla nge-gastrostomy ukubekwa kwephayiphu yokudla esikhunjeni nasodongeni lwesisu. Ingena ngqo esiswini.

Ukufakwa kwe-Gastrostomy feed tube (G-tube) kwenziwa ngokwengxenye kusetshenziswa inqubo ebizwa nge-endoscopy. Le yindlela yokubuka ngaphakathi komzimba usebenzisa ithubhu eliguquguqukayo elinekhamera encane ekugcineni kwalo. I-endoscope ifakwa ngomlomo nangaphansi komphimbo, okuholela esiswini.

Ngemuva kokuthi kufakwe ithubhu le-endoscopy, isikhumba ngaphezulu kohlangothi lwesobunxele lwesisu (esiswini) siyahlanzwa futhi lindikindiki. Udokotela wenza ukusika okuncane kokuhlinzwa kule ndawo. I-G-tube ifakwa ngalokhu okusikiwe esiswini. Ishubhu lincane, liguquguqukayo futhi alinalutho. Udokotela usebenzisa imithungo ukuvala isisu esizungeze ishubhu.

Amashubhu wokondla we-Gastrostomy afakwa ngezizathu ezahlukahlukene. Zingadingeka isikhathi esifushane noma unomphela. Le nqubo ingasetshenziselwa:

• Izingane ezinokukhubazeka kokuzalwa komlomo, isisu, noma isisu (isibonelo, i-esophageal atresia noma i-tracheal esophageal fistula)
• Abantu abangakwazi ukugwinya kahle
• Abantu abangakwazi ukudla ukudla okwanele ngomlomo ukuze bahlale bephilile
• Abantu abavame ukuphefumula ukudla lapho bedla

Izingozi zokufakwa kweshubhu lokuhlinza lokuhlinza noma i-endoscopic yilezi:

• Ukopha
• Ukutheleleka

Uzonikezwa isidambisi namaphilisi ezinhlungu. Ezimweni eziningi, le mithi inikezwa ngomthambo (umugqa we-IV) engalweni yakho. Akufanele uzwe ubuhlungu futhi ungakhumbuli inqubo.

Umuthi obandayo ungafafazwa emlonyeni wakho ukuvimbela isifiso sokukhwehlela noma sokugaya lapho kufakwa i-endoscope. Kuzofakwa unogada womlomo ukuvikela amazinyo akho kanye ne-endoscope.

Amazinyo okufakelwa kufanele asuswe.

Lokhu kuvame ukuhlinzwa okulula okunombono omuhle. Landela noma imiphi imiyalo yokuzinakekela oyinikezwe, kufaka phakathi:

• Ungasinakekela kanjani isikhumba esizungeze ithubhu
• Izimpawu nezimpawu zokutheleleka
• Okufanele ukwenze uma kukhishwa ishubhu
• Izimpawu nezimpawu zokuvalwa kweshubhu
• Ungasikhipha kanjani isisu ngepayipi
• Ungayondla kanjani nokuthi yini ongayondla ngeshubhu
• Ungayifihla kanjani ithubhu ngaphansi kwezingubo
• Yimiphi imisebenzi ejwayelekile engaqhutshwa

Isisu nesisu kuzolulama ezinsukwini ezinhlanu kuya kweziyi-7. Ubuhlungu obumaphakathi bungelashwa ngomuthi. Ukuphakelwa kuzoqala kancane ngeziphuzo ezicacile, futhi kukhuphuke kancane.

Ukufakwa kweshubhu ye-Gastrostomy; Ukufakwa kwe-G-tube; Ukufaka i-PEG tube; Ukufakwa kweshubhu esiswini; Ukufakwa kweshubhu ye-gastosostic endoscopic endoscopic

• Ukubekwa kweshubhu ye-Gastrostomy - uchungechunge

UKessel D, uRobertson I. Ukwelapha izimo zesisu. Ku: Kessel D, Robertson I, ama-eds. I-Radiology yokungenelela: Umhlahlandlela Wokusinda. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 42.

UMurray TE, uLee MJ. I-Gastrostomy ne-jejunostomy. Ku: Mauro MA, Murphy KP, Thomson KR, Venbrux AC, Morgan RA, abahleli. Ukungenelela Okuqondiswa Ngezithombe. 3rd ed. IPhiladelphia, PA: Elsevier; 2021: isahluko 91.

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.