I-Gastrostomy: kuyini, kanjani ukondla nokunakekela okuyinhloko

-Delile

• Izinyathelo eziyi-10 zokondla ngophenyo
• Ungakulungisa kanjani ukudla kwephenyo
• Ungasinakekela kanjani isilonda se-gastrostomy
• Uzoya nini kudokotela

I-Gastrostomy, eyaziwa nangokuthi i-endoscopic endoscopic gastrostomy noma i-PEG, iqukethe ukubeka ithubhu elincane eliguquguqukayo, elaziwa njenge-probe, kusuka esikhumbeni sesisu ngqo esiswini, ukuvumela ukondliwa ezimweni lapho umzila womlomo ungeke usetshenziswe.

Ukubekwa kwe-gastrostomy kuvame ukukhonjiswa ezimweni ze:

• Unhlangothi;
• Ukopha ebuchosheni;
• Ukukhubazeka kobuchopho;
• Izimila emphinjeni;
• I-Amyotrophic lateral sclerosis;
• Ubunzima obukhulu bokugwinya.

Amanye ala macala angaba ngesikhashana, njengasesimweni sokushaywa unhlangothi, lapho umuntu esebenzisa khona i-gastrostomy aze akwazi ukuphinda adle, kepha kokunye kungadingeka ukugcina ithubhu iminyaka eminingana noma impilo yonke.

Le ndlela ingasetshenziswa okwesikhashana ngemuva kokuhlinzwa, ikakhulukazi uma ifaka uhlelo lokugaya ukudla noma lokuphefumula, isibonelo.

Izinyathelo eziyi-10 zokondla ngophenyo

Ngaphambi kokuphakela umuntu ngepayipi le-gastrostomy, kubaluleke kakhulu ukubahlalisa phansi noma ikhanda lombhede liphakanyisiwe, ukuvikela ukudla ukuthi kungakhuphuki kusuka esiswini kuye emminzeni, kubangele umuzwa wesilungulela.

Ngemuva kwalokho, landela igxathu negxathu:

1. Hlola ishubhu ukuqinisekisa ukuthi azikho izigaxa ezingathiya ukudlula kokudla;
2. Vala ishubhu, usebenzisa i- isiqeshana noma ngokugoba ichopho, ukuze umoya ungangeni kushubhu lapho ikepisi isuswa;
3. Vula ikhava ye-probe bese ufaka isirinji yokudla (100ml) kushubhu ye-gastrostomy;
4. Vula iphenyo bese kancane kancane udonsa isipontsho ukufisa uketshezi olungaphakathi esiswini. Uma kungafiswa ngaphezu kuka-100 ml, kunconywa ukuthi wondle lowo muntu ngokuhamba kwesikhathi, lapho okuqukethwe kungaphansi kwaleli nani. Okuqukethwe okufisayo kufanele kubuyiselwe njalo esiswini.
5. Phinda ugoqe ithiphu yophenyo noma uvale ishubhu nge- isiqeshana bese ukhipha isirinji;
6. Gcwalisa isirinji nge-20 kuya ku-40 ml wamanzi bese ngiyibuyisela kuphenyo. Vula uphenyo bese ucindezela i-plunger kancane kuze kube yilapho wonke amanzi engena esiswini;
7. Phinda ugoqe ithiphu yophenyo noma uvale ishubhu nge- isiqeshana bese ukhipha isirinji;
8. Gcwalisa isirinji ngokudla okuchobozekile nokuhlungiwe, ngesamba esingu-50 kuya ku-60 ml;
9. Phinda izinyathelo futhi ukuvala ishubhu bese ufaka isipontsho kuphenyo, njalo uqaphele ukuthi ungashiyi ishubhu livulekile;
10. Cindezela ngobumnene i-plunger, ukufaka ukudla kancane esiswini. Phinda kaningi ngangokunokwenzeka kuze kube yilapho ufaka inani elinconywe udokotela noma isazi sokudla okunomsoco, imvamisa elingadluli kuma-300 ml.

Ngemuva kokufaka konke ukudla ngephenyo, kubalulekile ukugeza isipontsho bese usigcwalisa ngamamililitha angama-40 wamanzi, ukubuyisela emuva kuphenyo ukukugeza nokuvimbela izingcezu zokudla ukuthi zinganqwabelani, kuvimbe ishubhu.

Lezi zixwayiso zifana kakhulu nezeshubhu ye-nasogastric, ngakho-ke bukela ividiyo ukubona ukuthi ungayigcina kanjani ishubhu ivaliwe njalo, ivimbela umoya ukungena:

Ungakulungisa kanjani ukudla kwephenyo

Ukudla kufanele kuhlale kugaywe kahle futhi futhi akuqukethe izingcezu ezinkulu kakhulu, ngakho-ke kunconywa ukuthi uhlunge ingxube ngaphambi kokuyifaka esirinji. Uhlelo lokudla kufanele luholwe njalo ngumondli ukuze aqinisekise ukuthi awekho amaphutha wamavithamini, ngakho-ke, ngemuva kokubekwa kwephubhu, udokotela angabhekisa ekubonisaneni nesazi sokudla. Nazi ezinye iziphakamiso zokuthi okuphakelayo kwephenyo kufanele kubukeke kanjani.

Noma nini lapho kunesidingo sokunikeza umuthi, ithebhulethi kufanele ichotshozwe kahle futhi ixutshwe ekudleni noma emanzini okuzofakwa kuwo. Kodwa-ke, kunconywa ukungazihlanganisi izidakamizwa esirinji efanayo, njengoba ezinye zingahambelani.

Ungasinakekela kanjani isilonda se-gastrostomy

Emasontweni amabili kuya kwamathathu okuqala, inxeba le-gastrostomy liphathwa ngumhlengikazi esibhedlela, njengoba kudingeka ukunakekelwa okwengeziwe ukugwema ukutheleleka futhi nokuhlola njalo indawo. Kodwa-ke, ngemuva kokukhishwa futhi ubuyela ekhaya, kuyadingeka ukugcina ukunakekelwa okuthile ngenxeba, ukuvimbela isikhumba ukuba singacasuki futhi kubangele uhlobo oluthile lokungahambi kahle.

Ukunakekelwa okubaluleke kakhulu ukugcina indawo ihlanzekile futhi yomile njalo, ngakho-ke, kungakuhle ukuthi ugeze indawo okungenani kanye ngosuku ngamanzi afudumele, insipho ehlanzekile kanye nensipho ye-pH engathathi hlangothi. Kodwa kubalulekile futhi ukugwema izingubo eziqinisa kakhulu noma ukubeka okhilimu ngamakha noma amakhemikhali khona lapho.

Lapho ugeza indawo yesilonda, iphenyo kufanele futhi ijikelezwe kancane, ukuyivimba ukuthi inamathele esikhunjeni, kwandise amathuba okutheleleka. Lokhu kuhamba kokujikeleza kophenyo kufanele kwenziwe kanye ngosuku, noma ngokuyalelwa ngudokotela.

Uzoya nini kudokotela

Kubaluleke kakhulu ukuya kudokotela noma esibhedlela lapho:

• Uphenyo alukho endaweni;
• Uphenyo luvalekile;
• Kunezimpawu zokutheleleka enxebeni, njengobuhlungu, ukubomvu, ukuvuvukala nokuba khona kobovu;
• Umuntu uzwa ubuhlungu lapho esuthiswa noma ehlanza.

Ngaphezu kwalokho, ngokuya ngophenyo, kungahle kudingeke nokuthi ubuyele esibhedlela ukuyoshintsha ishubhu, kepha-ke le nkathi kufanele kuvunyelwane ngayo nodokotela.