Gastrostomy yodyetsa chubu - bolus

Thumba la mwana wanu la gastrostomy (G-chubu) ndi chubu chapadera m'mimba cha mwana wanu chomwe chingathandize kuperekera chakudya ndi mankhwala mpaka mwana wanu atatafuna ndi kumeza. Nkhaniyi ikuwuzani zomwe muyenera kudziwa kuti muzidyetsa mwana wanu kudzera mu chubu.

Thumba la mwana wanu la gastrostomy (G-chubu) ndi chubu chapadera m'mimba mwa mwana wanu chomwe chingathandize kuperekera chakudya ndi mankhwala mpaka mwana wanu atatafuna ndi kumeza. Nthawi zina, amasinthidwa ndi batani, lotchedwa Bard Button kapena MIC-KEY, masabata 3 mpaka 8 atachitidwa opaleshoni.

Kudyetsa kumeneku kumathandiza mwana wanu kukula ndi thanzi. Makolo ambiri achita izi ndi zotsatira zabwino.

Mudzazolowera kudyetsa mwana wanu kudzera mu chubu, kapena batani. Zimatenga nthawi yofanana ndi kudyetsa pafupipafupi, mozungulira mphindi 20 mpaka 30. Pali njira ziwiri zodyetsera kudzera mu makina: njira ya syringe ndi njira yokoka. Njira iliyonse yafotokozedwa pansipa. Onetsetsani kuti mukutsatira malangizo onse omwe amakupatsani ndi wothandizira zaumoyo wanu.

Woperekayo angakuuzeni kusakaniza koyenera kwamakina kapena zosakaniza zomwe mungagwiritse ntchito, komanso kangati kudyetsa mwana wanu. Khalani ndi chakudya chakatenthedwe musanayambe, pochotsa m'firiji kwa mphindi 30 kapena 40. Osangowonjezera chilinganizo kapena zakudya zolimba musanalankhule ndi omwe amapereka kwa mwana wanu.

Matumba odyetsera ayenera kusinthidwa maola 24 aliwonse. Zipangizo zonse zimatha kutsukidwa ndi madzi otentha, sopo ndikupachika mpaka kuwuma.

Kumbukirani kusamba m'manja pafupipafupi kuti mupewe kufalikira kwa majeremusi. Dzisamalireni bwino inunso, kuti mukhale bata ndi odekha, ndikuthana ndi kupsinjika.

Mudzatsuka khungu la mwana wanu mozungulira G-chubu 1 mpaka 3 patsiku ndi sopo wofewa ndi madzi. Yesani kuchotsa ngalande zilizonse pakhungu ndi chubu. Khalani odekha. Yanikani khungu bwino ndi chopukutira choyera.

Khungu liyenera kuchira m'masabata awiri kapena atatu.

Wothandizira anu angafunenso kuti muike pedi kapena gauze yapadera yozungulira pamalo a G-chubu. Izi ziyenera kusinthidwa tsiku lililonse kapena zikanyowa kapena zawonongeka.

Osagwiritsa ntchito mafuta, ufa, kapena opopera mozungulira G-chubu pokhapokha atauzidwa kuti atero ndi omwe amakupatsani.

Onetsetsani kuti mwana wanu wakhala mmanja kapena pampando wapamwamba.

Ngati mwana wanu akukangana kapena kulira kwinaku mukudyetsa, tsinani chubu ndi zala zanu kuti musadye mpaka mwana wanu atakhala wodekha komanso wodekha.

Nthawi yodyetsa ndi nthawi yocheza, yosangalala. Pangani izo kukhala zosangalatsa ndi zosangalatsa. Mwana wanu amasangalala ndikamacheza modekha.

Yesetsani kuteteza mwana wanu kuti asakhudze chubu.

Popeza mwana wanu sakugwiritsabe ntchito pakamwa pake, woperekayo amakambirana nanu njira zina zololeza mwana wanu kuyamwa ndikupanga minofu ya m'kamwa ndi nsagwada.

Wopereka wanu akuwonetsani njira yabwino yogwiritsira ntchito makina anu osalowetsa mpweya m'machubu. Tsatirani izi:

• Sambani manja anu.
• Sonkhanitsani katundu wanu (chakudya chodyera, chokhazikitsidwa ngati pakufunika batani la G kapena MIC-KEY, chikho choyezera ndi spout, chakudya cha kutentha, ndi madzi).
• Onetsetsani kuti chilinganizo kapena chakudya chanu chikutentha kapena kutentha chifukwa cha madontho pang'ono padzanja lanu.

Ngati mwana wanu ali ndi G-chubu, tsekani cholumikizira pa chubu chodyetsera.

• Pachika thumba pamwamba pa ndowe ndikufinya chipinda chodontha pansipa thumba kuti mudzaze theka ndi chakudya.
• Kenako, tsegulani chingwecho kuti chakudya chizadzaze chubu chachitali chopanda mpweya wotsalira mu chubu.
• Tsekani clamp.
• Ikani catheter mu G-chubu.
• Tsegulani kulumikizana ndikusintha kuchuluka kwa chakudya, kutsatira malangizo a omwe akukuthandizani.
• Mukamaliza kudyetsa, namwino wanu angakulimbikitseni kuti muwonjezere madzi mu chubu kuti mutulutse.
• G-machubu adzafunika kumangirizidwa pa chubu, ndipo njira yodyetsera iyenera kuchotsedwa.

Ngati mukugwiritsa ntchito batani la G, kapena MIC-KEY, dongosolo:

• Onetsetsani chubu lodyetsera poyamba, kenako mudzaze ndi fomula kapena chakudya.
• Tulutsani clamp mukakonzeka kusintha kuchuluka kwa chakudya, kutsatira malangizo a omwe amakupatsani.
• Mukamaliza kudyetsa, omwe akukuthandizani angakulimbikitseni kuti muwonjezere madzi mu chubu mpaka batani.

Wothandizira anu akuphunzitsani njira yabwino yogwiritsira ntchito makina anu osalowetsa mpweya m'machubu. Tsatirani izi:

• Sambani manja anu.
• Sonkhanitsani zinthu zanu (syringe, chubu chodyetsera, pulogalamu yowonjezera ngati pakufunika G-batani kapena MIC-KEY, chikho choyezera ndi spout, kutentha kwa chipinda, madzi, mphira, cholumikizira, ndi pini yachitetezo).
• Onetsetsani kuti chilinganizo kapena chakudya chanu chikutentha kapena kutentha chifukwa cha madontho pang'ono padzanja lanu.

Ngati mwana wanu ali ndi G-chubu:

• Ikani jakisoniyo kumapeto kwa chubu chodyetsera.
• Thirani ndalamazo mu syringe mpaka itakwanira theka ndikutulutsa chubu.

Ngati mukugwiritsa ntchito batani la G, kapena MIC-KEY, dongosolo:

• Tsegulani chikwangwani ndikuyika chubu chodyetsera cha bolus.
• Ikani syringe kumapeto kumapeto kwazowonjezera ndikulumikiza zowonjezera.
• Thirani chakudya mu syringe mpaka itakwanira theka. Chotsani chingwecho mwachidule kuti mudzaze chakudya ndi kutsekanso cholowacho.
• Tsegulani cholumikizira batani ndikulumikiza zowonjezera zomwe zaikidwa pa batani.
• Tulutsani pulogalamu yowonjezera kuti muyambe kudyetsa.
• Gwirani nsonga ku syringe osaposa mapewa a mwana wanu. Ngati chakudya sichikuyenda, fanizani chubu ndi zikwapu pansi kuti chakudya chikhale pansi.
• Mutha kukulunga ndi zingwe za labala kuzungulira sirinji ndikuyika pini pamwamba pa malaya anu kuti manja anu akhale omasuka.

Mukamaliza kudyetsa, namwino wanu angakulimbikitseni kuti muwonjezere madzi mu chubu kuti mutulutse. G-machubu adzafunika kumangirizidwa pa chubu ndi njira yodyetsera, ndikuchotsedwa. Kwa batani la G kapena MIC-KEY, mutseka tsambalo ndikuchotsa chubu.

Ngati mimba ya mwana wanu yauma kapena yatupa mukamudyetsa, yesani kutulutsa, kapena kubowola chubu kapena batani:

• Onetsetsani syringe yopanda kanthu ku G-chubu ndikuyiyimitsa kuti mpweya utuluke.
• Onetsetsani zowonjezera zomwe zidakhazikitsidwa pa batani la MIC-KEY ndikutsegula chubu kuti mpweya utuluke.
• Funsani omwe amakupatsirani kachipangizo kakang'ono kosokoneza bongo kuti mubowole Batani.

Nthawi zina mungafunike kupereka mankhwala kwa mwana wanu kudzera mu chubu. Tsatirani malangizo awa:

• Yesetsani kupatsa mwana wanu mankhwala asanadye kuti azigwira ntchito bwino. Muthanso kufunsidwa kuti mupatse mwana wanu mankhwala pamimba yopanda kanthu nthawi yakudya.
• Mankhwalawa ayenera kukhala amadzimadzi, kapena osweka bwino ndikusungunuka m'madzi, kuti chubu chisatseke. Funsani kwa omwe amakupatsirani kapena wamankhwala momwe mungachitire izi.
• Nthawi zonse muzimwaza chubu ndi madzi pang'ono pakati pa mankhwala. Izi ziwonetsetsa kuti mankhwala onse alowa m'mimba ndipo sanasiyidwe mukachubu kodyetsa.
• Osasakaniza mankhwala.

Itanani yemwe amakupatsani mwana wanu ngati mwana wanu:

• Zikuwoneka kuti zili ndi njala mukatha kudyetsa
• Ali ndi kutsekula m'mimba mutatha kudyetsa
• Ali ndi mimba yolimba komanso yotupa ola limodzi mutatha kudyetsedwa
• Zikuwoneka ngati akumva kuwawa
• Amasintha momwe alili
• Ali pa mankhwala atsopano
• Amadzimbidwa ndikudutsa chimbudzi cholimba, chowuma

Komanso itanani ngati:

• Tepu yodyetsera idatuluka ndipo simukudziwa momwe mungasinthiremo.
• Pali kutayikira mozungulira chubu kapena kachitidwe.
• Pali kufiira kapena kuyabwa pakhungu mozungulira chubu.

Kudyetsa - gastrostomy chubu - bolus; G-chubu - bolus; Batani la Gastrostomy - bolus; Bard Button - bolus; MIC-KEY - bolus

La Charite J. Chakudya ndi kukula. Mu: Kleinman K, Mcdaniel L, Molloy M, olemba. Harriet Lane Handbook, The. 22nd ed. Philadelphia, PA: Elsevier; 2021: mutu 21.

LeLeiko NS, Shapiro JM, Cerezo CS, Pinkos BA. Zakudya zabwino. Mu: Wyllie R, Hyams JS, Kay M, olemba., Eds.Matenda a m'mimba ndi Matenda a Chiwindi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2021: chap 89.

Samuels LE. Nasogastric ndi kudyetsa chubu mayikidwe. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds.Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 40.

Webusayiti ya UCSF department of Surgery. Machubu a Gastrostomy. opaleshoni.ucsf.edu/conditions--procedures/gastrostomy-tubes.aspx. Idasinthidwa 2018. Idapezeka pa Januware 15, 2021.

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