Gastrostomy kudyetsa chubu - pampu - mwana

Mwana wanu ali ndi chubu cha gastrostomy (G-chubu, kapena chubu cha PEG). Ichi ndi chubu chofewa, cha pulasitiki chomwe chimayikidwa m'mimba mwa mwana wanu. Amapereka zakudya zopatsa thanzi (chakudya) ndi mankhwala mpaka mwana wanu atha kutafuna ndi kumeza.

Muyenera kuphunzira momwe mungaperekere chakudya cha mwana wanu komanso momwe mungasamalire G-chubu. Tsatirani malangizo aliwonse omwe namwino amakupatsani. Gwiritsani ntchito zomwe zili pansipa ngati chikumbutso cha zoyenera kuchita.

G-chubu ya mwana wanu ikhoza kusinthidwa ndi batani, lotchedwa Bard Button kapena MIC-KEY, masabata 3 mpaka 8 mutachitidwa opaleshoni.

Mudzazolowera kudyetsa mwana wanu kudzera mu chubu, kapena batani. Zimatenga nthawi yofanana ndi kudyetsa pafupipafupi, mozungulira mphindi 20 mpaka 30. Kudyetsa kumeneku kumathandiza mwana wanu kukula ndi thanzi.

Dokotala wanu angakuuzeni kusakaniza koyenera kwamakina kapena zosakaniza zomwe mungagwiritse ntchito, komanso kangati kudyetsa mwana wanu. Kuti muwotche chakudya, tulutsani m'firiji maola 2 kapena 4 musanagwiritse ntchito. Osangowonjezera zowonjezera kapena zakudya zolimba musanalankhule ndi namwino wanu.

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

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

Khungu lozungulira G-chubu liyenera kusinthidwa 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.

Namwino wanu angakuuzeni kuti muyike padi kapena gauze wapaderadera mozungulira tsamba la G-chubu. Izi ziyenera kusinthidwa tsiku lililonse kapena zikanyowa kapena zawonongeka.

Musagwiritse ntchito mafuta, ufa, kapena opopera mozungulira G-chubu pokhapokha namwino wanu atanena kuti zili bwino.

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, dokotala wanu akukambirana nanu njira zina zololeza mwana wanu kuyamwa ndikupanga minofu ya pakamwa ndi nsagwada.

Sonkhanitsani zopereka:

• Kudyetsa mpope (zamagetsi kapena zamagetsi)
• Kudyetsa komwe kumagwirizana ndi mpope wodyetsa (kuphatikiza chikwama chodyetsera, chipinda chodontha, cholumikizira, ndi chubu lalitali)
• Zowonjezera, za Bard Button kapena MIC-KEY (izi zimalumikiza batani kupita ku chubu lalitali pagawo lodyetsa)

Namwino wa mwana wanu adzakuwonetsani njira yabwino yogwiritsira ntchito makina anu osalowetsa mpweya m'machubu. Choyamba:

• Sambani m'manja bwino ndi sopo ndi madzi ofunda.
• Onetsetsani kuti chilinganizo kapena chakudyacho ndi kotentha kapena kutentha.

Kenako, tsatirani izi, ndi njira zomwe namwino wanu wakupatsani:

• Yambani ndi chakudya, tsekani cholumikizira ndikudzaza thumba la chakudya ndi chakudya. Ngati batani likugwiritsidwa ntchito, lumikizani zowonjezera zomwe zaikidwa kumapeto kwa gawo lodyetsa.
• Pachika thumba lokwera pamwamba pa ndowe ndikufinya chipinda chodontha pansi pa thumba kuti mudzaze theka ndi chakudya.
• Tsegulani cholumikizira kuti chakudya chizadzaze chubu chachitali, osasiya mpweya mu chubu.
• Tsekani cholumikizira.
• Ulusi chubu lalitali kudzera pampu wodyetsa. Tsatirani malangizo apompu.
• Ikani nsonga ya chubu yayitali mu G-chubu ndikutsegulira. Ngati batani likugwiritsidwa ntchito, tsegulani chikwangwani ndikuyika nsonga yazowonjezera yomwe ili mu batani.
• Tsegulani cholumikizira ndikuyatsa pampu wodyetsa. Onetsetsani kuti pampu yakhazikitsidwa pamlingo woyitanidwa ndi namwino wanu.

Mukamaliza kudyetsa, namwino wanu angakulimbikitseni kuti muwonjezere madzi mu thumba ndikulola madziwo kuti adutsenso.

Pa chubu la G, chepetsa chubu ndikutseka cholumikizira musanadule chakudya kuchokera ku G-chubu. Kuti mupeze batani, tsekani chingwe panjira yodyetsa, chotsani chojambulacho kuchokera pa batani, ndikutseka chipacho pabatani.

Chikwama chodyetsera chiyenera kusinthidwa maola 24 aliwonse. Chakudya (chilinganizo) sichiyenera kutsalira m'thumba kwa maola opitilira anayi. Chifukwa chake, ikani chakudya chokwana maola 4 (kapena kucheperapo) m'thumba lodyetsera nthawi imodzi.

Zipangizo zonse zimatha kutsukidwa ndi madzi ofunda, sopo ndikupachika kuti ziume.

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 zowonjezera ku batani la MIC-KEY ndikutsegula chubu kumlengalenga kuti mutulutse.
• Funsani namwino wanu chubu chapadera cha "burping" Bard Button.

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

• Apatseni mankhwala musanadye kuti agwire ntchito bwino. Muthanso kuuzidwa kuti mupatse mankhwalawo m'mimba mwa mwana wanu mulibe kanthu.
• Mankhwalawa ayenera kukhala amadzimadzi, kapena osweka bwino ndikusungunuka m'madzi, kuti chubu chisatseke. Funsani dokotala wanu 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.

Itanani woyang'anira zaumoyo wa 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 wothandizira ngati:

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

PEG chubu kudyetsa; PEG kusamalira chubu; Kudyetsa - gastrostomy chubu - pampu; G-chubu - mpope; Batani la gastrostomy - pampu; Bard Button - pampu; MIC-KEY - pampu

Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. kasamalidwe kabwino ka zakudya ndi kulowetsa mkati. Mu: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, olemba. Luso la Unamwino Wachipatala: Zofunikira ku Luso Lapamwamba. 9th ed. New York, NY: Pearson; 2017: mutu 19.

Pham AK, McClave SA. Kusamalira zakudya. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 6.

• Thandizo Labwino