PEG chubu kuyika - kutulutsa

PEG (perosaneous endoscopic gastrostomy) kuyika chubu kulowetsa ndikukhazikitsa chubu chodyera kudzera pakhungu komanso m'mimba. Amapita mwachindunji m'mimba. Kuyika kwa chubu la PEG kumayikidwa pang'ono pogwiritsa ntchito njira yotchedwa endoscopy.

Kudyetsa machubu kumafunika mukalephera kudya kapena kumwa. Izi zikhoza kukhala chifukwa cha kupwetekedwa mtima kapena kuvulala kwa ubongo, mavuto a m'mimba, opaleshoni ya mutu ndi khosi, kapena zina.

PEG chubu yanu ndi yosavuta kugwiritsa ntchito. Inu (kapena amene amakusamalirani) mutha kuphunzira kudzisamalira nokha komanso kudzipatsanso chubu.

Nazi mbali zofunika za chubu chanu cha PEG:

• Peg / Gastronomy yodyetsa chubu.
• Zimbale 2 zazing'ono zomwe zili panja ndi mkati mwa gastrostomy kutsegula (kapena stoma) m'mimba mwanu. Ma disc awa amateteza chubu chodyetsera kuti chisasunthike. Diski yakunja ili pafupi kwambiri ndi khungu.
• A achepetsa kutseka chubu kudya.
• Chida cholumikizira kapena kukonza chubu pakhungu osadyetsa.
• Kutseguka 2 kumapeto kwa chubu. Imodzi ndiyo kudyetsa kapena mankhwala, ina kutsuka chubu. (Pakhoza kukhala kutsegula kwachitatu pa machubu ena. Ndi pomwe pali baluni m'malo mwa chimbale chamkati).

Mukakhala ndi gastrostomy kwakanthawi ndipo stoma yakhazikitsidwa, china chake chotchedwa batani chitha kugwiritsidwa ntchito. Izi zimapangitsa kudyetsa ndi chisamaliro kukhala chosavuta.

Chubu chomwecho chimakhala ndi chizindikiro chomwe chikuwonetsa komwe chikuyenera kuchoka ku stoma. Mutha kugwiritsa ntchito chizindikirochi nthawi iliyonse mukafunika kutsimikizira kuti chubu chili pamalo oyenera.

Zinthu zomwe inu kapena omwe amakusamalirani muyenera kuphunzira ndi izi:

• Zizindikiro za matenda
• Zizindikiro zakuti chubu chimatsekedwa komanso zoyenera kuchita
• Zoyenera kuchita ngati chubu chatulutsidwa
• Momwe mungabisire chubu pansi pa zovala
• Momwe mungatulutsire m'mimba kudzera mu chubu
• Ndi zinthu ziti zomwe zikupitilira ndi zomwe muyenera kupewa

Kudyetsa kumayamba pang'onopang'ono ndi zakumwa zomveka, ndikukula pang'onopang'ono. Muphunzira momwe:

• Dzipatseni nokha chakudya kapena madzi pogwiritsa ntchito chubu
• Sambani chubu
• Tengani mankhwala anu kudzera mu chubu

Ngati mukumva kupweteka pang'ono, amatha kuchiritsidwa ndi mankhwala.

Ngalande zozungulira thumba la PEG ndizofala masiku 1 kapena 2 oyamba. Khungu liyenera kuchira m'masabata awiri kapena atatu.

Muyenera kuyeretsa khungu mozungulira PEG-chubu 1 mpaka 3 patsiku.

• Gwiritsani ntchito sopo wofatsa ndi madzi kapena mchere wosabereka (afunseni omwe amapereka). Mutha kugwiritsa ntchito swab ya thonje kapena gauze.
• Yesani kuchotsa ngalande zilizonse pakhungu ndi chubu. Khalani odekha.
• Ngati mutagwiritsa ntchito sopo, tsukaninso mofatsa ndi madzi osalala.
• Yanikani khungu bwino ndi chopukutira kapena gauze woyera.
• Samalani kuti musakoke pa chubu chomwecho kuti chisatuluke.

Kwa masabata 1 mpaka 2 oyamba, woperekayo angakufunseni kuti mugwiritse ntchito njira zopanda kanthu posamalira tsamba lanu la PEG-tube.

Wothandizira zaumoyo wanu angafunenso kuti muike pedi kapena gauze wapadera pafupi ndi tsamba la PEG-chubu. Izi ziyenera kusinthidwa tsiku lililonse kapena zikanyowa kapena zawonongeka.

• Pewani mavalidwe ambiri.
• Osayika gauze pansi pa disc.

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

Funsani omwe akukuthandizani ngati zili bwino kusamba kapena kusamba.

Ngati chubu lodyetsera lituluka, stoma kapena kutsegula kumatha kuyamba kutseka. Pofuna kupewa vutoli, pezani chubu pamimba panu kapena gwiritsani ntchito chida chokonzekera. Chubu chatsopano chiyenera kuikidwa nthawi yomweyo. Itanani omwe akukuthandizani kuti akupatseni malangizo pazotsatira.

Womwe amakupatsani akhoza kukuphunzitsani kapena amene amakusamalirani kuti muzitha kusintha chubu la gastrostomy mukamatsuka. Izi zimalepheretsa kuti zizimatira mbali ya stoma ndikutseguka komwe kumatsogolera m'mimba.

• Lembani chizindikirocho kapena chiwongolero cha komwe chubu chimachokera ku stoma.
• Chotsani chubu kuchokera pachida chokonzekera.
• Sinthasintha chubu pang'ono.

Muyenera kuyimbira omwe akukuthandizani ngati:

• Tepu yodyetsera idatuluka ndipo simukudziwa momwe mungasinthire m'malo mwake
• Pali kutayikira mozungulira chubu kapena kachitidwe
• Pali kufiira kapena kuyabwa pakhungu mozungulira chubu
• Thupi lodyetsera likuwoneka lotsekedwa
• Pali kutaya magazi kochuluka kuchokera pamalo opangira ma chubu

Komanso itanani omwe akukuthandizani ngati:

• Khalani ndi kutsekula m'mimba mutatha kudyetsa
• Khalani ndi mimba yolimba komanso yotupa ola limodzi mutatha kudyetsa
• Khalani ndi ululu wowonjezereka
• Ali pa mankhwala atsopano
• Amadzimbidwa ndikudutsa chimbudzi cholimba, chowuma
• Mukutsokomola kuposa momwe mumakhalira kapena mumangopuma movutikira mukadyetsedwa
• Onani njira yodyetsera pakamwa panu

Gastrostomy chubu mayikidwe-kumaliseche; Kutulutsa kwa G-chubu; PEG chubu kulowetsa-kutulutsa; Kuyika chubu m'mimba; Percutaneous endoscopic gastrostomy chubu kuyika-kutulutsa

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.

[Adasankhidwa] Twyman SL, Davis PW. Kukhazikitsidwa kwa ma endoscopic gastrostomy ndikuyika m'malo. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 92.

• Thandizo Labwino