Kudyetsa chubu kuyika - gastrostomy

Kuyika kwa chubu chodyetsera cha gastrostomy ndikukhazikitsa chubu lodyera kudzera pakhungu komanso m'mimba. Amapita mwachindunji m'mimba.

Kuyika kwa Gastrostomy chubu (G-chubu) kuyika kumachitika pang'ono pogwiritsa ntchito njira yotchedwa endoscopy. Iyi ndi njira yoyang'ana mkati mwa thupi pogwiritsa ntchito chubu chosinthasintha chokhala ndi kamera yaying'ono kumapeto kwake. Endoscope imayikidwa kudzera pakamwa ndikutsika kummero, komwe kumabweretsa m'mimba.

Katemera wa endoscopy atalowetsedwa, khungu pambali yakumanzere kwa mimba (pamimba) limatsukidwa ndikuchita dzanzi. Dotolo amadula pang'ono pochita opareshoni mderali. G-chubu imayikidwiratu m'mimba. Chubu ndi chaching'ono, chosinthika, ndi dzenje. Dokotala amagwiritsa ntchito zokopa kuti atseke m'mimba mozungulira chubu.

Machubu odyetsera a Gastrostomy amaikidwa pazifukwa zosiyanasiyana. Zitha kukhala zofunikira kwakanthawi kochepa kapena kosatha. Njirayi itha kugwiritsidwa ntchito:

• Ana omwe ali ndi zilema pakamwa, pamimba, kapena m'mimba (mwachitsanzo, esophageal atresia kapena tracheal esophageal fistula)
• Anthu omwe sangathe kumeza bwino
• Anthu omwe sangadye chakudya chokwanira pakamwa kuti akhale athanzi
• Anthu omwe nthawi zambiri amapuma chakudya akamadya

Zowopsa za kuyikapo chubu chodyera kapena endoscopic ndi:

• Magazi
• Matenda

Mupatsidwa mankhwala ogonetsa ndi oletsa ululu. Nthawi zambiri, mankhwalawa amaperekedwa kudzera mumitsempha (IV mzere) m'manja mwanu. Simuyenera kumva kupweteka ndipo musakumbukire njirayi.

Mankhwala otsekemera atha kukupopera mkamwa mwanu kuti mupewe kukakamira kapena kutsokomola mukamayika endoscope. Padzakhala mlonda pakamwa kuti muteteze mano anu ndi endoscope.

Mano ovekera ayenera kuchotsedwa.

Izi nthawi zambiri zimakhala opaleshoni yosavuta yokhala ndi chiyembekezo. Tsatirani malangizo omwe mungadzisamalire, kuphatikizapo:

• Momwe mungasamalire khungu mozungulira chubu
• Zizindikiro za matenda
• Zoyenera kuchita ngati chubu chatulutsidwa
• Zizindikiro za kutseka kwa chubu
• Momwe mungatulutsire m'mimba kudzera mu chubu
• Momwe mungadyetse kudzera mu chubu
• Momwe mungabisire chubu pansi pa zovala
• Ndi zinthu ziti zomwe zitha kupitilizidwa

Mimba ndi mimba zidzachiritsidwa masiku asanu kapena asanu ndi awiri. Kupweteka pang'ono kumatha kuchiritsidwa ndi mankhwala. Kudyetsa kumayamba pang'onopang'ono ndi zakumwa zomveka, ndikukula pang'onopang'ono.

Kuyika chubu cha Gastrostomy; Kuyika kwa G-chubu; Kuyika kwa chubu cha PEG; Kuyika chubu m'mimba; Kuyika kwa endoscopic gastrostomy chubu kuyika

• Kuyika kwa chubu cha Gastrostomy - mndandanda

Kessel D, Robertson I. Kuchiza matenda am'mimba. Mu: Kessel D, Robertson I, olemba. Ma Radiology Othandizira: Maupangiri Opulumuka. Wolemba 4. Philadelphia, PA: Elsevier; 2017: mutu 42.

Murray TE, Lee MJ. Gastrostomy ndi jejunostomy. Mu: Mauro MA, Murphy KP, Thomson KR, Venbrux AC, Morgan RA, olemba. Zochita Zowongoleredwa ndi Zithunzi. Wachitatu ed. Philadelphia, PA: Elsevier; 2021: mutu 91.

[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.