Gastrostomy: ndi chiyani, momwe mungadyetse ndi chisamaliro chachikulu

Zamkati

• Masitepe 10 odyetserako kafukufuku
• Momwe mungakonzekerere chakudya kuti mufufuze
• Momwe mungasamalire bala la gastrostomy
• Nthawi yoti mupite kwa dokotala

Gastrostomy, yomwe imadziwikanso kuti endoscopic gastrostomy kapena PEG, imakhala ndi kuyika kachubu kakang'ono kosinthika, kotchedwa kafukufuku, kuchokera pakhungu la m'mimba molunjika kumimba, kuloleza kudyetsa ngati njira yolankhulira singagwiritsidwe ntchito.

Kukhazikitsidwa kwa gastrostomy kumawonetsedwa nthawi zambiri ngati:

• Sitiroko;
• Kukha mwazi;
• Cerebral palsy;
• Zotupa pakhosi;
• Amyotrophic lateral sclerosis;
• Kuvuta kwakukulu kumeza.

Zina mwazinthuzi zimatha kukhala zazakanthawi, monga momwe zimakhalira ndi sitiroko, momwe munthu amagwiritsira ntchito gastrostomy mpaka pomwe angadye kachiwiri, koma mwa ena kungakhale kofunika kusunga chubu kwa zaka zingapo kapena ngakhale kwa moyo wonse.

Njirayi ingagwiritsidwenso ntchito kwakanthawi pambuyo pochitidwa opaleshoni, makamaka ngati imakhudza kugaya kapena kupuma, mwachitsanzo.

Masitepe 10 odyetserako kafukufuku

Musanadyetse munthu ndi chubu cha gastrostomy, ndikofunikira kuti akhale pansi kapena mutu wa bedi utakwezedwa, kuti tipewe chakudya kutuluka m'mimba ndikufika pammero, ndikupangitsa kumva kutentha kwam'mimba.

Kenako, tsatirani tsatane-tsatane:

1. Unikani chubu Kuonetsetsa kuti pasakhale khola lomwe lingasokoneze chakudya;
2. Tsekani chubu, pogwiritsa ntchito kopanira kapena popinda nsonga, kuti mpweya usalowe mu chubu kapu ikachotsedwa;
3. Tsegulani chivundikirocho ndikuyika syringe yodyetsa (100ml) mu chubu gastrostomy;
4. Tsegulani kafukufukuyo ndikukoka pang'onopang'ono jekeseniyo kutulutsa madzi omwe ali mkati mwa m'mimba. Ngati zoposa 100 ml zitha kufunidwa, tikulimbikitsidwa kuti timudyetse munthuyo nthawi ina, pomwe zomwe zili zosakwana mtengo wake. Zomwe zili ndi chidwi nthawi zonse ziyenera kubwereranso m'mimba.
5. Bwezeretsani nsonga ya kafukufuku kapena tsekani chubu ndi kopanira ndiyeno chotsani sirinjiyo;
6. Dzazani syringe ndi 20 mpaka 40 ml ya madzi ndikubwezeretsanso kafukufuku. Tsegulani kafukufuku ndikudina pang'onopang'ono mpaka madzi onse atalowa m'mimba;
7. Bwezerani nsonga ya kafukufuku kapena tsekani chubu ndi kopanira ndiyeno chotsani sirinjiyo;
8. Lembani syringe ndi chakudya chophwanyika komanso chosasunthika, mu kuchuluka kwa 50 mpaka 60 ml;
9. Bwerezani masitepe kachiwiri kutseka chubu ndikuyika syringe mu kafukufuku, nthawi zonse kukhala osamala kuti musasiye chubu chotseguka;
10. Pewani jekeseniyo pang'onopang'ono, kulowetsa chakudyacho pang'onopang'ono m'mimba. Bwerezani nthawi zonse momwe mungafunikire mpaka mutapereka ndalama zomwe adalangiza adokotala kapena wazakudya, zomwe nthawi zambiri sizipitilira 300 ml.

Mukapereka chakudya chonse kudzera mu kafukufuku, ndikofunikira kutsuka syringe ndikudzaza ndi 40 mL yamadzi, ndikubwezeretsanso kudzera mu kafukufuku kuti muzitsuka ndikuletsa zidutswazo kuti zisakule, kutseka chubu.

Zisamalirozi ndizofanana kwambiri ndi chubu cha nasogastric, chifukwa chake onerani kanemayo kuti muwone momwe chubu nthawi zonse chimatsekera, kuteteza mpweya kuti usalowe:

Momwe mungakonzekerere chakudya kuti mufufuze

Chakudyacho nthawi zonse chimayenera kukhala chopanda nthaka komanso mulibe zidutswa zazikulu kwambiri, motero tikulimbikitsidwa kuti tisakanize chisakanizocho musanachiike mu syringe. Dongosolo lazakudya nthawi zonse liyenera kutsogozedwa ndi katswiri wazakudya kuti awonetsetse kuti palibe mavitamini operewera, chifukwa chake, atayikidwa chubu, adotolo atha kufunsa kukaonana ndi wazakudya. Nawa malingaliro pazomwe kafukufuku wazakudya ayenera kuwonekera.

Nthawi zonse pakafunika kupereka mankhwala, piritsi liyenera kuphwanyidwa bwino ndikusakanikirana ndi chakudya kapena madzi oti aperekedwe. Komabe, ndibwino kuti musasakanize mankhwala mu syringe yomweyi, chifukwa mwina zina sizingagwirizane.

Momwe mungasamalire bala la gastrostomy

M'masabata awiri kapena atatu oyamba, bala la gastrostomy limathandizidwa ndi namwino pachipatala, chifukwa chisamaliro chofunikira chimafunika kuti tipewe matenda komanso kuwunika komwe kuli komweko. Komabe, mutamasulidwa ndikubwerera kunyumba, m'pofunika kusamalira chisamaliro ndi chilondacho, kuti khungu lisakhumudwe ndikupangitsa mavuto ena.

Chofunika kwambiri ndikusamalira malowo nthawi zonse kuti akhale oyera komanso owuma, chifukwa chake, ndikofunikira kusamba malowa kamodzi patsiku ndi madzi ofunda, gauze woyera komanso sopo wa pH wosalowerera. Koma nkofunikanso kupewa zovala zothina kwambiri kapena kuyika mafuta onunkhira kapena mankhwala pamenepo.

Mukamatsuka malo abala, kafukufukuyo amayeneranso kuzunguliridwa pang'ono, kuti isamamatire pakhungu, ndikuwonjezera mwayi wakutenga matenda. Kusunthika kumeneku kwa kafukufukuyu kuyenera kuchitika kamodzi patsiku, kapena malinga ndi malangizo a dokotala.

Nthawi yoti mupite kwa dokotala

Ndikofunika kwambiri kupita kwa dokotala kapena chipatala pamene:

• Kufufuza sikunachitike;
• Kafukufukuyu watsekedwa;
• Pali zizindikiro za matenda pachilondacho, monga kupweteka, kufiira, kutupa komanso kupezeka kwa mafinya;
• Munthuyo amamva kuwawa akamadyetsedwa kapena akusanza.

Kuphatikiza apo, kutengera zomwe zafufuzidwa, kungafunikirenso kubwerera kuchipatala kukasintha chubu, komabe, nthawi imeneyi iyenera kuvomerezedwa ndi adotolo.