Gastrostomy yekudyisa chubhu - bolus

Gastrostomy tube yemwana wako (G-tube) yakakosha chubhu mudumbu remwana wako iyo inobatsira kuendesa chikafu nemishonga kudzamara mwana wako agona kutsenga nekumedza. Ichi chinyorwa chinokuudza iwe zvaunoda kuti uzive kupa mwana wako kuburikidza nehubhu.

Gastrostomy tube yemwana wako (G-tube) yakakosha chubhu mudumbu remwana wako iyo inobatsira kuendesa chikafu nemishonga kudzamara mwana wako agona kutsenga nekumedza. Dzimwe nguva, inotsiviwa nebhatani, inonzi Bard Bhatani kana MIC-KEY, mavhiki matatu kusvika masere mushure mekuvhiyiwa.

Idzi feedings dzinobatsira mwana wako kukura akasimba uye akagwinya. Vabereki vazhinji vakaita izvi nemigumisiro yakanaka.

Iwe unokurumidza kujaira kupa mwana wako kuburikidza nehubhu, kana bhatani. Zvinotora inguva yakafanana nekudya nguva dzose, maminetsi makumi maviri kusvika makumi matatu. Pane nzira mbiri dzekudyisa kuburikidza nesystem: iyo syringe nzira uye nzira yegiravhiti. Nzira yega yega inotsanangurwa pazasi. Ita shuwa kuti iwe uteedzere ese iwo mirairo iwe yaunopihwa iwe neako mutarisiri wehutano zvakare.

Wako mupi anokuudza iwe musanganiswa wakakodzera weiyo fomula kana yakasanganiswa feedings yekushandisa, uye kangani kupa mwana wako chikafu. Ita kuti chikafu ichi chigadzirire pane tembiricha yemukati usati watanga, nekuchibvisa mufiriji kwemaminitsi angangoita makumi matatu kusvika makumi mana. Usawedzere imwe fomula kana chikafu chakasimba usati wataura nemupi wemwana wako.

Kudya mabhegi kunofanirwa kuchinjwa ese maawa makumi maviri nemana. Zvese zvishandiso zvinogona kucheneswa nemvura inopisa, ine sipo uye yakaturikwa kuti iome.

Rangarira kugeza maoko ako kazhinji kudzivirira hutachiona. Zvichengete zvakanaka iwe zvakare, kuti ugone kuramba wakadzikama uye uine tariro, uye kugadzirisa dambudziko.

Iwe uchachenesa ganda remwana wako kutenderedza G-chubhu 1 kusvika katatu pazuva nesipo nyoro nemvura. Edza kubvisa chero drainage kana kukanda paganda uye chubhu. Iva munyoro. Pukuta ganda zvakanaka nejira rakachena.

Ganda rinofanira kupora mumasvondo maviri kusvika matatu.

Wako mupi anogona zvakare kuda kuti iwe uise yakakosha yekumesa pad kana gauze kutenderedza iyo G-chubhu saiti. Izvi zvinofanirwa kuchinjika zvirinani zuva nezuva kana zvikanyorova kana kusvibiswa.

Usashandise chero mafuta ekuzora, mapoda, kana mapiritsi akatenderedza G-chubhu kunze kwekunge waudzwa kuti uite saizvozvo nemupi wako.

Ita shuwa kuti mwana wako akagara kana mumaoko ako kana pachigaro chepamusoro.

Kana mwana wako achipopota kana kuchema paanenge achidya, tsinya iyo chubhu neminwe yako kuti umise kudya kusvikira mwana wako anyarara uye akanyarara.

Nguva yekudyisa inguva yekugarisana, inofara. Ita kuti inakidze uye inakidze. Mwana wako anofarira kutaura zvinyoro uye kutamba.

Edza kuchengetedza mwana wako kuti arege kudhonza pombi.

Sezvo mwana wako asiri kushandisa mukanwa wavo izvozvi, mupi wako anokurukura newe dzimwe nzira dzekutendera mwana wako kuyamwa nekukudziridza muromo uye shaya tsandanyama.

Wako mupi achakuratidza iyo yakanakisa nzira yekushandisa yako system pasina kuwana mweya mukati machubhu. Tevera matanho aya kutanga:

• Geza maoko.
• Unganidza zvaunopa (kudyisa seti, kuwedzerwa kumisikidzwa kana zvichidikanwa kweG-bhatani kana MIC-KEY, kuyera mukombe nespout, chikafu chemukati tembiricha, uye girazi remvura).
• Tarisa kuti fomula yako kana chikafu chiri kudziya kana kutembiricha yemukati nekuisa madonhwe mashoma pachiuno chako.

Kana mwana wako aine G-chubhu, vhara iyo yekunamatira pane yekudyisa chubhu.

• Sungirira bhegi kumusoro pachirauro uye svina kamuri rinodonhedza pazasi pehombodo kuti urizadze nepakati nechikafu.
• Tevere, vhura kiramba kuitira kuti chikafu chizadze iyo chubhu refu pasina mweya wakasara mutabhu.
• Vhara kiramba.
• Isa iyo catheter muG-tube.
• Vhura wakanangana nekiringi uye gadzirisa chiyero chekudyisa, uchitevera rairo yemupi wako.
• Paunenge wapedza kupa chikafu, mukoti wako anogona kukurudzira kuti iwe uwedzere mvura muhubhu kuti ubudise kunze.
• G-machubhu anozofanira kukomberedzwa pahubhu, uye iyo yekudyisa system inoda kubviswa.

Kana iwe uri kushandisa G-bhatani, kana MIC-KEY, system:

• Sunga iyo yekudyisa chubhu kune yekudyisa system kutanga, uye wozoizadza nefomula kana chikafu.
• Regedza mboni kana wagadzirira kugadzirisa mwero wekudyisa, uchitevera rairo dzemupi wako.
• Paunenge wapedza kufudza, mupi wako anogona kukurudzira kuti iwe uwedzere mvura muhubhu kubhatani.

Wako mupi achakudzidzisa iyo yakanakisa nzira yekushandisa yako system pasina kuwana mweya mukati machubhu. Tevedza nhanho idzi:

• Geza maoko.
• Unganidza zvaunopa (sirinji, yekudyisa chubhu, yekuwedzera seti kana zvichidikanwa kune G-bhatani kana MIC-KEY, kuyera mukombe nespout, chikafu chemukati tembiricha, mvura, bhendi rerabha, kiramba, uye pini yekuchengetedza).
• Tarisa kuti fomula yako kana chikafu chiri kudziya kana kutembiricha yemukati nekuisa madonhwe mashoma pachiuno chako.

Kana mwana wako aine G-tube:

• Pinza sirinji mumugumo wakavhurika wepombi yekudyisa.
• Dururirai fomula yacho mujekiseni kusvika yazara hafu uye sunungura chubhu.

Kana iwe uri kushandisa G-bhatani, kana MIC-KEY, system:

• Vhura chiuno uye isa iyo bolus yekudyisa chubhu.
• Isa sirinji mukati mekuvhurika kwekuwedzera kwekuseta uye sunga iyo yekuwedzera seti.
• Dururira chikafu musyinji kusvikira yazara hafu. Unclamp iyo yekuwedzera yakaiswa muchidimbu kuti izadze izere nechikafu uye wozovhara iyo clamp zvakare.
• Vhura bhatani bhatani uye ubatanidze yekuwedzera yakaiswa kubhatani.
• Unclamp iyo yekuwedzera seti kuti utange kufudza.
• Bata muromo kune sirinji isina kukwira kupfuura mapfudzi emwana wako. Kana chikafu chisiri kuyerera, svina iyo chubhu muzvibhakera zvakadzikira kuti uunze chikafu pasi.
• Unogona kuputira bhandi rerabha uchitenderedza sirinji uye chengetedzo uripinze kumusoro kwehembe yako kuti maoko ako asununguke.

Paunenge wapedza kupa chikafu, mukoti wako anogona kukurudzira kuti iwe uwedzere mvura muhubhu kuti ubudise kunze. G-machubhu anozobva ada kukomberedzwa pahubhu neiyo yekudyisa system, uye kubviswa. Kune G-bhatani kana MIC-KINYORI, iwe uchavhara kiramba uye wobvisa iyo chubhu.

Kana dumbu remwana wako rikaomarara kana kuzvimba mushure mekudya, edza kuburitsa, kana kubowa iyo chubhu kana bhatani:

• Sunga sirinji isina chinhu kuG-tube uye woisunungura kuti mweya ubude.
• Batanidza iyo yekuwedzera yakagadzirirwa kune MIC-KEY bhatani uye vhura iyo chubhu kuti mweya uburitse.
• Kumbira mupiki wako kune yakasarudzika decompression chubhu yeku burping iyo Bard Bhatani.

Dzimwe nguva ungangoda kupa mishonga kumwana wako kuburikidza nehubhu. Tevedzera nhungamiro idzi:

• Edza kupa mwana wako mushonga usati wadyisa kuitira kuti ashande zviri nani. Iwe unogona zvakare kubvunzwa kuti upe mwana wako mishonga padumbu risina chinhu kunze kwenguva yekudya.
• Mushonga unofanirwa kunge uri mvura, kana yakanyatsopwanywa uye kunyungudutswa mumvura, kuitira kuti chubhu irege kuvharika. Tarisa nemupi wako kana wemishonga kuti ungaita sei izvi.
• Gara uchikwesha chubhu nemvura shoma pakati pemishonga. Izvi zvichave nechokwadi chekuti mushonga wese unopinda mudumbu uye hauna kusiiwa mutubhu yekudyisa.
• Usambofa wakasanganisa mishonga.

Fonera mupi wemwana wako kana mwana wako:

• Inoratidzika kunge ine nzara mushure mekudya
• Ane manyoka mushure mekudya
• Ane dumbu rakaoma uye rakazvimba 1 awa mushure mekudyiswa
• Inoita kunge iri kurwadziwa
• Ine shanduko mune yavo mamiriro
• Iri pamushonga mutsva
• Yakavharirwa uye ichipfuura yakaoma, yakaoma zvituru

Zvakare fona kana:

• Iyo yekudyisa chubhu yabuda uye iwe hauzive maitiro ekuitsiva.
• Pane leakage yakakomberedza chubhu kana system.
• Kune kutsvuka kana kutsamwa paganda nzvimbo yakatenderedza chubhu.

Kudyisa - gastrostomy tube - bolus; G-chubhu - bolus; Gastrostomy bhatani - bolus; Bard Bhatani - bolus; MIC-CHINOKOSHA - bolus

La Charite J. Nutrition uye kukura. Muna: Kleinman K, Mcdaniel L, Molloy M, eds. Harriet Lane Handbook, Iyo. 22nd ed. Philadelphia, PA: Elsevier; 2021: chitsiko 21.

LeLeiko NS, Shapiro JM, Cerezo CS, Pinkos BA. Chikafu chemukati. Mune: Wyllie R, Hyams JS, Kay M, eds.Chiremba Gastrointestinal uye Chirwere Chiropa. 6th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 89.

Samuels LE. Nasogastric uye yekudyisa chubhu kuiswa. Mune: Roberts JR, Custalow CB, Thomsen TW, eds.Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 40.

UCSF Dhipatimendi rekuvhiya webhusaiti. Gastrostomy machubhu. operation.ucsf.edu/conditions--procedures/gastrostomy-tubes.aspx. Yakagadziridzwa 2018. Yakasvika muna Ndira 15, 2021.

• Cerebral palsy
• Cystic fibrosis
• Kenza yesophageal
• Esophagectomy - zvishoma zvinokanganisa
• Esophagectomy - yakavhurika
• Kutadza kubudirira
• HIV / AIDS

• Chirwere cheCrohn - kubuda
• Esophagectomy - kubuda
• Multiple sclerosis - kubuda
• Pancreatitis - kubuda
• Stroke - kubuda
• Kumedza matambudziko
• Ulcerative colitis - kubuda

• Kutsigira Kwehutano