Jejunostomy yekudyisa chubhu

Iyo jejunostomy tube (J-tube) inyoro, yepurasitiki chubhu inoiswa kuburikidza neganda redumbu mukati mepakati peiyo dumbu ura. Iyo chubhu inounza chikafu nemishonga kudzamara munhu agwinya zvakakwana kudya nemuromo.

Iwe unozofanirwa kuziva maitiro ekuchengetedza J-chubhu uye ganda panopinda chubhu mumuviri.

Tevedza chero chaiyo mirayiridzo yaunopihwa nemukoti. Shandisa ruzivo rwuri pazasi sechiyeuchidzo chekuita.

Izvo zvakakosha kuti utarisire zvakanaka ganda rakakomberedza chubhu kudzivirira kudzivirira hutachiona kana kutsamwa kweganda.

Iwe zvakare uchadzidza maitiro ekuchinja kupfeka kutenderedza chubhu zuva nezuva.

Ita shuwa kuti iwe chengetedza iyo chubhu yakachengetedzwa nekuibata iyo paganda.

Mukoti wako anogona kutsiva iyo chubhu nguva nenguva.

Kuti uchenese ganda, iwe uchafanirwa kushandura mabhandeji kamwe pazuva kana kupfuura kana nzvimbo ikava nyoro kana yakasviba.

Nzvimbo yeganda inofanira kugara yakachena uye yakaoma. Unoda:

• Mvura ine sipo inodziya uye jira rekuwachisa
• Yakaoma, yakachena tauro
• Bhegi repurasitiki
• Mafuta kana hydrogen peroxide (kana chiremba wako achikurudzira)
• Q-matipi

Tevedza aya marongero zuva rega rega kune hutano hwakanaka uye kutarisirwa kweganda:

• Shamba maoko ako zvakanaka kwemaminetsi mashoma nesipo nemvura.
• Bvisa chero kupfeka kana bhandeji paganda. Zviise muhomwe yepurasitiki uye urase bhegi racho kure.
• Tarisa ganda kutsvuka, hwema, kurwadziwa, puss, kana kuzvimba. Ita shuwa kuti matinji achiri munzvimbo.
• Shandisa tauro rakachena kana Q-tip kuchenesa ganda rakakomberedza J-chubhu 1 kusvika katatu pazuva nesipo nyoro nemvura. Edza kubvisa chero drainage kana kukanda paganda uye chubhu. Iva munyoro. Pukuta ganda zvakanaka nejira rakachena.
• Kana paine mugero wemvura, isa chidimbu che gauze pasi pe diski yakatenderedza chubhu.
• Usatenderedza chubhu. Izvi zvinogona kukonzera kuti ivharwe.

Unoda:

• Gauze mapedhi, kupfeka, kana mabhandeji
• Tepi

Mukoti wako anokuratidza maitiro ekuisa mabhandeji matsva kana gauze rakakomberedza chubhu uye nekuteepa zvakachengeteka mudumbu.

Kazhinji, kupatsanurwa gauze mitsetse inodonhedzwa pamusoro petyhubhu uye ndokuiswa pasi pamativi ese mana. Tape iyo tube pasi futi.

Usashandise mafuta, mapoda, kana mapiritsi pedyo nenzvimbo kutoti mukoti ati zvakanaka.

Kuti ubudise J-tube, tevedzera rairo yawakapihwa nemukoti. Iwe unoshandisa sirinji kusundira zvishoma nezvishoma mvura inodziya mukuvhura kwekumativi kweJ-chiteshi.

Iwe unogona kusuka, kuomesa, uye kushandisa zvakare sirinji gare gare.

Fonera wako mupi wezvehutano ipapo kana paine zvinotevera zvinotevera:

• Iyo chubhu inodhonzwa
• Iko kune kutsvuka, kuzvimba, kunhuwa, pus (isina kujairika ruvara) pane chubhu saiti
• Kune kubuda ropa kwakakomberedza chubhu
• Misono iri kubuda
• Pane kubuda mukati mechubhu
• Ganda kana scarring iri kukura yakatenderedza chubhu
• Kusvipa
• Dumbu rakazvimba

Kudyisa - jejunostomy tube; GJ chubhu; J-chubhu; Jejunum chubhu

Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. Nutritional manejimendi uye kupinda mukati. Muna: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, eds. Unyanzvi hweKiriniki hweKiriniki: Huru kune Hwepamberi Hunyanzvi. 9th ed. New York, NY: Pearson; 2016: chits.

Ziegler TR. Kushaya zvinovaka muviri: kuongorora uye kutsigira. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 204.

• Cerebral palsy
• Cystic fibrosis
• Kenza yesophageal
• Kutadza kubudirira
• HIV / AIDS

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

• Kutsigira Kwehutano