Gastrostomy yekudyisa chubhu - pombi - mwana

Mwana wako ane gastrostomy tube (G-tube, kana PEG tube). Ichi chinyoro, chepurasitiki chubhu inoiswa mudumbu remwana wako. Inopa kudya kunovaka muviri (chikafu) nemishonga kusvikira mwana wako agona kutsenga nekumedza.

Iwe unozofanirwa kudzidza maitiro ekupa mwana wako feedings uye machengeterwo eG-tube. Tevedza chero chaiyo mirayiridzo yaunopihwa nemukoti. Shandisa ruzivo rwuri pazasi sechiyeuchidzo chekuita.

G-tube yemwana wako inogona kutsiviwa nebhatani, inonzi Bard Bhatani kana MIC-KEY, mavhiki matatu kusvika masere mushure mekuvhiyiwa.

Iwe unokurumidza kujaira kupa mwana wako kuburikidza nehubhu, kana bhatani. Zvinotora inguva yakafanana nekudya nguva dzose, maminetsi makumi maviri kusvika makumi matatu. Idzi feedings dzinobatsira mwana wako kukura akasimba uye akagwinya.

Chiremba wako anokuudza iwe musanganiswa wakaringana weiyo fomula kana yakasanganiswa feedings yekushandisa, uye kangani kupa mwana wako chikafu. Kuti udzire chikafu, chibudise mufiriji maawa maviri kusvika mana usati washandisa. Usawedzere imwe fomula kana chikafu chakasimba usati wataura nemukoti wako.

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

Yeuka kugeza maoko ako nguva dzose kudzivirira kupararira kwemajemusi. Zvichengete zvakanaka iwe zvakare, kuti ugone kuramba wakadzikama uye uine tariro, uye kugadzirisa dambudziko.

Ganda rakakomberedza G-chubhu rinoda kuchinjwa 1 kusvika katatu pazuva nesipo yakapfava nemvura. Edza kubvisa chero drainage kana kukanda paganda uye chubhu. Iva munyoro. Pukuta ganda zvakanaka nejira rakachena.

Ganda rinofanira kupora mumasvondo maviri kusvika matatu.

Mukoti wako anogona kukuudza kuti uise padhi rakapinza kana gauze yakakomberedza iyo G-tube saiti. Izvi zvinofanirwa kuchinjika zvirinani zuva nezuva kana zvikanyorova kana kusvibiswa.

Usashandise chero mafuta ekuzora, mapoda, kana mapiritsi akatenderedza G-tube kunze kwekunge mukoti wako ati zvakanaka.

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 muromo wavo izvozvi, chiremba wako achakurukura newe dzimwe nzira dzekutendera mwana wako kuyamwa nekukudziridza muromo uye shaya tsandanyama.

Unganidza zvinhu:

• Kudya pombi (yemagetsi kana bhatiri inowaniswa)
• Feeding seti inowirirana yekudyisa pombi (inosanganisira yekudyisa bhegi, yekudonha mukamuri, roller chinotenderera, uye refu tube)
• Kuwedzeredzwa kumisikidzwa, kweBard Bhatani kana MIC-KEY (izvi zvinosanganisa bhatani kune iyo refu chubhu pane yekudyisa seti)

Mukoti wemwana wako achakuratidza nzira yakanakisa yekushandisa yako system pasina kuwana mweya mumachubhu. Chekutanga:

• Shamba maoko ako zvakanaka nesipo nemvura inodziya.
• Tarisa kuti fomura kana chikafu chinodziya kana tembiricha yemukamuri.

Tevere, tevera nhanho idzi, uye chero matanho aakapihwa nemukoti wako:

• Kutanga neyakagadzika yekudyisa, vhara roller chinotenderera uye zadza bhegi rekudya nechikafu. Kana bhatani riri kushandiswa, taura iyo yekuwedzera yakagadzirirwa kusvika kumagumo eeseti yekudya.
• Sungirira bhegi rekudyisa kumusoro pachirauro uye svina kamuri rinodonhedza pazasi pehombodo kuti urizadze kanenge hafu nzira nechikafu
• Vhura chinosungira chinotakurisa kuitira kuti chikafu chizadze iyo chubhu refu, pasina mhepo mukati mehubhu.
• Vhara chinosunga chinotenderera.
• Shinda iyo chubhu refu kuburikidza nepombi yekudyisa. Tevedza mafambiro ari pombi.
• Pinza muromo weputi refu muG-chubhu uye vhura kiramba. Kana bhatani riri kushandiswa, vhura iro rova ​​uye isa muromo wekuwedzera wakaiswa mubhatani.
• Vhura chinotenderera chinosunga uye shandura iyo yekudyisa pombi pa. Ita shuwa kuti pombi yakaiswa kune iyo chiyero chakarairwa nanesi wako.

Kana kupihwa kwekudya kwapera, mukoti wako anogona kukurudzira kuti iwe uwedzere mvura muhomwe uye rega mvura iyerere nepakati pekudyisa seti kuti uisuke.

Kune G-chubhu, sunga iyo chubhu uye uvhare chinotenderera chinotenderera usati wabvisa chikafu chakatemwa kubva kuG-chubhu. Nezve bhatani, vhara iyo simbi pane yekudyira seti, bvisa iyo yekuwedzera seti kubva kubhatani, uye vhara iyo kurovera pane bhatani.

Bhegi rekudyisa rinofanira kuchinjwa maawa makumi maviri nemana. Chikafu (fomura) hachifanirwe kusiiwa muhombodo kweanopfuura maawa mana. Saka, isa chete maawa mana (kana mashoma) echikafu chakakosha mubhegi rekudyisa panguva.

Zvese zvishandiso zvinogona kucheneswa nemvura inodziya, ine sipo uye yakaturikwa kuti iome.

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

• Sunga sirinji isina chinhu kuG-tube uye woisunungura kuti mweya ubude.
• Isa chinongedzo chakaiswa kune MIC-KEY bhatani uye vhura iyo chubhu kumhepo kuti isunungure.
• Kumbira mukoti wako nezveyakakosha decompression chubhu ye "burping" iyo Bard Bhatani.

Dzimwe nguva, iwe unofanirwa kupa mishonga kumwana wako kuburikidza nehubhu. Tevedzera nhungamiro idzi:

• Ipa mishonga usati wadyisa kuitira kuti ishande zviri nani. Iwe unogona zvakare kuudzwa kuti upe mishonga kana dumbu remwana wako risina chinhu.
• Mushonga unofanirwa kunge uri mvura, kana yakanyatsopwanywa uye kunyungudutswa mumvura, kuitira kuti chubhu irege kuvharika. Tarisa nachiremba 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.

Dana mubatsiri wehutano 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

Fonera zvakare mupiki kana:

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

PEG chubhu kudyisa; PEG chubhu kutarisirwa; Kudyisa - gastrostomy tube - pombi; G-chubhu - pombi; Gastrostomy bhatani - pombi; Bard Bhatani - pombi; MIC-KEY - pombi

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; 2017: chitsiko 19.

Pham AK, McClave SA. Kutarisira kwehutano. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits.

• Kutsigira Kwehutano