PEG chubhu yekuisa - kubuda

PEG (percutaneous endoscopic gastrostomy) yekudyisa chubhu yekuisa ndiko kuiswa kweyekupa chubhu kuburikidza neganda uye nemudumbu madziro. Inopinda yakananga mudumbu. PEG yekudyisa chubhu yekuisa inoitwa muchikamu uchishandisa maitiro anonzi endoscopy.

Kudyisa machubhu kunodiwa kana iwe usingakwanise kudya kana kunwa. Izvi zvinogona kunge zvichikonzerwa nesitiroko kana kumwe kukuvara kwehuropi, matambudziko ane esophagus, kuvhiyiwa kwemusoro nemutsipa, kana mamwe mamiriro.

Yako PEG tube iri nyore kushandisa. Iwe (kana muchengeti wako) unogona kudzidza kuzvichengeta uri wega uye kunyange kuzvipa chubhu feedings.

Heano akakosha matunhu ePEG yako chubhu:

• PEG / Gastronomy yekudyisa chubhu.
• 2 madiki madhishi ari kunze nekunze kweiyo gastrostomy kuvhura (kana stoma) mudumbu rako rusvingo. Aya ma disc anotadzisa iyo yekudyisa chubhu kubva kufamba. Dhisiki kunze iri padyo chaizvo neganda.
• Clamp yekuvhara iyo yekudyisa chubhu.
• Chigadzirwa chekubatanidza kana kugadzirisa chubhu paganda kana usiri kufudza.
• 2 kuvhura panopera chubhu. Imwe ndeye yekupa feedings kana mishonga, imwe yacho yekugeza pombi. (Panogona kuvhurwa chechitatu pane mamwe machubhu. Iripo kana paine bharumu pachinzvimbo chediski remukati).

Mushure mekunge maita gastrostomy yako kwechinguva uye iyo stoma yakasimbiswa, chimwe chinhu chinonzi bhatani chishandiso chinogona kushandiswa. Izvi zvinoita feedings uye kutarisira nyore.

Iyo chubhu pachayo ichave ine mucherechedzo unoratidza kwainofanirwa kunge ichisiya stoma. Unogona kushandisa mucherechedzo uyu pese paunoda kusimbisa kuti chubhu iri munzvimbo chaiyo.

Zvinhu izvo iwe kana ivo vanokuchengeta iwe zvauchazoda kudzidza zvinosanganisira:

• Zviratidzo kana zviratidzo zvehutachiona
• Zviratidzo zvekuti chubhu yakavharika uye zvekuita
• Zvekuita kana iyo tube ikaburitswa
• Nzira yekuvanza sei chubhu pasi pehembe
• Ungadurura sei dumbu kuburikidza nehubhu
• Ndeapi mabasa akanaka kuti uenderere mberi uye zvaunofanira kudzivirira

Kudya kunotanga zvishoma nezvishoma nezvinwiwa zvakajeka, uye kuwedzera zvishoma nezvishoma. Iwe unozodzidza maitiro eku:

• Zvipe chikafu kana mvura uchishandisa chubhu
• Chenesa iyo chubhu
• Tora mishonga yako kuburikidza nehubhu

Kana iwe uine chero marwadzo epakati, anogona kurapwa nemushonga.

Drainage kubva kwakatenderedza iyo PEG tube yakajairika kune yekutanga 1 kana maviri mazuva. Ganda rinofanira kupora mumasvondo maviri kusvika matatu.

Iwe unozofanirwa kuchenesa ganda rakatenderedza PEG-chubhu 1 kusvika katatu pazuva.

• Shandisa chero sipo yakapfava nemvura kana yakasviba saline (bvunza iwe mupi). Unogona kushandisa swab yedonje kana gauze.
• Edza kubvisa chero drainage kana kukanda paganda uye chubhu. Iva munyoro.
• Kana iwe ukashandisa sipo, nyoro gadzira zvakare nemvura yakajeka.
• Dry ganda zvakanaka nejira rakachena kana gauze.
• Chenjerera kuti usakweva pombi pachayo kudzivirira kuti isaburitswe.

Kwemavhiki ekutanga kusvika maviri, iwe mupi angangokubvunza kuti ushandise nzira isina hunyanzvi kana uchichengeta yako PEG-tube saiti.

Wako wekuchengeta hutano anogona zvakare kuda kuti iwe uise yakakosha yekumwisa pad kana gauze yakatenderedza iyo PEG-tube saiti. Izvi zvinofanirwa kuchinjika zvirinani zuva nezuva kana zvikanyorova kana kusvibiswa.

• Dzivisa kupfeka kwakakura.
• Usaise gauze pasi pe disc.

Usashandise chero mafuta ekuzora, mapoda, kana mapiritsi akatenderedza PEG-chubhu kunze kwekunge waudzwa kudaro nemupi wako.

Kumbira mupiki wako kana zvakanaka kugeza kana kugeza.

Kana iyo yekudyisa chubhu ikabuda, iyo stoma kana kuvhura kunogona kutanga kuvhara. Kuti udzivise dambudziko iri, tepi iyo chubhu padumbu rako kana kushandisa chishandiso chekugadzirisa. Chubhu nyowani inofanirwa kuiswa ipapo ipapo. Fonera mupiki wako kuti akupe mazano pane anotevera matanho.

Wako mupi anogona kukudzidzisa iwe kana wekuchengeta kuti atenderedze gastrostomy chubhu iwe paunenge uchichenesa. Izvi zvinozvidzivirira kubva kunamatira kudivi re stoma uye kuvhura kunotungamira mudumbu.

• Nyora mucherechedzo kana nhamba inotungamira yekuti chubhu inobuda kupi kustoma.
• Tambanudza iyo chubhu kubva kune yekugadzirisa chishandiso.
• Shandura tube zvishoma.

Iwe unofanirwa kufonera mupi wako kana:

• Iyo yekudyisa chubhu yabuda uye iwe hauzive maitiro ekuitsiva
• Kune kuvhurika kwakakomberedza chubhu kana system
• Kune kutsvuka kana kutsamwa paganda nzvimbo yakatenderedza chubhu
• Iyo yekudyisa chubhu inoita kunge yakavharika
• Kune yakawanda yekubuda ropa kubva kune iyo tube yekuisa saiti

Danaidza mupiki wako kana iwe:

• Iva nemanyoka mushure mekudya
• Iva nedumbu rakaoma uye rakazvimba 1 awa mushure mekudyiswa
• Iva nekurwadziwa kuri kuwedzera
• Uri pamushonga mutsva
• Kuzvimbirwa uye kupfuura zvakaoma, zvituru zvakaoma
• Uri kukosora kupfuura zvakajairwa kana kunzwa kushoma mweya mushure mekudya
• Cherekedza yekudyisa mhinduro mumuromo mako

Gastrostomy chubhu yekuisa-kubuda; G-chubhu kupinza-kubuda; PEG chubhu yekuisa-kubuda; Dumbu chubhu kuisa-kubuda; Percutaneous endoscopic gastrostomy tube kuisa-kubuda

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.

Twyman SL, Davis PW. Percutaneous endoscopic gastrostomy kuiswa uye kutsiva. Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 92.

• Kutsigira Kwehutano