Kudyisa chubhu kuisa - gastrostomy

Iyo gastrostomy yekudyisa chubhu kupinza ndiko kuiswa kweyekupa chubhu kuburikidza neganda uye nemudumbu madziro. Inopinda yakananga mudumbu.

Gastrostomy feed tube (G-tube) kupinza kunoitwa muchikamu uchishandisa maitiro anonzi endoscopy. Iyi inzira yekutarisa mukati memuviri uchishandisa chubhu inochinjika ine kamera diki kumagumo kwayo. Iyo endoscope inoiswa kuburikidza nemuromo uye pasi peziso, rinotungamira mudumbu.

Mushure mekunge endoscopy chubhu yaiswa, iro ganda pamusoro peiyo kuruboshwe kwedumbu (dumbu) nzvimbo inonatswa uye ine chiveve. Chiremba anoita kucheka kwekuvhiya kudiki munzvimbo ino. Iyo G-chubhu inoiswa kuburikidza neiyi yakatemwa mudumbu. Iyo chubhu idiki, inochinjika, uye isina mhango. Chiremba anoshandisa mikoko kuvhara dumbu rakakomberedza chubhu.

Gastrostomy yekudyisa machubhu anoiswa mukati nekuda kwezvikonzero zvakasiyana. Zvinogona kudiwa kwenguva pfupi kana zvachose. Maitiro aya anogona kushandiswa kune:

• Vacheche vane hurema hwekuzvarwa pamuromo, esophagus, kana dumbu (semuenzaniso, esophageal atresia kana tracheal esophageal fistula)
• Vanhu vasingagone kumedza nemazvo
• Vanhu vasingakwanise kutora chikafu chakakwana nemuromo kuti vagare vakagwinya
• Vanhu vanogara vachifema chikafu kana vachidya

Ngozi dzekuvhiya kana endoscopic yekudyisa chubhu yekuisirwa ndeiyi:

• Kubuda ropa
• Utachiona

Iwe uchapihwa inonyaradza uye inonyaradza marwadzo. Muzviitiko zvakawanda, mishonga iyi inopihwa kuburikidza netsinga (IV mutsara) paruoko rwako. Iwe haufanire kunzwa kurwadziwa uye usayeuke maitiro acho.

Mushonga unoveveredza unogona kusaswa mumuromo mako kudzivirira kushuva kwekukosora kana kubaya kana iyo endoscope yaiswa. Muchengeti wemuromo uchaiswa kuti uchengetedze mazino ako uye iyo endoscope.

Mazino ekugezera anofanira kubviswa.

Izvi zvinowanzo kuve kuvhiya kuri nyore nemaonero akanaka. Tevedzera chero mirairo yekuzvichengeta iwe yaunopihwa, inosanganisira:

• Maitiro ekuchengeta ganda rakakomberedza chubhu
• Zviratidzo nezviratidzo zvehutachiona
• Zvekuita kana iyo tube ikaburitswa
• Zviratidzo nezviratidzo zvechubhu kuvharika
• Ungadurura sei dumbu kuburikidza nehubhu
• Sei uye chii chekudya kuburikidza nehubhu
• Nzira yekuvanza sei chubhu pasi pezvokupfeka
• Ndeapi mabasa akajairika anogona kuenderera mberi

Dumbu uye dumbu zvichapora mumazuva mashanu kusvika manomwe. Kurwadziwa kwepakati nepakati kunogona kurapwa nemushonga. Kudya kunotanga zvishoma nezvishoma nezvinwiwa zvakajeka, uye kuwedzera zvishoma nezvishoma.

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

• Gastrostomy tube kuiswa - akateedzana

Kessel D, Robertson I. Kurapa mamiriro emudumbu. Mune: Kessel D, Robertson I, eds. Kupindirana neRadiology: Gwara Rekupona. 4th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 42.

Murray TE, Lee MJ. Gastrostomy uye jejunostomy. Mune: Mauro MA, Murphy KP, Thomson KR, Venbrux AC, Morgan RA, eds. Mifananidzo-Inotungamirwa Kupindira. 3rd ed. Philadelphia, PA: Elsevier; 2021: chits. 91.

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.