Gastrostomy: chii icho, nzira yekudyisa uye main care

Zvemukati

• Matanho gumi ekudyisa kuburikidza nesprobe
• Maitiro ekugadzirira chikafu cheprobe
• Maitiro ekuchengeta iyo gastrostomy ronda
• Nguva yekuenda kuna chiremba

Gastrostomy, inozivikanwawo seyakapetwa endoscopic gastrostomy kana PEG, inosanganisira kuisa diki inochinjika chubhu, inozivikanwa seyekuongorora, kubva paganda redumbu rakananga kudumbu, kubvumidza kudya mune zviitiko apo nzira yemuromo isingakwanise kushandiswa.

Kuiswa kwe gastrostomy kunowanzo kuratidzwa mumamiriro e:

• Kurohwa;
• Kubuda ropa kweropa;
• Cerebral palsy;
• Tumota pahuro;
• Amyotrophic lateral sclerosis;
• Kuomerwa kwakanyanya mukumedza.

Zvimwe zvezviitiko izvi zvinogona kunge zviri zvenguva pfupi, semamiriro ezvinhu ekurohwa, umo munhu anoshandisa gastrostomy kudzamara vagone kudya zvakare, asi kune vamwe zvingave zvakakodzera kuchengeta chubhu kwemakore akati wandei kana kunyangwe kweupenyu hwese.

Iyi nzira inogona zvakare kushandiswa kwechinguva mushure mekuvhiyiwa, kunyanya kana ichisanganisira iyo yekugaya kana yekufema system, semuenzaniso.

Matanho gumi ekudyisa kuburikidza nesprobe

Usati wadyisa munhu ane gastrostomy chubhu, zvakakosha kuti uvagadzikise kana nemusoro wemubhedha wakakwidziridzwa, kuitira kudzivirira chikafu kubva mudumbu kuenda mudumbu, zvichikonzera kunzwa kwehosha.

Wobva watevera nhanho-nhanho:

1. Wongorora iyo chubhu kuona kuti hapana mapapiro anogona kukanganisa kufamba kwechikafu;
2. Vhara iyo chubhu, uchishandisa iyo clip kana nekukotamisa tip, kuti mweya usapinda muhubhu kana cap yacho yabviswa;
3. Vhura iyo probe yekuvhara uye woisa iyo yekudyisa sirinji (100ml) mune gastrostomy chubhu;
4. Tambanudza iyo probe uye zvishoma nezvishoma dhonza iyo sirinji plunger kushuvira mvura irimo mudumbu. Kana zvinopfuura zana mamirita zvichishuvira, zvinokurudzirwa kuti udye munhu iyeye gare gare, kana zvirimo zviri zvishoma pane kukosha uku. Izvo zvinoshuvira zvemukati zvinofanirwa kugara zvichidzoserwa mudumbu.
5. Re-bend iyo probe tip kana kuvhara chubhu ne clip uyezve bvisa sirinji;
6. Zadza sirinji ne 20 kusvika ku40 ml yemvura ndokuchidzosera muchirongwa. Tambanudza iyo probe uye wadzvanya plunger zvishoma nezvishoma kusvikira mvura yese yapinda mudumbu;
7. Re-bend iyo probe tip kana kuvhara chubhu ne clip wobva wabvisa sirinji;
8. Zadza sirinji nechikafu chakatswanywa uye chakamanikidzwa, muhuwandu hwe50 kusvika 60 ml;
9. Dzokorora matanho zvakare kuvhara chubhu nekuisa jekiseni muchirongwa, kugara uchichenjerera kuti usasiye chubhu yakavhurika;
10. Zvinyoronyoro pusha iyo sirinji plunger, kuisa chikafu zvishoma nezvishoma mudumbu. Dzokorora kakawanda pazvinenge zvichidiwa kusvikira waendesa huwandu hwakakurudzirwa nachiremba kana nyanzvi yezvokudya, izvo zvinowanzo pfuura 300 ml.

Mushure mekumisikidza chikafu chose kuburikidza nesprobe, zvakakosha kugeza jekiseni nekurizadza ne40 mL yemvura, kuidzosera kuburikidza nesprobe kuti igeze uye kudzivirira zvidimbu zvechikafu kubva kuunganidze, ichivhara chubhu.

Aya matanho ekuzvidzivirira akafanana chaizvo neayo nasogastric chubhu, saka tarisa vhidhiyo kuti uone maitiro ekuchengetedza chubhu nguva dzose yakavharwa, ichidzivirira mweya kupinda:

Maitiro ekugadzirira chikafu cheprobe

Chikafu chinofanira kugara chakatsetseka uyezve hachina zvidimbu zvakakura kwazvo, saka zvinokurudzirwa kumesa musanganiswa usati waisa musirinji. Chirongwa chekudya chinofanira kugara chichitungamirwa nenyanzvi yekudya zvinovaka muviri kuti ive nechokwadi chekuti hapana kushomeka kwevhitamini uye, nekudaro, mushure mekuiswa kweiyo chubhu, chiremba anogona kureva kubvunza kune anoona nezvehutano. Heano mamwe mazano ezvekuti iyo probe feed inofanira kutaridzika sei.

Pese pazvinenge zvakakodzera kupa mushonga, hwendefa rinofanira kupwanywa zvakanaka uye kusanganiswa muchikafu kana mvura yekupihwa. Nekudaro, zvinokurudzirwa kuti usasanganise zvinodhaka musirinji imwe chete, sezvo zvimwe zvingave zvisingawirirane.

Maitiro ekuchengeta iyo gastrostomy ronda

Mumavhiki maviri kusvika matatu ekutanga, gastrostomy ronda rinorapwa nemukoti pachipatara, sekutarisirwa kwakawanda kunodiwa kudzivirira hutachiona uye kunyangwe kuongorora nzvimbo yacho. Nekudaro, mushure mekusunungurwa uye kudzoka kumba, zvakafanira kuchengetedza kumwe kutarisirwa pamwe neronda, kudzivirira ganda kubva mukushatirwa uye kukonzera imwe mhando yekusagadzikana.

Iko kunonyanya kukosheswa kuchengetedza nzvimbo nguva dzose yakachena uye yakaoma uye, nekudaro, zvinokurudzirwa kushambidza nzvimbo kamwe chete pazuva nemvura inodziya, yakachena gauze uye kwazvakarerekera pH sipo. Asi zvakakoshawo kuti usapfeka hembe dzakanyanya kana kuisa mafuta anonhuwirira kana mishonga ipapo.

Pakushambidza nzvimbo yemaronda, probe inofanirwa kutenderedzwa zvishoma, kudzivirira kuti isanamatira paganda, ichiwedzera mikana yehutachiona. Iko kufambisa kwekutenderedza probe kunofanirwa kuitwa kamwe pazuva, kana sekurairwa nachiremba.

Nguva yekuenda kuna chiremba

Zvakakosha kuenda kuna chiremba kana chipatara kana:

• Ongororo yacho haisi panzvimbo.
• Probe yakavharwa;
• Pane zviratidzo zvehutachiona muchironda, sekurwadziwa, kutsvuka, kuzvimba uye kuvapo kwepus;
• Munhu anonzwa kurwadziwa kana achidyiswa kana kurutsa.

Uye zvakare, zvinoenderana nezvinhu zvekuferefeta, zvinogona zvakare kudiwa kuti udzokere kuchipatara kunochinja chubhu, zvisinei, nguva iyi inofanirwa kutenderwa nachiremba.