Pamene wokondedwa wanu ali ndi matenda a Alzheimers kapena mtundu wina wa 'dementia' ukupita m'miyendo yotsatira, nthawi zambiri pamakhala chisankho chochuluka cha mankhwala chomwe chiyenera kupangidwa. Chimodzi chimene mamembala a m'banja angayang'ane ndi kugwiritsa ntchito chubu.
Kodi Kudyetsa Tube N'kutani?
Galimoto yotchedwa gastrostomy (PEG) yotchedwa percutaneous endoscopic (TB) ndi mtundu wa tizilombo toyamwitsa omwe amagwiritsidwa ntchito kwa anthu omwe ali ndi chifuwa chachikulu ndi ena ambiri.
Chigamulo choyika pepala la PEG mwa munthu chimayambitsa opaleshoni kumene chubu imagwirizanitsa ndi mmimba ndipo imatuluka mimba. Pambuyo poika malo, njira yowonjezera ya zakudya imayambitsidwira mu chubu ndi m'mimba.
Zosankha Zopangidwa Zokhudza Tube Kudyetsa
Frank, yemwe ali ndi zaka 89 ndipo adakali ndi matenda a Alzheimer , amakhala kumudzi wosungirako anthu okalamba chifukwa mkazi wake sangathe kupereka maola 24, 7 tsiku ndi sabata kusamalira zomwe akufuna.
Amachezera kawirikawiri ndipo amamuthandiza komanso amamuthandiza. Posachedwapa, anayamba kukhwima ndipo anayamba kutentha thupi (zizindikiro zomwe zingasonyeze kuti zimakhala ndi chikoka ), choncho chipatalacho chinamufunsa Vivian mkazi wa Frank ngati akufuna kuti amutumize kuchipatala. Anati "Inde" choncho anabweretsedwa kuchipatala.
- Werengani zambiri: Kodi Matendawa Amakhudza Bwanji Anthu Amene Ali ndi Dementia?
Chipatalachi chinapeza kuti iye anali ndi chikoka cha chibayo ndipo anamuyambitsa mankhwala enaake kuti athe kuchiza chibayo.
Anapangitsanso kufufuza komwe kunasonyeza kuti chifukwa cha kuchepa kwa Alzheimer's Frank, kuthekera kwake kumeza kunali kovuta. Anaganiza kuti adzapitirizabe kukhala pangozi kuti apitirize kufunafuna ziphuphu za chibayo, komanso kung'amba. Wopatsa thanzi anachititsanso kufufuza ndipo anazindikira kuti Frank sanali kudya chakudya chokwanira ndipo anali kutaya pang'onopang'ono.
- Werengani zambiri: Zomwe Muyenera Kudziwa Zokhudza Antibiotic Gwiritsani Ntchito Zambiri za Dementia
Apa ndi pamene Chigamulo Chimachitika
Chifukwa cha zotsatira za kumeza kwake, dokotala anamufunsa Vivian ngati akufuna kugula chubu m'mimba mwa Frank kuti amupatse zakudya.
Zifukwa Zopitilira Kudyetsa Kudyetsa Tubes
Vivian anakangana za funso la dokotala ndipo adaganiza kuti atenge kachidutswa ka PEG. Anatero chifukwa sakufuna kuti Frank akhazikitse chibayo china. Kuyambira kafukufuku wowonongeka kunasonyeza kuti anali pangozi yogwidwa ndi chibayo, chipatalachi chinalimbikitsa chakudya ndi madzi ochepa pakamwa. Iye akudandaula kuti adzafa njala popanda tizilombo toyambitsa matenda ndipo akuganiza kuti mwa kuika chubu chodyera ku Frank, iye sadzakhala ndi njala ndipo sadzakhalanso pangozi yokakamizidwa ndi chibayo.
Kafufuzidwe pa Kuyanjanitsa kwa Tube ndi Dementia
Kodi Zakudya Zamatenda Zimateteza Kutentha kwa Pneumonia?
Ngakhale zili zotheka kuti kudyetsa chubu kungachepetse mwayi wa chakudya kapena madzi kulowa mmapapo ndikupanga chibayo, izi zikhoza kuchitika chifukwa cha mataya akuyenda molakwika. Dementia pamapeto pake imakhudza kukhoza kudya ndi kumeza. Si zachilendo kuona munthu yemwe ali ndi phukusi akupitiriza kukhala ndi chikoka cha chibayo.
Kodi Zakudya Zopatsa Thanzi Zimachiza Kapena Zimapewa Zilonda Zopweteka?
Monga munthu amene ali ndi matenda a 'dementia' amatha kuchepa, thupi lake liri pachiopsezo chokhala ndi chilonda chotchedwa decubitus chilonda (nthawi zina chimatchedwa bedi lalikulu) pokhala pamalo amodzi motalikitsa kapena kupanikizika kwambiri m'dera limodzi. Chakudya chabwino chingathandize kuchiritsa ndikuletsa malo otseguka. Komabe, kugwiritsidwa ntchito kwa tizilombo toyambitsa matenda kungapangitse chiwopsezo chakumva kupweteka kwambiri chifukwa chimodzi mwaziopsezo za tizilombo toyambitsa matenda ndiyo kutsekula m'mimba. Matenda otsekula m'mimba amatha kuwonjezera mwayi wa kuwonongeka kwa khungu chifukwa cha chilengedwe chake. Zingathe kuyambitsanso vuto la m'mimba komanso gasi. Kafukufuku amasonyeza kuti kugwiritsira ntchito chubu kumapewa kuteteza zilonda zam'mimba.
Kodi Kupatsa Tizilombo Kumatulutsa Moyo?
Anthu ena amasankha mapepala opatsa chakudya kwa okondedwa awo chifukwa sali okonzeka kumulora kuti apite, kapena amamverera ngati akungomusiya wokondedwa wawo. Kafukufuku sasonyeza kuti anthu omwe ali ndi matenda a dementia komanso tizilombo toyambitsa matenda amawonjezera chiyembekezo cha moyo.
Kafukufuku wina akusonyeza kuti kumeza mavuto ndi kuchepa kwa thupi ndiko kuyamba kwa imfa ndikugwiritsira ntchito chubu, ngakhale kuti chimapereka chakudya, sichikhoza kusintha njirayi. Kafukufuku apeza kuti mwa anthu omwe ali ndi chifuwa chachikulu cha m'mimba, anthu omwe ali ndi chubu lopatsirana amakhala ndi moyo womwewo ngati omwe alibe chida chodyetsa.
Kodi Zakudya Zamatope Zimapereka Chakudya Chokwanira ndi Kutentha?
Kugwiritsira ntchito mapepala odyetsera akhoza kusintha kuti mupereke zakudya zowonjezera kapena zochepa ngati zili zoyenera. Komabe, kafukufuku wasonyeza kuti kulemera kwake kumapitirira ndipo zotsatira za ma laboratori zomwe zimayeza zakudya ndi mavitamini nthawi zambiri sizikuyenda bwino ngakhale kugwiritsidwa ntchito popanga tiyi.
Kodi Kupatsa Matenda Kulimbitsa Thupi Labwino?
Kudya kawirikawiri ndimasewero, makamaka malo omwe akukhala. Pogwiritsa ntchito chubu, anthu okhalamo nthawi zambiri sali m'chipinda chodyera pamene ena akudya, zomwe zimachititsa kuti anthu azikhala okhaokha. Anthu omwe ali ndi tizilombo toyambitsa matenda amafunanso kudya chakudya kapena zakumwa pamakono kuti amve kukoma ndi kumva zomwe zikuchitikira.
Madokotala ena amatulutsa "zokondweretsa kudya" zomwe zimapereka chakudya chochepa chakumwa ndi kumwa. Izi ndizo chifukwa amalingalira za umoyo wa munthu, ndipo ngakhale kuti ntchito yowonongeka ikhoza kuchepetsedwa, munthuyo ndi banja amamva kuti ndibwino kuti azidya zakudya ndi zakumwa.
Zosankha Zina M'malo mwa Kudyetsa Tube
- Kudyetsa Kwambiri
Kudyetsa chakudya kumangomveka ngati kudyetsa munthu kumodzi kamodzi kokoma, kosavuta kudya. Kudyetsa manja kumathandizidwa kwambiri ndi kafukufuku kwa anthu omwe ali ndi chifuwa chachikulu cha dementia.
- Mutu wa Kugona Pamodzi Kudya
Ngati munthuyo akugona kwambiri, kusunga mutu wake kwa theka la ora mutatha kudya kungathandize kupewa kuthamanga kwa chibayo.
- Perekani Zakudya Zowongoka kapena Zowongoka
Kudya zakudya zofewa kumene nyama imakhala pansi kungakhale kosavuta kudya kwa munthu amene ali ndi malingaliro ochepa odyera. Zakudya zoyenera zingakhale zothandiza pamene munthu angathe kutafuna chakudya chatha.
- Gwiritsani ntchito chikho cha Sippy kapena Straw for Liquids
Makapu okhala ndi zivindikiro kapena madontho angathandize anthu kuti ayime mavuto ndipo angachepetse chiopsezo chogwedeza.
Mavuto Ogwirizana ndi Kudyetsa Tube
- Kuchipatala kuchipatala
- Kutulutsa Tachubu Chifukwa Chokhazikika
- Kutengera mu Kuyika kwa Tube
- Zoletsa Chifukwa cha Kuopsa Kokutsata Tube
- Chikhumbo Cholimba Cha Chakudya Chakumwa ndi Zakudya
Zotsutsa
** Chonde onani kuti mfundo zomwe zili pa webusaitiyi komanso zokhudzana ndi zonsezi komanso kuchokera pa webusaitiyi sizolangizidwa ndi zachipatala komanso ndi zothandiza komanso zowunikira. Ndayesetsa kufotokoza zambiri zomwe zimagwirizana ndi zachipatala komanso kufufuza za sayansi, koma izi sizilowe m'malo mwa chisamaliro ndi chitsogozo kuchokera kwa dokotala.
Zotsatira:
American Family Physician. 2002 Apr 15; 65 (8): 1605-1611. Kudyetsa Matenda kwa Odwala Amene Ali ndi Chifuwa Chochuluka.
Zomwe Zimakhala Zosamalira Nthawi Zakale. May 2009. http://familymed.uthscsa.edu/geriatrics/reading%20resources/virtual_library/Syndromes/Dementia/AD%20&%20Eating%20Problems09.pdf
The Journal of the American Medical Association. 1999 Oct 13; 282 (14): 1365-70. Thirani kudyetsa odwala okhala ndi dementia: kubwereza umboni. http://www.ncbi.nlm.nih.gov/pubmed/10527184
Archives of Internal Medicine. 2001; 161: 594-599. Kukula Kwanthaŵi yayitali Kuchedwa kwa Odwala Amene Amakhala ndi Odwala Omwe Amakhala ndi Matenda Owonjezeka Ambiri: Kupanda Phindu la Kudyetsa Tube. http://www.acoi.org/2010Convention/BrymanHighShortTermMortalityInHospitalizedPatientsWithAdvancedDementia.pdf