Kuonjezera Chakudya Chakudya Pamene Zakudya Zokha Sizokwanira
Kusunga chakudya chokwanira ndi mbali yofunikira ya mankhwala a cystic fibrosis (CF) . Nthawi zambiri, zosowa za zakudya zimatha kukutsatirani potsatira ndondomeko ya zakudya yomwe inaperekedwa ndi gulu lanu la CF. Nthawi zina, mosasamala kanthu kuti mumatsatira kwambiri ndondomekoyi, simungathe kudya zopatsa mphamvu kapena zakudya zokwanira kuti mukwaniritse zofunikira za thupi lanu. Izi zikachitika, wothandizira zaumoyo wanu angapangitse kuti thupi lanu likhale ndi chakudya chopatsa thanzi kudzera ku supplemental tube feedings.
Kodi Ndi Nthawi Ya Kugwiritsa Ntchito Zopatsa Thandizo?
Kugwiritsidwa ntchito kwa tiyi, komwe kumatchedwanso kudyetsa zakudya, kungakhale mbali ya mankhwala anu a CF ndikupulumutsidwa m'moyo wanu wonse. Pali zochitika zambiri zomwe zingachititse kuti tizilombo toyambitsa matenda tiziphatikizidwa mu dongosolo lanu la mankhwala. Mwachitsanzo, mwina mukukumana ndi matenda omwe amakupangitsa kuti muvutike kudya, kapena kuwonjezera ntchito yanu yopuma kwambiri kuti simungakhoze kudya mokwanira kuti mukwaniritse zofunikira zanu zamagetsi. Kapena, mwina mukudya bwino koma simukukula kapena kukhalabe wolemera monga momwe muyenera.
Pafupipafupi mukupita kuchipatala, wothandizira zaumoyo wanu amayang'anitsitsa kulemera kwanu ndi kukula kwake. Mukayamba kusonyeza zizindikiro kuti simukupeza chakudya chokwanira kupyolera mu zakudya, wothandizira wanu angayamikire kugula mankhwala. Zina mwa zizindikiro zomwe zingasonyeze kufunika koti tizilombo toyambitsa matenda ndi:
- Kulemera kwa msinkhu kupitirira 85%
- Kutaya kwa thupi kwa miyezi iwiri yotsatizana
- Osapindula kwa miyezi 2 kapena itatu kwa ana osakwana zaka zisanu
- Palibe kupindula kwa miyezi 6 kwa ana a zaka zapakati pa zisanu ndi zisanu
Mitundu ya Kudyetsa Tubes
Pali mitundu iwiri ikuluikulu yodyetsera zida - mtundu umodzi umayikidwa kupyolera mu mphuno ndi wina kupyolera mimba. Wopereka chithandizo chaumoyo wanu adzasankha mtundu uti wa chubu kuti mugwiritse ntchito malinga ndi zosowa zanu ndi mkhalidwe wanu.
Tube yotchedwa Nasogastric Tube (NG Tube): Thumba lakumtunda ndi thumba lochepa kwambiri, lomwe limalowa m'mphuno mwako, pansi pako, ndi m'mimba mwako.
Dokotala wanu angakulimbikitseni chubu ya NG ngati mankhwala opangira tizilombo amafunika kokha kwa masiku angapo, kapena mpaka masabata angapo. Thumba la NG ndilo njira yochepetsera yogwiritsira ntchito tizilombo toyambitsa matenda chifukwa kuikamo sikutanthauza kudulidwa kwa opaleshoni. Mwamwayi, mabotolo a NG amachotsedwa mosavuta ndipo amatha kupweteka m'mphuno ndi mmero, kotero sichifukwa chabwino chithandizo cha nthawi yaitali.
Thupi la Gastrostomy (G-tube): Gastrostomy tube, yomwe imatchedwanso G-tube kapena PEG chubu, ndi tidiyo yomwe imalowetsa m'mimba mwachindunji kudzera mumatumbo. G-tubes ndi yoyenera kugwiritsira ntchito nthawi yaitali, kotero dokotala wanu angapangire mtundu umenewu wa phukusi ngati akuganiza kuti mudzafuna zakudya zina zowonjezerapo - kaya mupitirize kapena mukusindikiza - kwa milungu yambiri.
Thupi la Jejunostomy (J-tube): Thumba la jejunostomy, lomwe limatchedwanso J-tube, ndilofanana ndi G-tube pokhapokha imadutsa m'mimba. J-tubes amalowetsedwa kupyolera mu chifuwa cha m'mimba mwachindunji mu gawo la matumbo aang'ono omwe amatchedwa jejunum. J-tubes amagwiritsidwa ntchito pamene munthu sangathe kulekerera chakudya chokwanira m'mimba.
Thupi la Gastrostomy-Jejunostomy (GJ-Tube): Gastrostomy-Jejunostomy chubu, yomwe imatchedwanso GJ-tube, ndi chubu yomwe imayikidwa kupyolera m'mimba m'mimba, koma siima pomwepo.
GJ-tube imadutsa mmimba kupita ku jejunum, yopereka chakudya chokwanira m'matumbo aang'ono monga momwe alili ndi J-tube. Ma GJ-tubes amagwiritsidwa ntchito ngati munthu yemwe ali ndi G-tube sangathe kulekerera kudyetsa m'mimba. M'malo mopanga thupi latsopano m'mimba, phukusi lakutali limatulutsidwa kudzera pakatsegulira komwe kuli jojunamu.
Sakanizani Kudyetsa Mafomu
Pali mitundu yambiri yogwiritsira ntchito mankhwala opangira mankhwala omwe alipo. Dokotala wanu kapena katswiri wodyetsa zakudya adzapereka ndondomeko yomwe ili ndi kuchuluka kwa ma calories ndi zakudya kwa inu. Kawirikawiri, zakudya zopangira tizilombo zimaperekedwa ngati zowonjezeramo, kutanthauza kuti mudzakhala kudya zakudya zonse nthawi zonse kuphatikizapo chubu.
Nthawi zina simungathe kulekerera chakudya pakamwa, monga ngati mukuvutika kwambiri kupuma komwe kumakulepheretsani kumeza bwino, kugwiritsira ntchito phukusi kumapereka zakudya zanu zonse mpaka mutatha kudya.
Malingana ndi zosowa zanu komanso mtundu wa chubu muli nawo, chakudya chanu chidzaperekedwa kupyolera mu mpopu yomwe imapereka pang'onopang'ono kwa maola angapo, kapena sering'i yomwe imalola kuti njirayi iwonongeke kwa mphindi zingapo.
Zotsatira:
Conway S, Morton A, Wolfe S. Enteral Tube Kudyetsa Matenda a Khungu. Cochrane Mndandanda wa Zowonongeka Zosinthika 2008, Nkhani 2. Zojambula. Ayi: CD001198. DOI: 10.1002 / 14651858.CD001198.pub2
Tan, J, ndi Ng, M. Enteral Nutrition. SFP; 34 (4): 70-76