Kudyetsa chubu
Tizilombo toyambitsa matenda timagwiritsidwa ntchito popereka zakudya zokha m'mimba kapena matumbo kwa anthu omwe sangathe kudya chakudya paokha.
Kodi Kudyetsa Tizilombo Kukufunika Niti?
Zifukwa zina zomwe zimawunikira munthu kuti adye tizilombo ndi:
- Vuto lomeza chifukwa cha kufooka kapena kuuma ziwalo kuchokera ku ubongo wa ubongo kapena stroke
- Khansara yokhudzana ndi minofu ya mutu kapena ya m'khosi, yomwe imalepheretsa kumeza
- Kulephera kuyendetsa minofu mwadala chifukwa cha coma kapena vuto lalikulu la mitsempha
- Kuperewera kwa njala chifukwa cha matenda aakulu monga khansa
Kodi Phindu la Kudyetsa Mitengo Ndi liti?
Kudyetsa timachubu kumathandiza anthu omwe sangathe kudzidyetsa okha chifukwa cha matenda aakulu kapena opaleshoni, koma omwe alibe mwayi wowonjezera. Zimathandizanso kwa anthu omwe sangathe kumeza kwa kanthawi kapena kosatha koma omwe alibe ntchito yachibadwa kapena yapafupi. Zikatero, kudyetsa timachubu kungakhale njira yokhayo yoperekera zakudya zowonjezera, komanso / kapena mankhwala.
Mitundu ya Kudyetsa Tubes
Pali mitundu itatu yaikulu yodyetsera zida, zomwe zikuphatikizapo:
- Nasogastric tube (NG tube) - Kudyetsa nkhukuyi ndi imodzi mwa mitundu yochepa yomwe imadyetsa makapu ndipo imagwiritsidwa ntchito kanthawi. Mipira ya NG yaying'ono, ndipo imayikidwa ku mphuno, kudutsa m'mimba, ndi m'mimba. Gawo lakunja limagwiritsidwa ntchito ndi tepi yomwe imayikidwa pamphuno, ndipo imatha kutulutsidwa mosavuta popanda opaleshoni. Zonsezi, ma TB ndi njira yophweka komanso yodalirika kwambiri kwa anthu omwe akumeza mavuto kuti alandire chakudya chokwanira ali kuchipatala. Mabaya a NG ali oonda, ndipo amatha kukhala odulidwa, akusowa m'malo ndi tube yatsopano masiku onse ochepa. Kugwiritsidwa ntchito kwa nthawi yaitali kwa ma TB kumagwirizanitsidwa ndi sinusitis ndi matenda ena.
- Mimba yamatumbo (G chubu kapena PEG chubu) - Mimba yamatumbo ndi mtundu wamuyaya (koma wosinthika) wa tizilombo toyambitsa matenda. G galimoto ikufunikanso njira yothandizira opaleshoni yomwe G imatuluka kuchokera m'mimba mwa m'mimba. Thumba imakhala mkati mwa mmimba ndi waya wophimbidwa kapena ndi buluni yang'onoting'ono. Kuchita opaleshoni kumaonedwa ngati kosavuta komanso kotetezeka, koma monga momwe zilili, zingayambitse mavuto, monga magazi ndi matenda.
- Jjunostomy chubu (J tube kapena PEJ tube) -Tagayipi yamagetsi imayanana ndi G-tube, koma nsonga yake imakhala mkati mwa matumbo aang'ono, motero imadutsa m'mimba. Izi zimasungidwa kwa anthu omwe m'mimba mwawo ali ndi vuto lotha kusunthira chakudya m'matumbo chifukwa chofooka motility.
Zovuta Kudyetsa Zosankha za Tube
Nthawi zina, zosankha zokhudzana ndi tizilombo toyambitsa matenda zimakhala zovuta kapena zotsutsana. Zitsanzo za zinthu izi zikuphatikizapo:
- Pamene munthu ali ndi chifuwa chifukwa cha matenda opitirirabe komanso oopsa (monga khansa ya mthupi) yomwe ikuyembekezeretsa imfa posachedwa. Mabanja ena angaganize kuti tizilombo toyambitsa matenda tikhoza kukhala ndi moyo kwa masiku angapo chabe, koma zingathenso kumapweteka kwambiri ndi wokondedwa amene sali wokondwa. Pezani zambiri zokhudza kumvetsa ubongo imfa pano .
- Pamene munthu sangathe kufotokoza zofuna zake chifukwa cha matendawa, koma adayankhula kale kwa okondedwa kuti sakufuna kudyetsedwa kudzera mu chubu. Izi zingakhale vuto lalikulu pamene ena, koma osati onse, mamembala amadziwa zofuna za wokondedwa wawo, koma zofuna sizidalembedwe kapena kuzilemba kulikonse.
- Munthu akakhala ndi chilakolako chokhala ndi ubongo, ali ndi vuto lalikulu la ubongo ndipo alibe mwayi wowonjezera, koma akhoza kupulumutsidwa nthawi zonse ndi zakudya zopangira.
- Pamene munthu wasiya chilolezo chokhala ndi moyo, chomwe chimanena kuti sangafune kudyetsedwa kupyolera mu chubu chodyetsa, koma gulu lachipatala ndi banja liri ndi chifukwa chokhulupirira kuti pali mwayi wowonongeka ngati thandizo la zakudya liperekedwa.
Mafunso Oyenera Kuganiziranso Pakusankha Chokhudza Kudyetsa Tube Kuyika
Mafunso ofunika kufunsa madokotala ponena za kudyetsa chubu m'mayendedwe mwa wokondedwa ndi awa:
- Kodi kuika tiyi ya tizilombo kumathandiza kuti wokondedwa wanga ayambe kuchira?
- Kodi kuopsa kwa G / J-tube ndi chiyani?
- Kodi g / J chubu ikufuna kusamalira?
- Kodi kudyetsa kudzera mu chubu ukuyenera kuperekedwa bwanji?
- Ngati ndingakhale ndi mavuto aliwonse ndi chubu, kodi ndizitani?
Mawu Ochokera
Chakudya chabwino ndi chimodzi mwa zinthu zofunika kwambiri m'moyo wathu.
Ngati inu kapena wokondedwa wanu muli ndi matenda aakulu omwe amaletsa kudya ndi pakamwa, njira imodzi yodyetsera makapu akhoza kanthawi, kapena kosatha, kupereka zopatsa mphamvu ndi zakudya kuti thupi lichiritse ndikukula.
Ngati munthu sangathe kudya ndi kugwiritsira ntchito chubu sizowonjezera, ndiye kuti madzi, mavitamini ndi zakudya zomwe zimaperekedwa kuti apulumuke amaperekedwa kudzera mu njira (IV). Kawirikawiri, kupeza calories ndi zakudya m'mimba kapena m'matumbo ndi njira yabwino kwambiri kuti anthu adye zakudya zomwe zimayenera kuti thupi lizigwira bwino bwino, choncho tizilombo toyambitsa matenda timapereka zakudya zabwino kuposa zomwe zimaperekedwa kudzera m'madzi amadzimadzi.
Ngati inu kapena wokondedwa wanu muli ndi tizilombo toyambitsa kanthawi kochepa kapena kanthawi kochepa, onetsetsani kuti mukudziwa kuti ndi mavuto otani omwe muyenera kuyang'anitsitsa ndi omwe ali pa gulu lanu la chithandizo chamankhwala muyenera kulankhulana ngati mukukumana ndi vuto ndi chubu podyetsa kunyumba.
> Kuwerenga Kwambiri:
> Kudyetsa Kwambiri Kwambiri: Maganizo a Ogwira Ntchito, Odwala, ndi Mabanja Awo ku Chipatala cha Inpatient Kukhazikitsa, Miles A, Watt T, Wong WY, McHutchison L Friary P, Gerontol Geriatr Med. 2016 Aug 22