Sezvo mudikanwi wako ane chirwere cheAlzheimer kana kuti rumwe rudzi rwekushaya mungozo rwunopfuurira mune zvikamu zvishoma , pane kazhinji kacho maitiro akawanda ekurapa anofanira kuitwa. Imwe iyo nhengo dzemhuri inogona kutarisana nayo kushandiswa kwekudya kwekushandisa.
Chii chinonzi Feed Feeding?
A percutaneous endoscopic gastrostomy (PEG) tube ndiyo chirongwa chekudya tube inowanzoshandiswa kune vanhu vane chirwere chepfungwa uye nevamwe vazhinjiwo.
Ichisarudzo chekuisa peji yeTV muumwe munhu inoguma nekuvhiyiwa uko tube inosanganiswa mudumbu uye inobva mudumbu. Mushure mekuiswa, chirongwa chekudya chinokonzerwa nemvura chinogadziriswa mukati me tube uye mudumbu.
Zvisarudzo Zvingaitwa Pamusoro peTikuTya Kudya
Frank, uyo ane makore 89 uye akanga atoenda nechirwere cheAlzheimer , anogara kumusha unochengeterwa vakwegura nokuti mudzimai wake haakwanisi kupa maawa 24, 7 zuva pavhiki rinochengetedza zvaanoda.
Anoshanyira kakawanda uye ane hanya uye anotsigira Frank. Munguva pfupi yapfuura, akatanga kukanganisa uye akatanga fever (zviratidzo zvinogona kuratidza aspiration pneumonia ), saka nzvimbo yacho yakabvunza mudzimai waFrank, Vivian kana aida kumutumira kuchipatara. Akati "Hongu" saka akaendeswa kuchipatara.
- Verenga zvakawanda: Mawere Anobatsira Sei Vanhu vane Demoentia?
Chipatara chakawana kuti akanga ane chido chepneumonia uye akamutanga pane mamwe maitiro erabiotics kuti apore chirwere.
Vakatobatsirawo kuongorora kunotsvaga kwakaratidza kuti nekuda kwekupedzisira kwaFritain kweAlzheimer's, kukwanisa kwake kumedza kwakanga kusina kunaka. Vakagumisa kuti aizoramba ari pangozi yekuwedzera mamwe aspiration epneumonia episodes, pamwe nekucheka. Muzvidzidzo zvekudyawo akaitawo kuongorora uye akagumisa kuti Frank akanga asiri kutora zvokudya zvakakwana nemuromo uye akanga achirasikirwa zvishoma nezvishoma.
- Verenga zvakanyanya: Zvaunofanira Kuziva nezveAntibiotic Shandisa Mukuwedzera Dhementia
Heinoi apo Chisarudzo chinobuda
Nemhaka yemigumisiro yekuongororwa kwake kwekuedza, chiremba akabvunza Vivian kana aida kuva nehuputi yakaiswa muFramu mudumbu kuti amupe chikafu.
Zvikonzero Zvokupfuurira Nokudya Zvokudya Tubes
Vivian akaitirana nharo pamusoro pemubvunzo wechiremba uye akasarudza kuva neTV yeganda yakaiswa. Akaita izvi nokuti haadi Frank kuti akure imwe chido chepneumonia. Kubvira pakuongorora kwakamera kwakaratidza kuti aive pangozi yekucheka uye chibhova, chipatara chakakurudzirwa zvokudya zvishoma uye mvura inoshandiswa nemuromo. Anonetseka kuti achazofa nenzara kufa pasina chigadzirwa chekudya uye anonzwa kuti nokuisa tube yekudya muFrank, iye achange asinganzwi nzara uyewo haazove pangozi yekucheka uye chibhoyo.
Tsvakurudzo pamusoro peTV Feeding Ne Dementia
Do Tube Kugadzirisa Zvokudzivirira Kutapisa Pneumonia?
Kunyange zvazvo zvingaita kuti chikafu chinogona kuderedza mukana wezvokudya kana mvura inopinda mumapapu uye inovandudza pneumonia, izvi zvinogona kuitika nekuda kwekunge marashi achienda nenzira isina kururama. Dhementia inoguma inokonzera kukwanisa kudya uye kumedza. Hazvisi zvisinganzwisisiki kuona mumwe munhu ane chikwata chichiri kuwedzera chido chepineumonia.
Do Tube Feeding Kuporesa Here Kana Kuti Kudzivirira Kuvhara Kwemakumbo?
Sezvo munhu ane dementia achiramba achiderera, muviri wake uri pangozi yekukudzikisa chirwere chetubitus (dzimwe nguva chinonzi bhedha rakaoma) kubva pane imwe nzvimbo kwenguva refu kana kuti kuisa kudzvinyirira kwakawanda mune imwe nzvimbo. Kudya kwakanaka kunogona kubatsira mukurapa nekudzivirira nzvimbo idzi dzakazaruka. Zvisinei, kushandiswa kwehutachiona hwekudya kunogona kuwedzera njodzi yekutambudzika kwakanyanya nokuti chimwe chezvipingamupinyi zvehutachiwana hwekugadzira chirwere. Dhairrhea inogona kuwedzera zvikuru mikana yekuparara kweganda nekuda kwenyama yayo. Inogonawo kukonzera kusagadzikana kwemuviri uye gasi. Kutsvakurudza kunoratidza kuti tube feedings haidziviri kudzvinyirira.
Do Tube Kugadzirisa Kuwedzera Upenyu Here?
Vamwe vanhu vanosarudza tube feedings kune waanoda nokuti havakwanisi kurega munhu iyeye achienda zvakare, kana kuti vanonzwa sokunge vachange vachipera pane avo vavanoda. Kutsvakurudza, zvisinei, hakuratidzi kutarisira hupenyu hwekutarisira kwevanhu vane dementia uye chikwata chokudyidzana nekuenzaniswa nevaya vasina tube.
Imwe tsvakurudzo inoratidza kuti kumedza dambudziko uye kurasikirwa kwekureruka ndiko kutanga kwekufa kwekufa nekudaro chikafu chekudya, kunyange chinopa chikafu, hachigoni kuchinja kuguma kwehupenyu hunoita. Zvidzidzo zvakawana kuti kune vanhu vane demoa yakafambira mberi, avo vane chirwere chekudya vanove nekupukunyuka kumwechete kune avo vasina chikwata chekudya.
Do Tube Tube Zvokudya Inopa Zvokudya Zvakakwana uye Hydration?
Takura kudya mafomu kunogona kugadziriswa kupa hukuru kana kuti vashomanene makori uye michina sezvakakodzera. Zvidzidzo zvakaratidza, zvisinei, kuti kurasikirwa kwekureruka kunopfuurira uye mitezo ye laboratori iyo inoyera kudya kunovaka muviri uye hydration haigoni kuchinjwa pasinei nekudyisa tubhadhi yekuisa.
Do Tube Kugadzirisa Kuvandudza Unhu Hwoupenyu Here?
Kudya kunowanzova nharaunda, kunyanya munzvimbo yekugara. Nechipfupa chekudya, avo vagari vese havawanzogara muimba yekudya vamwe vachidya, zvichiita kuti mukana wekugara uri wega huwedzere. Vanhu vane pipe feedings vanogonawo kuda zvokudya kana zvinwiwa nemuromo nekuda kwekunakidza uye kunzwa kwechiitiko.
Vamwe vanachiremba vachabvisa urongwa hwe "kufadza kudya" izvo zvinobvumira kusakwana kwekudya uye kunwa mumuromo. Izvi zvinowanzoitika nokuti vakafunga nezvehutano hwehupenyu hwomunhu, uye kunyange hurumende inoshanda ingave isina kukwana, munhu nemhuri vanofunga kuti zvakakosha mukana wekudya zvimwe nekumwa.
- Verenga zvakawanda: Ungavandudza sei hutano hwehupenyu kune umwe munhu ane Dementia?
Zvimwe Zvingasarudzwa Pane zveku Tube Feeding
- Anopa Zvokudya
Kupa kudya kunongonzwika-kufudza munhu kuruma kamwe panguva yakanakisa, nyore kudya zvokudya. Kupa zvokudya kunonyatsotsigirwa nekutsvakurudza kune vanhu vane demoa yakanyanya.
- Musoro weBhed Up mushure mekudya
Kana munhu wacho ari pamubhedha-akasungwa, kuchengeta musoro wake wakakwira kwemahafu yeawa mushure mekudya kunogona kubatsira kudzivirira aspiration pneumonia.
- Ipai Zvokudya Zvokudya Zvakachena
Zvokudya zvinononoka apo nyama yakaderera zvinogona kuva nyore kudya munhu anenge asingakwanisi kudya mano. Zvokudya zvakagadzirwa zvakanaka zvinogona kubatsira kana munhu akwanisa kutsvaira zvokudya zvakaderera.
- Kushandisa kweSippy Cup kana Straw for Liquids
Makapu ane mabhedi kana mashizha anogona kubatsira vanhu nekumedza matambudziko uye kunogona kuderedza dambudziko rekuchera.
Ngozi Dzakasangana Nekudyisa Tube
- Hospitalization for Tube Placement
- Kubudisa kunze kweTap Nemhaka yekusagadzikana
- Utachiona muTap Placement
- Zvinodziviswa Pamusana Pengozi Yokudzinga Tive
- Chido Chine Chido Chokunwa Nezvokudya uye Zvirwere
Zvinonzwisisika
** Ndapota cherechedza kuti ruzivo rwakabatanidzwa pawebsite ino uye rwakabatanidzwa kune vose uye kubva kune ino yepaiti haisi mazano ezvokurapa uye ndeyekutungamirirwa uye ruzivo chete. Ndakaita zvose zvese kuti ndive nemashoko ekurapa kwakarurama uye kushandiswa kwesayenzi, asi izvi hazvirevi kutarisira uye kutungamirirwa kubva kunechiremba. **
Sources:
American Family Physician. 2002 Apr 15; 65 (8): 1605-1611. Kudyisa Tubes muvarwere vane Dhementia Yakanyanya.
Annals of Long-Term Care. May 2009. http://familymed.uthscsa.edu/geriatrics/reading%20resources/virtual_library/Syndromes/Dementia/AD%20&%20Eating%20Problems09.pdf
Journal of the American Medical Association. 1999 Oct 13; 282 (14): 1365-70. Takura kudya kune varwere vane demoa yakadzama: kuongorora kweuchapupu. http://www.ncbi.nlm.nih.gov/pubmed/10527184
Archives of Internal Medicine. 2001; 161: 594-599. Mhedziso Pfupi-nguva yekufa Kufa muvarwere vakagadziriswa Nekuwedzera kweDhementia: Kusina Kubatsiro kwe Tube Kugadzira. http://www.acoi.org/2010Convention/BrymanHighShortTermMortalityInHospitalizedPatientsWithAdvancedDementia.pdf