Kana mudiwa wako aona kukuvadzwa kwakakomba kweuropi zvakadai sokurohwa, unogona kubvunzwa nevarapi kuti vashumire semusarudzo wekutanga. Zvisarudzo zvakawanda zvinogadzirwa hazvikuvadzi kana kukakavadzana (somuenzaniso, tinogona kuwana mvumo yako yekuisa mutsara wepakati kuti ubudise mvura?) Asi zvimwe zvisarudzo zvinogona kunyanya kuoma kuita.
Chimwe chisarudzo chisina kunaka ndechekuti kana mhuri isiri kurega here kubvumira vanachiremba kuti vaise chigarire chekudya zvekunogara kune vadikanwa vavo. Kana iwe unotarisana nemubvunzo uyu, unogona kuva nemimwe mibvunzo.
Sei Mudiwa Wangu Achida Kudya Tube?
Kana munhu akatambura nekukuvara kwakanyanya kune uropi, zvinogona kuita kuti zvive zvakaoma kutsvaira uye kumedza, uye zvinogona kukanganisa kukanganisa kwake. Kazhinji, vanopona murwere vanopiwa zvirwere zve IV kuitira kuchengetedza mvura mumashure mazuva mashomanana mushure mekurohwa. Zvisinei, chikafu chinonyanya kukosha, uye IV mvura isingagoni kupa zvose zvekudya zvinodiwa nemunoda wako.
Kana zvichitora mudiwa wako kwenguva yakareba kupfuura mazuva mashomanana kuti awanezve, vashandi vezvipatara vanogona kuisa bhodhoro mumhino uye yose kuenda kumudumbu kuitira kuti ipe zvokudya. Izvi zvinonzi chirongwa chekudya kwenguva pfupi uye chinogona kuiswa zvakanaka nyore nyore pamubhedha wemubhedha pasina chero mishonga inopinza kana kusagadzikana kana tsvimbo.
Iko rudzi rwekudya kwenguva pfupi tube (inonziwo naso-gastric tube) inokurudzirwa kuti ishandiswe kusvikira mwedzi umwe.
Imwe nzira yekudyisa tube, chirwere chinogara chichidya, chinoda kuiswa pakushandiswa uye kupurwa kushandiswa. Mushure memavhiki mashoma kana mwedzi, imwe nzira yakagadzikana yekudya inofanira kuonekwa kana mudiwa wako asingakwanisi kudya zvokudya.
Sei Tichifanira Kushandisa Chigarire Chirwere Chinogara?
Iwe unogona kubvunza kuti nei usingafaniri kungoramba uchishandisa chidimbu chekudya kwenguva pfupi.
Pane zvikomborero zvakasiyana zvekudya kwechinguva chiduku, izvo zvinonyanya kushandiswa pamusana pekuti zvinogona kuiswa uye kubviswa. Asi kune huwandu hwakaipa pamwe chete. Kana zvasvika pakuita sarudzo pamusoro pekuisa chigadziko chekudya chigarire, pane zvikonzero zvakakosha zvikonzero nei zvisiri kuchenjera kumirira kwenguva refu.
* Kune huwandu hwakawanda hwehutachiona hunobatanidza nekushandisa kwenguva refu kwekudya kwenguva pfupi tubate. Nemhaka yenzira iyo pfupi yekudyisa tubes yakagadzirirwa, zvokudya zvinyorwa zvinogona kupinda mumapapu, zvichikonzera aspiration pneumonia . Kuisa nguva refu yekudya tube kunogona kuderedza dambudziko guru rekutsvaga pneumonia nezvimwe zvirwere.
* Kudyidzana kwekupedzisira kwenguva duku hakusi yakachengeteka zvikuru uye kunogona kuwira nyore nyore, kunoda kubatsiridza. Nepo kuiswa kwacho hakusi nzira huru, kazhinji kuchinja chigadzirwa chekudya kunogona kukonzera kubuda ropa kana kubhurwa munzira yepamusoro pemhino uye dutu.
* Kudyisa mabhuku kunogona kuvhiringidza kana kuvhiringidza uye vamwe vanopona murwere vasina kubatana zvakakwana vanovabudisa kunze uye vangatoramba kuti vatsiviwa.
* Kana mudiwa wako asiri kudya nekuti ane uropi hwakaipisisa, zvingave zvisingaiti kuziva kana uye pakupedzisira achagona kudya oga.
Iyi nguva yekumirira inogona kuva yakachengeteka kana chirongwa chekudya chichigadziriswa chichiiswa kuti usapinda utachiona uye kuti uwedzere kudya. Izvi zvinobatsira kuchengetedza waunoda iwe akasimba uye akadzikama achiwedzerwa panguva yekurohwa kwenguva.
Iyo nguva refu yekudyisa tube inogona kubviswa, uye iyo ndiyo chinangwa chikuru, asi kubvisa kunoda nzira.
Kuchengetedza Kudya Nokusingaperi Tube
Mhuri dzakawanda dzinoshuga kubvumira chidimbu chekudya kwenguva pfupi nokuti chinoita, zvechokwadi, chinoda vamwe kune-kumusha. Kana mumwe wako waunoda aine chigadziko chekudya chigarire, haazokwanisi kubvumira zvokudya zvose pakarepo uye achada kugadzirisa zvishoma nezvishoma kudya zvokudya nemuromo.
Zvisinei, iva nechokwadi chokuti nyaya idzi dzinonyatsozivikanwa neboka redivi rako rekudiwa uye iwe uchawana mirayiridzo uye unobatsira kuti uone kuti kuchengetwa kwepurasitiki, pamwe nekudzoka kana bhuti rabviswa, rakachengeteka.
> Sources:
> Chipatara Readmissions of Stroke Varwere nePercutaneous Endoscopic Gastrostomy Feeding Tubes .Wilmskoetter J, Simpson KN, Bonilha HS, J Stroke Cerebrovasc Dis. 2016 Oct; 25 (10): 2535-42
Yakagadzirwa naHeidi Moawad MD