Kuwedzera Kudya Kana Kudya Kuga Kunenge Kwakakwana
Kuchengeta kudya kwakakwana chikamu chinokosha cherasi inonzi fibrose (CF) . Nguva zhinji, zvinodiwa zvekudya zvinogona kuwanikwa nekutevera chirongwa chekudya chakataurwa neCF yako team. Dzimwe nguva, zvisinei kuti iwe unonyatsoomerera sei kurongwa, iwe haungakwanisi kudya zvakaringana makoriki kana michina kuti uwane zvakakwana zvemuviri wako. Kana izvi zvikaitika, mupi wako wehutano anogona kukurudzira kupa muviri wako kukurudzika kwekudya kuburikidza ne supplemental tube feedings.
Is It Time For Tube Feeding?
Tube feedings, inonziwo enteral feedings, inogona kunge iri chikamu chekurapa kwako kweCF uye kubva kunze kwehupenyu hwako hwose. Kune zviitiko zvakawanda zvinogona kutungamirira ku tube tubeings iri kuiswa muurongwa hwekurapa kwako. Semuenzaniso, unogona kunge uchitambudzika nehutachiona hunoita kuti zvive nyore kuti iwe udye, kana kuwedzera basa rako rokufema zvakanyanya zvokuti haugoni kudya zvakakwana kuti uwane simba rako rinodiwa. Kana, iwe unogona kunge uri kudya zvakanaka asi uchiri kukura kana kuramba uine uremu sezvaunofanirwa.
Paunenge uchitora kliniki yako, mutarisiri wako wehutano anonyatsocherechedza uremu hwako nekukura. Kana iwe ukatanga kuratidza zviratidzo kuti hausi kuwana chikafu chakakwana kuburikidza nekutya, mupi wako anogona kukurudzira tube feedings. Zvimwe zvezviratidzo zvingaratidza kuti zvinodikanwa kuti tube feedings ndeizvi:
- Kurema kwehurefu hwakaperera zvishoma ne85%
- Kurasikirwa kwemahombekombe kwemwedzi miviri inotevera
- Hapana kuwedzerwa kuwedzera kwemwedzi 2 kusvika ku3 muvana vasati vava nemakore mashanu
- Hapana kuwedzerwa kuwedzera kwemwedzi 6 muvana vane makore mashanu uye kupfuura
Mhando dzekudyisa Tubes
Kune miviri miviri mikuru yekudyisa tubate - rumwe rudzi runoiswa kuburikidza nemhino dzako uye imwe kuburikidza nedumbu rako. Mupiki wako wehutano achasarudza kuti ndeipi rudzi rwehubhuti raunogona kushandisa kubva pane zvido zvako zvakasiyana nemamiriro ezvinhu.
Nasogastric Tube (NG Tube): A tubeogastric tube is a thin, flexible tube that goes in your nose, down your throat, and into your stomach.
Chiremba wako anogona kukurudzira NG tube kana tube feedings ichingodiwa chete kwemazuva mashoma, kana zvichida kusvika kumavhiki mashoma. An NG tube ndiyo inonyanya kushandiswa yekudyisa tube nokuti kuisa iyo hakudi kuvharwa kwepurojekiti. Zvinosuruvarisa kuti, NG tubes zviri nyore kubviswa uye zvinogona kukonzera kusagadzikana mumhino nemhute, saka haisi ivo sarudzo yakanakisisa yekurapa kwenguva refu.
Gastrostomy Tube (G-tube): Gastrostomy tube, inonziwo G-tube kana PEG tube, inoshandiswa nehutachiona hunoiswa mukati memumwoyo kuburikidza nekukanganiswa mumimba. G-tubes yakakodzera kushandiswa kwenguva yakareba, saka chiremba wako angangokurudzira rudzi urwu rwehuputi kana achifunga kuti iwe uchada kuwedzerwa kudya kunovaka muviri - kana kupfuurira kana kupindirana-kwemavhiki mashomanana.
Jejunostomy Tube (J-tube): Ijjunostomy tube, inonziwo J-tube, yakafanana neG-tube kunze kwokuti inopinda mudumbu. J-tubes inowanikwa kuburikidza nekukanganiswa mumudumbu zvakananga muchikamu chemukati mudumbu unonzi jejunum. J-tubes inoshandiswa apo munhu asingakwanisi kubvumira kudyidzana zvakananga mudumbu.
Gastrostomy-Jejunostomy Tube (GJ-Tube): Gastrostomy-Jejunostomy tube, inonziwo GJ-tube, inonzi tube inowanikwa kuburikidza nemudumbu mudumbu, asi hairegi ipapo.
GJ-tube inoenda mudumbu ichienda kune jejunum, ichiendesa kudyidzana zvakananga mumukati muduku sezvakangoita neJ-tube. GJ-tubes inowanzoshandiswa kana munhu atova neG-tube asingachagoni kuregerera kudyidzwa mudumbu. Panzvimbo pokugadzirisa chitsva mumudumbu, hovha yakareba inoshandiswa kuburikidza nekuvhura kuripo kuJejunum.
Takura Kudya Zvokudya
Iko kune mavara akawanda ehutachifomu yekudya mafomu anowanikwa. Chiremba wako kana nyanzvi yezvokudya achapa urongwa hwune huwandu hwakaenzana hweakoriyumu nemuviri kune iwe. Kazhinji, tube feedings inopiwa sezvidimbu, zvichireva kuti iwe ucharamba uchingodya kudya nguva dzose pamwe chete ne tube tubeings.
Mune mamiriro ezvinhu kana iwe usingakwanisi kubvumira zvokudya nemuromo, zvakadai sokunge uri kuomerwa nekufema zvakanyanya zvinokudzivirira kuti urege kumedza zvakachengeteka, tube feedings inogona kupa zvokudya zvako zvose kusvikira wava kukwanisa kudya zvakare.
Zvichienderana nezvidikanwi zvako uye rudzi ipi yehubhuwa iwe unayo, kugovera kwako kuchagoverwa kuburikidza nepombi iyo inotora fomu zvishoma nezvishoma kwemaawa akawanda, kana seringiri inobvumira fomu kukwira mumaminitsi mashomanana.
Sources:
Conway S, Morton A, Wolfe S. Enteral Tube Kuchengetedza Cystic Fibrosis. Cochrane Database yekuongorora kwakarongeka 2008, Nyaya 2. Art. Kwete: CD001198. DOI: 10.1002 / 14651858.CD001198.pub2
Tan, J, uye Ng, M. Enteral Nutrition. SFP; 34 (4): 70-76