Kudyisa tube
Chirwere chekudya chinoshandiswa kupa utano zvakananga mudumbu kana mumatumbo kune vanhu vasingakwanisi kumedza kudya ivo pachavo.
Ndivanaani Vari Kudya Tubhu Kunodiwa?
Zvimwe zvikonzero zvinowanzoita kuti munhu adiwe kutora tube yekushandisa kunosanganisira:
- Dambudziko richimedza nekuda kweutera kana kuora mwoyo kubva mukukuvara kwepfungwa kana chirwere
- Kanzira inosanganisira misoro yemusoro kana yemutsipa, inopesana nekumedza
- Kusakwanisa kuronga nemaune mishonga nekuda kwekoma kana chirwere chakakomba chepfungwa
- Kurasikirwa kwekusingaperi kwekudya nekuda kwechirwere chakaipa chakadai sekenza
Ndeipi Rinobatsiro Rokudyisa Tubes?
Kudyisa mabhesi kunobatsira vanhu vasingakwanisi kuzvidya ivo sega nekuda kwekurwara kwakaoma kana kuvhiyiwa, asi avo vane mimwe mikana yekuwanazve. Izvo zvinobatsirawo vanhu vanogara kwenguva pfupi kana zvachose vasingakwanisi kumedza asi avo vasina zvimwe zvinhu zvakasviba kana zvisingasviki-zvese. Mumamiriro ezvinhu akadaro, kudya mabhesi kunogona kushanda senzira bedzi yekupa mishonga yakawanda inoda, uye / kana mishonga.
Mhando dzekudyisa Tubes
Kune marudzi matatu ekutanga ekudyisa tubes, iyo inosanganisira:
- Nasogastric tube (NG tube) - Ichi chipfuti chekudya chiri pakati pemhando shoma dzisingabatsiri yekudyisa mabhute uye inongoshandiswa kwenguva pfupi. NG tubes dzakapfava, uye dzinoiswa kubva mumhino, kuburikidza nehuputi, uye mudumbu. Chikamu chekunze chinowanzochengetwa pachigaro nematepi iyo inowanikwa pamhino, uye inogona nyore nyore kubviswa kunze kwekuvhiya. Kwose, NG tubes ndiyo nzira yakanyanyisa uye yakavimbika yevanhu vanomedza matambudziko kuti vagone kudya zvakakwana panguva yechipatara. NG tubes dzakapfava, uye dzinogona kuvharwa, dzichitsvaga kuti dzigadziriswe nehuipi itsva mazuva mashomanana. Kushandiswa kwenguva refu kwe NG tubes kwave kuchibatanidzwa ne sinusitis nezvimwe zvirwere.
- Gastric tubes (G tube kana PEG tube) -Iyo yegastric tube ndiyo inogara (asi inodzokorora) rudzi rwekudya tube. G inogadziriswa inoda nzira yekupindira inopindira umo G tube iri mberi kubva muchidzivo chemuviri mukati mudumbu. Iyo tube inochengetwa munzvimbo mukati mudumbu ine waya yakanyungudutswa kana nebhokisi duku rinokonzerwa nemhepo. Kuvhiyiwa kunofungidzirwa sekusava nyore uye kwakachengeteka, asi sekune chero nzira ipi zvayo, inogona kutungamirira kumatambudziko, sekubuda ropa uye utachiona.
- Jejunostomy tube (J tube kana PEJ tube) -Ajjunostomy tube inofanana neG-tube, asi chidimbu chacho chiri mukati memukati maduku, nokudaro kupfuurira mudumbu. Inonyanya kugadzirirwa vanhu vane dumbu vane simba risina simba yekuendesa zvokudya mukati memukati nekuda kwekushaya simba kwekuita.
Dambudziko Kudyisa Tube Decisions
Mune mamwe mamiriro ezvinhu, zvisarudzo pamusoro pekufambisa bhaibheri zvinonetsa kana zvinopesana. Mienzaniso yemamiriro ezvinhu aya anosanganisira:
- Apo munhu ari mu coma nekuda kwechirwere chinopfuurira uye chinouraya (sekudai sechirwere chemastastas) chinotarisirwa kukonzera rufu nekukurumidza. Dzimwe nhengo dzomumhuri dzinogona kunzwa sokuti chikwata chokudya chinogona kupedzera upenyu kwemazuva mashomanana chete, asi zvinogonawo kutungamirira kumarwadzo akawandisa uye kusagadzikana kune munhu anenge afa uye asingateereri. Tsvaga zvakawanda pamusoro pekunzwisisa uropi uhwu pano .
- Kana munhu asingakwanisi kuratidzira zvaanoda nekuda kwechirwere chechirwere, asi akanga ataura kare kune vadikanwa kuti iye haadi kuda kudyiwa kuburikidza nehutachipa. Izvi zvinogona kuva dambudziko rakaoma apo vamwe, asi kwete vose, nhengo dzemhuri dzinoziva zvido zvevadiwa vavo, asi zvishuwo hazvina kunyorwa kana kunyorwa chero kupi zvako.
- Apo munhu ari mu coma, ane uwandu hwakawanda uye husingagadziki hwehuropi uye asina mukana unobatsira wekudzoka, asi unogona kuchengetwa uri mupenyu nekusingaperi nekugadziriswa kwekuvaka.
- Kana munhu asayina hupenyu huripo hunotsanangura kuti haazodi kudyidzwa kuburikidza nehuturo rekudya, asi boka rezvechiremba nemhuri vane chikonzero chekutenda kuti pane mukana wekuwana kana kugutsikana kwekudya kunopiwa.
Mibvunzo Yekufungisisa Paunenge Waita Chisarudzo Nekudya Kwekuisa Tube
Mibvunzo inokosha yekubvunza vanachiremba nezvekudyisa tube kuiswa mune mumwe mudiwa inosanganisira:
- Kuisa chikwata chekudya kunowedzera mukana wekuti mudiwa wangu achapora here?
- Ndezvipi zvinokonzera uye zvinobatsira zveG / J-tube kuiswa?
- Ko G / J tube inoda kuchengetedzwa here?
- Kufanirwa kudyidzana sei ne tube kunopiwa sei?
- Kana ini ndaizove nematambudziko nehutachiona, ndiani wandinofanira kumudana?
Shoko Rinobva
Chikafu ndechimwe chezvinhu zvakakosha muhutano hwedu.
Kana iwe kana mudiwa wako ane chirwere chakakomba chinodzivisa kudya nemuromo, imwe yemhando yekudyisa mabhesi inogona nguva, kana kuti kunyange zvachose, kupa zvikamu uye michina kuitira kuti muviri upore uye hubudirire.
Kana munhu asingakwanisi kudya uye kudyidha tubhu hakusi kusarudzwa, saka mvura, mvura uye makemikari anodiwa kuti urarame zvinopiwa kuburikidza nekugadzirisa (IV) nzira. Kazhinji, kuwana makoriyamu uye mishonga mukati mudumbu kana mukati mumukumbo ndiyo nzira yakanakisisa yokuti vanhu vagone kuwana mishonga inofanirwa kuti muviri uite zvakanaka, uye naizvozvo chikafu chekudya chinopa utano hwakanaka kudarika izvo zvinogona kupiwa kuburikidza nemvura inonzi IV.
Kana iwe kana mudiwa wako ane chirongwa chekudya kwenguva duku kana kwenguva refu, iva nechokwadi chekuziva kuti ndezvipi zvinetso zvekutarisa uye kuti ndeupi munhu ari muchechi yako yehutano iwe unofanirwa kuonana kana iwe unosangana nechinetso nehuputi yekudya paunenge uri kumba.
> Kuwedzera Kuverenga:
> Kukurukurirana Kudya Zvisarudzo: Pfungwa dzeVashandi, Varwere, uye Mhuri dzavo muInpatient Hospital Chirongwa, Miles A, Watt T, Wong WY, McHutchison L Friary P, Gerontol Geriatr Med. 2016 Aug 22