Ityhubhu yokondla isisu - i-bolus

Ityhubhu yomntwana wakho (G-tube) yityhubhu ekhethekileyo esiswini somntwana wakho eya kuthi incede ukuhambisa ukutya kunye namayeza ade umntwana wakho akwazi ukuhlafuna aginye. Eli nqaku liza kukuxelela into ekufuneka uyazi ukondla umntwana wakho ngombhobho.

Umbhobho womntwana wakho we-gastrostomy (G-tube) yityhubhu ekhethekileyo esiswini somntwana wakho eya kuthi incede ukuhambisa ukutya kunye namayeza ade umntwana wakho akwazi ukuhlafuna aginye. Ngamanye amaxesha, ithathelwa indawo liqhosha, elibizwa ngokuba yiBard Button okanye iMIC-KEY, iiveki ezi-3 ukuya kwezi-8 emva kotyando.

Oku kondliwa kuya kunceda umntwana wakho ukuba akhule omelele kwaye abe sempilweni. Abazali abaninzi bakwenzile oku ngemiphumo emihle.

Uya kukhawuleza ukuqhele ukondla umntwana wakho ngombhobho, okanye iqhosha. Kuya kuthatha ixesha elifanayo ukondla rhoqo, malunga nemizuzu engama-20 ukuya kwengama-30. Zimbini iindlela zokondla ngale nkqubo: indlela yesirinji kunye nendlela yomxhuzulane. Indlela nganye ichazwe ngezantsi. Qinisekisa ukuba ulandela yonke imiyalelo oyinikwe ngumboneleli wakho wezempilo ngokunjalo.

Umboneleli wakho uya kukuxelela umxube olungileyo wefomula okanye ukutya okuxutyiweyo oza kukusebenzisa, kwaye ukondla kangaphi umntwana wakho. Yiba nokutya okulungeleyo kubushushu begumbi ngaphambi kokuba uqale, ngokukhupha ngaphandle kwefriji kangangemizuzu engama-30 ukuya kwengama-40. Musa ukongeza ifomula okanye ukutya okuqinileyo ngaphambi kokuba uthethe nomboneleli womntwana wakho.

Iingxowa zokutyisa kufuneka zitshintshwe rhoqo emva kweeyure ezingama-24. Zonke izixhobo zinokucocwa ngamanzi ashushu, anesepha kwaye zixhonywe ukuze zome.

Khumbula ukuhlamba izandla rhoqo ukunqanda ukusasazeka kweentsholongwane. Khathalela isiqu sakho ngokunjalo, ukuze uhlale uzolile kwaye unethemba, kwaye ujongane noxinzelelo.

Uya kucoca ulusu lomntwana wakho malunga ne-G-tube 1 ukuya kumaxesha ama-3 ngemini ngesepha ethambileyo kunye namanzi. Zama ukususa nayiphi na i-drainage okanye i-crusting on the skin and tube. Yiba nobulali. Yomise kakuhle isikhumba ngetawuli ecocekileyo.

Ulusu kufuneka luphilise kwiiveki ezi-2 ukuya kwezi-3.

Umboneleli wakho unokufuna ukuba ubeke ipad yokufunxa ekhethekileyo okanye igauze ejikeleze indawo ye-G-tube. Oku kufuneka kutshintshwe ubuncinci yonke imihla okanye ukuba iba manzi okanye ingcolisiwe.

Sukusebenzisa ioyile, iipowder, okanye izitshizi ezijikeleze ityhubhu ye-G ngaphandle kokuba uxelelwe njalo ngumboneleli wakho.

Qinisekisa ukuba umntwana wakho uhleli nkqo ezingalweni zakho okanye kwisitulo esiphakamileyo.

Ukuba umntwana wakho uyaxambulisana okanye uyakhala ngelixa esondla, cofa ityhubhu ngeminwe yakho ukuyeka ukondla de umntwana azole kwaye athule.

Ixesha lokondla lixesha lokuhlala, lokonwaba. Yenze ibe mnandi kwaye ibe mnandi. Umntwana wakho uya kuyonwabela intetho edlalayo kunye nokudlala.

Zama ukugcina umntwana wakho angatsali kumbhobho.

Kuba umntwana wakho akasebenzisi mlomo wakhe okwangoku, umboneleli wakho uya kuxoxa nawe ngezinye iindlela zokuvumela umntwana wakho ukuba ancancise kwaye avelise izihlunu zomlomo nezomhlathi.

Umboneleli wakho uya kukubonisa eyona ndlela yokusebenzisa inkqubo yakho ngaphandle kokungenisa umoya kwiityhubhu. Landela la manyathelo kuqala:

• Hlamba izandla zakho.
• Hlanganisa ukubonelelwa kwakho (iseti yokondla, iseti yolwandiso ukuba iyafuneka kwi-G-iqhosha okanye kwi-MIC-KEY, ukulinganisa indebe ngespout, ukutya kweqondo lobushushu kwigumbi, kunye neglasi yamanzi).
• Jonga ukuba ifomula yakho okanye ukutya kushushu okanye kubushushu begumbi ngokubeka amathontsi ambalwa esihlahleni sakho.

Ukuba umntwana wakho une-G-tube, vala uqinisa kwityhubhu yokondla.

• Hlanganisa ibhegi phezulu kwi-hook uze ucofe igumbi lokuthambisa ngaphantsi kwebhegi ukuze uyigcwalise ngokutya.
• Emva koko, vula uqinisa ukuze ukutya kugcwalise ityhubhu ende kungabikho moya oshiyekileyo kumbhobho.
• Vala uqinisa.
• Faka i-catheter kwi-G-tube.
• Vula ngocingo kwaye uhlengahlengise inqanaba lokondla, ngokulandela imiyalelo yomboneleli wakho.
• Xa ugqibile ukondla, umongikazi wakho unokucebisa ukuba ungeze amanzi kumbhobho ukuze uwukhuphe.
• Iityhubhu ze-G ziya kuthi emva koko zifune ukubotshwa kumbhobho, kwaye inkqubo yokondla iya kufuneka isuswe.

Ukuba usebenzisa i-G-iqhosha, okanye i-MIC-KEY, inkqubo:

• Qhoboshela ityhubhu yokondla kwinkqubo yokondla kuqala, emva koko uyigcwalise ngefomula okanye ukutya.
• Ukukhupha i-clamp xa ulungele ukulungelelanisa izinga lokutya, ngokulandela imiyalelo yomboneleli wakho.
• Xa ugqibile ukondla, umboneleli wakho unokucebisa ukuba ungeze amanzi kumbhobho kwiqhosha.

Umboneleli wakho uya kukufundisa eyona ndlela yokusebenzisa inkqubo yakho ngaphandle kokungenisa umoya kwiityhubhu. Landela la manyathelo:

• Hlamba izandla zakho.
• Hlanganisa izinto zakho (isirinji, ityhubhu yokondla, iseti eyandisiweyo ukuba iyafuneka kwiqhosha le-G okanye i-MIC-KEY, indebe yokulinganisa ngespout, ukutya kweqondo lobushushu egumbini, amanzi, ibhendi yerabha, ukubamba, kunye nepini yokhuseleko).
• Jonga ukuba ifomula yakho okanye ukutya kushushu okanye kubushushu begumbi ngokubeka amathontsi ambalwa esihlahleni sakho.

Ukuba umntwana wakho une-G-tube:

• Faka isirinji kwisiphelo esivulekileyo setyhubhu yokondla.
• Thela ifomula kwisirinji ide izalise isiqingatha kwaye ukhulule ityhubhu.

Ukuba usebenzisa i-G-iqhosha, okanye i-MIC-KEY, inkqubo:

• Vula i-flap kwaye ufake ityhubhu yokondla ye-bolus.
• Faka isirinji kwisiphelo esivulekileyo seseti yolwandiso kwaye ucofe iseti yolwandiso.
• Thela ukutya kwisirinji kude kube kugcwele isiqingatha. Unclamp ulwandiso olusetiweyo ngokufutshane ukuze ugcwalise ngokutya kwaye emva koko uphinde uvale i-clamp kwakhona.
• Vula iqhosha leqhosha kwaye uqhagamshele ulwandiso olusetelwe kwiqhosha.
• Unclamp ulwandiso olusetelwe ukuqala ukondla.
• Bamba incam yesirinji ingabi ngaphezu kwamagxa omntwana wakho. Ukuba ukutya akuhambi, cudisa ityhubhu kwimivumbo esezantsi ukwehlisa ukutya.
• Ungayisongela ibhanti yerabha ujikeleze isirinji kwaye uyikhusele phezulu kwihempe yakho ukuze izandla zakho zikhululeke.

Xa ugqibile ukondla, umongikazi wakho unokucebisa ukuba ungeze amanzi kumbhobho ukuze uwukhuphe. Iityhubhu ze-G ziya kuthi emva koko zifune ukubambeka kumbhobho nakwinkqubo yokondla, kwaye isuswe. Kwiqhosha le-G okanye i-MIC-KEY, uya kuvala uqinisa emva koko ususe ityhubhu.

Ukuba isisu somntwana wakho siba nzima okanye sidumbile emva kokondla, zama ukuphuma, okanye ukubamba ityhubhu okanye iqhosha:

• Namathisela isirinji engenanto kwi-G-tube kwaye uyikhuphe ukuze uvumele ukuphuma komoya.
• Namathisela ulwandiso olusetiweyo kwiqhosha le-MIC-KEY kwaye uvule ityhubhu ukuze umoya ukhulule.
• Buza umboneleli wakho ngombhobho okhethekileyo wokuqhekeza iBard Button.

Ngamanye amaxesha unokufuna ukunika amayeza umntwana wakho ngombhobho. Landela le migaqo:

• Zama ukunika umntwana wakho amayeza phambi kokondla ukuze asebenze ngcono. Unokucelwa ukuba unike umntwana wakho amayeza esiswini esingenanto ngaphandle kwexesha lesidlo.
• Iyeza kufuneka libe lulwelo, okanye licoceke kakuhle linyibilike emanzini, ukuze ityhubhu ingavali. Jonga umboneleli wakho okanye usokhemesti ukuba ungakwenza njani oku.
• Soloko ugalele ityhubhu ngamanzi amancinci phakathi kwamayeza. Oku kuyakuqinisekisa ukuba onke amayeza aya esiswini kwaye awashiywanga kwityhubhu yokondla.
• Ungaze uxube amayeza.

Tsalela umnikezeli womntwana wakho ukuba umntwana wakho:

• Kubonakala ngathi kulambile emva kokondla
• Unorhudo emva kokondliwa
• Unesisu esomeleleyo kunye nesidumbileyo iyure enye emva kokondliwa
• Kubonakala ngathi usezintlungwini
• Ineenguqu kwimeko yazo
• Ngaba iyeza elitsha
• Ukuqhina kunye nokudlula nzima, izitulo ezomileyo

Biza kwakhona ukuba:

• Umbhobho wokondla uphumile kwaye awazi ukuba ungawutshintsha njani.
• Kukho ukuvuza okujikeleze ityhubhu okanye inkqubo.
• Kukho ubomvu okanye ukucaphuka kwindawo yolusu ejikeleze ityhubhu.

Ukondla - ityhubhu yegastrostomy - bolus; G-ityhubhu - bolus; Iqhosha Gastrostomy - bolus; Iqhosha leBard - bolus; I-MIC-KEY-bolus

I-La Charite J. Isondlo kunye nokukhula. Ku: Kleinman K, Mcdaniel L, Molloy M, ii-eds. Incwadi yeHarriet Lane, iThe. Umhla we-22. IPhiladelphia, PA: Elsevier; 2021: Isahluko 21.

LeLeiko NS, Shapiro JM, Cerezo CS, Pinkos BA. Isondlo sangaphakathi. Ku: Wyllie R, Hyams JS, Kay M, ii-eds.Izifo zesisu esiswini kunye nezifo zesibindi. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2021: isahl. 89.

USamuels LE. Nasogastric kunye nokondla ityhubhu yokubekwa. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds.Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 40.

I-UCSF yeSebe lezoPhando. Iityhubhu Gastrostomy. utyando.ucsf.edu/conditions-- iinkqubo) / gastrostomy-tubes.aspx. Ukuhlaziywa ngo-2018. Kufumaneka ngoJanuwari 15, 2021.

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