Ityhubhu yokondla iJejunostomy

Ityhubhu yejejeostostomy (J-tube) yityhubhu ethambileyo, yeplastiki ebekwe kulusu lwesisu ukuya kumbindi wamathumbu amancinci. Umbhobho uhambisa ukutya kunye namayeza ade umntu abe sempilweni ngokwaneleyo ukuba angatya ngomlomo.

Kuya kufuneka uyazi ukuba uyikhathalela njani i-J-tube kunye nolusu apho ityhubhu ingena khona emzimbeni.

Landela nayiphi na imiyalelo ekhethekileyo akunikwa ngumongikazi. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo sokwenza.

Kubalulekile ukukhathalela ulusu olujikeleze ityhubhu ukunqanda ukosuleleka okanye ulusu.

Uya kufunda kwakhona ukuba ungatshintsha njani ukunxiba ujikeleze ityhubhu yonke imihla.

Qiniseka ukuba ugcina ityhubhu ikhuselekile ngokuyicofa eluswini.

Umongikazi wakho angayitshintsha ityhubhu ngalo lonke ixesha.

Ukucoca ulusu, kuya kufuneka utshintshe ii-bandage kanye ngemini okanye nangaphezulu ukuba indawo iba manzi okanye imdaka.

Indawo yesikhumba kufuneka igcinwe icocekile kwaye yomile. Uya kudinga:

• Amanzi ashushu anesepha kunye nelaphu lokuhlamba
• Yomile, itawuli ecocekileyo
• Ibhegi yeplastikhi
• I-oyile okanye i-hydrogen peroxide (ukuba ugqirha ucebisa)
• Iingcebiso ze-Q

Landela ezi zikhokelo yonke imihla ngempilo entle kunye nolusu:

• Hlamba izandla zakho kakuhle imizuzu embalwa ngesepha namanzi.
• Susa naziphi na izinto zokunxiba okanye ii-bandage kulusu. Zibeke kwisingxobo seplastiki uze uzilahle kude.
• Jonga ulusu ngokubomvu, ivumba, iintlungu, ipus, okanye ukudumba. Qinisekisa ukuba imitya isekhona.
• Sebenzisa itawuli ecocekileyo okanye i-Q-tip ukucoca ulusu olujikeleze i-J-tube 1 ukuya kathathu 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.
• Ukuba kukho umjelo wamanzi, beka intwana ye gauze phantsi kwediski ejikeleze ityhubhu.
• Sukujikeleza ityhubhu. Oku kunokubangela ukuba ibhlokiwe.

Uya kudinga:

• Iipads zeGauze, iilokhwe, okanye ii-bandage
• Iteyiphu

Umongikazi wakho uya kukubonisa ukuba ungazibeka njani na ii-bandage ezintsha okanye igeyisi ejikeleze ityhubhu kwaye uyilayite ngokukhuselekileyo esiswini.

Ngokwesiqhelo, iziqwenga zokwahlula igauze zityibilika ngaphezulu kwetyhubhu zaza zathotyelwa kuwo omane amacala. Tape ityhubhu phantsi nayo.

Sukusebenzisa iikhrimu, umgubo, okanye izitshizi kufutshane nesiza ngaphandle kokuba umongikazi uthi kulungile.

Ukucoca i-J-tube, landela imiyalelo ebikunikwe ngumongikazi. Uya kusebenzisa isirinji ukutyhala kancinci amanzi afudumeleyo ekuvuleni kwicala le-J-port.

Unokuyihlamba, uyomise kwaye uphinde uyisebenzise isirinji kamva.

Fowunela umboneleli wakho wezempilo kwangoko ukuba kwenzeka oku kulandelayo:

• Umbhobho ukhutshwa
• Kukho ububomvu, ukudumba, ivumba, ubofu (umbala ongaqhelekanga) kwindawo yeetyhubhu
• Kukho ukopha ejikeleze ityhubhu
• Izitishi ziyaphuma
• Kukho ukuvuza okujikeleze ityhubhu
• Ulusu okanye isikhumba sikhula ujikeleze ityhubhu
• Ukuhlanza
• Isisu sidumbile

Ukondla - ityhubhu yejejunostomy; Ityhubhu yeG-J; J-ityhubhu; Ityhubhu yeJejunum

USmith SF, uDuell DJ, uMartin BC, uGonzalez L, uAebersold M.Ulawulo lwezondlo kunye nokungena ngaphakathi. Ku: Smith SF, uDuell DJ, uMartin BC, uGonzalez L, uAebersold M, ii-eds. Izakhono zoLondolozo lwezeKlinikhi: ezisisiseko kwizakhono eziPhambili. Umhla we-9. ENew York, NY: Pearson; 2016: isahluko 16.

UZiegler TR. Ukungondleki: uvavanyo nenkxaso. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 204.

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