Ityhubhu yokondla isisu - impompo - umntwana

Umntwana wakho une-gastrostomy tube (G-tube, okanye i-PEG tube). Le yityhubhu ethambileyo, yeplastiki ebekwe esiswini somntwana wakho. Inika isondlo (ukutya) kunye namayeza de umntwana wakho akwazi ukuhlafuna aginye.

Kuya kufuneka ufunde ukuba ungamnika njani umntwana wakho ukutya nokhathalelo lwe-G-tube. Landela nayiphi na imiyalelo ekhethekileyo akunikwa ngumongikazi. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo sokwenza.

I-G-tube yomntwana wakho inokuthi ithathe indawo yeqhosha, elibizwa ngokuba yiBard Button okanye i-MIC-KEY, iiveki ezi-3 ukuya kwezi-8 emva kotyando.

Uya kukhawuleza ukuqhele ukondla umntwana wakho ngombhobho, okanye iqhosha. Kuya kuthatha ixesha elifanayo ukondla rhoqo, malunga nemizuzu engama-20 ukuya kwengama-30. Oku kondliwa kuya kunceda umntwana wakho ukuba akhule omelele kwaye abe sempilweni.

Ugqirha wakho uya kukuxelela umxube olungileyo wefomula okanye ukutya okuxutyiweyo oza kukusebenzisa, kwaye ukondla kangaphi umntwana wakho. Ukufudumeza ukutya, kukhuphe ngaphandle kwefriji iiyure ezingama-2 ukuya kwezi-4 ngaphambi kokusetyenziswa. Songeze ifomula okanye ukutya okuqinileyo ngaphambi kokuba uthethe nomongikazi 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 ukwanda kweentsholongwane. Khathalela isiqu sakho ngokunjalo, ukuze uhlale uzolile kwaye unethemba, kwaye ujongane noxinzelelo.

Ulusu olujikeleze ityhubhu ye-G kufuneka lutshintshwe amaxesha ama-1 ukuya kwayi-3 ngemini ngesepha ethambileyo 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.

Umongikazi wakho angakuxelela ukuba ubeke iphedi ekhethekileyo yokufunxa okanye igeyisi 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 umongikazi uthi kulungile.

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, ugqirha wakho uya kuxoxa nawe ngezinye iindlela zokuvumela umntwana wakho ukuba ancancise kwaye avelise izihlunu zomlomo nezomhlathi.

Hlanganisa izinto:

• Impompo yokondla (i-elektroniki okanye ibhetri inikwe amandla)
• Iseti yokondla ehambelana nempompo yokondla (kubandakanya ibhegi yokondla, igumbi lokuthontsiza, uqinisa i-roller, kunye netyhubhu ende)
• Iseti yolwandiso, yeqhosha leBard okanye i-MIC-KEY (oku kudibanisa iqhosha kwityhubhu ende kuseto lokondla)

Umongikazi womntwana wakho uya kukubonisa eyona ndlela yokusebenzisa inkqubo yakho ngaphandle kokungenisa umoya kwiityhubhu. Ekuqaleni:

• Hlamba izandla zakho kakuhle ngesepha namanzi ashushu.
• Jonga ukuba ifomula okanye ukutya kufudumele okanye igumbi lobushushu.

Emva koko, landela la manyathelo, kwaye nawaphi na amanyathelo owanikwe ngumongikazi:

• Qala ngeseti yokondla, vala i-roller clamp kwaye ugcwalise ibhegi yokondla ngokutya. Ukuba kusetyenziswa iqhosha, qhagamshela ulwandiso olusetiweyo ukuya esiphelweni seseti yokondla.
• Hlanganisa ibhegi yokondla phezulu kwi-hook kwaye ucofe igumbi lokuthambisa ngaphantsi kwebhegi ukuyigcwalisa ubuncinci ngendlela yokutya.
• Vula i-roller clamp ukuze ukutya kugcwalise ityhubhu ende, kungashiyi moya kwityhubhu.
• Vala uqinisa roller.
• Xhuma ityhubhu ende ngempompo yokondla. Landela izikhokelo kwimpompo.
• Faka incam yombhobho omde kwi-G-tube kwaye uvule uqinisa. Ukuba iqhosha lisetyenziswa, vula i-flap uze ufake incam yolwandiso olusetelwe kwiqhosha.
• Vula uqinisa roller kwaye uvule impompo yokondla. Qiniseka ukuba impompo imiselwe kwinqanaba eli-odolwe ngumongikazi wakho.

Xa ukutyiswa kugqityiwe, umongikazi wakho unokucebisa ukuba wongeze amanzi engxoweni kwaye uvumele amanzi ukuba ahambisane neseti yokutya ukuze uyihlambe.

Kwityhubhu ye-G, bamba ityhubhu kwaye uvale ityhubhu yokuqinisa ngaphambi kokuqhawula iseti yokutya kwi-G-tube. Kwiqhosha, vala uqinisa kwiseti yokondla, unqamle iseti yolwandiso kwiqhosha, kwaye uvale iflap kwiqhosha.

Ingxowa yokondla kufuneka itshintshwe qho kwiiyure ezingama-24. Ukutya (ifomula) akufuneki ishiywe engxoweni ngaphezulu kweeyure ezingama-4. Ke, faka kuphela iiyure ezi-4 (okanye ngaphantsi) zokutya kwiibhegi zokondla ngexesha.

Zonke izixhobo zinokucocwa ngamanzi ashushu, anesepha kwaye zixhonywe ukuze zome.

Ukuba isisu somntwana wakho siba nzima okanye sidumbile emva kokondla, zama ukuphuma okanye "ukungqusha" 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 emoyeni ukuze ukhulule.
• Buza umongikazi wakho ityhubhu ekhethekileyo yoxinzelelo lwe "burping" iQhosha leBard.

Ngamanye amaxesha, kufuneka unike amayeza umntwana wakho ngombhobho. Landela le migaqo:

• Nika amayeza phambi kokutyisa ukuze asebenze ngcono. Unokuxelelwa nokuba unike amayeza xa isisu somntwana wakho singenanto.
• Iyeza kufuneka libe lulwelo, okanye licoceke kakuhle linyibilike emanzini, ukuze ityhubhu ingavali. Jonga ugqirha wakho okanye usokhemesti ngendlela yokwenza oku.
• Soloko ugalele ityhubhu ngamanzi amancinci phakathi kwamayeza. Oku kuyakuqinisekisa ukuba onke amayeza aya esiswini kwaye awashiywanga kwityhubhu yokondla.

Fowunela umboneleli wezempilo 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

Fowunela umnikezeli 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 yePEG; Ukunyamekelwa kwephubhu yePEG; Ukondla - ityhubhu yegastrostomy - impompo; G-ityhubhu - impompo; Iqhosha Gastrostomy - impompo; Iqhosha leBard - impompo; I-MIC-KEY - impompo

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; Ngo-2017: isahluko 19.

UPham AK, uMcClave SA. Ulawulo lwezondlo. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 6.

• Inkxaso yeZondlo