Ukufakwa kwetyhubhu yePEG-ukukhutshwa

I-PEG (endoscopic gastrostomy) yokondla ityhubhu yokufakwa kukufakwa kwetyhubhu yokondla ngesikhumba kunye nodonga lwesisu. Ingena ngqo esiswini. Ukufakwa kwetyhubhu yokondla i-PEG kwenziwa ngenxalenye kusetyenziswa inkqubo ebizwa ngokuba yi-endoscopy.

Ukutyisa iityhubhu kuyafuneka xa ungakwazi ukutya okanye ukusela. Oku kunokuba ngenxa yesifo okanye ukubonzakala kwengqondo, iingxaki kwi-esophagus, utyando lwentloko nentamo, okanye ezinye iimeko.

Ityhubhu yakho ye-PEG kulula ukuyisebenzisa. Wena (okanye umnakekeli wakho) unokufunda ukuyikhathalela ngokwakho kwaye uzinike nokondla ityhubhu.

Nazi iinxalenye ezibalulekileyo zetyhubhu yakho ye-PEG:

• I-PEG / Gastronomy ityhubhu yokondla.
• Iidiski ezincinci ezi-2 ezingaphandle nangaphandle kokuvulwa kwesisu (okanye istoma) eludongeni lwesisu sakho. Ezi diski zithintela ityhubhu yokondla ekuhambeni. Idiski ngaphandle isondele kakhulu kulusu.
• Uqinisa ukuvala ityhubhu yokondla.
• Isixhobo sokuncamathisela okanye ukulungisa ityhubhu eluswini xa ungatyisi.
• Ukuvuleka kwe-2 ekupheleni kwetyhubhu. Enye yeyokutya okanye amayeza, enye yokugungxula ityhubhu. (Kungakho ukuvulwa kwesithathu kwezinye iityhubhu. Kulapho kukho ibhaluni endaweni yediski yangaphakathi).

Emva kokuba une-gastrostomy yakho okwethutyana kwaye i-stoma isekiwe, into ebizwa ngokuba liqhosha linokusetyenziswa. Oku kwenza ukondla nokhathalelo kube lula.

Umbhobho ngokwawo uya kuba nophawu olubonisa apho kufanele ukuba ushiye khona i-stoma. Ungalusebenzisa olu phawu nanini na xa ufuna ukuqinisekisa ukuba ityhubhu ikwindawo efanelekileyo.

Izinto wena okanye abo bakukhathalelayo kuya kufuneka ukuba bafunde zibandakanya:

• Iimpawu okanye iimpawu zosulelo
• Iimpawu zokuthi ityhubhu ivaliwe kwaye kufuneka wenze ntoni
• Kufuneka wenze ntoni ukuba ityhubhu ikhutshiwe
• Uyifihla njani ityhubhu phantsi kweempahla
• Ungasikhupha njani isisu ngetyhubhu
• Yeyiphi imisebenzi efanelekileyo yokuqhubeka kunye nento onokuthi uyiphephe

Ukutyisa kuya kuqala kancinci kulwelo olucacileyo, kwaye kunyuke kancinci. Uya kufunda ukuba:

• Zinike ukutya okanye ulwelo usebenzisa ityhubhu
• Coca ityhubhu
• Thatha amayeza akho ngombhobho

Ukuba unayo nayiphi na intlungu, inokunyangwa ngamayeza.

Umjelo ojikeleze ityhubhu ye-PEG uqhelekile kwiintsuku zokuqala ezi-1 okanye ezi-2. Ulusu kufuneka luphilise kwiiveki ezi-2 ukuya kwezi-3.

Kuya kufuneka uhlambulule ulusu olujikeleze i-PEG-tube 1 ukuya kathathu ngemini.

• Sebenzisa isepha encinci kunye namanzi okanye i-saline engenazintsholongwane (cela umboneleli wakho). Unokusebenzisa i-cotton swab okanye i-gauze.
• Zama ukususa nayiphi na i-drainage okanye i-crusting on the skin and tube. Yiba nobulali.
• Ukuba usebenzise isepha, coca ngobunono kwakhona ngamanzi acocekileyo.
• Yomisa isikhumba kakuhle ngetawuli ecocekileyo okanye nge-gauze.
• Qaphela ukuba ungatsali umbhobho ngokwawo ukuthintela ukuba ungatsalwa.

Kwiiveki zokuqala ezi-1 ukuya kwezi-2, umboneleli wakho uya kuthi akubuze ukuba usebenzise ubuchule obungenabungozi xa ukhathalela indawo yakho ye-PEG-tube.

Umboneleli wakho wokhathalelo lwempilo unokufuna ukuba ubeke iphedi yokufunxa ekhethekileyo okanye i gauze ejikeleze indawo ye-PEG-tube. Oku kufuneka kutshintshwe ubuncinci yonke imihla okanye ukuba iba manzi okanye ingcolisiwe.

• Kuphephe ukunxiba kakhulu.
• Musa ukubeka i-gauze phantsi kwediski.

SUKUsebenzisa naziphi na ioyile, umgubo, okanye izitshizi ezijikeleze i-PEG-tube ngaphandle kokuba uxelelwe njalo ngumboneleli wakho.

Buza umboneleli wakho xa kulungile ukuhlamba okanye ukuhlamba.

Ukuba ityhubhu yokondla iyaphuma, i-stoma okanye ukuvulwa kungaqala ukuvalwa. Ukuthintela le ngxaki, cofa ityhubhu esiswini sakho okanye usebenzise isixhobo sokulungisa. Umbhobho omtsha kufuneka ubekwe kwangoko. Biza umnikezeli wakho ngengcebiso kumanyathelo alandelayo.

Umboneleli wakho angakuqeqesha okanye umkhathalele wakho ukuba ajikeleze ityhubhu ye-gastrostomy xa ucoca. Oku kuyithintela ekuncamatheni kwicala le-stoma kunye nokuvula okukhokelela kwisisu.

• Yenza inqaku lophawu okanye inombolo yesikhokelo apho ityhubhu iphuma khona kwi-stoma.
• Fumana ityhubhu kwisixhobo sokulungisa.
• Jikelezisa ityhubhu kancinci.

Kuya kufuneka ubize umnikezeli wakho ukuba:

• Umbhobho wokondla uphumile kwaye awazi ukuba ungawutshintsha njani
• Kukho ukuvuza okujikeleze ityhubhu okanye inkqubo
• Kukho ubomvu okanye ukucaphuka kwindawo yolusu ejikeleze ityhubhu
• Umbhobho wokutya ubonakala uvalekile
• Kukho ukopha okuninzi kwindawo yokufaka ityhubhu

Fowunela umnikezeli wakho ukuba:

• Yiba notyatyazo emva kokondla
• Yiba nesisu esomeleleyo kunye nesidumbileyo iyure enye emva kokondliwa
• Unentlungu ebuhlungu
• Ngaba iyeza elitsha
• Bayabanjwa kwaye bayagqitywa, izitulo ezomileyo
• Ngaba ukhohlela ngaphezu kwesiqhelo okanye uziva uphefumla kancinci emva kokondla
• Qaphela isisombululo sokondla emlonyeni wakho

Ukufakwa kwetyhubhu ye-Gastrostomy; Ukufakwa kwe-G-tube-discharge; Ukufakwa kwe-PEG tube-discharge; Ukufakwa kwe-tube esiswini-ukukhupha; I-endoscopic endoscopic gastrostomy tube yokufaka-ukukhupha

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-Twyman SL, iDavis PW. Ukubekwa endoscopic gastrostomy ukubekwa kunye nokutshintshwa. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 92.

• Inkxaso yeZondlo