Ukufaka ityhubhu yokondla- gastrostomy

Ukufakwa kwetyhubhu yokondla i-gastrostomy kukufakwa kwetyhubhu yokondla ngesikhumba kunye nodonga lwesisu. Ingena ngqo esiswini.

Ukufakwa kwetyhubhu yokondla i-Gastrostomy (G-tube) kwenziwa ngenxalenye kusetyenziswa inkqubo ebizwa ngokuba yi-endoscopy. Le yindlela yokujonga ngaphakathi emzimbeni usebenzisa ityhubhu eguqukayo enekhamera encinci esiphelweni sayo. I-endoscope ifakwe emlonyeni nasemazantsi we-esophagus, ekhokelela kwisisu.

Emva kokuba kufakwe ityhubhu ye-endoscopy, ulusu ngaphaya kwecala lasekhohlo lesisu (esiswini) siyacocwa kwaye sabethwa. Ugqirha wenza utyando oluncinci kule ndawo. I-G-tube ifakwe ngaphakathi kwesi sinwe esiswini. Umbhobho mncinci, ubhetyebhetye, kwaye uwenza. Ugqirha usebenzisa imithungo ukuvala isisu esijikeleze ityhubhu.

Iityhubhu zokondla i-Gastrostomy zibekwa ngenxa yezizathu ezahlukeneyo. Zingafuneka ixesha elifutshane okanye ngokusisigxina. Le nkqubo inokusetyenziselwa:

• Iintsana ezineziphene zokuzalwa zomlomo, isopha, okanye isisu (umzekelo, i-esophageal atresia okanye i-tracheal esophageal fistula)
• Abantu abangakwaziyo ukuginya ngokuchanekileyo
• Abantu abangakwaziyo ukutya ukutya okwaneleyo ngomlomo ukuze bahlale besempilweni
• Abantu abadla ngokuphefumla ukutya xa besitya

Umngcipheko wokufakwa kwetyhubhu yokondla okanye ye-endoscopic yile:

• Ukopha
• Usulelo

Uya kunikwa i-sedative kunye ne-painkiller. Kwiimeko ezininzi, la mayeza anikwa ngomthambo (umgca we-IV) engalweni yakho. Akufanele uve ntlungu kwaye ungakhumbuli inkqubo.

Iyeza elirhabaxa linokutshizwa emlonyeni wakho ukunqanda umnqweno wokukhohlela okanye wokugagada xa kufakwa i-endoscope. Kuya kufakwa umgcini-mlomo ukukhusela amazinyo akho kunye ne-endoscope.

Amazinyo okufakelwa kufuneka asuswe.

Oku kuhlala kuyinto elula yotyando kunye nembonakalo elungileyo. Landela nayiphi na imiyalelo yokuzikhathalela oyinikiweyo, kubandakanya:

• Ungalukhathalela njani ulusu olujikeleze ityhubhu
• Iimpawu kunye neempawu zosulelo
• Kufuneka wenze ntoni ukuba ityhubhu ikhutshiwe
• Iimpawu kunye neempawu zokuvalwa kwetyhubhu
• Ungasikhupha njani isisu ngetyhubhu
• Njani kunye nokondla ngetyhubhu
• Uyifihla njani ityhubhu phantsi kwempahla
• Yeyiphi imisebenzi eqhelekileyo enokuqhubeka

Isisu kunye nesisu siya kuphilisa kwiintsuku ezi-5 ukuya kwezi-7. Iintlungu eziphakathi zinokunyangwa ngamayeza. Ukutyisa kuya kuqala kancinci kulwelo olucacileyo, kwaye kunyuke kancinci.

Ukufakwa kwetyhubhu ye-Gastrostomy; Ukufakwa kwe-G-tube; Ukufakwa kwetyhubhu yePEG; Ukufakwa kwetyhubhu yesisu; Ukufakwa kwetyhubhu ye-gastosostic endoscopic

• Ukubekwa kwetyhubhu ye-Gastrostomy-uthotho

UKessel D, uRobertson I. Ukunyanga iimeko zesisu. Ku: Kessel D, Robertson I, ii-eds. Ungenelelo ngeRadiology: Isikhokelo sokuSinda. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 42.

UMurray TE, uLee MJ. I-Gastrostomy kunye nejejunostomy. Ku: Mauro MA, Murphy KP, Thomson KR, Venbrux AC, Morgan RA, ii-eds. Ungenelelo olukhokelwa ngumfanekiso. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; 2021: isahl. 91.

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.