Gastrostomy: yintoni, ukondla kunye nokhathalelo oluphambili

Umxholo

• Amanyathelo ali-10 okondla ngokusebenzisa iprojekhthi
• Ukulungisa njani ukutya kwiprojekthi
• Ungayinyamekela njani inxeba lesisu
• Uya nini kwagqirha

I-Gastrostomy, ekwabizwa ngokuba yi-endoscopic gastrostomy okanye i-PEG, ibandakanya ukubeka ityhubhu encinci eguqukayo, eyaziwa ngokuba yiprobe, ukusuka kulusu lwesisu ngqo esiswini, ukuvumela ukondla kwimeko apho indlela yomlomo ingenakusetyenziswa.

Ukubekwa kwe-gastrostomy kuhlala kubonisiwe kwimeko:

• Ukubetha;
• Ukopha ebuchotsheni;
• Umvakalelo yokitazo;
• Amathumba emqaleni;
• Amyotrophic lateral sclerosis;
• Ubunzima obukhulu ekuginyeni.

Ezinye zezi meko zinokuba zezokwexeshana, njengakwiimeko zokubethwa, apho umntu asebenzisa i-gastrostomy ade akwazi ukuphinda atye kwakhona, kodwa kwezinye kunokuba yimfuneko ukugcina ityhubhu iminyaka eliqela okanye nobomi bonke.

Obu buchule bunokusetyenziselwa okwethutyana emva kotyando, ngakumbi xa kubandakanya inkqubo yokugaya okanye yokuphefumla, umzekelo.

Amanyathelo ali-10 okondla ngokusebenzisa iprojekhthi

Phambi kokondla umntu ngombhobho we-gastrostomy, kubaluleke kakhulu ukuba ubeke phantsi okanye intloko ebhedini inyuswe, ukuthintela ukutya ekuvukeni esiswini kungene emqophelweni, kubangele imvakalelo yokutsha.

Emva koko, landela inyathelo ngenyathelo:

1. Vavanya ityhubhu Ukuqinisekisa ukuba akukho zihlanti zinokuthintela ukuhanjiswa kokutya;
2. Vala ityhubhu, usebenzisa ikliphu okanye ngokugoba incam, ukuze umoya ungangeni kumbhobho xa ikepusi isuswe;
3. Vula isiciko seprojekhthi kwaye ubeke isirinji yokondla (100ml) kwityhubhu ye-gastrostomy;
4. Tyhila iprojekhthi kwaye kancinci ucofe isixhobo sokufaka isirinji ukufunxa ulwelo olungaphakathi esiswini. Ukuba ngaphezulu kwe-100 ml kunganqweneleka, kuyacetyiswa ukondla umntu kamva, xa umxholo ungaphantsi kweli xabiso. Umxholo onqwenelekayo kufuneka usoloko ubuyiselwe esiswini.
5. Phinda ugobe incam yeprobe okanye uvale ityhubhu nge ikliphu kwaye emva koko urhoxise isirinji;
6. Gcwalisa isirinji nge-20 ukuya kwi-40 ml yamanzi kwaye uyibuyisele kwiprojekthi. Yandula iprojekhthi kwaye ucofe iplunger kancinci de onke amanzi angene esiswini;
7. Phinda ugobe incam yeprobe okanye uvale ityhubhu nge ikliphu kwaye emva koko urhoxise isirinji;
8. Gcwalisa isirinji ngokutya okutyumkileyo kunye okuxineneyo, kwimali engama-50 ukuya kuma-60 ml;
9. Phinda amanyathelo kwakhona ukuvala ityhubhu kwaye ubeke isirinji kwiprobe, uhlala ulumkile ukuba ungashiyi ityhubhu ivulekile;
10. Ngobunono tyhala isirinji plunger, ukufaka ukutya kancinci kancinci esiswini. Phinda rhoqo njengoko kufanelekile de ulawule isixa esinconyelwe ngugqirha okanye ngumondli, esihlala singadluli kwi-300 ml.

Emva kokwenza konke ukutya ngeprojekhthi, kubalulekile ukuhlamba isirinji kwaye uyigcwalise nge-40 ml yamanzi, uyibuyisele kwiprobe ukuze uyihlambe kwaye uthintele iziqwenga zokutya ekuqokeleleni, kuthintele ityhubhu.

Ezi nyathelo zifana kakhulu nezo ze-nasogastric tube, ke jonga ividiyo ukuze uqaphele indlela yokugcina ityhubhu ihlala ivaliwe, ukuthintela ukungena komoya:

Ukulungisa njani ukutya kwiprojekthi

Ukutya kufuneka kuhlala kumhlaba olungileyo kwaye akukho ziqwengana zikhulu kakhulu, ke kuyacetyiswa ukuba uxinanise umxube ngaphambi kokukufaka kwisirinji. Isicwangciso sokutya kufuneka sihlale sikhokelwa sisondlo sokutya ukuqinisekisa ukuba akukho zintswelo zevithamini kwaye, ke ngoko, emva kokubekwa kwebhubhu, ugqirha angathetha ngokubonisana nesondlo. Nazi ezinye zeengcebiso zokuba isondlo seprobe kufuneka sijonge njani.

Nanini na xa kufuneka kusetyenziswe amayeza, ithebhulethi kufuneka ityunyuzwe kakuhle kwaye ixutywe ekutyeni okanye emanzini aza kusetyenziswa. Nangona kunjalo, kuyacetyiswa ukuba ungazixubi iziyobisi kwisirinji efanayo, njengoko ezinye zisenokungahambelani.

Ungayinyamekela njani inxeba lesisu

Kwiiveki zokuqala ezi-2 ukuya kwezi-3, inxeba le-gastrostomy liphathwa ngumongikazi esibhedlele, njengoko kufuneka ukhathalelo olungakumbi ukuthintela usulelo kwaye nokuvavanya indawo rhoqo. Nangona kunjalo, emva kokukhululwa kunye nokubuyela ekhaya, kuyafuneka ukuba ugcine ukhathalelo ngenxeba, ukuthintela ulusu ekubeni lucaphuke kwaye lubangele ukungahambi kakuhle.

Olona nyango lubalulekileyo kukugcina indawo ihlale icocekile kwaye yomile kwaye, ke, kuyacetyiswa ukuhlamba indawo ubuncinci kanye ngemini ngamanzi afudumeleyo, igawuni ecocekileyo kunye nesepha ye-pH engathathi hlangothi. Kodwa kubalulekile ukunqanda iimpahla ezixineneyo okanye ukubeka iikhrimu ezinesiqholo okanye imichiza kuloo ndawo.

Xa uhlamba indawo enenxeba, iprojekhthi kufuneka ijikeleziswe kancinci, ukuthintela ukunamathela kulusu, ukwandisa amathuba osulelo. Le ntshukumo yokujikeleza iphenyo kufuneka yenziwe kanye ngemini, okanye ngokwesikhokelo sikagqirha.

Uya nini kwagqirha

Kubaluleke kakhulu ukuya kugqirha okanye esibhedlele xa:

• Inkqubo ayisebenzi;
• Inkqubo ivaliwe;
• Kukho imiqondiso yosulelo enxebeni, enjengentlungu, ukuba bomvu, ukudumba nobukho bomphunga;
• Umntu uziva iintlungu xa ondliswa okanye egabha.

Ukongeza, kuxhomekeke kwimathiriyeli yenkqubo yophando, kunokuba yimfuneko ukubuyela esibhedlele ukuyokutshintsha ityhubhu, nangona kunjalo, eli xesha kufuneka kuvunyelwene ngalo nogqirha.