I-PEG Tubes and G-Tubes ezinganeni ezizalwa ngaphambi kwesikhathi
I-gastrostomy tube, ebizwa nangokuthi i-G-tube, iyishubhu yokudla ehamba nodonga lwesisu ngaphakathi esiswini. I-G-tubes isetshenziselwa ukondliwa kwe-tube yesikhathi eside ezinsaneni, izingane, nabantu abadala abangakwazi ukudla noma abangakwazi ukudla.
Kunezizathu eziningi zokuthi kungani ingane engakazalwa ingadinga i-G-tube. Iningi lezandulela zinenkathazo yokudla ekuqaleni, kodwa zithole amandla nokusebenzisana njengoba zikhula.
Ngesikhathi beshiya i-NICU, bancelisa noma belondla kahle ibhodlela . Ezinye izitha zinezinkinga eziyinkimbinkimbi zezokwelapha ezenza kube nzima ukuba badle kahle. Ezinye izizathu zokuthi kungani i-preemie ingadinga i-G-tube ihlanganisa:
- I-ventilation yesikhathi eside: Amantombazane adinga ukuhlala e-ventilator isikhathi eside ngeke akwazi ukudla aze abe ne-tracheostomy. Ngisho noma kunjalo, kungathatha isikhathi eside kulaba bantwana ukuba bafunde indlela yokudla kahle.
- Ukuphazamiseka komlomo: Izinsana zangaphambi kwesikhashana ku-NICU zithola ukukhushulwa okuningi emilonyeni yabo. Intubation, amasu okuncelisa nokudla okuncane angabangela ukuba izingane zihlakulele ukuguquka komlomo okuvimbela ukuba bangadli okwanele ukukhula nokondla.
- Izifo ze-neurologic: Ukukhubazeka kwe-cerebral noma ezinye izifo ze-neuromuscular kungabangela ukusondeza nokugwinya izinkinga ezenza kube nzima kwabantwana nezingane ukuba badle ukudla okwanele ukuze bakhule kahle.
- Ukubunzima ukuzuza isisindo: Ukuhluleka ukuphumelela, i-BPD, nokuphazamiseka kwezakhi zofuzo kungenza kube nzima kubantwana ukuba bathole isisindo ngezizathu ezihlukahlukene. Uma ingane yakho ingakhula kahle naphezu kwakho konke okusemandleni akho, ukusondeza i-tube yesikhathi eside kungase kube yisisombululo.
I-Gastrostomy Tubes ifakwe kanjani?
Kunezindlela ezimbili eziyinhloko ama-G-tubes afakwa kuzo ezinganeni: ngokuhlinzwa noma nge-endoscope. Inqubo yokuhlinzwa ingenziwa i-laparoscopically noma njengendlela yokuhlinzwa evulekile. Kuvame ukubeka ama-tubast gastrostomy ne-endoscope kwinqubo ebizwa ngokuthi i-gastrostomy endoscopic, noma inqubo ye-PEG.
Ukondla izilimo eziyizigaxa ezibekwe njengalezi zivame ukubizwa ngokuthi yizimpande ze-PEG.
Njengazo zonke izinqubo zokwelashwa, kunengozi yezinkinga ezisuka ku-G-tube kanye nokubekwa kwe-tube ye-PEG. Izinkinga eziningi zenzeka ezinyangeni zokuqala emva kokuhlinzwa, kodwa zingenzeka uma nje i-tube isendaweni. Izinkinga zihlanganisa:
- Ukuhamba ngezindawo
- Ukubomvu nokucasula isikhumba
- Ukususwa kwe-tube
- Ukutheleleka
Nginakekela Kanjani I-G-Tube Yengane Yami?
Ngaphambi kokuba usuke esibhedlela nomntanakho, uzofunda ukuthi unakekele kanjani i-G-tube noma i-PEG tube kanye nendlela yokunikeza tube feedings. Uzofunda ukuthi ugcine kanjani isikhumba sihlanzekile, ukuthi ungagcwalisa kanjani amashubhu ukuvimbela ama-clogs, nokuthi yini okufanele uyenze uma i-tube iphuma. Lesi yisikhathi esihle sokubuza noma yimiphi imibuzo onayo mayelana nokunakekelwa kwe-tube gastrostomy nokuncelisa ingane yakho.
Imithombo:
KidsHealth kusuka Nemours. "I-Gastrostomy Tube (G-Tube)." http://kidshealth.org/en/parents/g-tube.html.
McSweeny, M., Jiang, H., Deutsch, A., Atmadja, M., & Lightdale, J. (Nov. 2013). "Imiphumela Yesikhathi eside Yengane Nezingane Isebenzisa Ukufakwa Kwe Tube Tube Ezingapheli I-Endoscopy Gastrostomy." I-Journal ye-Gastroenterology ye-Pediatric ne-Nutrition. 57: 663-667.
Minar, P., Garland, J., Martinez, J., & Werlin, S. (Septemba 2011). "Ukuphepha kwe-Gastrostomy Yomtholampilo Yengqondo Yomzimba Ezinganeni Ezibucayi." I-Journal ye-Gastroenterology ye-Pediatric ne-Nutrition. 53: 293-295