Izinto Okumele Uzicabange Lapho I-Preemie Yakho Idinga I-Tube Yokudla
Ukukhathazeka kokudla kungenye yezinkinga zempilo ezikhungathekisa abazali abasha abangabhekana nazo. Izitha, ezivame ukulwa nokuqina kwamasipha kanye nokusebenzisana okudingeka zidle ngokwabo, zingadinga usizo oluvela kumathuluzi okudla ukuze zithole ukudla okunempilo. Ukondla izilimo eziyizigaxa kungasetshenziswa kuzo zonke izilungiselelo zesibhedlela kanye neziguli, ngefomula noma ubisi lwebele . Izinsana ezingakapheli zingase zidingeke nezinye izizathu, kubandakanya ukuguquka komlomo , ukwehluleka ukukhula , nezinkinga zezinzwa.
Nakuba isinqumo sokudla nge-tubysi yokudla akulula neze, ukunikeza amashubhu kuyindlela ephephile kakhulu futhi ephumelelayo kakhulu yokuhlinzeka ukudla okunempilo kwabantwana abadinga usizo. Ukondla ama-tubes kuvumela izingane ukuba zithole ezinye noma zonke zokudla kwazo esiswini, futhi zingasetshenziswa ukuletha imithi yomlomo.
Izizathu Zokuthola i-NG-Tube noma i-G-Tube
Iningi lezingane ezingakafiki ngaphambi kokuphuma kwezinkinga zokudla ngaphambi kokuphuma esibhedlela, futhi abazali akudingeki bakhathazeke ngokuthi kuzodingeka basebenzise amashubhu okudla ekhaya. Ezinye izitha zinezinkinga ezibangela ukuphazamiseka ngomlomo noma ukuphefumula isikhathi eside, ukugaya ukudla noma izinkinga zezinzwa.
Esikhathini esibhedlela, NG noma i-OG (izilimo eziyizigaxa eziphuma emlonyeni kuya esiswini) zizosetshenziselwa ukuxhaswa nge-tube ngenkathi ingane yakho isakhula futhi ilulame. Uma ingane yakho isilungele ukukhishwa kodwa isenenkinga yokudla, ekhaya-tube ye-tube feedings ingase ibe inketho. Kodwa-ke, ezinye izingane zifika isikhathi lapho odokotela nodokotela bezingane zakho beqaphela ukuthi ingane yakho ngeke isakwazi ukudla kahle isikhathi eside kakhulu.
Izinhlobo Ezihlukene Zemihla Yokudla
Kunezinhlobo ezimbili eziyinhloko zamatayipi okudla angasetshenziswa ezinganeni nasezinganeni:
Ama-tubes ase-Nasogastric, noma ama-tubs NG, anezitshalo ezincane eziguquguqukayo ezifakwe emakhaleni ahamba ngaphansi kwesisu ngaphakathi kwesisu. I-tube orogastric iyishubhu elifanayo elifakwe emlonyeni esikhundleni sekhala.
Lezi zigaxa zingasetshenziswa futhi ukusiza ukususa umoya kusuka esiswini somntanakho.
Ama-tubes okuthiwa i- Gastrostomy , ebizwa nangokuthi ama-G-tubes noma ama-tuber PEG, ama-tubes amancane awela edongeni lomzimba ngqo esiswini.
Ukondla ama-Tube Izinhlobo
Zombili izigubhu ze-G kanye nama-NG angasetshenziswa ukunikeza tube feedings esibhedlela nasekhaya. Ukusebenzisa amashubhu okudla ekhaya, abazali kuyodingeka bachithe isikhathi esibhedlela bafunde indlela yokusebenzisa amashubhu. Abasebenzi bezibhedlela bayothatha isikhathi esiningi befundisa imindeni ukuthi bangayithatha kanjani amashubhu, banikeze ukudla, bakulungise izinkinga zethubhu, futhi bathole usizo uma kudingeka.
Yimuphi I-Tube Efanele Ngomntwana Wami?
Odokotela nabazali bayonquma ukuthi yiluphi uhlobo lwe-tube yokudla okungcono kakhulu ngokubheka imbangela yenkinga yokudla nokuthi bangacabanga kangakanani isikhathi sokuthi i-tube feedings iyadingeka.
Imikhiqizo kanye Nokunakekelwa kwama-Tub Tub
I-TB Izivunguvungu zivame ukuba yi-tube yokuqala ingane ezoyithola ukuze kuqinisekiswe ukuthi i-tube yokudla iyasebenza futhi idinga isikhathi eside. Ngaphezu kwezigubhu ze-NG, kunezinhlobonhlobo zamatayipi ezondlo ezifakwe emaqenjini angamazinyo aphelela ngamaphuzu ahlukahlukene eduze kwe-anatomy yokugaya, njenge-intestine encane noma i-jejunum.
- Izinzuzo: Amathole we-NG kulula ukufaka ekhaya noma esibhedlela futhi adingi ukuhlinzwa. Kulula ukususa futhi, okwenza ukuba baphelele izinkinga zokudla okwesikhashana.
- Umthamo: Amathole we-NG angabangela ukucasuka ngaphakathi ekhaleni, ikakhulukazi ngokuhamba kwesikhathi eside. Kudinga ukushintshwa njalo ngeviki noma ezimbili futhi kungandisa izimpawu ze- reflux . Ngenxa yokuthi badonsa ebusweni bahlale bebonakala, futhi i-tape ingacasula isikhumba.
Izinzuzo Nezidingo Zama-G-Tubes / Ama-PEG Tubes
Uhlobo oluvame kakhulu lwezinambuzane zokudla, ama-G-tubes ngokuvamile asetshenziselwa izingane ezidinga ukondla ithubhu isikhathi eside kunezinyanga ezintathu. Zibekwe udokotela ohlinzayo ngezingane ngokuqondile esiswini nasesiswini.
- Izinzuzo: I- G-tubes kulula ukuyifihla ngaphansi kwezingubo, ngakho-ke ama-tube feeds angakwazi ukuhlala ngasese. Kudingeka ukuthi kuthathelwe indawo zonke izinyanga ezintathu futhi azidingi noma iyiphi i-tape esikhumbeni.
- Umthamo: Ukubekwa kwe-G-tube yindlela yokuhlinzwa okufanele yenziwe esibhedlela. Kungaba nezinkinga, kufaka phakathi ukutheleleka nezinkinga nge-stoma. Uma izilimo eziyizigaxa ziphuma futhi zingashintshiwe ngokushesha, umgodi ungaqala ukuvala. Ngemuva kokuthi isisindo se-G susiwe, kuyoba nekhanda elincane.
Abahlali be-Gastric Residuals
Ukuncipha kwesisu kunesidlo esivela kusondlo sangaphambilini esisele esiswini ekuqaleni kokudla okulandelayo.
Ezinganeni ezingakabiphi isikhathi, izinsalela zokugoma zihlolwe lapho izinsana zinezikhumba zokudla ezifana ne-NG tube noma i- G-tube . Umhlengikazi noma udokotela ohlola inani elisele lizofaka unyantsi ekupheleni kwesibhulo sokudla bese ubambelela ngokucophelela phansi. Noma yikuphi umoya noma ukudla okusele esiswini kuyodlulela kwisirinji.
Uma le nsalela ibonakala iphilile, ngokuvamile iyobuyiselwa esiswini ngemuva kokulahla umoya. Ukuhlala okuluhlaza okwesibhakabhaka noma kwegazi kungaba uphawu lokutheleleka njenge-NEC futhi uzobikwa kudokotela.
Nakuba ukuxilongwa kwe-tube akumele kube yindlela yokuqala yokudla izinkinga, kuyisisombululo esihle lapho amanye amasu engazange asebenze. Futhi ngenkathi kunzima ukucabanga ngokuhlinza ingane yakho, izibilini zokudla zingaba into emangalisayo emindenini eminingi.
Imithombo:
KidsHealth kusuka Nemours. "I-Gastrostomy Tube (G-Tube)." > http://kidshealth.org/en/parents/g-tube.html.
Ukondla isisekelo sokuqwashiswa kweThubhu. > http://www.feedingtubeawareness.org/.