Isondlo sokudla
I-tube yokudla isetshenziselwa ukuletha ukudla okunomsoco ngaphakathi esiswini noma emathunzini kubantu abangakwazi ukugwinya ukudla ngokwabo.
Lapho Kudingeka Izidakamizwa Zokudla?
Ezinye izizathu ezivamile zokuthi kungani umuntu engadinga ithubhu yokudla kuhlanganisa:
- Inkinga yokugwinya ngenxa yobuthakathaka noma ukukhubazeka ngenxa yokulimala kwengqondo noma isifo sohlangothi
- I-cancer ehlanganisa imisipha yekhanda noma yentamo, ephazamisa ukugwinya
- Ukuhluleka ukulawula imisipha ngenxa yenhloso ngenxa yesimo se-coma noma isimo esibucayi sezinzwa
- Ukuphelelwa yindlala okungapheli ngenxa yesifo esibi njengomdlavuza
Ziyini Izinzuzo Zokudla Okutheni?
Ukondla izilimo eziyizigaxa kuyasiza kubantu abangakwazi ukuzondla ngokwabo ngenxa yokugula okubuhlungu noma ukuhlinzwa, kodwa ngubani okungenalo ithuba lokubuyisela. Basiza futhi abantu abangakwazi ukugwinya okwesikhashana noma okuhlala unomphela kodwa abanomsebenzi ovamile noma ojwayelekile. Ezimweni ezinjalo, izibilini zokudla zingase zibe yindlela kuphela yokuhlinzeka izakhi eziningi ezidingekayo, kanye / noma imithi.
Izinhlobo Zemihla Yokudla
Kunezinhlobo ezintathu eziyinhloko zamatayipi okudla, afaka phakathi:
- I-tube ye-Nasogastric (tube ye-NG) - Le tube yondla iphakathi kwezinhlobo ezincane ezingenasidingo zamatayipi okudla futhi isetshenziswa kuphela okwesikhashana. Ama-tubes NG ayancane, futhi afakwa emakhaleni, nge-esophagus, nasesisu. Ingxenye yangaphandle ivame ukugcinwa esimweni nge-tape efakwe ekhaleni, futhi ingasuswa kalula ngaphandle kwenqubo yokuhlinza. Ngokuvamile, ama-tub a-NG yindlela elula futhi enokwethenjelwa kakhulu kubantu abagwinya izinkinga zokuthola ukudla okwanele ngenkathi besesibhedlela. Ama-tubes NG ayancane, futhi angagcwalika, afuna ukufakwa esikhundleni se-tube entsha ngemva kwezinsuku ezimbalwa. Ukusetshenziswa isikhathi eside kwama-tubs NG kuye kwahlanganiswa nesinitis nezinye izifo.
- Amathoyizi emathunjini (i-tube ye-G noma i-PEG tube) - I-tube yomzimba isisindo esingapheli (kodwa esingaguquguquki) se-tube yokudla. Ukubekwa kwe-tube ye-G kudinga inqubo yokuhlinzekela ngaphakathi lapho igciwane le-G liqhubekela phambili kusukela esikhumbeni esiswini ngaphakathi esiswini. Ibhulogi igcinwa endaweni ngaphakathi esiswini nge-wire coiled noma nge-balloon encane emoyeni. Ukuhlinzwa kubhekwa njengokulula futhi kuphephile, kodwa njenganoma yimuphi umgomo, kungaholela ezinkingeni, njengegazi nokutheleleka.
- IJjunostomy tube (J tube noma i-PEJ tube) -I-tube yejjunostomy ifana ne-G-tube, kodwa isifuba sayo singaphakathi emathunjini amancane, ngaleyo ndlela igqithe isisu. Kugcinwe ikakhulukazi kubantu abanesisu esingenakukhubazeka ukuhambisa ukudla ngaphakathi emathunjini ngenxa yobuthakathaka obuthakathaka.
Izinkinga zokudla ezithakazelisayo zesitembu
Kwezinye izimo, izinqumo mayelana ne-tube yokudla zilukhuni noma ziphikisana. Izibonelo zalezi zimo zifaka:
- Uma umuntu e-coma ngenxa yesifo esiqhubekayo nesifo esibulalayo (njengomdlavuza we-metastatic) okulindeleke ukuthi kubangele ukufa ngokushesha. Amanye amalungu omndeni angase abe nomuzwa wokuthi i-tube yokudla ingasindisa impilo izinsuku ezimbalwa nje kuphela, kodwa ingase iholele ebuhlungu obukhulu futhi engathandeki kumuntu othandekayo ongaphenduliyo. Thola okuningi ngokuqonda ukufa kwengqondo lapha .
- Uma umuntu engakwazi ukuveza izifiso zakhe ngenxa yethonya lesi sifo, kodwa ngaphambili wayekhulume kulabo abathandayo ukuthi ngeke afune ukudliwa ngethubhu yokudla. Lokhu kungaba inkinga enzima uma abanye, kodwa hhayi bonke, amalungu omndeni ayazi izifiso zabo, kodwa izifiso azibhalwa noma zibhalwe noma kuphi.
- Uma umuntu e-coma, enobungozi obukhulu obungenakuguqulwa kwengqondo futhi engenalo ithuba elihle lokuthola, kodwa lingagcinwa liphila phakade ngezifo zokufakelwa.
- Uma umuntu esayine intando ephilayo ecacisa ukuthi angeke afune ukudliwa nge-tube yokudla, kodwa ithimba lezokwelapha kanye nomndeni banezizathu zokukholelwa ukuthi kukhona ithuba lokubuyiselwa uma kunikezwa usizo lokudla okunempilo.
Imibuzo Yokucabangela Lapho Uthatha Isinqumo Ngokuncelisa Ukubeka Tube
Imibuzo ebalulekile yokubuza odokotela mayelana nokondla ukufakwa kwethebhu kumuntu othandekayo kufaka:
- Ingabe ukubeka ithubhu yokudla kuthuthukisa ithuba lokuthi othandekayo wami uzothola?
- Ziyini izingozi nezinzuzo zokubekwa kwe-G / J-tube?
- Ingabe igesi le-G / J idinga ukugcinwa?
- Kufanele ukunikezwa kanjani nge tube?
- Uma ngingaba nezinkinga ngethubhu yokudla, ubani okufanele ngibize?
Izwi elivela
Ukondla kungenye yezici ezibaluleke kakhulu empilweni yethu.
Uma wena noma othandekayo wakho unesifo esibi esivimbela ukudla ngomlomo, enye yezinhlobo zamatayipi okudla angakunika okwesikhashana, noma ngisho nokuhlala unomphela, ukuba unike amandla amakholori kanye nezakhi zomzimba ukuze umzimba uphulukise futhi uphumelele.
Uma umuntu engakwazi ukudla kanye ne-tube yokudla akuyona inketho, khona-ke ama-fluids, ama-calories kanye nezakhi ezidingekayo ukuze basinde anikezwa ngendlela ye-intravenous (IV). Ngokuvamile, ukuthola ama-calorie nezakhi esiswini noma emathunjini kuyindlela engcono kakhulu yokuthi abantu bathole izakhi ezidingekayo ukuze umzimba usebenze kahle, ngakho-ke ithubhu yokudla inikeza ukudla okunomsoco okungcono kunalokho okungahlinzekwa nge-IV fluids.
Uma wena noma othandekayo wakho enesitokisi sesikhashana sesikhathi sokudla noma sesikhathi eside, qiniseka ukuthi uyazi ukuthi yiziphi izinkinga okufanele uzibheke nokuthi ngubani umuntu onkampanethi yakho yokunakekelwa kwezempilo okufanele uxhumane naye uma uhlangabezana nenkinga nge-tube yokudla ngenkathi esekhaya.
> Ukufunda okuqhubekayo:
> Izinqumo zokudla okunzima: Imibono yabasebenzi, iziguli, kanye nemindeni yabo esiGhedlela sokuHlelwa kwezifo eziPhezulu, iMiles A, Watt T, Wong WY, McHutchison L Friary P, Gerontol Geriatr Med. 2016 Aug 22