Njengoba othandekayo wakho ene- Alzheimer's disease noma uhlobo oluthile lwesifo sengqondo somphakathi oluqhubekayo, luvame ukwenza izinqumo eziningi zokwelashwa okumelwe zenziwe. Omunye amalungu omndeni angabhekana nokusetshenziswa kwe-tube yokudla.
Kuyini Isitembu Sokudla?
I-tube ye-endoscopic endascopic gastrostomy (PEG) yindlela yokudla ithubhu evame ukusetshenziselwa abantu abane-dementia nabanye abaningi.
Isinqumo sokubeka ithubhu le-PEG kumuntu kubangelwa ukuhlinzwa lapho ithubhu ixhunyiwe esiswini futhi iphuma esiswini. Ngemuva kokubekwa, ifomula lokudla okunomsoco isuke liqhutshelwa ngaphakathi kwiphubhu nesisu.
Izinqumo Okumele Zenziwe Ngothuthi Ukudla
UFrank, oneminyaka engu-89 ubudala futhi owayesezifo eziphakeme ze- Alzheimer , uhlala ekhaya elikhulelwe ngoba umkakhe akakwazi ukunikeza ihora eli-24, izinsuku ezingu-7 ngesonto ukunakekelwa akudingayo.
Uvakashela njalo futhi unakekela kakhulu futhi usekela uFrank. Muva nje, waqala ukukhwehlela futhi wahlakulela umkhuhlane (izimpawu ezingase zibonise ukufunwa kwe-pneumonia ), ngakho-ke lesi sakhiwo sambuza uVrivian umkaFrank ukuthi ufuna ukuthunyelwa esibhedlela. Uthi "Yebo" ngakho walethwa esibhedlela.
- Funda kabanzi: Izifo Zithinta Kanjani Abantu abane-Dementia?
Isibhedlela sitholile ukuthi wayenesifiso sokuphefumula isibhamu futhi samqala emithini yemithi elwa namagciwane ukuze aphathe inyumoniya.
Babuye benza ucwaningo olunzima olwakubonisa ukuthi ngenxa yokuthi uFrank wayephelile isikhathi esithile se-Alzheimer's, amandla akhe okugwinya ayengakwazi ukugwinya. Baphetha ngokuthi uzoqhubeka engozini yokufuna ezinye izifiso ze-pneumonia episodes, kanye nokwehla. I-dietitian nayo yaqhuba ukuhlolwa futhi yaphetha ngokuthi uFrank wayengathathi ukudla okwanele ngomlomo futhi wayelahlekelwa kancane kancane.
Nakhu lapho kuphakanyiswa khona isinqumo
Ngenxa yemiphumela yokuhlolwa kwakhe okugwinya, udokotela wabuza uVivian uma efuna ukuba nethubhu efakwe esiswini sikaFrank ukuze amnike ukudla okunomsoco.
Izizathu Zokuqhubeka Nezikhubhe Zokudla
U-Vivian waphikisana ngombuzo wesidakamizwa futhi wanquma ukuba ne-tube ye-PEG ibekiwe. Wenza kanjalo ngoba akafuni ukuba uFrank akhule enye i-pneumonia ye-aspiration. Njengoba isifundo sokugwinya sigcizelele ukuthi wayengumngcingo wokukhipha kanye ne-pneumonia, isibhedlela sanconywa ukudla okulinganiselwe kanye nezikhukhula ngomlomo. Uyakhathazeka ngokuthi uzobulawa ngendlala ngaphandle kwe-tube yokudla futhi abe nomuzwa wokuthi ngokubeka ithuluzi lokudla eFrank, cishe uzozizwa elambile futhi angeke abe esengozini yokuchofoza kanye ne-pneumonia.
Ucwaningo lwe-Tube Feedings With Dementia
Ingabe I-Tube Feedings Ivikela Ukuphefumula Pneumonia?
Nakuba kungenzeka ukuthi ukudla nge-tube kunganciphisa ithuba lokudla noma uketshezi oluya emaphashini futhi kuthuthukiswe i-pneumonia, lokhu kungase kwenzeke ngenxa yamathambo ehla ngendlela engafanele. I-dementia ekugcineni ithinta ikhono lokudla nokugwinya. Kuyinto engavamile ukubona othile onomuthi we-tube eqhubeka ene-aspiration pneumonia.
Ingabe I-Tube Feeding iyaphulukisa noma ingavimbele izilonda zomshoshaphansi?
Njengomuntu onesifo somqondo owohloka, umzimba wakhe usengozini yokuthuthukisa isilonda esiswini (ngezinye izikhathi esibizwa ngokuthi umbhede omncane) kusukela ekubeni sesikhundleni esisodwa isikhathi eside noma ukucindezela okukhulu endaweni eyodwa. Ukudla okunempilo kungasiza ekuphulukiseni nasekuvimbeleni lezizindawo ezivulekile. Kodwa-ke, ukusebenzisa i-tube yokudla kungandisa ingozi yokucindezeleka ngenxa yokuthi enye yezingozi zokudla nge-tube isifo sohudo. I-diarrhea ingandisa kakhulu amathuba okwehla kwesikhumba ngenxa yemvelo yayo e-acidic. Kungase kubangele ukungaboni kahle kwesisu kanye negesi. Ukucwaninga kubonisa ukuthi i-tube feedings ayivimbeli izilonda zamagciwane.
Ingabe I-Tube Yokudla Ikhulisa Ukuphila?
Abanye abantu bakhetha ukondla okuthandwa ngumuntu othandekayo ngoba bangakulungeli ukuvumela lowo muntu ukuba ahambe namanje, noma bazizwa sengathi bazobe beyeka phansi othandekayo wabo. Kodwa-ke, ukucwaninga akubonisi ukukhula kwesikhathi sokuphila kwabantu abanesifo sengqondo somqondo kanye nesitembu sokudla uma kuqhathaniswa nalabo abangenawo tube.
Olunye ucwaningo lubonisa ukuthi ukugwinya ubunzima nokulahleka kwesisindo kungukuqala kwenqubo yokufa futhi ngaleyo ndlela ithuluzi lokudla, nakuba linikeza ukudla okunempilo, ayikwazi ukuguqula leyo nqubo yokuphela kokuphila. Ucwaningo luye lwathola ukuthi kubantu abane-dementia ephakeme, labo abane-tube yokudla banesilinganiso esifanayo sokusinda njengalabo abangenawo ithubhu lokudla.
Ingabe i-Tube Feedings inikeza ukudla okunomsoco kanye ne-Hydration?
I-Tube yokufomula amafomula angalungiswa ukuze inikeze amakholori amakhulu noma amancane kanye nezakhi njengoba kufanelekile. Ucwaningo luye lwabonisa ukuthi ukulahlekelwa kwesisindo kuyaqhubeka futhi imiphumela ye-laboratory ukuthi ukukala ukudla okunomsoco kanye ne-hydration ngokuvamile ayiphuculwanga naphezu kokubekwa kwe-tube tube.
Ingabe I-Tube Yokudla Ithuthukisa Ikhwalithi Yokuphila?
Ukudla ngokuvamile kuyisenzakalo somphakathi, ikakhulukazi endaweni yokuhlala. Njengoba kunesidlo se-tube, labo bahlali abavame ukungena egumbini lokudlela kanti abanye badla, okwenza kube nokwanda okukhulu kokuzihlukanisa nabantu. Abantu abane-tube feedings nabo bangafisa ukudla noma uketshezi ngomlomo ukuze banambitheke futhi bazizwe behlangene nakho.
Abanye odokotela bazokhipha umyalo wokuthi "ukudla okuthakazelisayo" okuvumela ukuthi kube nemali encane yokudla ngomlomo nokuphuza. Lokhu ngokuvamile ngoba babecabangile izinga lomuntu lomuntu, kanti nakuba umsebenzi wokugwinya ungalinganiselwe, lowo muntu nomndeni bazizwa befanelekile ukuba bajabulele ukudla nokuphuza.
Ezinye izinketho esikhundleni se-Tube Yokudla
- Ukudla Kwesandla
Ukudla ngesandla kunjengokuzwakalayo- kudliwa umuntu ngesikhathi esisodwa esiphundu, ukudla okulula ukulula. Ukondla ngesandla kuxhaswe ngokuqinile ngocwaningo kubantu abane-dementia ephakeme.
- Inhloko Yokulala Ngemva kokudla
Uma lo muntu eboshwe kakhulu, ukugcina ikhanda lakhe liphakanyiswe cishe isigamu sehora ngemuva kokudla kungasiza ekuvimbeleni ukufisa impumoniya.
- Nikeza ukudla okunomsoco noma okuhlanzekile
Ukudla okunomsoco lapho inyama ivulekile khona kungaba lula ukudla umuntu onamakhono okudla okulinganiselwe. Ukudla okunempilo kungasiza uma ikhono lomuntu lokuhlafuna ukudla linciphile.
- Ukusebenzisa i-Sippy Cup noma i-Straw for Liquids
Izinkomishi ezinamabhodlela noma ama-straws zingasiza abantu ukuba bagweme ubunzima futhi banganciphisa ingozi yokuchofoza.
Izingozi Ezihlobene NeThubhu Yokudla
- Isibhedlela se-Tube Placement
- Ukudonsa I-Tube Ngenxa Yokungapheleli
- Ukutheleleka ku-Placement Tube
- Izivimbelo Ngenxa Yengozi Yokudonsa I-Tube
- Isifiso Esinamandla Sokudla Namafutha E-Oral
Ukuziphendulela
** Sicela uqaphele ukuthi ulwazi olufakwe kulewebhusayithi futhi oluxhunyiwe kokubili futhi kusuka kule sayithi alulona iseluleko sezokwelapha futhi luyisiqondiso nolwazi kuphela. Ngenze konke okusemandleni ukubika ulwazi olunempilo olunempilo nokucwaninga ngokwesayensi, kodwa lokhu akulona esikhundleni sokunakekela nokuqondiswa udokotela. **
Imithombo:
I-American Family Physician. 2002 Apr 15; 65 (8): 1605-1611. Ukondla Izigulane Ezigulini Ezinezifo Ezicindezelayo.
Amanothi Wokunakekelwa Kwesikhathi Eside. May 2009. http://familymed.uthscsa.edu/geriatrics/reading%20resources/virtual_library/Syndromes/Dementia/AD%20&%20Eating%20Problems09.pdf
I-Journal ye-American Medical Association. 1999 Oct 13; 282 (14): 1365-70. I-Tube yokudla ngeziguli ezine-dementia ephakeme: ukubuyekezwa kobufakazi. http://www.ncbi.nlm.nih.gov/pubmed/10527184
I-Archives of Medicine yangaphakathi. 2001; 161: 594-599. Ukufa Kweminyaka Efishane Ephakeme Emaphesheni Ezibhedlela Ezihambisana Nokudangala Okujulile: Ukungabi Nenzuzo Ye-Tube Yokudla. http://www.acoi.org/2010Convention/BrymanHighShortTermMortalityInHospitalizedPatientsWithAdvancedDementia.pdf