Ukondla izibhamu kanye ne-IV Ekupheleni kokuPhila
Kuyinto evamile futhi evamile ukuba iziguli ezibhekene nesifo esibulalayo ukuze zilahlekelwe yidlame ngokunciphisa isithakazelo kokudla noma isiphuzo kanye nokulahlekelwa isisindo. Njengoba ugula luqhubeka, iziguli ngeke zikwazi ukudla ukudla noma uketshezi ngomlomo noma zizola ukudla noma ukuphuza. Kungenzeka ukuthi isiguli sigula isikhathi eside futhi sesitholile ukudla okunomsoco kodwa singatholi lutho olungcono.
Kunoma yikuphi, umbuzo wokuthi ukugodla noma ukuhoxisa umsoco wokufakelwa ungavela. Lokhu kungabangela imbangela yokuhluleka nokucindezeleka okukhulu kwabathandekayo nabanakekeli abagulayo.
Ukudla okunomsoco ukuletha ukusekelwa komsoco ngesiguli ngendlela engadingi isiguli ukuhlafuna nokugwinya. Lokhu kungenziwa ngokudla okuphelele komzimba (TPN) noma nge-tube nasogastric (NG tube) noma tube ye-gastrostomy (i-G-tube noma i-PEG tube).
Kukhona izinto eziningi ezingabangela ukulahlekelwa kwesidlo nokunciphisa ukudla komlomo nokudla kanye noshukela eduze nokuphela kokuphila. Ezinye izimbangela ziguqulwa, ezifana nokuqothulwa, isicashu , nobuhlungu . Ezinye izimbangela zingase zingaphathwa ngendlela ephumelelayo, njengezifo ezithile zomdlavuza, izimo ezishintshile zokuqaphela, nokubuthakathaka kwemisipha edingekayo ukuba idle. Izimbangela ezibuyiselwayo kumele zihlonzwe udokotela weziguli futhi zibhekiswe. Uma imbangela ingaziwa noma ingelapheki, isinqumo sokuthi ungagcina noma uhoxise ukwesekwa kungadingeka kwenziwe.
Ukwenza isinqumo sokugodla noma ukuhoxisa ukudla okunomsoco kanye nokwenza imfucuza kuphakamisa izingxabano, amafilosofi nezingokomzwelo kubantu abaningi. Ngokuvamile kuyasiza abantu ukuba babhekene nesinqumo esinzima sokuqonda ukuthi isayensi nomuthi bathole ngokuphathelene nokudla okunomsoco kanye ne-hydration ekupheleni kokuphila.
Izinzuzo kanye Nezingozi Zokudla Okufakwayo Ne-Hydration
Emphakathini nasemphakathini wethu, ukudla kanye namanzi okuphuza kubhekwa njengabalulekile ekugcineni impilo nokusheshisa ukuphulukisa nokuphulukiswa ekuguleni. Iphikisana nemigomo yabantu abaningi ukugodla ukudla kanye nezikhukhula ezivela esigulini esibulele noma esikufa . Kodwa sonke siyazi ukuthi ulwazi namandla. Njenganoma yisiphi isinqumo sezokwelapha obhekana nazo, kubalulekile ukuqonda izinzuzo zezingozi. Ingabe ukudla okunomsoco kuzuzisa isiguli esigulayo? Ake sibheke ukuthi ucwaningo lwezokwelapha lungasitshela:
- Ukudla okuphelele kwama-Parenteral - I- TPN yindlela engaphelele yokudla okunomsoco esetshenziswa kuphela isikhathi esifushane. Inikezwa emgqeni ophakathi, ovame ukungeniswa entanyeni noma emgodini bese ufakwa emgqeni lapho uphela khona eduze kwenhliziyo. Kuye kwacatshangwa ukuthi iziguli ezinomdlavuza zingazuza ku-TPN. Ithemba laliwukuthi likwazi ukuguqula ukulahlekelwa kwesidlo kanye nokulahlekelwa kwesisindo esinzima ukuthi iziguli zomdlavuza zihlupheke futhi zithuthukise ukuphazamiseka kwazo. Kodwa-ke, izifundo eziningana zathola ukuthi azange zasiza iziguli zomdlavuza ukuba zithole isisindo noma zithuthukise izinga labo lokuphila. Ngokuphambene nalokho, empeleni kwandisa ubungozi bokutheleleka nezinkinga ngomgqa oyinhloko owawuyingozi ezigulini.
- Izibhamu ze-Nasogastric (NG) - Ezigulini ezingakwazi ukugwinya, kungakhathaliseki ukuthi zibangelwa izicubu ezinamandla, ubuthakathaka, noma izinkinga ze-neurological, ukondla ngokusebenzisa ithubhu kuye kwaba ukulethwa okujwayelekile kokudla. I-nasogastric tube iyindlela elula yokufeza lokhu. I-tube itholakala emphunjini bese ihlehla umphimbo ngaphakathi esiswini. I-formula yokudla ye-liquid itholakala nge-tube ngokuqhubekayo ngesilinganiso esincane noma izikhathi eziningana ngosuku nge dose enkulu. Njengo-TPN, Nokho, izifundo eziningi zezokwelapha ziye zabonisa ukuthi izinga lokusinda kweziguli ezigulayo alifani uma lidla ngokweqile kunokuba lingenalo. Futhi, izingozi ziyingozi. Iziguli ezine-tubs NG zinomngcipheko ophezulu we-pneumonia onganciphisa kakhulu izinga labo lokusinda. Ama-tub a-NG angasuswa kalula, abangela ukucindezeleka kokubili isiguli kanye nabathandekayo babo.
- I-Gastrostomy (G) Izibhamu - I-gastrostomy tube eyifaka ngqo esiswini ngenqubo yokuhlinza. I-gastrostomy endoscopic endoscopic, noma i-PEG tube, yenziwa endoscopically futhi ingenasiphansi. Ngamanye ama-tubes, kunengozi encane yesiguli esithatha ithubhu ngaphandle. Kukhona isengozini se-pneumonia, noma kunjalo. Njengomuthi we-nasogastric, kukhona ubufakazi obuncane bokuthi ukondla nge-tube gastrostomy kuzokwandisa impilo noma isikhathi sokuphila kweziguli ezigulayo.
- Ukungena emzimbeni (IV) Hydration - Uma isiguli singasakwazi ukuphuza uketshezi noma ungaphuzi lokho abanakekeli bakhe bacabanga ukuthi kukhona okwanele, umhlinzeki angase alingeke ukuba acele i-IV fluid. Amagciwane angathunyelwa ngenaliti encane efakwe emthanjeni futhi agxilwe nge-tubing. Ucwaningo luye lwabonisa ukuthi ukuhambisa uketshezi kwesiguli esiphelelwa yisikhathi ekupheleni kokuphila kunika kancane, uma kukhona, ukuzuza. Izingozi zifaka ukutheleleka kwisayithi yokungena noma egazini, futhi ukulayisha ngokweqile kwamanzi okubangelwa ukuthumba noma izinkinga zokuphefumula ezimweni ezimbi kakhulu.
Okuningi ku-Hunger no-Thirst ekupheleni kokuPhila
Imithombo:
Izinkinga ezivamile Ukuphela kokunakekela impilo. B. Kinzbrunner, N.Weinreb, J. Policzer
Isitatimende seNqubomgomo ye-HPNA Ukudla okunomsoco nokunyakaza ekupheleni kokunakekela impilo