Ukukhuthaza Ukudla Uma Ukudla Kuphela Kungakwaneli
Ukugcina ukudla okunempilo yingxenye ebalulekile yokwelashwa kwe- cystic fibrosis (CF) . Esikhathini esiningi, izidingo zokudla okunempilo zingasetshenziswa ngokulandela uhlelo lokudla olubekwe yiqembu lakho le-CF. Ngezinye izikhathi, kungakhathaliseki ukuthi unamathele kangakanani kulolu hlelo, ngeke ukwazi ukudla ama-calories noma izakhi ezifanele ukuze uhlangabezane nezidingo zomzimba wakho. Uma lokhu kwenzeka, umhlinzeki wakho wezempilo angase ancome ukuthi anikeze umzimba wakho amandla okudla ngokweqile nge-supplemental tube feedings.
Ingabe Isikhathi Se-Tube Feedings?
Ukunikezwa kwe-Tube, okubizwa nangokuthi ukudla okufakwayo , kungahle kube yingxenye yokuphathwa kwe- CF yakho futhi kuvaliwe kuyo yonke impilo yakho. Kunezimo eziningi ezingase ziholele ekutheni i-tube feedings ifakwe ohlelweni lwakho lwezokwelapha. Isibonelo, ungase unenkinga yokutheleleka okwenza kube nzima kuwe ukuba udle, noma ukwandise umsebenzi wakho wokuphefumula kakhulu kangangokuthi awukwazi ukudla okwanele ukuhlangabezana nezidingo zakho zamandla. Noma, kungenzeka ukuthi udla kahle kodwa ungakhulumi noma ugcine isisindo ngendlela okufanele uyenze ngayo.
Phakathi nokuvakashelwa kwakho kwemitholampilo, umhlinzeki wakho wezokunakekelwa kwempilo uqaphelisisa amaphethini akho nesisindo. Uma uqala ukubonisa izibonakaliso ukuthi awutholi ukondla okwanele ngokudla, umhlinzeki wakho angase ancoma ama-tube feedings. Ezinye zezibonakaliso ezingase zibonise isidingo sokuxhaswa nge-tube yizi:
- Isisindo sokuphakama singaphansi kuka-85%
- Ukulahlekelwa isisindo sezinyanga ezimbili ezilandelanayo
- Ayikho inzuzo yesisindo ezinyangeni ezimbili kuya kwezingane ezinganeni ezingaphansi kweminyaka engu-5
- Ayikho inzuzo yesisindo ezinyangeni ezingu-6 ezinganeni ezineminyaka engu-5 nangaphezulu
Izinhlobo Zemihla Yokudla
Kunezinhlobo ezimbili eziyinhloko zamatayipi okudla - uhlobo olulodwa lufakwe ekhaleni lakho kanti elinye lisuka esiswini sakho. Umhlinzeki wakho wezokunakekela impilo uyokhetha ukuthi yiluphi uhlobo lwethebhu elizoyisebenzisa ngokusekelwe ngezidingo zakho nesimo esihlukile.
I-Nasogastric Tube (NG Tube): I-tube nasogastric iyishubhu elincane, eliguquguqukayo eliya ekhaleni lakho, phansi phansi emqaleni, nasesisu sakho.
Udokotela wakho angancoma i tube NG uma i-tube feedings izodingeka kuphela ezinsukwini ezimbalwa, noma mhlawumbe kuze kube amasonto ambalwa. I-tube ye-NG yindlela encane engavamile yokufakelwa ithubhu ngoba ukuyifaka akudingi ukufakwa kokuhlinzwa. Ngeshwa, amashubhu we-NG akhishwa kalula futhi angabangela ukungathandeki emakhaleni nasempeni, ngakho akuyona into engcono kakhulu yokwelapha isikhathi eside.
I-Gastrostomy Tube (i-G-tube): I-tube gastrostomy, ebizwa nangokuthi i-G-tube noma i-PEG tube, iyishubhu eguquguqukayo efaka ngqo ngaphakathi esiswini ngokusebenzisa ukungena ngaphakathi esiswini. Ama-tubes a-G afaneleka ukusetshenziswa kesikhathi eside, ngakho-ke udokotela wakho uzotusa lolu hlobo lwethebhu uma ecabanga ukuthi uzodinga ukudla okunomsoco - ngokuqhubekayo noma ngokuzenzekelayo - okungaphezu kwamasonto ambalwa.
I-Jejunostomy Tube (i-J-tube): I-jejunostomy tube, ebizwa ngokuthi i-J-tube, ifana ne-G-tube ngaphandle kokuthi idlula isisu. Ama-J-tubes afakwa ngokusebenzisa ukugxilisa esiswini esiswini ngqo emathunjini amancane okuthiwa i-jejunum. I-J-tubes isetshenziswe lapho umuntu engakwazi ukubekezelela ukuphakela ngqo esiswini.
I-Gastrostomy-Jejunostomy Tube (i-GJ-Tube): I-Gastrostomy-Jejunostomy tube, ebizwa nangokuthi i-GJ-tube, iyishubhu efaka phakathi kwesisu esiswini, kepha ayigodli lapho.
I-GJ-tube iyadlula esiswini ibe yi-jejunum, ihlinzeka ngokuphakelayo ngqo emathunjini amancane njengoba nje enesibindi se-J. Ama-GJ-tubes avame ukusetshenziswa uma umuntu osevele ene-G-tube engasakwazi ukubekezelela ukunikezwa esiswini. Esikhundleni sokwenza umshini omusha esiswini, ishubhu eside isetshenziswa ngokusebenzisa ukuvula okukhona ku-jejunum.
I-Tube Yokudla Amafomula
Kunezinhlobo eziningi zezinkomba zokondla ithubhu etholakalayo. Udokotela wakho noma isondlo sokudla uzokunikeza i-formula equkethe inani elifanele lama-kilojoule nezakhi zomzimba. Ngokuvamile, ukunikezwa kwe-tubini kunikezwa njengamaphilisi, okusho ukuthi usazodla ukudla okuvamile ngaphezu kwe-tube feedings.
Ezimweni uma ungakwazi ukubekezelela ukudla ngomlomo, njengokungathi unenkinga yokuphefumula okukhulu okukuvimbela ekugwineni ngokuphephile, ukuphakela kwe-tube tube kunganika yonke imfuyo yakho kuze kube yilapho usakwazi ukudla futhi.
Kuye ngezidingo zakho nokuthi yiluhlobo luni lwe-tube, ukunikezwa kwakho kuzonikezwa ngokusebenzisa ipompo ehambisa ifomula kancane kancane esikhathini esingamahora amaningana, noma i-syringe evumela ukuthi ifomula liwele emaminithini ambalwa.
Imithombo:
I-Conway S, i-Morton A, i-Wolfe S. Enteral Tube Ukuhlinzeka nge-Cystic Fibrosis. Database Cochrane Yokuhlolwa Okuhlelekile 2008, Issue 2. Art. Cha: CD001198. I-DOI: 10.1002 / 14651858.CD001198.pub2
I-Tan, J, ne-Ng, M. Enteral Nutrition. I-SFP; 34 (4): 70-76