Quudinta Todobaadka Wacyigelinta Tube-ka

In 2011, ka Aasaaska Wacyigelinta Tube Quudinta (FTAF) waxay daah-furtay toddobaadka wacyigelinta Tube-ka quudinta ee sannadlaha ah:

 "Hadafka Todobaadka Wacyigelinta waa in kor loo qaado faa'iidooyinka togan ee quudinta tubooyinka sida waxqabadyo caafimaad oo nafo lagu badbaadinayo. Todobaadku waxa kale oo uu u adeegaa in lagu baro dad waynaha sababaha caafimaad ee carruurta iyo dadka waaweynba la quudiyo, caqabadaha ay qoysasku la kulmaan, iyo nolol maalmeedka quudinta tuubada. Quudinta Tube Awareness Week® waxa ay isku xidhaa qoysaska iyada oo tusaysa inta qoys ee kale ee ay la ildaran yihiin waxyaabo la mid ah oo dadka ka dhiga in ay dareemaan kalinimo yaraan."

Kahor intaan inantayda, Romy, dhalan Noofambar 2019, wax badan kamaanu aqoon tuubooyinka quudinta waligayna lama kulmin qof isticmaalay. Taas oo dhami way isbedeshay markii aan ku dhawaanay calaamada 50-ka maalmood ee unugteena daryeelka degdega ah ee dhallaanka (NICU) joogida iyada oo aan dhamaad lahayn. Si Romy looga saaro, waxaanu go'aansanay iyada iyo dhakhtarkeeda qaliinka in tuubo Gastric ah la geliyo caloosheeda iyada oo kooxda daryeelkeeda ay isku dayeen in ay ogaadaan fursadahayaga hagaajinta fistulaha haray ee u dhexeeya hunguriga iyo hawo-mareenka. Waxaad wax badan ka akhrisan kartaa sheekada Romy halkan!

Haddaba, waa maxay tuubbada quudinta? A tuubada quudinta waa qalab caafimaad oo loo isticmaalo in lagu quudiyo qof aan awoodin in uu wax cuno ama wax cabbo ( calaliyaa ama wax liqo). Waxaa jira sababo badan oo uu qof ugu baahan karo tuubo quudin, iyo noocyo badan oo tubooyinka quudinta ayaa la heli karaa iyadoo lagu saleynayo baahida qofka. Sida laga soo xigtay FATF, way dhammaadeen 350 shuruudood taas oo u baahan in la dhigo tuubo quudin.

Tubooyinka quudinta waxa la dhigaa marka qofku aanu ka heli karin nafaqayn ku habboon cunista iyo cabbitaanka kaligiisba sababtoo ah xaalad caafimaad oo joogto ah, naafo, jirro ku meel gaar ah, iwm. Waxa laga yaabaa inay isticmaalaan toddobaadyo, bilo, sannado, ama inta ka hadhay. nool

Noocyada Tubooyinka Quudinta

Waxaa jira kala duwanaansho/noocyo kala duwan oo tubooyinka quudinta ah, laakiin dhammaan tubooyinka waxay hoos yimaadaan labada qaybood ee soo socda:

• Tuubooyinka quudinta muddada gaaban:
  • Dhuun sanka (NG) ayaa la galiya sanka waxaana lagu shubaa hunguriga caloosha. Tuubooyinkani waxay sii jiri karaan afar ilaa lix toddobaad ka hor inta aan loo baahnayn in la beddelo.
  • Tuubbada orogastric (OG) waxay leedahay dariiq la mid ah kan tuubada NG-da laakiin waxaa la geliyaa afka si loo bilaabo waxayna sii jiri kartaa ilaa laba toddobaad ka hor inta aan la beddelin.
• Tuubooyinka quudinta muddada-dheer:
  • Tuubbada gastric (g-tube) ayaa qalliin lagu dhejiyaa caloosha, taasoo si toos ah u siinaya caloosha, oo la dhaafo afka iyo cunaha. Tani waxay u oggolaanaysaa shakhsiyaadka aan awoodin inay liqaan si ay u helaan cunto, dareerayaal, iyo daawooyin.
  • Tuubada jejunostomy (j-tube) waa sida g-tube laakiin waxa la dhigayaa saddex meelood meel dhexe ee xiidmaha yar.

Ka hor intaanan Romy dhalan, wax khibrad ah uma lahayn tuubooyinka quudinta, iyo 18 bilood ka dib quudinta iyada oo loo marayo g-tube afar ilaa shan jeer maalintii, weli ma ihi khabiir, laakiin halkan waa seddexda talo ee ugu sarreeya ee guusha g-tube:

1. Ka dhig stoma (g-tube) nadiif ah oo engegan. Tani waxay yaraynaysaa suurtogalnimada caabuqa iyo samaynta unugyada granulation.
2. Beddel badhanka g-tube sida uu ku farayo dhakhtarkaagu. Romy wuxuu lahaa "badhanka buufin", waxaana muhiim ahayd in la beddelo saddexdii biloodba mar. Daacadnimada buufinku wuu sii xumaanayaa wakhti ka dib wuuna soo daadan karaa, taasoo keenaysa in badhanka g-tube uu ka go'o stoma.
3. Had iyo jeer gacanta ku hay badhanka beddelka ah haddii ay dhacdo xaalad degdeg ah, ama si aad keligaa ugu beddesho guriga ama aad u qaado qolka gargaarka degdegga ah (ER). Waxaa laga yaabaa in ER-gu aanu ku hayn summadaada/ cabbirka saxda ah

Sannadkan, Quudinta Todobaadka Wacyigelinta Tube-ka waxaa caalamka oo dhan laga xusaa Isniinta,February 6deeda,ilaa Jimcaha,February 10keeda. G-tube-keeda awgeed, inantaydu hadda waa caafimaad qabtaa, wayna koraysaa saddex jir. Waxaan sii wadi doonaa inaan wadaagno sheekadeeda si aan kor ugu qaado wacyiga tubooyinka quudinta, faragelinta nafaha lagu badbaadiyo in ka badan 500,000 carruurta iyo dadka waaweyn ee Maraykanka oo keliya.

Links:

childrenscolorado.org/doctors-and-partments/Departments/surgery/ services-we-offers/g-tube-placement/

feedingtubeawarenessweek.org/

feedingtubeawareness.org/condition-list/

feedingtubeawareness.org/g-tube/

my.clevelandclinic.org/health/treatments/21098-tube-feeding–enteral-nutrition – :~:text=Xaaladaha kuu horseedi kara, sida mindhicir xannibmay

nationaltoday.com/feeding-tube-awareness-week/