Iviki Lokuqwashisa Ngeshubhu yokudla

Ngo 2011, the I-Feeding Tube Awareness Foundation (I-FTAF) yethule Iviki Lokuqala Lokuqwashisa Ngeshubhu Lokudla laminyaka yonke:

 “Umgomo weVeki Lokuqwashisa ukukhuthaza izinzuzo ezinhle zokuphakela amashubhu njengezindlela zokungenelela ezisindisa impilo. Leli sonto liphinde lifundise umphakathi kabanzi mayelana nezizathu zezokwelapha ukuthi izingane kanye nabantu abadala baphakelwa ngamapayipi, izinselelo imindeni ebhekana nazo, kanye nempilo yansuku zonke ngokuphakelwa ngamashubhu. I-Feeding Tube Awareness Week® ixhuma imindeni ngokubonisa ukuthi mingaki eminye imindeni ebhekene nezinto ezifanayo nokwenza abantu bazizwe bengabodwa.”

Ngaphambi kokuthi indodakazi yami, uRomy, izalwe ngoNovemba 2019, ngangingazi okuningi ngamashubhu okondla futhi ngingakaze ngihlangane nomuntu owasebenzisayo. Konke lokho kwashintsha lapho sesisondela kuphawu lwezinsuku ezingama-50 lokuhlala endaweni yethu yokunakekela izingane ezisanda kuzalwa (NICU) ngaphandle kokuphela. Ukuze u-Romy akhishwe, sanquma nodokotela wakhe ohlinzayo ukuthi ithubhu ye-Gastric ibekwe esiswini sakhe ngenkathi ithimba lakhe lokunakekela lizama ukuthola izinketho zethu zokulungisa i-fistula esele phakathi kwe-esophagus kanye ne-trachea. Ungafunda kabanzi mayelana nendaba kaRomy lapha!

Ngakho, liyini ithubhu lokudla? A ipayipi lokudla isisetshenziswa sezokwelapha esisetshenziselwa ukuphakela umuntu ongakwazi ukudla noma ukuphuza (ukuhlafuna noma ukugwinya). Ziningi izizathu zokuthi kungani umuntu engase adinge ishubhu lokuncelisa, futhi izinhlobo eziningi zamashubhu okuncelisa ziyatholakala ngokusekelwe ezidingweni zomuntu ngamunye. Ngokusho kwe I-FATF, seziphelile 350 izidingo lokho kudinga ukubekwa kweshubhu lokuphakelayo.

Amashubhu okuphakelayo abekwa ikakhulukazi lapho umuntu engakwazi ukuthola umsoco ofanele ngokudla nokuphuza eyedwa ngenxa yesimo sezempilo esingelapheki, ukukhubazeka, ukugula kwesikhashana, njll. Angawasebenzisa amasonto, izinyanga, iminyaka, noma zonke ezinye izifo zawo. izimpilo.

Izinhlobo Zokudla

Kunezinhlobonhlobo/izinhlobo eziningi ezahlukene zamashubhu okuphakelayo, kodwa wonke amashubhu awela ngaphansi kwezigaba ezimbili ezilandelayo:

• Amashubhu okuphakelayo esikhathi esifushane:
  • Ishubhu le-nasogastric (NG) lifakwa ekhaleni futhi lixhunywe emgudwini liye esiswini. Lawa mashubhu angahlala ekhona amasonto amane kuya kwayisithupha ngaphambi kokuba adinge ukushintshwa.
  • Ishubhu ye-orogastric (OG) inendlela efanayo neyethubhu le-NG kodwa ifakwa emlonyeni ukuze iqale futhi ingahlala endaweni kuze kube amasonto amabili ngaphambi kokuba ishintshwe.
• Amashubhu okudla isikhathi eside:
  • Ishubhu lesisu (g-tube) lifakwa ngokuhlinzwa esiswini, linikeza ukufinyelela okuqondile esiswini, futhi lidlule emlonyeni nasemphinjeni. Lokhu kuvumela abantu ukuthi bangakwazi ukugwinya ukuze bathole ukudla, uketshezi, nemithi.
  • Ishubhu ye-jejunostomy (j-tube) ifana neshubhu ye-g kodwa ibekwe phakathi nendawo yesithathu yamathumbu amancane.

Ngaphambi kokuba u-Romy azalwe, ngangingenaso isipiliyoni ngamashubhu okondla, futhi ngemva kwezinyanga ezingu-18 zokumondla nge-g-tube yakhe izikhathi ezine kuya kweziyisihlanu nsuku zonke, angikabi uchwepheshe, kodwa nanka amathiphu ami amathathu aphezulu okuphumelela kwe-g-tube:

1. Gcina indawo ye-stoma (g-tube) ihlanzekile futhi yomile. Lokhu kunciphisa amathuba okutheleleka kanye nokwakheka kwezicubu ze-granulation.
2. Shintsha inkinobho yakho ye-g-tube njengoba uyalelwe udokotela wakho. U-Romy wayene "inkinobho yebhaluni,” futhi kwakubalulekile ukuyishintsha njalo ngemva kwezinyanga ezintathu. Ubuqotho bebhaluni buyawohloka ngokuhamba kwesikhathi futhi lungavuza, okubangele ukuthi inkinobho ye-g-tube ikhishwe ku-stoma.
3. Ngaso sonke isikhathi gcina inkinobho yokushintsha isesandleni esimeni esiphuthumayo, ukuze uyishintshe ngokwakho ekhaya noma uyiyise egumbini lezimo eziphuthumayo (ER). I-ER ingase ingabi nalo uhlobo/usayizi oqondile esitokweni.

Kulo nyaka, Iviki Lokuqwashisa Ngeshubhu yokudla igujwa emhlabeni wonke kusukela ngoMsombuluko, February 6, kuya kuLwesihlanu, February 10. Ngenxa ye-g-tube yakhe, indodakazi yami manje isineminyaka emithathu ubudala enempilo, ethuthukayo. Ngizoqhubeka nokwabelana ngendaba yakhe ukuze ngiqwashise ngamashubhu okuncelisa, ukungenelela okusindisa ukuphila Ngaphezu kwe-500,000 izingane kanye nabantu abadala e-United States kuphela.

links:

childrenscolorado.org/doctors-and-departments/departments/surgery/services-we-offer/g-tube-placement/

feedingtubeawarenessweek.org/

feedingtubeawareness.org/condition-list/

feedingtubeawareness.org/g-tube/

my.clevelandclinic.org/health/treatments/21098-tube-feeding-enteral-nutrition – :~:text=Izimo ezingaholela, njengokuvaleka kwamathumbu

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