I-PEG Tubes kunye ne-G-Tubes kuBantwana abazalwa Ngaphambi kokusesikweni
I-tube ye-gastrostomy, ebizwa ngokuba yi-G-tube, ityhubhu yokutya eyenza udonga lwesisu esiswini. Iip-tubes ze-G zisetyenziselwa ukuxhaswa kwebhubhu yesikhathi eside kwiintsana, abantwana kunye nabantu abadala abangakwazi ukutya okanye abangenakudla okwaneleyo.
Kukho izizathu ezininzi zokuba umntwana usengumntwana usenokufuna i-G-tube. Uninzi lweengcinezelo lunenkathazo yokutya ekuqaleni, kodwa fumana amandla kunye nokulungelelaniswa njengoko zikhula.
Ngethuba lokushiya i-NICU, bancelisa okanye bondla kakuhle. Ezinye iinjongo zineengxaki ezinzima zonyango ezenza kube nzima ukuba badle kakuhle. Ezinye izizathu ezenza ukuba i-preemie ifune i-G-tube ibandakanya:
- Ixesha elide lokuphuphuma umoya: Iintsana ezifuna ukuba kwi-ventilator ixesha elide abayi kukwazi ukutya baze babe ne-tracheostomy. Nangona kunjalo, kunokuthatha ixesha elide ukuba le ntsana ifunde indlela yokutya kakuhle.
- Ukuphazamiseka komlomo: Iintsana zangaphambi kweNICU zifumana ukuvuselela okungathandeki emilonyeni yazo. Iingongoma, ukunyamekela kunye nokutya okunyanzelekayo kunokubangela iintsana ukuba zihlakulele ukuchithwa komlomo okubavimbela ukuba badle ngokwaneleyo ukuze bakhule kwaye bafumane ubunzima.
- Iingxaki ze-neurologic: Ukukhubazeka kwe-cerebral okanye ezinye iingxaki ze-neuromuscular kunokubangela ukusondeza nokugwinya iingxaki ezenza kube nzima kubantwana kunye nabantwana ukuba badle ukutya okwaneleyo ukukhula kakuhle.
- Ubunzima bokuzuza ubunzima: Ukungaphumeleli ukukhula, i-BPD, kunye neengxaki zemizimba kunokukwenza kube nzima ukuba iintsana zifumane ubunzima ngezizathu ezahlukeneyo. Ukuba umntwana wakho engakhuli kakuhle nangona kukho konke okusemandleni akho, ukutya kwexesha lokuhlala kwiphubhu kungasisisombululo.
I-Gastrostomy Tubes ifakwe njani?
Kukho iindlela ezimbini eziphambili zokubeka i-G-tubes kubantwana: uphando okanye nge-endoscope. Inqubo yokuhlinzwa ingenziwa i-laparoscopically okanye njengenkqubo yokucoca. Kuqhelekile ukubeka ii-tubastrostomy tubes kunye ne-endoscope kwinkqubo ebizwa ngokuba yi-endoscopic gastrostomy, okanye inkqubo ye-PEG.
Ukutya izibilini ezibekwa njengalezi zidla ngokuba ngamathambo e-PEG.
Njengazo zonke iinkqubo zonyango, kukho umngcipheko weengxaki ezivela kwi-G-tube kunye ne-PEG yokubeka ityhubhu. Uninzi lweengxaki zenzeka emva kweenyanga zokuqala emva kokuhlinzwa, kodwa zinokuthi zenzeke nje ngokuba i-tube isendaweni. Iingxaki ziquka:
- Ukuhamba ngokujikeleza isayithi
- Ubomvu kunye nentlungu
- Ukukhutshwa kwebhubhu
- Sulelo
Ndingayinakekela njani i-G-Tube yam umntwana?
Ngaphambi kokuba uphume esibhedlele kunye nosana lwakho, uya kufunda ukunyamekela ityhubhu ye-G okanye i-PEG kunye nendlela yokunika i-tube feedings. Uya kufunda indlela yokugcina ulusu lucocekile, indlela yokucubungula i-tubing ukukhusela ama-clogs, kunye nento enokuyenza xa ityhubhu iphuma. Eli lixesha elihle lokubuza nayiphi na imibuzo enayo malunga nokunyamekela kwegastrostomy nokunyusa umntwana wakho.
Imithombo:
KidsHealth evela kwiNemours. "I-Gastrostomy Tube (G-Tube)." http://kidshealth.org/en/parents/g-tube.html.
McSweeny, M., Jiang, H., Deutsch, A., Atmadja, M., & Lightdale, J. (Novemba 2013). Iziphumo zexesha elide zeintsana kunye nezingane ezithatha i-Percutaneous Endoscopy Gastrostomy Tube Placement. Umbhalo we-Gastroenterology kunye neZondlo. 57: 663-667.
Minar, P., Garland, J., Martinez, J., & Werlin, S. (Septemba 2011). "Ukhuseleko lwe-Gastrostomy ye-Percutaneous Endoscopic kwiintsana ezinzima." Umbhalo we-Gastroenterology kunye neZondlo. 53: 293-295