Izinto ozoziqwalasela xa i-Preemie yakho ifuna i-Tube yokutya
Ukuxhalabisa ingxaki enye yezona nkxalabo zempilo ezixhalabisa abazali abatsha abanokujamelana nazo. Iintshaba, abahlala bejamelana nokuqina kwemisipha kunye nokulungelelanisa okufunekayo ukuba badle ngokwabo, bangadinga uncedo kwi-tube yokutya ukuze bafumane ukutya okunempilo. Ukutya izibilini kungasetyenziselwa kwizibhedlele nezibhedlele zokugula, kunye nobisi okanye ubisi lwebele . Iintsana ezingengasemva kwexesha zingaphinda zifune ityhubhu yokutya ngezinye izizathu, kubandakanya ukuguquka komlomo , ukungaphumeleli , kunye neengxaki zegazi.
Nangona isigqibo sokondla ityhubhu ayisoloko ilula, ukondla iibhubhu yindlela ekhuselekileyo kunye neyona ndlela efanelekileyo yokubonelela ukutya okwaneleyo kwintsana efuna uncedo. Izigulana zokutya zivumela iintsana ukuba zifumane ezinye okanye zonke zokutya kwazo ngesisu, kwaye zingasetyenziselwa ukuhambisa amayeza omlomo.
Izizathu zokufumana i-NG-Tube okanye i-G-Tube
Iintsana ezininzi ezingaphambi kokusondeza iingxaki zesondlo ngaphambi kokuba zihambe esibhedlele, kwaye abazali akufanele bakhathazeke ukuba baya kudingeke basebenzise izibilini zokutya ekhaya. Ezinye iinjongo ziba neengxaki ezibangelwa izikhala zomlomo okanye ukuphefumla kwexesha elide, ukugaya ukutya okanye iingxaki zeengxaki.
Esibhedlele, i-NG okanye i-OG (i-orogastric tubes eziphuma emlonyeni ukuya esiswini) ziya kusetshenziselwa ukuxhaswa kwebhubhu ngelixa umntwana wakho ekhula kwaye elula. Ukuba umntwana wakho ulungele ukukhutshwa kodwa usenokhathazeka kokutya, ekhaya -t-tube feedings ingaba yindlela yokukhetha. Kwezinye iintsana, nangona kunjalo, kuza ixesha apho wena okanye oogqirha bakho kunye nabongikazi bakho babona ukuba umntwana wakho akasayi kudla kakuhle ixesha elide.
Iindidi ezahlukileyo zokutya ii Tubes
Kukho ezimbini iintlobo eziphambili zezibilini zokutya ezingasetyenziselwa iintsana nabantwana:
Izibhabhu ze-Nasogastric, okanye i-NG ziyi-tubes, zincinci, ziguqule izibatho ezifakwe kwiipumlo ezihamba ngaphantsi kwesisu kwisisu. I-orogastric tube ityhubhu enye ifakwe emlonyeni esikhundleni sempumlo.
Ezi zivalo zingasetyenziselwa ukunceda ukususa umoya kwisisu sakho esiswini.
Iibhubhu ze-Gastrostomy , ezibizwa ngokuba yi-G-tubes okanye ii-tubs ze-PEG, ziyi-tubes ezimfutshane ezihamba ngodonga esiswini esiswini.
Ukondla i-Tube iindidi
Zombini ze-G-tubes kunye ne-NG zamathambo zingasetyenziselwa ukunika i-tube feedings esibhedlele nasekhaya. Ukusebenzisa izibilini zokutya ekhaya, abazali baya kufuna ukuchitha ixesha esibhedlele ekufundeni indlela yokusebenzisa ii-tubes. Abasebenzi bezibhedlele baya kuchitha ixesha elininzi befundisa iintsapho indlela yokutshintsha iibhubhu, ukuhambisa ukutya, ukulungisa iingxaki zebhubhu, nokufumana uncedo xa kufuneka.
Yikuphi I-Tube Efanelekileyo Kumntwana Wethu?
Oogqirha nabazali baya kuthatha isigqibo sokuba kunye naluphi uhlobo lwesitampu sokondla elona lungcono ngokujonga imbambano yesondlo kunye nexesha elide becinga ukuba i-tube feedings iyakufuneka.
Iimveliso kunye neengxaki ze-NG Tubes
I-Tub Tubes zidla ngokuba yiphubhu yokuqala umntwana uya kufumana ukuze kuqinisekiswe ukuba ukutya kwe-tube kuyasebenza kwaye kuyadingeka ixesha elide. Ukongeza kwi-tub tubs, kukho ukuhlukahluka kwamathambo okutya okufakwe kwiindinyana zomnxeba ezigqityiweyo kwiindawo ezihlukahlukeneyo kunye ne-digestive anatomy, njenge-intestine encinci okanye i-jejunum.
- Iinkonzo: Iibhubhu ze-NG zilula ukuzifaka ekhaya okanye esibhedlele kwaye azidingi ukuhlinzwa. Kulula ukususa kwakhona, ukubenza bafezekise iingxaki zondlo lwexesha elifutshane.
- Umgudu: I- tub ye-NG ingabangela ukucaphukisa ngaphakathi ekhaleni, ingakumbi kwixesha elide. Kudinga ukutshintshwa ngeveki okanye ezimbini kwaye kunokunyusa iimpawu ze reflux . Ngenxa yokuba bathathwe ebusweni bahlala bebonakala, kwaye iteksi inokucaphukisa isikhumba.
Iimveliso kunye nemiSebenzi yeG-Tubes / i-PEG Tubes
Uhlobo oluqhelekileyo lwezibilini zokutya, i-G-tubes ngokuqhelekileyo isetyenziselwa iintsana ezidinga ukondla i-tube kwixesha elingaphezu kweenyanga ezintathu. Zibekwa ngumgqirha wezilwanyana ngokuthe ngqo ngqo kwisisu nangesisu.
- Iziphumo: I- G-tubes kulula ukuyifihla ngaphantsi kweengubo, ngoko ke izifo zethubhu zihlala zibucala. Zifuna kuphela ukutshintshwa kwiinyanga zonke ezi-3 kwaye azidingi naluphi na intambo kwesikhumba.
- Umqhina: Ukufakwa kwe-G-tube yinkqubo yokucwangcisa okufuneka yenziwe esibhedlele. Kukho iingxaki, kuquka ukusuleleka kunye neengxaki nge stoma. Ukuba iishubhu ziphuma kwaye azithathelwanga ngokukhawuleza, umgobo ungaqala ukuvala. Emva kokuba i-G-tube isuswe, kuya kubakho inqabana encinane.
Abahlali baseGastric Residuals
Ukusalalisa isisu esiswini kukutya kwisondlo esidlulileyo esisele kwisisu ekuqaleni kwesondlo esilandelayo.
Kwiintsana zangaphambi kwexesha, ukutsalwa kwesisu kuhlolwe xa iintsana zifumana ityhulo yokutya ezifana neT NG okanye iT-tube . Umongikazi okanye ugqirha ukujonga umlinganiselo wokunciphisa uya kufaka i-syringe ekupheleni kwesibhulo sokutya kwaye uphuphe ngobumnene kwi-plunger. Naliphi na umoya okanye ukutya okusele esiswini kuya kuphuma kwi-syringe.
Ukuba i-residual ibonakala iphilile, iyakuthi ibuyiselwe kwisisu emva kokulahla umoya. Ukuhlala okutsha okanye okugazini kungabonakalisa intsholongwane efana ne-NEC kwaye kuya kuxelwa ugqirha.
Nangona ukondla i-tube akufuneki kube sisicwangciso sokuqala sokusondeza iingxaki, sisisombululo esihle xa ezinye izicwangciso zingasebenzi. Kwaye nangona kunzima ukucinga malunga nokuhlinzwa kwintsana yakho, izibilini zokutya zingenza into emangalisayo kwiintsapho ezininzi.
Imithombo:
KidsHealth evela kwiNemours. "I-Gastrostomy Tube (G-Tube)." > http://kidshealth.org/en/parents/g-tube.html.
Ukondla iSiseko soLwazi lweThuthi. > http://www.feedingtubeawareness.org/.