PEG Tubes: Ntchito, Kuyika, Zovuta, ndi Zina

PEG Tubes: Ntchito, Kuyika, Zovuta, ndi Zina

PEG Tubes: Ntchito, Kuyika, Zovuta, ndi Zina

Isaac O. Opole, MD, PhD, ndi dokotala wovomerezeka ndi gulu lachipatala la geriatric.Iye wakhala akuchita zaka zoposa 15 ku yunivesite ya Kansas Medical Center komwe alinso pulofesa.
Percutaneous endoscopic gastrostomy ndi njira yomwe chubu chodyera chosinthika (chotchedwa chubu cha PEG) chimalowetsedwa kudzera pa khoma lamimba m'mimba. Kwa odwala omwe sangathe kumeza chakudya paokha, machubu a PEG amalola kuti zakudya, madzi ndi mankhwala aperekedwe mwachindunji. m'mimba, kuthetsa kufunika kolambalala m'kamwa ndi kum'mero ​​kwa kumeza.
Machubu odyetsera ndi othandiza kwa anthu omwe sangathe kudzidyetsa okha chifukwa cha matenda aakulu kapena opaleshoni koma ali ndi mwayi wokwanira wochira.Amathandizanso anthu omwe satha kumeza kwakanthawi kapena kosatha koma akugwira ntchito moyenera kapena pafupi ndi nthawi.
Pankhaniyi, chubu chodyera chikhoza kukhala njira yokhayo yoperekera zakudya zofunika kwambiri komanso / kapena mankhwala.
Musanayambe gastrostomy, dokotala wanu adzafunika kudziwa ngati muli ndi matenda aakulu (monga kuthamanga kwa magazi) kapena chifuwa chachikulu ndi mankhwala omwe mumamwa. steroidal anti-inflammatory drugs (NSAIDs), mpaka mapeto a opaleshoni kuti achepetse chiopsezo chotaya magazi.
Simungathe kudya kapena kumwa kwa maola asanu ndi atatu ndondomekoyi isanakhazikitsidwe ndi makonzedwe akuti wina adzakutengeni ndikukuyendetsani kunyumba.
Ngati munthu sangathe kudya ndipo alibe mwayi wogwiritsa ntchito chubu chodyetsera, madzi, zopatsa mphamvu, ndi zakudya zofunika kuti akhale ndi moyo zimatha kuperekedwa kudzera m'mitsempha. zakudya zomwe matupi awo amafunikira kuti zigwire ntchito bwino, motero machubu odyetsera amapereka zakudya zabwinoko kuposa zamadzimadzi a IV.
Musanayambe kuyika PEG, mudzalandira mankhwala osokoneza bongo komanso opaleshoni ya m'deralo pafupi ndi malo opangira.
Wothandizira zaumoyo adzayika chubu choyatsira kuwala chotchedwa endoscope pansi pa mmero wanu kuti athandize kutsogolera chubu chenichenicho kupyolera mu khoma la m'mimba.Kudulira pang'ono kumapangidwa kuti aike diski mkati ndi kunja kwa kutsegula pamimba;Kutsegula kumeneku kumatchedwa stoma. Gawo la chubu kunja kwa thupi ndi mainchesi 6 mpaka 12.
Pambuyo pa opaleshoni, dokotala wanu adzaika bandeji pamalo odulidwa.Mukhoza kumva ululu pafupi ndi malo opangira opaleshoni pambuyo pa opaleshoni, kapena kuponderezedwa ndi kusokonezeka kwa mpweya.Pangakhalenso kutuluka kwamadzimadzi kuzungulira malo odulidwa.Zotsatirazi ziyenera kutha. mkati mwa maola 24 mpaka 48. Kawirikawiri, mukhoza kuchotsa bandeji pambuyo pa tsiku limodzi kapena awiri.
Kuzolowera chubu chodyetserako kumatenga nthawi. Ngati mukufuna chubu chifukwa simungathe kumeza, simungathe kudya ndi kumwa pakamwa panu. ) Zopangira zopangira machubu zimapatsa zakudya zonse zomwe mungafune.
Pamene simukuigwiritsa ntchito, mukhoza kujambula chubu kumimba mwanu ndi tepi yachipatala. Choyimitsa kapena kapu yomwe ili kumapeto kwa chubu imalepheretsa njira iliyonse kuti isalowe pa zovala zanu.
Dera lozungulira chubu chanu chodyetserako litachira, mudzakumana ndi katswiri wazakudya kapena kadyedwe yemwe angakuwonetseni momwe mungagwiritsire ntchito chubu la PEG ndikuyamba kudya zakudya zopatsa thanzi. Nazi njira zomwe mungatsatire mukamagwiritsa ntchito machubu a PEG:
Nthawi zina, zimakhala zovuta kudziwa ngati kudyetsa munthu chubu ndikoyenera kuchita komanso zomwe zili zofunika. Zitsanzo za zochitika izi ndi monga:
Ngati inu kapena wokondedwa wanu mukudwala kwambiri ndipo simungathe kudya pakamwa, machubu a PEG amatha kupereka kutentha kwa thupi ndi zakudya zopatsa thanzi kwakanthawi kapena mpaka kalekale.
Machubu a PEG atha kugwiritsidwa ntchito kwa miyezi kapena zaka.Ngati kuli kofunikira, wothandizira zaumoyo wanu akhoza kuchotsa mosavuta kapena kusintha chubu popanda kugwiritsa ntchito mankhwala osokoneza bongo kapena mankhwala opha tizilombo pogwiritsa ntchito mphamvu zolimba. ngati zichitika mwangozi, muyenera kuyimbira dokotala nthawi yomweyo.)
Kaya kudyetsa chubu kumapangitsa kuti moyo ukhale wabwino (QoL) zimadalira chifukwa cha kudyetsa chubu ndi momwe wodwalayo alili. Kafukufuku wa 2016 adayang'ana odwala 100 omwe adalandira machubu odyetsa. Pambuyo pa miyezi itatu, odwala ndi / kapena osamalira anafunsidwa.Olembawo anamaliza kuti ngakhale kuti machubu sanasinthe moyo wa odwala, iwo sanachepe.
Chubucho chidzakhala ndi chizindikiro chosonyeza pamene chiyenera kusungunuka ndi kutsegula kwa khoma la m'mimba.Izi zingakuthandizeni kutsimikizira kuti chubu ili pamalo oyenera.
Mutha kutsuka chubu cha PEG pothira madzi ofunda mu chubu ndi syringe musanayambe kapena mutalandira mankhwala, ndikuyeretsa malekezero ndi zopukuta zophera tizilombo.
Choyamba, yesani kutsuka chubu monga mwanthawi zonse musanadye kapena mukamaliza kudya. Ngati chubu sichinatenthedwe kapena madzi akuyamwitsa, kutsekeka kungathe kuchitika. Imbirani chithandizo chamankhwala ngati chubu sichikuchotsedwa. Musagwiritse ntchito mawaya kapena china chilichonse kuyesa. kumasula chubu.
Lembetsani ku nkhani zamalangizo azaumoyo watsiku ndi tsiku ndikulandila malangizo atsiku ndi tsiku okuthandizani kukhala ndi moyo wathanzi.
American Society of Gastrointestinal Endoscopy.Phunzirani za percutaneous endoscopic gastrostomy (PEG).
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Metheny NA, Hinyard LJ, Mohammed KA. Zochitika za sinusitis zogwirizana ndi trachea ndi nasogastric tubes: database ya NIS.Am J Crit Care.2018;27(1):24-31.doi:10.4037/ajcc2018978
Yoon EWT, Yoneda K, Nakamura S, Nishihara K. Percutaneous endoscopic gastrojejunostomy (PEG-J): kusanthula m'mbuyo momwe zimagwiritsidwira ntchito posungira zakudya zam'mimba pambuyo polephera kudya chakudya cham'mimba.BMJ Open Gastroenterology.2016;3(1):e00000899 : 10.1136/bmjgast-2016-000098
Kurien M, Andrews RE, Tattersall R, et al.Gastrostomy imasungidwa koma sikupititsa patsogolo umoyo wa odwala ndi osamalira.Clinical Gastroenterology and Hepatology.2017 Jul;15(7):1047-1054.doi:10.1016/j .cgh.2016.10.032


Nthawi yotumiza: Jun-28-2022