Ukuphucula ukutya okunomsoco xa ukutya okunye kungenako
Ukugcina isondlo esaneleyo yingxenye ebalulekileyo yonyango lwe- cystic fibrosis (CF) . Ixesha elininzi, iimfuno zondlo ziyakwazi ukuthotyelwa ngokulandela isicwangciso sokutya esichazwe yiqela lakho leCF. Ngamanye amaxesha, kungakhathaliseki ukuba unamathela kangakanani kwisicwangciso, awuyi kudla iikhalori ezifanelekileyo okanye izondlo ukuhlangabezana neemfuno zakho zomzimba. Xa oko kwenzeka, umboneleli wakho wezempilo unokuncoma ukuba unike umzimba wakho ukunyusa ukutya ngokutya ngokuxhaswa kweetayibhile.
Ingaba Ixesha Lokulungisa I-Tube?
Ukuxhaswa kwe-Tube, okubizwa ngokuba nokutya okungaphakathi, kunokuthi ube yinxalenye yonyango lwakho lwe- CF kwaye ukhupha ubomi bakho. Kukho iziganeko ezininzi ezinokukhokelela ekutheni ukuxilongwa kwebhubhu kufakwe kwisicwangciso sonyango. Ngokomzekelo, unokuba unobungozi obangela ukuba kunzima ukuba udle, okanye ukwandisa umsebenzi wakho wokuphefumla kangangokuthi awukwazi ukutya okwaneleyo ukuhlangabezana neemfuno zakho zamandla. Okanye, usenokutya kakuhle kodwa ungasakhuli okanye ugcine ubunzima obufana nawe.
Ngethuba lokutyelela kweeklinikhi rhoqo, umboneleli wakho wezempilo uyakubeka esweni sakho isisindo nokukhula. Ukuba uqala ukubonisa iimpawu ukuba awufumani ukondla okwaneleyo ngokutya, umboneleli wakho unokuncoma i-tube feedings. Ezinye zeempawu ezingabonisa ukuba imfuneko yokutya kwebhubhu yile:
- Ubunzima bokuphakama ngaphantsi kwama-85%
- Ukunyuka kwesisindo seenyanga ezimbini ezilandelelanayo
- Akukho nzuzo yokufumana ubunzima kwiinyanga ezi-2 ukuya kwezi-3 kwabantwana abangaphantsi kweminyaka emi-5
- Akukho nzuzo yobutyebi kwiinyanga ezi-6 kubantwana abaneminyaka engama-5 nangaphezulu
Iintlobo zeZondlo zokutya
Kukho iintlobo ezimbini eziphambili zezibilini zokutya - uhlobo olulodwa lufakwe ngempumlo yakho kunye nolunye ngesisu sakho. Umboneleli wakho wezempilo uya kugqiba ukuba yiyiphi na ifayili yokusebenzisa ngokusekelwe kwiimfuno zakho kunye neemeko zakho.
I-Nasogastric Tube (NG Tube): I-tube nasogastric yincinci encinci, eguquguqukayo ehamba ekhaleni lakho, phantsi komqala wakho, nasesisu sakho.
Ugqirha wakho unokuncoma i-tube ye-NG ukuba i-tube feedings iyakufuneka kuphela kwiintsuku ezimbalwa, okanye mhlawumbi ukuya kwiiveki ezimbalwa. I-tube ye-NG yindlela encinci ye-tube yokutya ngenxa yokungenisa oko akufuneki ukuchithwa. Ngelishwa, ii-tub ze-NG zitshintshwe kalula kwaye zingabangela ukuphazamiseka kwimpumlo nasemqaleni, ngoko akuzona ezikhethileyo zokwenza unyango lwangexesha elide.
I-Gastrostomy Tube (i-G-tube): I-tube ye-gastrostomy, ebizwa ngokuba yi-G-tube okanye i-PEG yile tube, ityhubhu ye-flexible efakwe ngqo kwisisu ngokusebenzisa isiswini esiswini. Ii-tubes ze-G zifanelekile ukusetyenziswa kwexesha elide, ngoko ugqirha wakho uya kuphakamisa olu hlobo lwesibhubhe ukuba ucinga ukuba uya kufuna isidlo esisondlo - ngokuqhubekayo okanye ngokukhawuleza - ngaphezu kweeveki ezimbalwa.
I-Jejunostomy Tube (i-J-tube): I-tube yejjunostomy, ebizwa ngokuba yi-J-tube, ifana ne-G-tube ngaphandle kokuba ihamba ngesisu. I-j-tubes ifakwe kwi-incision kwisisu ngokuthe ngqo kwicandelo lentlungu encinci ebizwa ngokuthi i jejunum. I-tubes ze-J zisetyenziselwa xa umntu engakwazi ukunyamezela ukuxhaswa ngqo kwisisu.
I-Gastrostomy-Jejunostomy Tube (i-GJ-Tube): I-Gastrostomy-Jejunostomy tube, ebizwa ngokuba yi-GJ-tube, iyishubhu efakwe kwisisu esiswini, kodwa ayiyi kumela khona.
I-GJ-tube iyadlula esiswini ukuya kwi-jejunum, ihambisa ukutya ngokuthe ngqo kumathumbu amancinci njengokuba bahamba ne-J-tube. Ii-GJ-tubes zisetyenziselwa xa umntu esele ene-G-tube akakwazi ukunyamezela ukunyusa kwisisu. Esikhundleni sokwenza utsha olutsha kwisisu, ifayili edeleyo ifakwe kwi-jejunum evulekileyo.
Tube Ukutya amafomula
Kukho ezininzi iimveliso zefayili zokutya zethubhu ezikhoyo. Ugqirha wakho okanye isondlo sondlo uya kunika umyalelo oqulethe inani elifanelekileyo leekhalori kunye nezondlo. Ngokuqhelekileyo, ukunikezelwa kwebhubhu kunikezelwa njengezongezelo, oku kuthetha ukuba uya kudla ukutya okuqhelekileyo ngaphezu kwe-tube feedings.
Kwiimeko xa ungeke ukwazi ukunyamezela ukutya ngomlomo, njengokungathi unobungozi obuphefumulayo obukukhusela ukuba ugxininise ngokukhuselekileyo, ukuxhaswa kwebhubhu kunganika zonke izondlo uze ukwazi ukutya kwakhona.
Ngokuxhomekeka kwiimfuno zakho kunye naluphi uhlobo lwetyhubhu enayo, ukuxhaswa kwakho kuya kunikwa ngepom ehambisa i-formula ngokukhawuleza kwixesha leeyure eziliqela, okanye i-syringe evumela ukuba ifomula iqhube imizuzu embalwa.
Imithombo:
Conway S, Morton A, Wolfe S. Enteral Tube Ukutya ngeCystic Fibrosis. I-Cochrane Database yeeNkqubo eziPhononongo lwe- 2008, i-Issue 2. Ubugcisa. Hayi: CD001198. INGXELO: 10.1002 / 14651858.CD001198.pub2
I-Tan, J, kunye ne-Ng, M. Enteral Nutrition. SFP; 34 (4): 70-76