Njengoko umthandane wakho kunye nesifo se-Alzheimer okanye olunye uhlobo lwesifo sengqondo sengqondo oluqhubela phambili kwiimigangatho emva, kukho izigqibo ezininzi zokwenza unyango kufuneka zenziwe. Omnye amalungu osapho anokujamelana nawo kukusetyenziswa kwetyhulo yokutya.
Yintoni i-Tube yokutya?
I-tube ye-gastrostomy (PEG) ye-endoscopic ye-endoscopic (i-PEG) yindlela yokutya ityhubhu esetyenziswa kakhulu kubantu abane-dementia kunye nabanye abaninzi.
Isigqibo sokubeka ityhubhu ye-PEG kumntu kubangela ukuhlinzwa apho ityhubhu ifakwe kwisisu kwaye iphuma kwisisu. Emva kokubekwa, umfomfomfom wefom yokondla uyaphoswa kwi tube kunye nesisu.
Iinqunto zokwenziwa malunga neT Tube Ukutya
UFrank, oneminyaka engama-89 kwaye uye waphuma kwisifo se-Alzheimer , uhlala kwikhaya lokunyamekela ngenxa yokuba umfazi akakwazi ukubonelela ngeyure ezingama-24, ngosuku lwangama-7 ngeliveki enyanzelekileyo.
Utyelela rhoqo kwaye unomdla kwaye uyamxhasa uFrank. Kungekudala, waqala ukukhwehlela aze ahlakulele umkhuhlane (iimpawu ezingabonisa ukufuna impumoniya ), ngoko le ndawo yabuza umfazi kaFrank uVivian ukuba ufuna ukuthunyelwa esibhedlele. Wathi "Ewe" ngoko waziswa esibhedlele.
- Funda ngakumbi: Izifo ezithintela njani abantu abanentsholongwane?
Isibhedlele safumanisa ukuba wayenomnqweno wokuba ne-pneumonia kwaye wayiqala kwikhosi ye- antibiotics ukunyanga i-pneumonia.
Baye baqhuba isifundo sokugwinya esiye sabonisa ukuba ngenxa ye-Alzheimer yokugqibela yaseFrank, ukukwazi kwakhe ukugwinya kwakunzima. Baphetha ukuba uya kuhlala esemngciphekweni wokufuna iipneumonia episodes, kunye nokukhahlela. I-dietitian nayo yaqhuba uvavanyo kwaye yagqiba ukuba uFrank wayengenakudla ngokwaneleyo ukutya ngomlomo kwaye wayenciphisa ubuncinane.
Nanku apho kuphakanyiswa isigqibo
Ngenxa yeziphumo zokuvavanya kwakhe, ugqirha wabuza uVivian ukuba ufuna ukufumana ityhubhu efakwe kwisisu sikaFrank ukuba amnike ukutya okunomsoco.
Izizathu zokuqhubeka nokuTyala iziThubhu
UVuvian waxubusha malunga nombuzo wegqirha waza wagqiba ekubeni ne-tube ye-PEG ibekwe. Wenza njalo ngenxa yokuba akafuni ukuba uFrank ahlakulele enye impumoniya. Ekubeni i-swallow swallowing ibonise ukuba yayingumngcipheko we-choking kunye ne-pneumonia, isibhedlele sinconywa ukuba ukutya kunye namanzi aphethwe ngumlomo. Unenkxalabo yokuba uya kufa indlala ngaphandle kwetyhubhu yokutya kwaye uvakalelwa kukuba ngokubeka ityhulo yokutya eFrank, uya kuba esilambile kwaye akayi kuba sebunciphekweni wokubhukuda kunye ne-pneumonia.
Uphando nge-Tube Feedings With Dementia
Ngaba i-Tube Feedings ivimbela ukuphefumlelwa kwe-Pneumonia?
Nangona kunokwenzeka ukuba ukuthambisa i-tube kunganciphisa ithuba lokutya okanye ukuphuma kwamanzi kwimiphunga nokuphuhlisa imiphunga, oku kuya kwenzeka ngenxa yamathambo ehla ngendlela engafanelekanga. I-Dementia ekugqibeleni ichaphazela amandla okutya nokugwinya. Akuqhelekanga ukubona umntu onesitampu esondla esafuna ukukhupha i-pneumonia.
Ngaba i-Tube Feedings iyamphilisa okanye ikhusele i-Ulcers Press?
Njengomntu onomdemokhrasi oqhubekayo wehla, umzimba wakhe usemngciphekweni wokuphuhlisa isilonda sesisu (ngezinye izihlandlo esibizwa ngokuba ngumbhedzana obunzima) ukusuka ekubeni kwindawo enye ixesha elide okanye ukubeka uxinzelelo oluninzi kwindawo enye. Ukutya okunokutya kunokuncedisa ekuphiliseni nasekukhuseleni ezi ndawo ezivulekileyo. Nangona kunjalo, ukusebenzisa ityhubhu yokutya kunokunyusa umngcipheko wexinzelelo olubi ngenxa yokuba enye yeengozi zokutya i-tube ithupha. I-diarrhea inokunyusa kakhulu amathuba okuchithwa kwesikhumba ngenxa yobume bayo bendalo. Ingabangela ukuba isisu singenakunqandwa kunye negesi. Uphando lubonisa ukuba ukondla i-tube tube akuthinteli izilonda zamagciwane.
Ngaba i-Tube Feedings Yandisa Ubomi?
Abanye abantu bakhetha ukuxhaswa kwe-tube for the love because they are not ready to let that person go, okanye bavakalelwa kukuba bayeza kuchitha umhlobo wabo. Uphando, nangona kunjalo, alubonakali ukunyuka kwexesha lokuphila kwabantu abanesifo sengqondo sengqondo kunye netyhubhu yokutya xa kuthelekiswa nalabo abangenalo ityhubhu.
Olunye uphando lubonisa ukuba ugxininiso ubunzima kunye nokulahleka kwesisindo kukuqala kwenkqubo yokufa kwaye ngoko ke ityhulo yokutya, nangona ibonelela ngesondlo, ayikwazi ukuguqula loo nkqubo yokuphela kokuphila. Izifundo ziye zafumanisa ukuba kubantu abanomdemokhrasi ophezulu, abo bane-tube yokutya banesilinganiso esifanayo sokusinda njengabantu abangenalo ityhulo yokutya.
Ngaba i-Tube Feedings inikezela ukutya okunokwaneleyo kunye ne-Hydration?
I-Tube yokufomula amafomula angalungiswa ukubonelela ngeekhalori ezinkulu okanye ezimbalwa kunye nezondlo ezifanelekileyo. Ucwaningo luye lwabonisa, nangona kunjalo, ukuba ukulahleka kwesisindo kuyaqhubeka kwaye iziphumo zebhubhoratri ezilinganisa ukondla kunye ne-hydration ayisoloko iphuculwe naphezu kokubekwa kwetyhubhu.
Ngaba i-Tube Feedings iphuculise umgangatho wobomi?
Ukutya kudla ngokuba yintlalo, ikakhulukazi kwindawo yokuhlala. Ngokutya kwebhubhu, abo bahlali abahlali begumbi lokudlela ngelixa abanye besidla, kubangela ithuba lokunyuka kwabantu. Abantu abanokuxhaswa kwe-tube bathanda nokutya ukutya okanye utywala ngomlomo ngenxa yesinzwiso kunye nokuziva ngamava.
Abanye oogqirha baya kukhupha umyalelo othi "ukondla ngokuzonwabisa" okuvumela ukuba imali encinci yokutya ngomlomo nokusela. Oku kubangelwa ukuba baye baqwalasela umgangatho wobomi bomntu, kwaye nangona umsebenzi wokugwinya ungagqithwa, umntu kunye nosapho banomuvo wokuba bafumane ukutya kunye nokusela.
- Funda ngakumbi: Ungayithuthukisa njani uMgangatho woBomi kumntu onomdementi?
Ezinye iinketho Esikhundleni seTay Feeding
- Ukondla ngesandla
Ukutya ngesandla kunjengokutsalisa umntu ukuluma enye ngexesha elimnandi, kulula ukutya ukutya. Ukondla ngesandla kunxhaswa ngokuphandle ngophando kubantu abaneengqondo eziphezulu.
- Intloko yeBhedi emva kokutya
Ukuba umntu uhlala ebhedi, ukugcina intloko yakhe ephakamileyo malunga nesiqingatha seyure emva kokutya kunokunceda ukuthintela ukufunwa kwepneumonia.
- Ukunikezela ngokutya okuNgciniweyo okanye okuPhezulu
Ukutya okunomsoco apho inyama ephantsi khona ingaba lula ukuyidla umntu onokutya okuncinane. Iidlo ezichanekileyo zinganceda xa umntu ekwazi ukuhlafuna ukutya uye walahla.
- Ukusetyenziswa kweNdebe yeSippy okanye i-Straw for Liquids
Iikomityi ngeebhondi okanye iintambo zingancedisa abantu ngokugwinya iingxaki kwaye banokunciphisa umngcipheko wokukhahla.
Iingozi ezixhaswa kunye nokutya kweThubhu
- Izibhedlele kwi-Tube Placement
- Ukukhupha i-Tube ngenxa yokungahlali
- Usuleleke kwi-Tube Placement
- Izibambiso ngenxa yobungozi bokukhupha i-Tube
- Isifiso esinamandla sokutya komlomo kunye namafutha
Ukuzikhusela
** Kucelwa uqaphele ukuba ulwazi olufakwe kule website kwaye luxhunywe kuzo zombini nakwiiwebhusayithi alukho iingcebiso zonyango kwaye lukhokelo kunye nolwazi kuphela. Ndenze yonke imizamo yokunika ulwazi oluchanekileyo lwezonyango kunye nophando lwezenzululwazi, kodwa oku akulona indawo yokunyamekela nokukhokelwa ngugqirha. **
Imithombo:
WaseMerika ugqirha. 2002 Apr 15; 65 (8): 1605-1611. Ukondla izibilini kwizigulane ezine-Dementia enkulu.
Amanqaku oNonophelo lwexesha elide. Meyi 2009. http://familymed.uthscsa.edu/geriatrics/reading%20resources/virtual_library/Syndromes/Dementia/AD%20&%20Eating%20Problems09.pdf
Umbhalo we-American Medical Association. Ngo-1999 u-Oktobha 13; 282 (14): 1365-70. I-Tube isondlo kwizigulane ezine-dementia ephezulu: ukuhlaziywa kobungqina. http://www.ncbi.nlm.nih.gov/pubmed/10527184
IiNcwadi zoLondolozo lwangaphakathi. 2001; 161: 594-599. UkuPhumela kwexesha elifutshane eliPhezulu lokuSweleka kweziBhedlele eziBhedlele ngeSifo esiPhambili seMpilo: Ukungabi nzuzo kweT Tube yokutya. http://www.acoi.org/2010Convention/BrymanHighShortTermMortalityInHospitalizedPatientsWithAdvancedDementia.pdf