PEG Tubhu uye G-Tubes muvana Kuberekwa Kare
A gastrostomy tube, inonziwo G-tube, inogadzira chirwere chinopinda mudumbu remuviri mudumbu. G-tubes inoshandiswa kwenguva refu-tube tube feedings mucheche, vana, uye vanhu vakuru vasingakwanisi kudya kana vasingakwanisi kudya zvakakwana.
Pane zvikonzero zvizhinji nei mwana asati azvarwa asati ada G-tube. Vavengi vekutanga vanotambudza kudya pakutanga, asi kuwana simba nekubatana sezvavanokura.
Nenguva yavanobva kuNICU, ivo vari kunyamwisa kana kupa mabhodhoro zvakanaka. Mamwe mauto ane zvinetso zvehutano zvakaoma zvinoita kuti zvive nyore kuti vadye zvakanaka. Zvimwe zvikonzero nei preemie angada G-tube inosanganisira:
- Nguva yakareba yokuputika kwemhepo: Vacheche vanoda kuve muvhariyeri kwenguva yakareba havangakwanisi kudya kusvikira vane tracheostomy. Kunyange zvakadaro, zvinogona kutora nguva yakareba kuti vana ava vadzidze kudya zvakanaka.
- Mhedziso yekutsauka: Vana vachembera muNICU vanowana kukuvadza kwakanyanya kumiromo yavo. Intubation, kutevedza uye maitiro mashoma ekudyisa zvinogona kukonzera vana kuti vauye kudengenyeka mumuromo kunodzivirira kuti vasadya zvakakwana kuti vakure uye vawane uremu.
- Neurologic disorders: Cerebral palsy kana mamwe matambudziko e-neuromuscular anogona kukonzera nekuyamwisa matambudziko anoita kuti zvive nyore kuvana nevana kuti vadye zvokudya zvakakwana kuti zvikure zvakanaka.
- Dambudziko rekuwana uremu: Kusakundikana kukura, BPD, uye mararamiro emagetsi zvinogona kuita kuti zvive zvakaoma kumucheche kuti awane kuwanda kwezvikonzero zvakasiyana-siyana. Kana mwana wako asiri kukura zvakanaka pasinei nezvose zvaunogona kuita, nguva refu nguva yekudya tube inogona kuva mhinduro.
Ko Gastrostomy Tubes Inowanikwa Sei?
Kune nzira mbiri huru iyo G-tubes inowanikwa muvana: chirwere kana kuti ine endoscope. Kuvhiya kunogona kuitwa laparoscopically kana senzira yekuvhiya yakazaruka. Zvinowanzojairika kuisa gastrostomy tubes ne endoscope mune imwe nzira inonzi percutaneous endoscopic gastrostomy, kana chirongwa che PEG.
Kudyisa mabheji akaiswa seizvi zvinowanzoti PEG tubes.
Kufanana nemishonga yose, pane ngozi yezvinetso kubva G-tube uye PEG tube yekuisa. Zvipingamupinyi zvizhinji zvinowanikwa mukati memwedzi yekutanga mushure mekuvhiyiwa, asi zvinogona kuitika chero bedzi iyo tube iri panzvimbo. Zvinetso zvinosanganisira:
- Kufamba-famba kunzvimbo yacho
- Ruvara uye ganda rinotsamwisa
- Kusunungurwa kwei tube
- Kurwara
Ndinotarisira Sei G-Tube Yemwana Wangu?
Usati wabva muchipatara nemwana wako, unodzidza kutarisira G-tube kana PEG tube uye nzira yekupa tube feedings. Iwe unodzidza kuchengetedza ganda rakachena, sei kubvisa tubing kuti udzivirire machira, uye chii chaunofanira kuita kana bhutu richibuda. Ino inguva yakanaka yekubvunza mibvunzo ipi yaunayo nezve gastrostomy tube kuchengetedza nekupa mwana wako.
Sources:
KidsHealth from Nemours. "Gastrostomy Tube (G-Tube)." http://kidshealth.org/en/parents/g-tube.html.
McSweeny, M., Jiang, H., Deutsch, A., Atmadja, M., & Lightdale, J. (Nov. 2013). "Migumisiro yenguva refu yevana vacheche nevana vanoita" Percutaneous Endoscopy Gastrostomy Tube Placement. " Zvinyorwa zveMwana Gastroenterology uye Nutrition. 57: 663-667.
Minar, P., Garland, J., Martinez, J., & Werlin, S. (Sept. 2011). "Kuchengetedzwa kwePercutaneous Endoscopic Gastrostomy muMakemikari Akaoma Vana." Zvinyorwa zveMwana Gastroenterology uye Nutrition. 53: 293-295