Zvinhu Zvokufungisisa Apo Preemie Yako Inoda Zvokudya Tube
Kudyisa zvinetso ndeimwe yezvinetso zvinotambudza zvikuru zveutano vabereki vatsva vanogona kutarisana nazvo. Vavengi, avo vanowanzotambudza nesimba remaviri uye kubatana kunoda kuidya vari voga, vangada rubatsiro kubva kune chigadzirwa chekudya kuti vawane chikafu chakakodzera. Kudyisa mabhesi kunogona kushandiswa mune zvose zvipatara uye kunze kwekugadzirisa zvirongwa, nemukaka kana mukaka wemvere . Vacheche vasati vasvika vangave vanodawo chikwata chekudya kune zvimwe zvikonzero, kusanganisira muromo wekutsauka , kusakwanisa kukura , uye zvinetso zvepfungwa.
Kunyange zvazvo chisarudzo chekuisa chikafu chisina kumbobvira chiri nyore, kudyisa mabhesi ndiyo nzira yakachengeteka uye inonyatsobudirira yekupa kudya kwakakwana kune vacheche vanoda rubatsiro. Kudyisa mabhuku kunobvumira vana kuti vagamuchire zvimwe kana kudya kwavo kwose mudumbu, uye zvinogona kushandiswawo kupa mishonga yemuromo.
Zvikonzero Zvokuwana NG-Tube kana G-Tube
Vazhinji vana vasati vazvarwa vasati vabuda matambudziko ekudyisa vasati vabva muchipatara, uye vabereki havafaniri kunetseka kuti vachazoshandisa kushandisa zviyo zvekudya kumba. Mamwe mavambo ane matambudziko anokonzera mhirizhonga yomuromo kana kuti kupera kwenguva refu, kunetseka, kana kuti zvinetso zvepfungwa.
Muchipatara, NG kana OG (maitiro emakumbo anobva mumuromo kusvika mudumbu) matope achashandiswa kugadzirwa kwepipe kana mwana wako achiri kukura uye achidzoka. Kana mwana wako akagadzirira kusununguka asi achiri kutambudzika kunopa, pamba NG tube feedings inogona kunge iri sarudzo. Kune vamwe vana, kunyange zvakadaro, pane nguva inouya apo iwe kana vanachiremba vemwana wako uye vanamukoti vanoziva kuti mwana wenyu haazokwanisa kudya zvakanaka kwenguva refu.
Mhando dzakasiyana dzekudyisa Tubes
Kune miviri miviri mikuru yekudyisa tubate inogona kushandiswa mucheche nevana:
Nasogastric tubes, kana NG tubes, dzakatetepa, dzinogadziriswa mabhute anowanikwa nemumhino unoenda pasi pasi kusvika mudumbu. An orogastric tube ndiyo imwechete inopinza mumuromo panzvimbo yemhuno.
Aya mazinga anogonawo kushandiswa kubatsira kubvisa mweya kubva mudumbu romwana wako.
Gastrostomy tubes , inonziwo G-tubes kana PEG tubes, iine mashubu maduku anopinda nepamuviri mudumbu zvakananga mudumbu.
Kudyisa Tube Zvimwe
Zvose G-tubes uye NG tubes zvinogona kushandiswa kupa tube feedings muchipatara uye kumba. Kushandisa kudya tubha pamba, vabereki vachada kupedza nguva muchipatara vachidzidza kushandisa michina. Vashandi vezvipatara vachapedza nguva yakawanda vachidzidzisa mhuri nzira yekudzorera mabheji, kupa zvigaro, kugadzirisa zvinetso zvebhuku, uye kuwana rubatsiro kana zvichidiwa.
Ndeipi Ikoko Yakakodzera Kumwana Wangu?
Vanachiremba nevabereki vachasarudza pamwe chete rudzi rwekudya tube kunakisisa kuburikidza nokutarisa chinokonzera dambudziko rekudya uye kuti vanofunga kwenguva yakadini tube feedings ichadiwa.
Pros uye Cons ye NG Tubes
NG Mipu inowanzova yekutanga tube iyo mwana achagashira kuti ave nechokwadi chokuti tube yekudya inoshanda uye inoda nguva refu. Mukuwedzera kune NG tubes, kune kusiyana kwekudya mabhute akaiswa mumumvuri wemapapiro anoguma pamakona akasiyana-siyana pamwe neatomy yemuviri, yakadai semukumbo muduku kana jejunum.
- Pros: NG tubes zviri nyore kuisa kumba kana muchipatara uye hazvidi kuti upiwe chirwere. Izvo zviri nyore kubvisa zvakare, zvichiita kuti zvive zvakakwana kwezvinetso zvekudya kwenguva pfupi.
- Mutengo: NG tubhu dzinogona kukonzera kutsamwa mumhino, kunyanya kwenguva refu. Vanoda kuchinjwa nevhiki imwe neimwe kana maviri uye vanogona kuwedzera zviratidzo zve reflux . Nemhaka yokuti vakanamirwa kumeso ivo nguva dzose vanoonekwa, uye tepi inogona kutsamwisa ganda.
Pros uye Cons of G-Tubes / PEG Tubes
Nzira yakakurumbira yekudyisa tubate, G-tubes inowanzoshandiswa kune vacheche vanoda chirwere chekudya kwemarefu kwenguva refu kupfuura mwedzi mitatu. Izvo zvinoshandiswa nechiremba wechiremba vacheche zvakananga kuburikidza nedumbu uye mudumbu.
- Zvigadzirwa: G-tubes zviri nyore kuvanza pasi pezvokupfeka, kuitira kuti mabhii aya agare ari oga. Vanongoda kuchinjwa nemwedzi mitatu uye havadi chero tepi paganda.
- Mutezo: G-tube kuiswa kunoitwa chirongwa chinofanira kuitwa muchipatara. Ikoko kunogona kuva nezvinetso, kusanganisira kutapurika uye zvinetso ne stoma. Kana mabhuni achibuda uye asingatsiviwa nekukurumidza, gomba rinogona kutanga kuvhara. Mushure mekunge G-tubhu rakabviswa, pachava necheka shoma.
Gastric Residuals
A gastric residual chikafu chinobva kune zvakasara kudya zvakasara mudumbu pakutanga kwekudya kwekupedzisira.
Muvana vasati vachangopera, kusara kwegastric kunoongororwa apo vacheche vane chirwere chekudya chakadai seB NG kana G-tube . Mukoti kana chiremba anoongorora iyo yakasara inoshandiswa ichabatanidza siriniti kusvika kumugumo wehutano hwekudya uye zvinyoronyoro zvinodonha pazadza. Mhepo chero ipi zvayo kana zvokudya zvakasara mudumbu zvichapinda mukati mevira.
Kana iyo yakasara ichiita soutano, inowanzodzorerwa kumudumbu mushure mekurasa mweya. Girasi kana kubuda ropa kunogona kuva chiratidzo chekutapukira kwakafanana neNEC uye ichaudzwa kunechiremba.
Kunyange zvazvo kufungidzirwa kwepurazi hakufaniri kumbova nzira yekutanga yekudyisa zvinetso, iyo inopedza mhinduro apo dzimwe nzira dzisina kushanda. Uye kana zvakaoma kufunga nezvekuvhiya mwana wako, kudya mabhesi kunogona kuva chinhu chinoshamisa kumhuri dzakawanda.
Sources:
KidsHealth from Nemours. "Gastrostomy Tube (G-Tube)." > http://kidshealth.org/en/parents/g-tube.html.
Feeding Tube Kuziva Nheyo. > http://www.feedingtubeawareness.org/.