Gastrostomy: menene menene, yadda ake ciyarwa da kulawa mai mahimmanci

Wadatacce

• 10 matakai don ciyarwa ta hanyar bincike
• Yadda ake shirya abinci don bincike
• Yadda za a kula da ciwon gastrostomy
• Yaushe za a je likita

Gastrostomy, wanda kuma aka fi sani da endoscopic gastrostomy ko PEG, ya ƙunshi sanya ƙaramin bututu mai sassauci, wanda aka sani da bincike, daga fatar ciki kai tsaye zuwa ciki, don ba da damar ciyarwa a cikin yanayin inda ba za a iya amfani da hanyar baka ba.

Ana nuna alamar sanya kayan ciki a yanayin:

• Buguwa
• Zubar jini a kwakwalwa;
• Ciwon kwakwalwa;
• Tumurai a cikin makogwaro;
• Amyotrophic a kaikaice sclerosis;
• Tsanani mai wahala wajen hadiya.

Wasu daga cikin waɗannan lamuran na iya zama na ɗan lokaci, kamar yadda yake a cikin yanayin bugun jini, wanda mutum ke amfani da ciwon ciki har sai sun sake cin abinci, amma a wasu kuma yana iya zama tilas a ajiye bututun shekaru da yawa ko ma tsawon rayuwarsa.

Hakanan za'a iya amfani da wannan fasaha na ɗan lokaci bayan tiyata, musamman lokacin da ya haɗa da narkewa ko tsarin numfashi, misali.

10 matakai don ciyarwa ta hanyar bincike

Kafin ciyar da mutum da bututun ciki, yana da matukar muhimmanci a sanya shi a zaune ko kuma a ɗaga kan gadon, don hana abinci tashi daga ciki zuwa cikin maƙogwaron, yana haifar da jin zafin ciki.

Bayan haka, bi mataki-mataki:

1. Yi nazarin bututun don tabbatar da cewa babu wasu dunkulallun da zasu iya kawo cikas ga wucewar abinci;
2. Rufe bututun, ta amfani da shirin bidiyo ko ta lankwasa tip, don kada iska ta shiga cikin bututun lokacin da aka cire murfin;
3. Bude murfin binciken kuma sanya sirinji na ciyarwa (100ml) a cikin bututun gastrostomy;
4. Bude wannan binciken a hankali kuma a hankali a jawo abin sirinjin don neman ruwan da yake cikin ciki. Idan za a iya neman fiye da 100 ml, ana ba da shawarar ciyar da mutum daga baya, lokacin da abubuwan da ke ciki ƙasa da wannan ƙimar. Dole ne a saka abun cikin buƙata koyaushe cikin ciki.
5. Sake lanƙwasa ƙarar binciken ko rufe bututun tare da shirin bidiyo sannan ka janye sirinji;
6. Cika sirinji da 20 zuwa 40 ml na ruwa kuma a mayar dashi cikin bincike. Bude binciken da latsawa a hankali har sai duk ruwan ya shiga cikin ciki;
7. Sake lanƙwasa ƙarar binciken ko rufe bututun tare da shirin bidiyo sannan ka janye sirinji;
8. Cika sirinji tare da nikakken abinci, a cikin adadin 50 zuwa 60 ml;
9. Maimaita matakai sake don rufe bututun da sanya sirinji a cikin bincike, koyaushe a kula kada a bar bututun a buɗe;
10. A hankali a matse sirinji, saka abinci a hankali cikin ciki. Maimaita kamar yadda ya kamata har sai an bayar da adadin da likita ko masanin abinci ya ba da shawarar, wanda yawanci ba ya wuce 300 ml.

Bayan an gama sarrafa dukkan abincin ta hanyar bincike, yana da mahimmanci a wanke sirinji a cika shi da ruwa mil 40, a sake mayar da shi ta hanyar binciken a wanke shi kuma a hana gutsuren abincin su taru, toshe bututun.

Waɗannan abubuwan kariya suna kama da na bututun nasogastric, don haka kalli bidiyon don lura da yadda koyaushe ake rufe bututun koyaushe, hana iska shiga:

Yadda ake shirya abinci don bincike

Dole ne abincin ya kasance koyaushe yana ƙasa sosai sannan kuma bai ƙunshi manya-manyan abubuwa ba, saboda haka ana ba da shawarar a jujjuya kayan kafin sanya shi a cikin sirinji. Tsarin abinci yakamata ya kasance mai jagorantar mai gina jiki koyaushe don tabbatar da cewa babu rashi bitamin kuma, sabili da haka, bayan sanyawar bututun, likita na iya komawa zuwa shawarwari tare da mai gina jiki. Anan ga wasu shawarwari don yadda abincin binciken zai kasance.

Duk lokacin da ya zama dole ayi amfani da magani, dole ne a murza kwamfutar hannu sosai a gauraya a cikin abinci ko ruwan da za'a sha. Koyaya, yana da kyau kada ku haɗu da ƙwayoyi a cikin sirinji ɗaya, saboda wasu na iya zama bai dace ba.

Yadda za a kula da ciwon gastrostomy

A cikin makonni 2 zuwa 3 na farko, mai jinya a asibiti ne ke kula da ciwon na gastrostomy, saboda ana buƙatar ƙarin kulawa don guje wa kamuwa da cutar har ma da kimanta wurin. Koyaya, bayan an sallame shi kuma ya dawo gida, ya zama dole a kula da wani rauni tare da rauni, don hana fatar yin fushi da haifar da wani nau'in rashin jin daɗi.

Mafi mahimmanci kulawa shine tsaftace wurin koyaushe kuma ya bushe kuma, sabili da haka, yana da kyau a wanke wurin aƙalla sau ɗaya a rana da ruwan dumi, gauze mai tsabta da sabulun pH tsaka tsaki. Amma kuma yana da mahimmanci a guji tufafin da suke matse sosai ko sanya creams tare da turare ko sinadarai a wurin.

Lokacin wankin wurin da aka yiwa rauni, ya kamata kuma a binciki binciken kadan, don hana shi makalewa ga fata, yana kara damar kamuwa da cutar. Wannan motsi na juyawa binciken yakamata ayi sau daya a rana, ko kuma bisa ga jagorar likita.

Yaushe za a je likita

Yana da matukar muhimmanci a je likita ko asibiti lokacin da:

• Binciken ba shi da wuri;
• Binciken ya toshe;
• Akwai alamun kamuwa da cuta a cikin raunin, kamar ciwo, redness, kumburi da kasancewar kumburi;
• Mutum na jin zafi yayin ciyarwa ko amai.

Bugu da kari, dangane da kayan binciken, yana iya zama tilas a koma asibiti don canza bututun, amma, dole ne a yarda da wannan lokaci tare da likita.