PEG Tubes le G-Tubes ho Bana ba Tsoaloa Pele ho nako
Tsela ea gastrostomy, eo hape e bitsoang G-tube, ke tube e fepa e kenang ka lerako la mpa ka mpeng. Li-tubes li sebelisetsoa ho fepa li-tube tsa nako e telele masea, bana le batho ba baholo ba sitoang ho ja kapa ba sitoang ho ja.
Ho na le mabaka a mangata ao ka 'ona lesea le sa tsoa tsoaloa le ka' nang la hloka G-tube. Boholo ba lirafshoa ba na le bothata ba ho ja pele, empa ba fumana matla le ho sebelisana ha ba ntse ba hōla.
Nakong ea ha ba tloha NICU, ba anyesa kapa ba fepa botlolo hantle. Li-precept tse ling li na le mathata a mangata a bongaka a etsang hore ho be thata hore ba je hantle. Mabaka a mang a etsang hore preemie a hloke G-tube e kenyelletsa:
- Nako e telele ea motlakase: Bana ba hlokang ho ba sekoting sa nako e telele ba ke ke ba ja ho fihlela ba e-na le tracheostomy. Leha ho le joalo, ho ka 'na ha nka nako e telele hore bana bana ba ithute ho ja hantle.
- Ho senyeha ka molomo: Bana ba pele ho NICU ba fumana boikutlo bo bongata bo sa thabiseng melomong ea bona. Ho phomola, mekhoa ea ho fepa le ho futsaneha ho ka etsa hore masea a hlaolele phetoho ea molomo e ba thibelang ho ja lijo tse lekaneng ho hōla le ho theola boima ba 'mele.
- Mathata a kelello: Cerebral palsy kapa mathata a mang a neuromuscular a ka baka mathata le ho metsa mathata a etsang hore ho be boima bakeng sa masea le bana ho ja lijo tse lekaneng ho hōla hantle.
- Ho thata ho fumana boima: Ho hlōleha ho atleha, BPD, le mathata a liphatsa tsa lefutso ho ka etsa hore ho be thata ho masea hore a be boima ka mabaka a sa tšoaneng. Haeba lesea la hao le sa hōle hantle ho sa tsotellehe boiteko bohle ba lona, phepo ea nakoana ea nakoana e ka ba tharollo.
Mefuta ea Gastrostomy Tubes e Etsoa Joang?
Ho na le litsela tse peli tse ka sehloohong tseo li-G-tubes li behiloeng ka tsona ho bana: opereishene kapa ka endoscope. Mokhoa oa ho buoa o ka etsoa kalafono kapa ka mokhoa o bulehileng oa ho buuoa. Ho tloaelehile ho beha li-gastrostomy tubes tse nang le endoscope ka mokhoa o bitsoang percutaneous endoscopic gastrostomy, kapa mokhoa oa PEG.
Ho fepa lipeipi tse kang tsena hangata li bitsoa PEG.
Joaloka mekhoa eohle ea bongaka, ho na le kotsi ea mathata a tsoang G-tube le PEG tube placement. Mathata a mangata a etsahala nakong ea likhoeli tsa pele ka mor'a ho buuoa, empa a ka etsahala hafeela tube e ntse e le teng. Mathata a kenyeletsa:
- Ho tsamaea haufi le sebaka seo
- Bofubelu le ho halefa ha letlalo
- Ho senyeha ha tube
- Tšoaetso
Nka Hlokomela G-Tube ea Ngoana oa Ka Joang?
Pele u tloha sepetlele le ngoana oa hao, u tla ithuta ho hlokomela G-tube kapa PEG tube le mokhoa oa ho fana ka li-tube feedings. U tla ithuta ho boloka letlalo le hloekile, ho hlatsoa li-tubing ho thibela li-clogs, le seo u lokelang ho se etsa haeba tube e tsoa. Ena ke nako e ntle ea ho botsa lipotso leha e le life tseo u nang le tsona mabapi le tlhokomelo ea gastrostomy tube le ho fepa lesea la hao.
Lisebelisoa:
KidsHealth ho tloha Nemours. "Tube ea Gastrostomy (G-Tube)." http://kidshealth.org/en/parents/g-tube.html.
McSweeny, M., Jiang, H., Deutsch, A., Atmadja, M., & Lightdale, J. (Nov. 2013). "Liphello tsa nako e telele tsa masea le bana li sebelisa Tšebeliso ea Letlalo la Tšebeliso ea Likokoana-hloko ea" Endlesscopy Gastrostomy ". Journal of Pediatric Gastroenterology le phepo e nepahetseng. 57: 663-667.
Minar, P., Garland, J., Martinez, J., & Werlin, S. (Sep. 2011). "Tšireletseho ea Gastrostomy ea Percutaneous Endoscopic Litšoantšong Tsa Meriana e Thatafalitsoeng." Journal of Pediatric Gastroenterology le phepo e nepahetseng. 53: 293-295