Ho fepa tube kenya - gastrostomy

Ho kenya tube ea gastrostomy ke ho beoa ha pompo ea phepo letlalong le leboteng la mpa. E ea ka ho toba ka mpeng.

Ho kenya tube ea Gastrostomy (G-tube) ho etsoa ka karolo e 'ngoe ho sebelisa ts'ebetso e bitsoang endoscopy. Ena ke mokhoa oa ho sheba kahare ho 'mele o sebelisa tube e tenyetsehang e nang le kh'amera e nyane qetellong ea eona. Endoscope e kentsoe ka hanong le tlase 'metso, e lebisang ka mpeng.

Kamora hore tube ea endoscopy e kentsoe, letlalo le ka lehlakoreng le letšehali la mpa (mpa) lea hloekisoa le ho fifatsoa. Ngaka e seha karolo e nyane sebakeng sena. G-tube e kenngoa kahare ho ena ka mpeng. Phala e nyane, e tenyetseha ebile ha e na sekoti. Ngaka e sebelisa lithupa ho koala mpa ho potoloha tube.

Li-tubes tsa phepo ea Gastrostomy li kenngoa ka mabaka a fapaneng. Li ka hlokahala nako e khuts'oane kapa ruri. Tsamaiso ena e ka sebelisoa bakeng sa:

• Bana ba nang le bofokoli ba tsoalo ea molomo, 'metso kapa mpa (mohlala, esophageal atresia kapa tracheal esophageal fistula)
• Batho ba sa khoneng ho koenya hantle
• Batho ba sa khoneng ho ja lijo tse lekaneng ka molomo hore ba lule ba phetse hantle
• Batho ba atisang ho hema lijo ha ba ja

Likotsi tsa ho kenngoa lipeipi tsa ho fepa kapa tsa endoscopic ke tse latelang:

• Ho tsoa mali
• Tšoaetso

U tla fuoa setlolo se kokobetsang bohloko. Maemong a mangata, meriana ena e fanoa ka mothapo (IV line) letsohong la hao. Ha ua lokela ho utloa bohloko 'me u se ke oa hopola ts'ebetso.

Moriana o thethefatsang o ka tšeloa ka hanong la hau ho thibela takatso ea ho khohlela kapa ho koenya ha endoscope e kentsoe. Ho tla kenngoa molebeli oa molomo ho sireletsa meno a hau le endoscope.

Meno a maiketsetso a tlameha ho tlosoa.

Hangata hona ke ts'ebetso e bonolo feela e nang le chebo e ntle. Latela litaelo life kapa life tseo u li fuoang tsa ho itlhokomela, ho kenyelletsa:

• Mokhoa oa ho hlokomela letlalo ho potoloha tube
• Matšoao a tšoaetso
• Seo u lokelang ho se etsa haeba tube e ntšoa
• Lipontšo le matšoao a thibelo ea li-tube
• Mokhoa oa ho tšolla mpa ka phala
• U ka fepa joang le ka eng ka har'a tube
• Mokhoa oa ho pata tube ka tlas'a liaparo
• Ke lintho life tse tloaelehileng tse ka tsoeloang

Mpa le mpa li tla fola matsatsing a 5 ho isa ho a 7. Mahlaba a itekanetseng a ka phekoloa ka meriana. Phepelo e tla qala butle ka mokelikeli o hlakileng, 'me e eketsehe butle.

Ho kenya tube ea Gastrostomy; Ho kenya G-tube; Ho kenngoa ha tube ea PEG; Ho kenya tube ea mpa; Percutaneous endoscopic gastrostomy tube kenyelletso

• Ho beoa tube ea Gastrostomy - letoto la lihlooho

Kessel D, Robertson I. Ho phekola maemo a mala. Ka: Kessel D, Robertson I, bahlophisi. Radiology e kenellang: Tataiso ea ho Pholoha. La 4 ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 42.

> Morray TE, Lee MJ. Gastrostomy le jejunostomy. Ka: Mauro MA, Murphy KP, Thomson KR, Venbrux AC, Morgan RA, bahlophisi. Mehato e tataisoang ke litšoantšo. 3rd ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 91.

Twyman SL, Davis PW. Percutaneous endoscopic gastrostomy ho beoa le ho nkeloa sebaka. Ka: Fowler GC, e hlophisitsoeng. Mekhoa ea Pfenninger le Fowler ea Tlhokomelo ea Mathomo. La 4 ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 92.