Isaac O. Opole, MD, PhD, ni umuganga wemejwe n’inama w’inzobere mu buvuzi bw’abakuze.Yakoze imyaka isaga 15 mu kigo cy’ubuvuzi cya kaminuza ya Kansas aho na we ari umwarimu.
Percutaneous endoscopic gastrostomy nuburyo bukoreshwa muburyo bwo kugaburira ibiryo byoroshye (bita umuyoboro wa PEG) byinjizwa mu rukuta rw'inda mu gifu. Ku barwayi badashobora kumira ibiryo bonyine, imiyoboro ya PEG yemerera intungamubiri, amazi n'imiti gutangwa mu gifu, bikuraho gukenera kurenga umunwa na esofagusi yo kumira.
Kugaburira imiyoboro ifasha abantu badashobora kwigaburira kubera uburwayi bukabije cyangwa kubagwa ariko bafite amahirwe akwiye yo gukira.Bafasha kandi abantu badafite igihe gito cyangwa burundu badashobora kumira ariko bakora mubisanzwe cyangwa hafi yubusanzwe.
Muri iki gihe, umuyoboro ugaburira ushobora kuba inzira yonyine yo gutanga imirire ikenewe cyane / cyangwa imiti.Ibi byitwa imirire yimbere.
Mbere yo kugira gastrostomy, umuganga wawe azakenera kumenya niba ufite ubuzima budakira (nk'umuvuduko ukabije w'amaraso) cyangwa allergie n'imiti ufata.Ushobora gukenera guhagarika imiti imwe n'imwe, nk'imiti yangiza amaraso cyangwa imiti idakira ya steroidal anti-inflammatory (NSAIDs), kugeza igihe cyo kubagwa kugira ngo ugabanye ingaruka zo kuva amaraso.
Ntuzashobora kurya cyangwa kunywa amasaha umunani mbere yuburyo bukwiye gutegurwa kugirango umuntu agutware akujyane murugo.
Niba umuntu adashobora kurya kandi adafite uburyo bwo kugaburira umuyoboro, amazi, karori, nintungamubiri zikenewe kugirango umuntu abeho arashobora gutangwa mu mitsi. Nyuma, kubona karori nintungamubiri mu gifu cyangwa amara ninzira nziza kubantu kubona intungamubiri umubiri wabo ukeneye gukora neza, bityo kugaburira imiyoboro itanga intungamubiri nziza kuruta amazi ya IV.
Mbere yuburyo bwo gushyira PEG, uzakira imitsi yimitsi hamwe na anesthesi yaho hafi yikibanza cyaciwe.Ushobora kandi kwakira antibiyotike zinjira mumitsi kugirango wirinde kwandura.
Umuganga wita kubuzima azahita ashyira umuyoboro woroheje urumuri rwitwa endoscope kumuhogo wawe kugirango ufashe kuyobora umuyoboro nyawo unyuze murukuta rwigifu. Hakozwe agace gato kugirango ushire disiki imbere no hanze yugurura munda; uku gufungura kwitwa stoma. Igice cyigituba hanze yumubiri gifite santimetero 6 kugeza 12.
Nyuma yo kubagwa, umuganga wawe azashyira igitambaro kurubuga rwaho. Urashobora guhura nububabare hafi yikibanza nyuma yo kubagwa, cyangwa gutitira no kutoroherwa na gaze.Hashobora no gutemba amazi hafi yikibanza. Izi ngaruka mbi zigomba kugabanuka mumasaha 24 kugeza 48. Mubisanzwe, urashobora gukuramo igitambaro nyuma yumunsi umwe cyangwa ibiri.
Kumenyera kugaburira ibiryo bisaba igihe.Niba ukeneye umuyoboro kubera ko udashobora kumira, ntushobora kurya no kunywa ukoresheje umunwa wawe.
Mugihe utabikoresha, urashobora gukanda umuyoboro mu gifu ukoresheje kaseti yubuvuzi. Guhagarika cyangwa gufunga kumpera yigituba birinda amata yose kumeneka kumyenda yawe.
Umwanya ukikije umuyoboro wawe wo kugaburira umaze gukira, uzahura ninzobere mu bijyanye nimirire cyangwa inzobere mu mirire izakwereka uburyo wakoresha umuyoboro wa PEG hanyuma utangire imirire yimbere.Dore intambwe uzatera mugihe ukoresheje imiyoboro ya PEG:
Rimwe na rimwe, birashobora kugorana kumenya niba kugaburira umuntu umuyoboro ari ikintu cyiza cyo gukora nicyo gutekereza ku myitwarire myiza. Ingero zibi bihe zirimo:
Niba wowe cyangwa uwo ukunda urwaye cyane kandi ukaba udashobora kurya kumunwa, imiyoboro ya PEG irashobora guha by'agateganyo cyangwa ndetse burundu guha umubiri ubushyuhe nintungamubiri kugirango ukire kandi utere imbere.
Imiyoboro ya PEG irashobora gukoreshwa mumezi cyangwa imyaka.Niba bibaye ngombwa, umuganga wawe arashobora kuvanaho byoroshye cyangwa gusimbuza umuyoboro udakoresheje imiti igabanya ubukana cyangwa anesthetike ukoresheje traction ikomeye. Nyuma yuko umuyoboro umaze gukurwaho, gufungura inda yawe bifunga vuba (niba rero bivuye kubwimpanuka, ugomba guhamagara umuganga wawe mukanya ako kanya.)
Niba kugaburira imiyoboro bizamura imibereho (QoL) biterwa nimpamvu yo kugaburira imiyoboro n’imiterere y’umurwayi.Ubushakashatsi bwakozwe mu mwaka wa 2016 bwarebye abarwayi 100 bakiriye imiyoboro yo kugaburira. Nyuma y’amezi atatu, abarwayi na / cyangwa abarezi babajijwe.Abanditsi banzuye bavuga ko mu gihe imiyoboro itazamura imibereho y’abarwayi, ntibigeze bagabanuka.
Umuyoboro uzaba ufite ikimenyetso cyerekana aho ugomba guhanagurwa no gufungura urukuta rwinda.Ibi birashobora kugufasha kwemeza ko umuyoboro uri mumwanya mwiza.
Urashobora guhanagura umuyoboro wa PEG usukuye amazi ashyushye ukoresheje umuyoboro mbere na nyuma yo kugaburira cyangwa kwakira imiti, no guhanagura impera hamwe no guhanagura.
Ubwa mbere, gerageza kwoza umuyoboro nkuko bisanzwe mbere na nyuma yo kugaburirwa.Niba umuyoboro udasukuwe cyangwa formulaire yo kugaburira ikabyibushye cyane, gufunga bishobora kubaho. Hamagara umuganga wawe wubuzima niba umuyoboro udashobora gukurwaho.Ntukoreshe insinga cyangwa ikindi kintu cyose kugirango ugerageze gufungura umuyoboro.
Iyandikishe kumakuru yubuzima yacu ya buri munsi kandi wakire inama za buri munsi zagufasha kubaho ubuzima bwiza.
Sosiyete y'Abanyamerika ya Gastrointestinal Endoscopi. Wige ibijyanye na gastrostomy ya endoskopique (PEG).
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Metheny NA, Hinyard LJ, Mohammed K.
Yoon EWT, Yoneda K, Nakamura S, Nishihara K. Percutaneous endoscopic gastrojejunostomy (PEG-J): isesengura ryihuse ryerekana akamaro karyo mugukomeza imirire yimbere nyuma yo kugaburira gastrica idatsinzwe.BMJ Gufungura Gastroenterology.2016; 3 (1): e000098corr1.doi: 10.1136 / b
Kurien M, Andereya RE, Tattersall R, nabandi.Gastrostomy irabitswe ariko ntabwo iteza imbere imibereho yabarwayi n’abarezi.Clinical Gastroenterology na Hepatology.2017 Jul; 15 (7): 1047-1054.doi: 10.1016 / j.cgh.2016.10.032
Igihe cyo kohereza: Jun-28-2022