Hoʻokomo ʻia ka paipu hoʻokomo - gastrostomy

Hoʻokomo ʻia kahi pūpū hānai gastrostomy i kahi paipu ʻai ma o ka ʻili a me ka paia o ka ʻōpū. Hele pololei i loko o ka ʻōpū.

Hoʻokomo ʻia ka hoʻokomo o Gastrostomy (Tube Tube) i kahi ʻāpana e hoʻohana ai i kahi hana i kapa ʻia endoscopy. ʻO kēia kahi ala o ka nānā ʻana i loko o ke kino e hoʻohana ana i kahi paipu maʻalahi me kahi kāmela liʻiliʻi ma ka hopena. Hoʻokomo ʻia ka endoscope ma o ka waha a i lalo o ka esophagus, a hiki i ka ʻōpū.

Ma hope o ka hoʻokomo ʻia ʻana o ka pahu endoscopy, hoʻomaʻemaʻe ʻia ka ʻili ma luna o ka ʻaoʻao hema o ka ʻōpū (ʻōpū). Hana ke kauka i kahi ʻoki liʻiliʻi ma kēia wahi. Hoʻokomo ʻia ka paipu G ma o kēia ʻoki i loko o ka ʻōpū. Liʻiliʻi ka paipu, maʻalahi, a hakahaka. Hoʻohana ke kauka i nā humuhumu e pani i ka ʻōpū a puni ka paipu.

Hoʻokomo ʻia nā paipu hānai Gastrostomy no nā kumu like ʻole. Pono paha lākou no kahi manawa pōkole a mau loa paha. Hoʻohana ʻia kēia kaʻina hana no:

• Nā pēpē me nā kīnā hānau o ka waha, esophagus, a i ʻole ka ʻōpū (e laʻa me ka esophageal atresia a i ʻole tracheal esophageal fistula)
• Ka poʻe hiki ʻole ke ale pono
• ʻO ka poʻe hiki ʻole ke lawe i ka ʻai a ka waha e lawa ai ke olakino
• Ka poʻe e hanu pinepine i ka meaʻai ke ʻai

Nā Pilikia no ka hoʻokomo a me ka hoʻokomo ʻana i ka Tube Tube

• Kahena
• Maʻi kīnā

E hāʻawi ʻia ʻoe i ka mea hōʻoluʻolu a me ka painkiller. I ka hapanui o nā hihia, hāʻawi ʻia kēia mau lāʻau i loko o kahi uaua (laina IV) i kou lima. ʻAʻole ʻoe e ʻehaʻeha a hoʻomanaʻo ʻole i ke kaʻina hana.

E lūlū ʻia kahi lāʻau numbing i loko o kou waha e pale ai i ka ʻiʻini e hamo a i ʻole gag ke hoʻokomo ʻia ka endoscope. Hoʻokomo ʻia kahi kiaʻi waha e pale ai i kou mau niho a me ka endoscope.

Pono e hemo nā niho.

ʻO kēia pinepine kahi ʻoki maʻalahi me kahi nānā maikaʻi. E hāhai i nā ʻōkuhi mālama pilikino i hāʻawi ʻia iā ʻoe, e like me:

• Pehea e mālama ai i ka ʻili a puni ka paipu
• Nā hōʻailona a me nā ʻōuli o ka maʻi
• He aha e hana ai inā huki ʻia ka paipu
• Nā hōʻailona a me nā hōʻailona o ka pale ʻana o ka Tube
• Pehea e ninini ai i ka ʻōpū ma o ka paipu
• Pehea a me nā mea e hānai ai ma o ka paipu
• Pehea e hūnā ai i ka pahu ma lalo o ka lole
• He aha nā hana maʻamau e hiki ke hoʻomau ʻia

E ola ka ʻōpū a me ka ʻōpū ma 5 a 7 mau lā. Hiki ke mālama ʻia ka ʻehaʻeha me ka lāʻau. E hoʻomaka lohi ka hānai ʻana me nā wai ʻino, a hoʻonui lohi.

Hoʻokomo Tube Tube Gastrostomy; Hoʻokomo G-Tube; Hoʻokomo PEG Tube; Hoʻokomo paipu ʻōpū; Hoʻokomo i ka endoscopic gastrostomy Tube insertion

• Ke kau Tube Tube - moʻo

Kessel D, Robertson I. Ka mālama ʻana i nā kūlana ʻōpū. I: Kessel D, Robertson I, eds. ʻO Radiology Interventional: Kahi alakaʻi ola. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 42.

ʻO Murray TE, ʻo Lee MJ. Gastrostomy a me jejunostomy. I: Mauro MA, Murphy KP, Thomson KR, Venbrux AC, Morgan RA, eds. Nā hana alakaʻi alakaʻi kiʻi. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2021: chap 91.

Twyman SL, Davis PW. Hoʻokomo ʻia ka gastrost endoscopic gastrostomy a me ka hope. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 92.