I-Tube Yokudla

Ngenkathi ingane yakho ithola ukunakekelwa kwezinsana ingase idliwe kusetshenziswa ishubhu emakhaleni noma emlonyeni.

Kuleli khasi ungathola ulwazi mayelana ne-tube feeding. Ukuze uthole ulwazi oluthile mayelana nengane yakho sicela ukhulume nelungu labahlengikazi noma lethimba lezokwelapha elinakekela ingane yakho.  

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Kuyini ukuphakelwa ngamashubhu?

Ukuncelisa ngamapayipi yilapho ubisi lwebele noma ubisi lwefomula lunikezwa ngeshubhu elincane elidlula emakhaleni noma emlonyeni wengane yakho liye esiswini sayo. Izinhlobo ze-tube feeding zihlanganisa:

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• I-Nasogastric tube feeding (ebuye ibizwe ngeshubhu le-NG) - Kulapho ishubhu elincane elithambile lifakwa ekhaleni futhi lehle ngemuva komphimbo, lidlule epayipini lokudla (ummizo) liye esiswini.

• I-Orogastric tube feeding - Lokhu kulapho ishubhu elincane elithambile lifakwa emlonyeni futhi lehle ngemuva komphimbo, lidlule epayipini lokudla (ummizo) liye esiswini.

Izingane ezizalwa ngaphambi kwesikhathi noma ezigulayo zingadinga ukuphakelwa kusetshenziswa  umsoco wabazali (PN )  ekuqaleni.

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Kungani ingane yami idinga ukondliwa kusetshenziswa i-tube feeding?

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Ukuncelisa ebeleni noma ebhodleleni kudinga amandla, amandla kanye nokuxhumana. Izingane ezizalwa ngaphambi kwesikhathi, ezincane kakhulu noma ezigula kakhulu lapho zizalwa ziba namandla kanye nemisoco ephansi kunalezo ezizalwa ngesikhathi esifanele nasemidlalweni yokuzalwa, ngakho-ke kubalulekile ukuthi lezi zingane zikwazi ukuthola ukudla okuncane kodwa njalo indlela engathinti amazinga abo wamandla.

Izingane ezizalwa ngaphambi kwesikhathi ngokuvamile azikwazi ukuhlanganisa ukuncela, ukugwinya nokuphefumula kuze kube yilapho zifika emavikini angu-32 kuya kwangu-34 wokukhulelwa. Lokhu kuzohluka kuzo zonke izingane, ezinye izingane zingase zifunde ukuxhumanisa ngokushesha kanti ezinye zingathatha isikhathi eside. Ukuncelisa ngamapayipi kuzovumela ingane yakho ukuthi ingenise okunye noma konke ukudla kwayo esiswini sayo ngendlela ephephile.

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Izimo ezithile zezokwelapha zingasho futhi ukuthi ingane yakho idinga ukuphakelwa ngamashubhu isikhathi esithile, isibonelo:

• Izinkinga zokuzalwa ezithinta umlomo wengane, umhlathi, umphimbo, isisu, noma amathumbu ​

• Izimo zenhliziyo namaphaphu ezibangela ukukhathala okukhulu

• Ukwesekwa kokuphakelwa ngemuva kokuhlinzwa

• I-reflux ye-gastroesophageal enzima (GERD)

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Libekwa kanjani ishubhu lokuphakelayo?

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Ishubhu lokuphakela lifakwa kahle ngekhala noma emlonyeni lingene esiswini. Ishubhu libe selihlolelwa indawo efanele ngokubuyisela inani elincane lesisu ukuze kuhlolwe ukusabela kwe-pH ene-asidi (ungathola lokhu esiswini kuphela). Ngezinye izikhathi kungase kudingeke i-X-ray ukuze kuqinisekiswe indawo.

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Ngingakwazi yini ukuba nesandla ekunakekeleni ingane yami uma idliswa ngamashubhu?

Yebo, abasebenzi bophiko lwezingane ezisanda kuzalwa bangathanda ukuthi ubambe iqhaza ngangokunokwenzeka ekunakekeleni ingane yakho. Abasebenzi bangakufundisa indlela yokunikeza ingane yakho amashubhu okuphakelayo futhi bangakufundisa ukuthi:

• Hlola ukuthi ishubhu lisendaweni efanele ngaphambi kokuncelisa

• Lungisa ubisi bese ugcwalisa isirinji exhunywe kwishubhu yokudla

• Misa ingane yakho ngendlela efanele ukuze ithole ukuphakelwa ngamashubhu

• Nikeza ubisi kancane ukuze usekele ukugaya okunethezeka

• Yazi ukuthi yini okufanele uyibheke ngesikhathi sokuphakelwa.

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Lokhu kungase kuzwakale kusabisa ekuqaleni, kodwa ngokuzijwayeza kufanele uthole ukuzethemba. Uma ingane yakho isiluleme ngokwanele ukuthi ingaphuma ku-incubator, wena nomlingani wakho ningakwazi nokuthintana nesikhumba nesikhumba ngesikhathi sokuncelisa ishubhu. Ukuthintana kwesikhumba nesikhumba kunezinzuzo eziningi kuwe nengane yakho, futhi kusiza abazali ukuthi bazizwe beseduze nengane yabo futhi beqiniseka ngokwengeziwe ekuyinakekeleni.

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Ingane yami ingayeka nini ukuncelisa ngamashubhu?

Ngokuhamba kwesikhathi, ungase ubone ukuthi ingane yakho ibonisa izindlela zokuncelisa ngesikhathi sokuphakelwa kweshubhu. Isibonelo, bangase bavule futhi bavale umlomo wabo, bakhiphe ulimi lwabo noma bancele iminwe yabo ngesikhathi sokuphakelwa kweshubhu. Lokhu kukhombisa ukuthi bangase bakulungele ukuzijwayeza ukuncelisa ibele noma ukuncelisa ibhodlela.

Uma uhlela ukuncelisa futhi ingane yakho isiluleme ngokwanele ukuba iphume ku-incubator, ukuyinikeza amathuba amaningi okuba seduze nebele kungase kuyisize ifunde  ncelisa . Ngesikhathi sokuphakelwa kweshubhu kungaba yisikhathi esihle sokwenza lokhu. Lapho sezivuthiwe futhi zinesithakazelo ngokwanele, ezinye izingane zizoqala ukukhotha ubisi futhi ngokuhamba kwesikhathi zizijwayeze ukuncela. Njengoba ingane yakho iqala ukudla amabele namabhodlela okwengeziwe, ngeke idinge ubisi oluningi oluvela eshubhuni lokuncelisa. Lokhu kuzoncika emazingeni wamandla wengane yakho kanye nekhono layo lokuxhumanisa ukuncela, ukugwinya nokuphefumula.

Abanye abazali bakhathazekile ngokuthi ingane yabo ishintsha isuka ekunceliseni ithubhu iye ekunceliseni ibele, njengoba kuba nzima kakhulu ukukala ukuthi ingane yabo inobisi olungakanani. Ingane yakho izokhombisa izimpawu zokuthi ithola ubisi olwanele, njengezimpawu zokuncelisa kanye namanabukeni amanzi nangcolile. Ithimba lokunakekelwa kwezempilo elikusekelayo lizoqapha ukuphakelwa kwengane yakho futhi lizolawula noma yikuphi ukwengezwa okungase kudingeke. Khuluma nelungu labasebenzi ophikweni lwakho uma kukhona okukukhathazayo.

Kuzokwenzekani uma ingane yami idinga ukuya ekhaya isuka egumbini lezingane ezisanda kuzalwa neshubhu lokuncelisa?

Uma ingane yakho iya ekhaya neshubhu lokuncelisa, ilungu labasebenzi bazokukhombisa ukuthi uliphakela kanjani futhi ulinakekele ngokwakho ishubhu. Kungaba uwena noma umhlengikazi womphakathi wakini osanda kuzalwa ozothatha indawo yeshubhu lapho uya ekhaya. Lokhu kuzoncika ezidingweni zengane yakho, izintandokazi zakho, kanye nokwesekwa okunikezwa yiyunithi.

Ukwesekwa kuzohlala kukhona uma ungazizwa ukhululekile ngokushintsha ishubhu ngokwakho. Uma unemibuzo noma okukukhathazayo, khuluma nabasebenzi bophiko.