Tom qab percutaneous endoscopic gastrostomy (PEG) phais, tsis txhob hnov qab hloov lub raj noj raws sij hawm. Feem ntau, silicone gastrostomy raj yog thawj xaiv. Cov teeb meem noj zaub mov muaj ntau heev ntawm cov neeg mob hauv tsev kho mob. Rau cov neeg mob tsis noj zaub mov zoo, kev noj zaub mov ntxiv tau hloov los ntawm "kev txhawb nqa" mus rau "kev kho mob." Piv nrog rau cov khoom noj khoom haus parenteral, cov khoom noj hauv plab muaj ntau qhov zoo, tab sis cov khoom noj khoom haus nkag mus rau hauv lub raj xa dej (gastrostomy. Rau cov neeg mob uas xav tau cov khoom noj khoom haus mus ntev, cov hlab ntsha hauv nasogastric tsis yooj yim, tab sis percutaneous endoscopic gastrostomy (PEG) phais muaj qee qhov zoo.
Thaum PEG ua kom yooj yim rau txhua tus, nws tseem yuav ua rau qee qhov teeb meem vim kev saib xyuas tsis raug, xws li raws plab, kab mob fistula, cov ntaub so ntswg ntau dhau, thiab tshem tawm cov raj.
Yav dhau los, kuv tau ntsib cov neeg siv khoom uas muaj teeb meem hauv kev tshem lub raj vim tsis ua haujlwm ntev los hloov lub raj PEG. Feem ntau, cov raj hloov pauv tuaj yeem hloov tau tom qab lub plab zom mov loj hlob zoo. Feem ntau G tube siv tau rau 3 lub hlis, thiab tshwj xeeb yog qhov zoo tshaj los hloov G tube tsis pub ntau tshaj ib nrab xyoo. Vim hais tias yog tias nws tsis hloov lub sijhawm ntev, lub catheter (G-tube) yog ib qho yooj yim rau harden, thiab lub lumen yuav nqaim, ua rau nws nyuaj rau txhaj tshuaj, thiab tom qab ntawd ua rau cov khoom noj tsis txaus. Nyob rau tib lub sijhawm, lub catheter (G-tube) yuav raug corroded thiab tawg los ntawm gastric kua txiv hauv lub cev, thiab mus rau hauv txoj hnyuv, txawm tias ua rau plab hnyuv. Tsis tas li ntawd, lub taub hau nceb lossis gasket hauv plab yuav nyuaj, uas yuav ua rau nws nyuaj rau tshem tawm cov raj. Yog hais tias lub raj raug yuam kom tshem tawm, nws yuav tsis tsuas ua rau tus neeg mob qhov mob, tab sis kuj yuav ua rau muaj kev puas tsuaj rau lub plab mucosa thiab txawm perforation.
Tom qab ntawd yuav ua li cas xaiv lub raj xa dej? Hauv qab no yog ZKSK's silicone gastrostomy raj. Koj tuaj yeem pom cov ntsiab lus ntawm cov qauv.
Tus qauv schematic daim duab ntawm lub gastrostomy raj
1. Balloon. Cov duab ntawm peb cov khoom ' balloon yog kua. Lub balloon taub tau kho dua tshiab. Tom qab lub zais pa yog inflated, sab pem hauv ntej ntawm lub raj tsis protrude los ntawm lub zais pa tsim, ua rau nws tsis tshua mus kov lub posterior phab ntsa ntawm lub plab, yog li txo qhov tshwm sim ntawm lub siab rwj nyob rau hauv contralateral plab phab ntsa. Nws muaj kev nyab xeeb, xis nyob, thiab txo tus neeg mob qhov mob.
Bolster. Khaws lub raj kom tsis txhob co. Muaj 2 hom ntawm nws, ib qho yog puag ncig bolster, lwm qhov yog tsim los khoov 90 degree kom haum rau hauv plab.
2. Tub. Lub raj loj yog los ntawm 12Fr txog 24Fr. Pab pawg R & D ua haujlwm ntawm 26Fr kom tau raws li qhov xav tau ntawm cov neeg mob sib txawv.
3. 3-txoj kev adapter. Kuj muaj 2- txoj kev xaiv.
4. Balloon Inflating Adapter. Tsis muaj hlau caij nplooj ntoos hlav, yooj yim rau kev kuaj lub cev.
5. Pub / Txhaj tshuaj Adapter.
6. Muaj rau 2 hom, Y connector thiab Enfit connector.
7. Ib yam nrog 6.
Saum toj no yog rau kev xa thiab sib qhia. Yog tias koj lossis koj tsev neeg muaj mob gastostomy, thov nug koj tus kws kho mob lossis kws kho mob rau cov lus nug lossis kev hloov pauv. Txhua tus neeg saib xyuas hauv tsev tuaj yeem ua tau raws li cov lus qhia los muab khoom noj khoom haus lossis tshuaj noj thiab saib xyuas cov hlab ntsha. Yog tias muaj xwm txheej tshwm sim, hu rau kws kho mob ib zaug.
