Cov teeb meem cuam tshuam nrog kev tso cov raj gastrostomy, tshwj xeeb tshaj yog nyob rau hauv cov neeg mob menyuam yaus, suav nrog ob qho teeb meem loj thiab me:
Qhov teeb meem ntawm qhov chaw:
1. Cov teeb meem loj:
Peritonitis (3%)
Tuag (0.4%)
Spearing los yog poking lub transverse colon, yuav tsum tau phais.
2. Cov teeb meem me me:
Tube dislodgement (37%)
Tube leakage (25%)
G-tube kab mob (25%)
3. GJ-tube Qhov Chaw:
Teeb meem<20%
Kev pheej hmoo ntawm plab hnyuv perforation (1 rooj plaub hauv kev tshuaj xyuas ntawm 90 raj)
Kev tuag ntawm 23%, ib feem yog vim muaj kev kho mob tsis yooj yim.
4. Rub tawm G-tube:
Cov menyuam yaus tuaj yeem rub tawm lawv cov G-tubes.
Kev tiv thaiv kev tiv thaiv muaj xws li hnav khaub ncaws hauv "onesie," tso lub raj hauv qab daim ntaub qhwv, lossis siv lub plab binder.
Dislodged GJ-tubes yuav tsum tau fluoroscopy hloov.
5. Cov dej ntws:
Tej teeb meem; Kev tso cov raj kom zoo thiab cov pa roj pa tawm kom txo tau cov pa tawm.
Balloon style txawv hauv ntim; hu rau tus kws kho mob kom paub meej.
Yam xws li cov ntaub so ntswg granulation, cov hlab ntsha puas, lossis lub plab puv tuaj yeem ua rau to.
6. Kev Kho Mob Ostomy:
Cov kws tu neeg mob stoma pab nrog cov teeb meem tshwm sim xws li khaus lossis tawm.
Clamping G-tube thaum da dej yog qhia.
Siv cov xab npum me me thiab cov ntaub ntxhua khaub ncaws mos kom tiv thaiv kev khaus.
7. Granulation ntaub so ntswg:
Ib txwm txawv teb chaws lub cev cov tshuaj tiv thaiv; tej zaum yuav raug tswj nrog triamcinolone cream los yog cauterization.
Tsis txhob nro ntawm lub raj kom tsis txhob ua rau cov ntaub so ntswg granulation zuj zus.
8. Gastroesophageal Reflux (GERD):
Txoj kev deb ntawm kev phais tiv thaiv reflux concurrent ntawm G-tube tso.
Kev tswj xyuas kev kho mob feem ntau txaus rau cov tsos mob reflux hauv cov menyuam yaus uas siv lub raj.
Transpyloric pub ntawm jejunostomy los yog GJ-tube yuav txo tau reflux tab sis muaj kev txwv.
Nws yog ib qho tseem ceeb los koom nrog cov kws kho mob rau kev saib xyuas kom raug thiab tswj cov teeb meem cuam tshuam nrog gastrostomy hlab. Kev ua raws li niaj zaus thiab kev cuam tshuam sai tuaj yeem txhim kho kev noj qab haus huv ntawm cov neeg mob menyuam yaus nrog cov raj pub mis.
