Incazelo Yokudla Kwangaphakathi: Ukondla Umzimba, Ithemba Elikhuthazayo
ethula:
Emhlabeni wentuthuko yezokwelapha, ukuphakela ngokudla sekuthathe ukubaluleka okukhulu njengendlela ebalulekile yokuletha ukudla okunomsoco kubantu abangakwazi ukudla ngomlomo.Ukondla kwangaphakathi, eyaziwa nangokuthi i-tube feeding, ihlanganisa ukuletha imisoco ngqo emgudwini wamathumbu ngeshubhu elifakwe emakhaleni, emlonyeni, noma esiswini.Izicelo zisukela ezibhedlela nasezikhungweni zokunakekela izingane zesikhathi eside kuya ezindaweni zasekhaya.Kulokhu okuthunyelwe kwebhulogi, sizocacisa ngokubaluleka kokuphakela umzimba futhi sihlole ukuthi kuzizuzisa kanjani iziguli, abanakekeli kanye nohlelo lokunakekelwa kwezempilo.
Qinisekisa ukudla okufanele:
Enye yezinhloso eziyinhloko zokuphakela isilwane ukuhlinzeka ngemisoco edingekayo kubantu abanezidingo zabo zokudla ezingenakuhlangatshezwa ngendlela evamile.Kubantu abane-dysphagia, ukuphazamiseka kwezinzwa, umdlavuza othile, noma ezinye izimo zezokwelapha, ukuphakelwa kwe-enteral kuqinisekisa ukuthi bathola izakhi ezibalulekile, amavithamini, nama-calories abawadingayo empilweni yonke.Ngenxa yalokho, imizimba yabo ingakwazi ukusebenza kahle, isize inqubo yokuphulukisa, igcine isisindo semisipha, futhi ithuthukise umsebenzi wokuzivikela komzimba.
Vimbela ukungondleki nezinye izinkinga:
Ukungondleki kuyinkinga enkulu kubantu abangakwazi ukudla ngomlomo.Ukondla kwamathumbu kuyindlela yokuphila ekuvimbeleni ukungondleki kanye nezinkinga zempilo ezihambisana nakho.Ngokunikeza ukudla okulinganiselayo okusekelwe ezidingweni ezithile zesiguli, ukuphakelwa kwe-enteral kusiza ukugcina isisindo somzimba esifanele futhi kuvimbele ukuwohloka kwemisipha.Ukwengeza, kunciphisa ingozi yezilonda zokucindezela, izifo, nezinye izinkinga ezivame ukuvela ngenxa yokungondleki kahle.
ngcono izinga lempilo:
Ukuphakelwa kwangaphakathi kunomthelela omkhulu eqophelweni lempilo yeziguli nemindeni yazo.Kubantu abanezifo ezingamahlalakhona noma eziqhubekayo, njenge-amyotrophic lateral sclerosis (ALS), isifo sika-Huntington, noma ukuwohloka komqondo okuthuthukile, ukuphakelwa kwe-enteral kuqinisekisa ukuthi izidingo zabo zokudla okunomsoco ziyahlangatshezwa kuyilapho kugcinwa isithunzi nokunethezeka kwabo.Ngokunikeza indlela yokusekela ukuphila, kwenza iziguli zikwazi ukuchitha isikhathi esiseqophelweni eliphezulu nabathandekayo, zihlanganyele emisebenzini eziyithandayo, futhi zihlale zizimele isikhathi eside.
Siza ekululameni:
Iziguli ezithola ukwelashwa okuhlukahlukene, njengokuhlinzwa, ukulimala, noma ukugula okubucayi, ngokuvamile zidinga ukwesekwa okwanele okunomsoco ukuze zizisize zilulame futhi zilulame.Ukondla kwangaphakathi kudlala indima ebalulekile ekugcwaliseni izikhala zokudla okunomsoco ngalezi zikhathi ezibucayi, okuvumela umzimba ukuba ululame, wakhe kabusha imisipha ebuthaka, futhi kukhuthaze ukululama okuphelele.Lokhu kuqinisekisa ukuthi isiguli sithola amandla aphelele namandla okusebenza, sikhuthaza ukuguquguquka okushelelayo ekuphileni okuzimele noma ukungenelela okwengeziwe kwezokwelapha.
Ukusebenza kahle kwezindleko kanye nokuncipha kokuhlala esibhedlela:
Ngokombono wesistimu yokunakekelwa kwezempilo, ukuphakelwa kwe-enteral kubiza kakhulu.Ngokuvumela iziguli ukuba zinakekelwe ekhaya noma endaweni yokunakekelwa yesikhathi eside, ubunzima bezinsiza zasesibhedlela bungancishiswa, ikakhulukazi uma isiguli sidinga ukwesekwa okunomsoco wesikhathi eside.Lokhu kubangela ukuhlala isikhathi esifushane esibhedlela, izindleko zokunakekelwa kwezempilo eziphansi, kanye nokwabiwa okungcono kwezinsiza, ekugcineni kukhululwe imibhede yasesibhedlela ebalulekile ezigulini ezigula kakhulu.
Ekuphetheni:
Ukondla nge-enteral kubaluleke kakhulu emkhakheni wokudla okunempilo, okuvumela abantu abangakwazi ukudla ngomlomo ukuze bathole imisoco edingekayo kanye ne-hydration.Akusizi nje kuphela ukuvimbela ukungondleki kanye nezinkinga ezihlobene nalokho, futhi kuthuthukisa izinga lempilo yeziguli, kusiza ekululameni, futhi kunciphisa umthwalo ohlelweni lokunakekelwa kwezempilo.Ngokubona nokwamukela ukubaluleka kokuphakelwa kwe-enteral, singanikeza ukunakekelwa okufanele kanye nokudla okunomsoco, sikhuthaze ithemba futhi sithuthukise inhlalakahle yonke yalabo abathembele kule ndlela yokuphila.
Isikhathi sokuthumela: Sep-15-2023