Hranjenje na gastrostomu i napitci

[tiffany]

Dali netko ima iskustva s prehranom s napitcima. Mi smo dobili nestle resource 2.0 fibre kao dodatak prehrani koji se daje uz redovne obroke, i javlja nam se problem znoja, kada damo napitak kroz gastrostomu, tatu oblije znoj i bude cijeli mokar i ne osjeća se dobro, problem nije u količini damo mu 20 ml. i polako, a kada dajemo miksano voće, povrće i ostalo nema tog znoja, probali smo sve kombinacije ugrijat na temperaturu tijela, davati ga na sobnoj temperaturi i svaki puta isti scenarij mokar  bude i osjeti slabost, a moramo mu davati to jer jedan taj napitak sadrži vlakna i sve potrebno i uz to sve 400 kalorija jer je ovo sve malo što mu damo pa mu treba nešto da ojača, pitali smo onkologa ni njemu nije jasno i kaže da mu je to prvi slučaj da se znoji, doktorica isto ne zna, bila mi je žena koja se bavi gastrostomama da mi pokaže kako se koristi i ona prvi put čuje za tu situaciju, više ne znam koga bi pitala, poslala sma i par mailova i u nestle i svagdje al odgovore još nisam dobila

[Vanda]

Ja bih rekla da se radi o "dumping" sindromu. VIdi ovdje, a ako ne znaš engleski, budem ti prevela:

What is Dumping Syndrome?
A condition caused by the rapid entry of nutrition in to the small intestine, which results in a large amount of water being drawn in also and causing distension and discomfort. There are 2 types “early” and “late”. “Early” occurs immediately and the symptoms include nausea, vomiting, bloating, cramping and diarrhoea, often with dizziness and fatigue. “Late” dumping which occurs within 1 to 3 hours after feed administration usually presents with symptoms such as weakness, sweating and dizziness. In addition to this and regardless of the type of dumping syndrome the rapid loading of the small intestine with hypertonic solution can cause the pancreas to secrete large amounts of insulin; resulting in a dramatic drop in blood sugar, leading to hypoglycaemia. This is referred to as “alimentary hypoglycaemia”. In patients on enteral feeding, particular where the feed is administered directly into the intestine (NJ or PEJ), it is important that the rate of administration is carefully selected to reduce the likelihood of Dumping Syndrome occurring.

pinnt.com/Therapies/Enteral-Nutrition/Your-questions-answered.aspx

Da probate davat još manje? Po 5 ml pa pauza od sat-dva i onda opet?

[tiffany]

Nisam bas imala vremena sad cu prouciti taj sindrom, hvala vanda