Dumbu: chinangwa, ukuru uye placement zvokushandisa

Gastric chubhu inoshandiswa zvose kurwara nacho uye dzokurapwa zvinangwa. mudziyo Izvi zvinoita kuongorora zviri nemudumbu uye, kana zvakakodzera, kuti duodenum. Externally gastric vachiongorora - iri nyoro rabha chubhu. Zvichienderana chikumbiro kungava kuti diameters siyana: huru neduku.

Mune zvimwe zviitiko, akarayira achiona

Achirova-rova dumbu - ane mashoko uye ngozi. Inogona tanzi hosha dzakawanda, zvakadai gastric urikanwi, gastritis, reflyuksornaya chirwere, gastric atony, ileus uye nevamwe. Uyewo, gastric chubhu yaishandiswa chakagadzirwa zvokudya wevarwere postoperative.

Muchishandisa vachiongorora akatakurwa gastric lavage kuti muchetura wakabirwa zvokudya kana chepfu. Uyewo Flushing vachifunga rinoitwa pa mazano mudumbu stenosis kuvhura panyaya kuparadzana kuburikidza gastric mucosa ose zvine chepfu, somuenzaniso, pane nyaya renal kukundikana.

Marudzi Yatanga Kuongorora. gobvu vachiongorora

Ngationei tsanangura zvakawanda paukobvu gastric chubhu. Ukuru hwake rabha chubhu:

• kureba kubvira 70 kusvika masendimita 80;
• kusvika 12 mm mu dhayamita;
• chinhu lumen chomukati 0,8 mm.

The distal kuguma chubhu kuti kusumwa mudumbu, ari vakagumisa. Inonzi bofu. Mugumo vachiongorora rechipiri anonzi rakashama. Zvishoma pamusoro curvature vari vaviri denderedzwa maburi. Kuburikidza navo, zviri mudumbu anopinda vachiongorora. Mushure 40, 45 uye 55 masendimita kubva woita kumugumo akadhindwa chitaridzi. Anoenderana kudzama kunyudzwa, ndiko kuti, daro kubva zino mumutsetse mudumbu pasuo.

Zvikurukuru, kwakadaro vachiongorora rinoshandiswa kuti gastric Kusuka kana mawa okutambirwa gastric mukati.

stilet

mudziyo uyu nhete rabha chubhu, ane kureba 1.5 m. The dhayamita pamusoro chubhu izvi haapfuuri 3 mm. End iyo hunosumwa mudumbu, ari akashongedzerwa ane yakaoma rabha chaiyo kana muorivhi sirivha. Oliva ane mawindo kuti zviri mudumbu. On the chubhu akacherekedza mavanga matatu: 45, 70, 90. Ava kutsanangura kudzika svetuka. Kana ichi masendimita 45 - chinhambwe kubva dentition vasati vapinda gastric homwe, 70 cm - chinhambwe kubva dentition asati ari pylorus, 90 masendimita - the vachiongorora riri Vater munyatso.

Achaparadza nhete chubhu iri nyore zvikuru. Iye asiri kunokonzera gag dzepanguva uye rinogona riri mudumbu kwenguva refu. Izvi zvinobvumira kushandiswa matete Yatanga Kuongorora kuongorora kuparadzana gastric muto uye kuita fractional mharidzo kugutsikana isssleduemoy mhango.

For nasal Kutarisirwa, nhete vachiongorora uchishandisa nyoro chubhu pasina maorivhi. vachiongorora yakadaro nyore zvikuru kupinda uye unogona kurishandisa ichatoguma. Kazhinji, nasal Yatanga Kuongorora wakaiswa pashure akaoma akavhiyiwa kana gastric atony.

Yatanga Kuongorora, duodenale

Kwakadaro gastric vachiongorora kuti sumo kupinda duodenum. Kunan'anura vachifunga kwakadaro vanenge chiropa kana biliary turakiti chirwere. Aspirate vachiongorora rinobvumira pakudzidza Mark bile. Vachiongorora rinoitwa muchimiro aida kuchinja rabha Tubing vane dhayamita hakuiti kupfuudza 5 mm. Vachiongorora pakureba 1.5 m. The magumo achinyatsotaurira mudumbu, anopiwa ane mhango simbi muorivhi yakabvooka. The kwazvo thickening -. 2 kusvika 0.5 masendimita ari chubhu Labels aishanda kudzora svetuka. nzvimbo yavo - 40 (45), 70 uye 80 masendimita kubva neyemiorivhi. Kumagumisiro Mucherechedzo nehasha kunoratidza daro kubva mberi mazino kusvika papilla (the duodenum).

Kudiwa enteral (vachiongorora) Power

Mune dzimwe zvirwere, varwere vanogamuchira parenteral kudya kunovaka. Izvi zvinoreva kuti muviri nezvevanakomana nomutsinga kupinda mumuviri, pavaigona kutora chikepe chaienda kuti nemudumbu. Asi simba iri haasi nguva dzose wakarurama, sezvo inotonhorera Absorção de Água muitiro womunhu zvomudumbu turakiti rine nhamba zvakanakira. Muitiro kudzidzisa inotonhorera zvinogadzirisa mudumbu kana chiduku ura anonzi enteral kudya kunovaka. Nokuti chinangwa ichi, dzakaonda dumbu vachiongorora pamwe kondakita. Enteral chubhu dzichifura kunodzivisa chinopedza kuchinja intestinal pamadziro. Uchida kupora kunokosha chaizvo.

inoshandiswa pakutsigira vachiongorora

To nemazvo hwokugadza gastric chubhu, murwere yakagadzirira kuti evanhu. Kana zviri mupfungwa, tsanangura nuances ose nzira. Iva nechokwadi kuti ayere kufurirwa, vanonzwa kupomba uye tarisa yemweya.

Production kubudikidza gavage nomuromo zvinoda kuyera daro kubva neshinda mazino kusvika guvhu (ndinoiitawo upamhi muchanza). Runoenzanirana Mucherechedzo afuke chubhu kubva bofu mugumo. Man playing anova kurutivi murwere uye anoisa woita magumo pamudzi rurimi. Next, murwere anoita pakuparadza kufamba, uye Man playing anokurudzira vachiongorora chubhu kuti unoenderana mavanga.

Kana kuisa pasi vachiongorora kuburikidza mhino pre vymeryat kure yakabudikira mugove mhino kusvika nzeve akafukidza, uye ipapo kubva muromo kusvikira kune xiphoid muitiro yacho sternum. On the chubhu 2 rinoshandisirwa chitaridzi.