Duodenal intubation: mabasa unyanzvi, kuti zviratidzo

Kwete nguva dzose inoongorora ropa, weti, kana mutsvina yadzo anogona kupa ruzivo yakarurama pamusoro mamiriro eutano murwere. Muzviitiko zvakadaro, vakagadzwa chaiwo chirwere evanhu.

nzira Overview

Mumwe wavo ari duodenal intubation, kuita unyanzvi izvo zvinoda vamwe regadziriro mabasa.

nzira iyi tanzi pamberi gallbladder chirwere, uye chiropa.

duodenal intubation sei? Algorithm chake ndeyokudzidza zviri duodenum. Zvinonzi zvikaramba kubva intestinal, gastric uye pancreatic facial uye bile nezvakasanganiswa.

Duodenal intubation, izvo akaongororazve zvikurukuru akanaka, kunobatsira kuti kujekesa zvinhu pamwe anogumbura maronda pamusoro gallbladder uye chiropa uye bile ducts. Uyewo unogona kushandiswa kuziva pamberi tupukanana pamuviri.

Usashandisa mishonga achiona

Asati vakabata wakaitwa duodenal intubation, murwere anofanira kudzidziswa evanhu ichi. About vhiki usati hariudzi kutora zvimwe mishonga:

• Bile;
• vamwe antispasmodics;
• vasodilators;
• laxatives;
• mishonga kuti kuvandudza kugaya.

Diet uye zvokudya

Kana akagadzwa duodenal intubation, kuita unyanzvi zvinofanira zvakasimba vakanamatira. Kushandiswa usina chawadya. Wokupedzisira kudya anofanira kutora nzvimbo manheru, hapana paya pane 19:00. Hazvina chinodiwa kuti kwemanheru zvakanga nyore. Zvinonzi zvaisambobvumirwa kushandisa zvigadzirwa anogona kukonzera kupfupika flatulence. Idzi dzinosanganisira:

• matapiri;
• Borodino chingwa;
• dheri zvigadzirwa.

Manheru, murwere wacho waitaura zvinodhaka "Atropine" kutora 8 madonhwe. Mune zvimwe zviitiko, zvinoita chinotarisirwa subcutaneously. Uyewo shandisa mvura muchimiro kupisa, izvo wakaradzikwa 30 g xylitol.

Preparation chamangwanani

Duodenal intubation, iro algorithm iyo inotanga mangwanani runogara nhatu mana maawa. Chokutanga, varwere vanofanira kuudza kutevedzana maitirwo. Uyewo tsanangura chii chinorehwa kubvisa chero munhu achioneka nechokwadi kudiwa evanhu ichi.

Pashure paizvozvo, murwere anoiswa pamusoro hwomutambarakede cheya muhofisi Overture pamwe akakotamisa musoro. The ruoko anopiwa tireyi anokosha akagadzirirwa nemate, akaisa chipfuva tauro.

Kana munhu uyo achaita nzira iyi ine dentures, vanofanira kubviswa.

Start nzira

Pashure gadziriro izvi zvinotora nyanzvi chena duodenal vachiongorora uye moisturizes kuguma mvura yake. Kuita izvi, anoenda vachiongorora muruoko rworudyi munzvimbo iri inenge mitanhatu masendimita kubva muorivhi. In ruoko rworuboshwe ari magumo wechipiri.

Ipapo panotanga vachiongorora chiyamuro. In imwe muromo rakavhurwa mujinga rurimi vane yemiorivhi, izvo murwere, zvichiita pakuparadza kufamba atama muimba yegurokuro nokubatsira nyanzvi.

Kuitira kudzivisa gag dzepanguva, murwere unofanira kufema zvikuru mhino. Kana panguva ino chirongwa afemeruke kunoitika pasina chero zvipingamupinyi, chiratidzo chokuti duodenal chubhu yakanga yegurokuro.

Kuita pakuparadza kufamba, murwere inosimudzira vachiongorora zvakadzika, kusvikira wasvika mudumbu. Kuti uzive, nyanzvi kwakunoitwa rinokosha sirinji. Kana mudziyo izere zvakawanda zvinonyanya kuzivikanwa mvura, izvo zvinoreva kuti vachiongorora zviri panzvimbo.

On the mudziyo pane chinokosha mucherechedzo, izvo kusarudza apo omuorivhi yacho. Nokuti wechina dumbu zvakakwana rinoparadza. Kana uchida kuenda zvakadzika, kune ngozi rechinomwe kuti kufambira mberi inoitwa munhu wehunyambiri chinzvimbo. Hazvina chinodiwa panguva ino kufamba zvishoma nezvishoma.

Kana uchida duodenal vachifunga, muorivhi vane kumedza rechipfumbamwe zviuno. Kuti wakapfuura nyore, murwere anoiswa panhoo kurutivi rworuboshwe. Mukutonga pelvic nzvimbo iri akanyudzwa chinotenderera diki kukura, uye mbabvu - noushamwari kudziyisa ikanyanya.

Duodenal intubation. waivako chidobi

Kana muorivhi panzvimbo, vakasununguka kuguma vachiongorora iri kutura kupinda chirongo. It rinomira pamusoro chiduku tafura parutivi vakamira pamusoro murwere. Pane zvakare akaisa zvibereko iyo yakaunganidzwa zvokuvakisa pakutsvakurudza.

Pangosvika Kusarudzwa yakajeka chinowanika tsvuku Hue, kuguma vachiongorora, riri akasununguka, pakarepo akaisa chirongo yokutanga. Zvinofanira kusangana asati mana milliliters ose bile. Zvinotora inenge hafu yeawa.

Apo aida mari emura vakaungana mune yokutanga chubhu, mumwe vachiongorora nyanzvi vanopinda 25 muzana mhinduro kubva magnesium sulfate. The mushonga panguva anofanira neshungu kumwe muna mana inegumi. Zvadaro zascheplyayut kiramba kana kusungira vakasununguka kuguma vachiongorora gungano uye akasiya saka maminitsi gumi.

Shure kwenguva ino, vakasununguka kuguma vachiongorora asunungurwa uye kutura kupinda chirongo. Pangosvika Kusarudzwa gobvu muorivhi rima bile kubva mugaba mudziyo yabviswa uye akaisa kuva yechipiri chubhu. Material nokuti ongororo vanofanira kumwe kune matanhatu milliliters, kuunganidza zvichatora kutora imwe hafu yeawa.

Shure kwenguva ino, vakasununguka kuguma vachiongorora zvakare woiswa chirongo nyanzvi, kamwe Kusarudza kunotanga hepatic bile, iro rine rakajeka tsvuku ruvara, pakarepo zvava wechitatu chubhu. Unofanira kuunganidza vanenge makumi maviri milliliters emura.

pashure achiona

Kana duodenal intubation gallbladder inoguma nyanzvi anotungamirira murwere kuti nokugara chinzvimbo, uye ipapo anobvisa vachiongorora. Pashure paizvozvo kuongororwa anopa akambozvishandisa kuuraya utachiona kana mvura dzaiita zvokutaurwa mhango kumboshamba.

Pakarepo mushure murwere akabvunza pamusoro utano evanhu. Pashure paizvozvo akanunura Mumba, apo anotarisira kuruboshwe mangwanani chisvusvuro. Kubva nzira, murwere zvinoda mubhedha zororo uye zororo rakakwana.

vanhu mafungiro

How uchatamisa varwere duodenal intubation? Reviews yevanhu vakarikunda, achiti kuti muitiro pachayo haina kuipa sezvo zvichiita sokuti pakutanga kuaona. Uyezve, iguru nzira kuunza muviri zvakanyanya bile.

Chokwadi, pane kuduku yakaipa. Magnesium sulphate anogona kudzikisa BP. uyewo ane laxative kushanda muna vamwe kukonzera unzenza zvituru.

Contraindications

Sezvazviri manipulations zvose, duodenal inoda kufunga unyanzvi izvo Sezvinotsanangurwa pamusoro, ine contraindications. Hazvibviri aite nzira:

• varwere wakacherechedza ropa ari nemudumbu;
• mune anogumbura dzinotsanagura nduru dundira;
• ane mwoyo kutadza simba;
• pathologies nosorotoglotki;
• kana kuderedza pakati yegurokuro;
• pamberi nemaronda mudumbu ;
• apo hemorrhoidal mutsinga dziri yegurokuro zvakawedzerwa;
• kana paine matambudziko ari cheshuga mellitus;
• Árbol asima;
• pamberi pfari;
• kana kuremara yegurokuro;
• kana murwere ane rinorema anzwe, uye zvichava nyore kuti yakareba zvakadaro muitiro.

Zvinonzi zvakare zvachose wairambidza, kumonyanisa ichi vana pasi makore matatu, vakadzi vane pamuviri nevaya vari kuyamwisa.

yematambudziko

Munguva yokudzidza, matambudziko anogona kuitika dziri:

• mucosal zvakuvadza yegurokuro;
• kuti ropa;
• kurutsa;
• kunonyengedza salivation.