Rectal Tube: Kagwiritsidwe, Makulidwe, Zizindikiro, ndi Maupangiri Otetezedwa

Thechubundi chubu chosinthika, chotsekeka chomwe chimalowetsedwa mu rectum kuti muchepetse zovuta zomwe zimachitika m'mimba, monga kutulutsa mpweya ndi ndowe. Monga mtundu wacatheter yachipatala, imagwira ntchito yofunika kwambiri pa chithandizo chadzidzidzi komanso kasamalidwe kachipatala nthawi zonse. Kumvetsachizindikiro cha rectal chubu, zokwanirakukula kwa chubu, ndondomeko yogwiritsira ntchito, ndi kutalika kwa nthawi yomwe ingakhalebe yotetezeka ndizofunika kuti odwala asamalire bwino.

Kodi Rectal Tube N'chiyani?

Chubu chotchedwa rectal chubu, chomwe chimadziwikanso kuti flatus chubu, ndimankhwala consumableopangidwa kuti athandizire kutsitsa matumbo polola kutuluka kwa gasi kapena chimbudzi. Nthawi zambiri amapangidwa ndi mphira wofewa kapena pulasitiki ndipo amakhala ndi nsonga yozungulira kuti achepetse kupwetekedwa mtima kwa rectal mucosa. Machubu ena a rectal amakhala ndi mabowo angapo am'mbali kuti apititse patsogolo ngalande.

Amagwiritsidwa ntchito makamaka m'zipatala ndi malo osamalira, machubu a rectal ndi gawo la gulu lalikulu lacatheters zachipatala. Mosiyana ndi ma catheter a mkodzo, omwe amalowetsedwa m'chikhodzodzo, ma catheter amapangidwa makamaka kuti alowetsedwe ndi matumbo kuti athandize kuchepetsa matumbo kapena kusokoneza chimbudzi.

Chizindikiro cha Rectal Tube: Chimagwiritsidwa Ntchito Liti?

Pali zochitika zingapo zachipatala zomwe chubu cha rectal chingasonyezedwe. Izi zikuphatikizapo:

1. Mpumulo wa flatulence kapena distension m'mimba- Pamene odwala akuvutika ndi mpweya wochuluka (nthawi zambiri pambuyo pa opaleshoni), machubu a rectal amathandiza kuchepetsa kukhumudwa ndi kuchepetsa kupanikizika pamimba.
2. Kasamalidwe ka fecal incontinence- Pachisamaliro chovuta kwambiri kapena odwala omwe ali ndi nthawi yayitali, makamaka omwe ali pabedi kapena osazindikira, chubu cha rectal chingathandize kuyendetsa matumbo osayendetsedwa bwino komanso kupewa kuwonongeka kwa khungu.
3. Fecal impaction- Chubu choterechi chimatha kuthandiza kutulutsa chimbudzi cholimba ngati ma enema achikhalidwe kapena kuwonongeka kwamanja sikukugwira ntchito.
4. Opaleshoni isanayambe kapena itatha- Postoperative bowel atony kapena ileus ingayambitse kusungidwa kwa gasi kwambiri. Machubu amatha kuikidwa kwakanthawi kuti achepetse zizindikiro.
5. Njira zodziwira matenda- M'njira zina zojambulira, machubu a rectal amathandizira kuyika zowonera m'matumbo kuti ziwoneke bwino.

Mikhalidwe imeneyi imatchulidwa pamodzi kutizizindikiro za rectal chubu, ndipo kuunika koyenera ndi akatswiri azachipatala ndikofunikira musanalowetse.

Makulidwe a Rectal Tube: Kusankha Yoyenera

Kusankha zoyenerakukula kwa chubundizofunikira kwambiri pachitetezo cha odwala komanso chitonthozo. Machubu a rectal amabwera mosiyanasiyana, nthawi zambiri amayezedwa m'mayunitsi achi French (Fr). Kukula kwachi French kumasonyeza mtunda wa kunja kwa catheter - chiwerengero chapamwamba, chokulirapo chubu.

Nawa kukula kwa machubu odziwika ndi magulu azaka:

• Makanda ndi akhanda:12-14 Fr
• Ana:14-18 Fr
• Akuluakulu:22-30 Fr
• Odwala okalamba kapena opunduka:Zing'onozing'ono zingakonde kutengera kamvekedwe ka rectum

Kusankha kukula koyenera kumatsimikizira kuti chubucho chimagwira ntchito bwino popanda kuyambitsa kupwetekedwa kosafunika kapena kukhumudwitsa. Machubu akulu mochulukira amatha kuwononga khoma la ngalande, pomwe machubu ang'onoang'ono sangalole kutulutsa madzi okwanira.

Njira Yoyikira Tube ya Rectal

Kuyika kwa chubu la rectal kuyenera kuchitidwa nthawi zonse ndi akatswiri ophunzitsidwa bwino azachipatala pansi pa vuto la aseptic. Nayi chidule cha ndondomekoyi:

1. Kukonzekera:
   • Fotokozani ndondomeko kwa wodwalayo (ngati akudziwa) kuti achepetse nkhawa.
   • Sonkhanitsani zinthu zofunika: chubu, mafuta opangira madzi, magolovesi, zoyamwitsa, ndi chidebe chotulutsira madzi ngati pakufunika kutero.
   • Ikani wodwalayo kumbali yawo yakumanzere (malo a Sims) kuti atsatire njira yachilengedwe ya rectum ndi sigmoid colon.
2. Kulowetsa:
   • Valani magolovesi ndikuthira mafuta ambiri pa chubu.
   • Ikani chubu pang'onopang'ono mu rectum (pafupifupi mainchesi 3-4 kwa akuluakulu) pamene mukuyang'anira kukana.
   • Ngati kukana kuthetsedwa, musakakamize chubucho—m’malo mwake, yesani kuikanso wodwalayo pamalo ena kapena kugwiritsa ntchito chubu chaching’ono.
3. Kuyang'anira ndi Kuteteza:
   • Mukayika, yang'anani momwe gasi, chimbudzi, kapena madzi akudutsa.
   • Chubuchi chimatha kulumikizidwa ku ngalande kapena kusiyidwa kuti chitsegukire mpweya malinga ndi momwe akufunira.
   • Yang'anirani ngati wodwala sakumva bwino, akutuluka magazi, kapena zizindikiro za kutuluka kwa matumbo.
4. Kuchotsa ndi Kusamalira:
   • Machubu ambiri amtundu wa rectal sakuyenera kukhalabe m'malo mpaka kalekale.
   • Ngati sizikufunikanso, chotsani chubucho pang'onopang'ono ndikuchitaya molingana ndi ndondomeko zachipatala.

Kodi Chubu cha Rectal Ikhala Motalika Motani?

Kutalika kwa chubu lathumbo lingathe kuyikidwa zimadalira momwe wodwalayo alili komanso momwe wodwalayo alili. Komabe, machubu a rectal nthawi zambiri amakhalasizinapangidwe kuti zigwiritsidwe ntchito kwa nthawi yayitali.

• Kuthandizira kwakanthawi (gasi, kukhudzidwa):Machubu amatha kuyikidwa kwa mphindi 30 mpaka ola limodzi ndikuchotsedwa.
• Kasamalidwe ka Fecal (kwa kusadziletsa):Makina ena apadera amatha kusiyidwa kuti agwirempaka masiku 29, koma kokha moyang’aniridwa ndi achipatala.
• Kugwiritsa ntchito chipatala pafupipafupi:Ngati chubu lasiyidwa kuti litulutse madzi, liyenera kuyang'aniridwa maola angapo aliwonse ndikusintha maora 12 mpaka 24 aliwonse kuti achepetse chiopsezo cha kuvulala kapena matenda.

Kugwiritsa ntchito nthawi yayitali kungayambitse zovuta monga zilonda zam'mimba, zilonda zam'mimba, necrosis, ngakhale kubowola. Chifukwa chake, kuwunika mosalekeza ndikofunikira, ndipo kugwiritsidwa ntchito kwanthawi yayitali kuyenera kupewedwa pokhapokha mutagwiritsa ntchito chinthu chomwe chapangidwira nthawiyo.

Kuopsa ndi Chitetezo

Ngakhale machubu a rectal nthawi zambiri amakhala otetezeka akagwiritsidwa ntchito moyenera, zoopsa zomwe zingakhalepo zimaphatikizapo:

• Kutaya magazi kapena kuvulala kwa mucosal
• Kuphulika kwa matumbo (kawirikawiri koma kwakukulu)
• Kuvulala kwapanikizi kwa anal sphincter
• Matenda kapena kuyabwa

Kuti muchepetse zoopsazi, ndikofunikira kugwiritsa ntchito zolondolakukula kwa chubu, onetsetsani kulowetsa mofatsa, ndikuchepetsa nthawi yoyika. Odwala ayenera kuyang'anitsitsa mosamala kuti asamve bwino, akutuluka magazi, kapena zotsatira zina zoipa.

Mapeto

Thechubundi wamtengo wapatalimankhwala consumableamagwiritsidwa ntchito pochiza matenda osiyanasiyana am'mimba komanso okhudzana ndi matumbo. Kaya kuchepetsa gasi, kusamalira kusadziletsa, kapena kuthandizira njira zowunikira, kumvetsetsa zoyenera.chizindikiro cha rectal chubu, zokwanirakukula kwa chubu, ndi ndondomeko zotetezeka ndizofunikira kuti pakhale zotsatira zabwino za odwala.

Monga ambiri ntchitocatheter yachipatala, kugwiritsa ntchito kwake kuyenera kutsogozedwa ndi chiweruzo cha akatswiri. Pogwiritsa ntchito moyenera komanso kuyang'anitsitsa, machubu a rectal amatha kusintha chitonthozo cha odwala ndikuchepetsa zovuta zomwe zimayenderana ndi vuto la matumbo.