Tube Yoyambira: Kagwiritsidwe Ntchito, Kukula, Zizindikiro, ndi Malangizo Ogwiritsira Ntchito Motetezeka

Thechubu cha rectalndi chubu chofewa komanso chopindika chomwe chimayikidwa mu rectum kuti chichepetse zizindikiro zokhudzana ndi mavuto am'mimba, monga mpweya ndi ndowe.katheta yachipatala, imagwira ntchito yofunika kwambiri pa chisamaliro chadzidzidzi komanso kuyang'anira chipatala nthawi zonse.chizindikiro cha chubu cha rectal, koyenerakukula kwa chubu cha rectal, njira yogwiritsira ntchito, ndi nthawi yomwe ingakhalepo bwino ndikofunikira kwambiri kuti odwala azitha kulandira chithandizo chabwino komanso chotetezeka.

Kodi chubu cha rectal n'chiyani?

Chubu cha rectal, chomwe chimadziwikanso kuti chubu cha flatus, ndimankhwala ogwiritsidwa ntchito kuchipatalaChopangidwa kuti chithandize kumasula matumbo mwa kulola mpweya kapena ndowe kudutsa. Nthawi zambiri chimapangidwa ndi rabara yofewa kapena pulasitiki ndipo chimakhala ndi nsonga yozungulira kuti chichepetse kuvulala kwa mucosa ya rectum. Machubu ena a rectum ali ndi mabowo angapo am'mbali kuti awonjezere mphamvu ya madzi otuluka m'matumbo.

Machubu a rectal omwe amagwiritsidwa ntchito makamaka m'zipatala ndi m'malo osamalira okalamba ndi gawo la gulu lalikulu lama catheter azachipatalaMosiyana ndi ma catheter a mkodzo, omwe amalowetsedwa mu chikhodzodzo, ma catheter a m'matumbo amapangidwa makamaka kuti alowetsedwe m'matumbo kuti athandize kuthetsa matumbo kapena kutembenuza ndowe.

Chizindikiro cha chubu cha rectal: Chimagwiritsidwa Ntchito Liti?

Pali matenda angapo omwe angasonyezedwe pogwiritsa ntchito chubu cha rectal. Izi zikuphatikizapo:

1. Kuchepetsa kutupa kapena kutupa kwa m'mimba– Odwala akamavutika ndi mpweya wambiri (nthawi zambiri akachitidwa opaleshoni), machubu a rectal amathandiza kuchepetsa kusapeza bwino komanso kuchepetsa kupanikizika m'mimba.
2. Kusamalira kusadziletsa kwa ndowe– Mu odwala omwe ali ndi vuto lalikulu kapena omwe ali ndi chithandizo cha nthawi yayitali, makamaka omwe ali pabedi kapena osadziwa kalikonse, chubu cha rectal chingathandize kuthana ndi matumbo osakhazikika komanso kupewa kuwonongeka kwa khungu.
3. Kukhudzidwa ndi ndowe– Chubu chopangidwa ndi rectal chingathandize kuchepetsa kusonkhana kwa ndowe zolimba pamene njira yachikhalidwe yoyeretsera kapena kuyeretsa ndi manja sikuthandiza.
4. Opaleshoni isanachitike kapena itatha– Kutupa kwa matumbo pambuyo pa opaleshoni kapena ileus kungayambitse kusungidwa kwa mpweya wambiri. Machubu a rectum amatha kuyikidwa kwakanthawi kuti achepetse zizindikiro.
5. Njira zodziwira matenda- Mu njira zina zojambulira zithunzi, machubu a rectal amathandiza kulowetsa zinthu zosiyanitsa m'matumbo kuti ziwonekere bwino.

Mikhalidwe iyi imatchulidwa pamodzi kutizizindikiro za chubu cha rectalndipo akatswiri azachipatala amafunika kuunikanso bwino musanayike.

Kukula kwa Tube Yoyambira: Kusankha Yoyenera

Kusankha cholondolakukula kwa chubu cha rectalndikofunika kwambiri kuti wodwala akhale otetezeka komanso womasuka. Machubu a rectal amabwera m'makulidwe osiyanasiyana, nthawi zambiri amayesedwa mu mayunitsi achi French (Fr). Kukula kwa chi French kumasonyeza kukula kwa kunja kwa catheter - chiwerengero chikakhala chachikulu, chubucho chimakhala chachikulu.

Nazi kukula kwa chubu cha rectal chodziwika bwino malinga ndi zaka:

• Makanda ndi makanda obadwa kumene:12–14 Fr
• Ana:14–18 Fr
• Akuluakulu:22–30 Fr
• Odwala okalamba kapena ofooka:Masayizi ang'onoang'ono angasankhidwe kutengera kamvekedwe ka rectal

Kusankha kukula koyenera kumaonetsetsa kuti chubucho chikugwira ntchito bwino popanda kuvulaza kapena kusokoneza kosafunikira. Machubu akuluakulu kwambiri amatha kuwononga mkati mwa rectum, pomwe machubu ang'onoang'ono kwambiri sangalole kuti madzi atuluke mokwanira.

Njira Yoyika Tube Ya Rectal

Kuyika chubu cha rectal kuyenera kuchitika ndi akatswiri azaumoyo ophunzitsidwa bwino nthawi zonse pansi pa vuto la kutsekeka kwa madzi m'thupi. Nayi chidule cha njira yonseyi:

1. Kukonzekera:
   • Fotokozani njira kwa wodwalayo (ngati akudziwa) kuti achepetse nkhawa.
   • Konzani zinthu zofunika: chubu cha m'mimba, mafuta opaka m'madzi, magolovesi, mapepala onyowetsa madzi, ndi chidebe chotulutsira madzi kapena thumba losonkhanitsira ngati pakufunika.
   • Ikani wodwalayo kumanzere (malo a Sims) kuti atsatire momwe rectum ndi sigmoid colon zimakhalira.
2. Kuyika:
   • Valani magolovesi ndipo pakani mafuta ambiri pa chubu.
   • Ikani chubu pang'onopang'ono mu rectum (pafupifupi mainchesi 3-4 kwa akuluakulu) pamene mukuyang'anira kukana kwa matendawa.
   • Ngati kulimbana kwatha, musakakamize chubu—m'malo mwake, yesani kusintha malo a wodwalayo kapena kugwiritsa ntchito chubu chaching'ono.
3. Kuwunika ndi Kuteteza:
   • Mukayikamo, yang'anirani ngati mpweya, ndowe, kapena madzi akuyenda.
   • Chitolirochi chikhoza kulumikizidwa ku makina otulutsira madzi kapena kuchotsedwa kuti chilowe mpweya kutengera momwe chikugwiritsidwira ntchito.
   • Yang'anirani wodwalayo ngati akuvutika, akutuluka magazi, kapena ngati matumbo ake abooka.
4. Kuchotsa ndi Kusamalira:
   • Machubu ambiri a rectal sayenera kukhalapo kwamuyaya.
   • Ngati simukufunikiranso, tulutsani chubucho pang'onopang'ono ndikuchitaya motsatira njira zodzitetezera ku matenda m'chipatala.

Kodi chubu cha rectal chingakhale nthawi yayitali bwanji?

Kutalika kwa nthawi yomwe chubu cha rectal chingakhalepo kumadalira momwe wodwalayo alili komanso momwe alili. Komabe, chubu cha rectal nthawi zambiri chimakhalasichinapangidwe kuti chigwiritsidwe ntchito kwa nthawi yayitali.

• Mpumulo wakanthawi (mpweya, kukhudzidwa):Machubu amatha kuyikidwa kwa mphindi 30 mpaka ola limodzi kenako nkuchotsedwa.
• Njira zoyendetsera ndowe (za kusadziletsa):Machitidwe ena apadera akhoza kusiyidwa kuti agwiritsidwe ntchitompaka masiku 29, koma pokhapokha ngati dokotala akuyang'anira bwino.
• Kugwiritsa ntchito kuchipatala nthawi zonse:Ngati chubu chasiyidwa pamalo ake kuti chitulutse madzi, chiyenera kufufuzidwa maola angapo aliwonse ndikusinthidwa maola 12-24 aliwonse kuti muchepetse chiopsezo cha kuvulala kwa kuthamanga kwa magazi kapena matenda.

Kugwiritsa ntchito nthawi yayitali kungayambitse mavuto monga zilonda zam'mimba, kutsekeka kwa magazi, kapena kubowoka. Chifukwa chake, kuwunika kosalekeza ndikofunikira, ndipo kugwiritsa ntchito nthawi yayitali kuyenera kupewedwa pokhapokha ngati mugwiritsa ntchito chinthu chomwe chapangidwira nthawi imeneyo.

Zoopsa ndi Zodzitetezera

Ngakhale kuti machubu a rectal nthawi zambiri amakhala otetezeka akagwiritsidwa ntchito moyenera, zoopsa zomwe zingachitike ndi izi:

• Kutuluka magazi m'thupi kapena kuvulala kwa mucosal
• Kuboola kwa matumbo (kosowa koma koopsa)
• Kuvulala kwa sphincter ya anal
• Matenda kapena kukwiya

Kuti muchepetse zoopsa izi, ndikofunikira kugwiritsa ntchito njira yoyenerakukula kwa chubu cha rectal, onetsetsani kuti mwaikamo pang'onopang'ono, ndipo chepetsani nthawi yoikamo. Odwala ayenera kuyang'aniridwa mosamala kuti awone ngati akuvutika, kutuluka magazi, kapena zotsatirapo zina zoyipa.

Mapeto

Thechubu cha rectalndi chinthu chamtengo wapatalimankhwala ogwiritsidwa ntchito kuchipatalaamagwiritsidwa ntchito pochiza matenda osiyanasiyana a m'mimba ndi m'matumbo. Kaya kuchepetsa mpweya, kuthana ndi vuto losadziletsa, kapena kuthandiza njira zodziwira matenda, kumvetsetsa zoyenerachizindikiro cha chubu cha rectal, koyenerakukula kwa chubu cha rectal, ndipo malangizo otetezeka a njira zochizira ndi ofunikira kwambiri kuti wodwalayo apeze zotsatira zabwino.

Monga chogwiritsidwa ntchito kwambirikatheta yachipatala, kugwiritsa ntchito kwake kuyenera kutsogoleredwa ndi akatswiri azachipatala nthawi zonse. Pogwiritsa ntchito bwino komanso kuyang'aniridwa, machubu a rectal amatha kusintha kwambiri chitonthozo cha wodwala ndikuchepetsa mavuto okhudzana ndi vuto la matumbo.