Chii duodenal intubation

Nokuti nechirwere uye kurapwa zvirwere chiropa, uye turakiti biliary vakashandisa duodenal intubation. Chinangwa nzira ndiko kuwana kuti kuongorora zviri duodenum (duodenum - a duodenal urikanwi). Inoitwa runonyanya pamusoro pancreatic secretion, pamwechete bile.

Achibatsirwa chidzidzo ichi uyewo anopedzisa pamusoro utano uye mamiriro zvomukati zvinotevera:

• duodenum,
• gallbladder ,
• bile ducts,
• rwatata,
• chiropa.

Mune zvimwe zviitiko, padzakacherechedza pathologies kumusoro-dzataurwa mitumbi.

Duodenal intubation rinoitwa, uye pakurapa. zvinangwa. Panyaya iyi, kuti unoenderana zvinodhaka nezvevanakomana Via munhu duodenal chubhu chaiyo.

Yatanga Kuongorora, duodenale

Zviri chena mutete rabha chubhu, m 1.5 refu aine lumen dhayamita kuti 2.3 millimeter. Panoperera iri kupinza chubhu mudumbu dzine simbi omuorivhi apertured, negomba mukati.

Duodenal intubation. Gadziriro, mufambiro muitiro

• Murwere anofanira mupfungwa pokunyengetedza naye makamuchengetedza kuitwa manipulations.
• Duodenal intubation murwere rinoitwa mukamba chaiyo usina chawadya. Pausiku murwere unotora kana subcutaneously kupinda mhinduro kubva atropine, kwemanheru inofanira kuva chiedza, dzakakudzingai zvokudya rinokonzera flatulence. Black chingwa, mbatatisi, mukaka.
• Murwere anofanira sukurudza muromo wako akambozvishandisa kuuraya utachiona mhinduro.
• In duodenal akacherekedza vachiongorora kubva mazino kusvika guvhu murwere ari akamiswa.
• Oliva, iyo inogona lubricated pamwe glycerin, iri midzi mumuromo murwere.
• Iye akasunda nokuti pamudzi rurimi uye murwere ndagadzikana uye uchifemera, anoita pakuparadza masangano.
• Nokudaro, vachiongorora zvishoma nezvishoma kumedzwa kuti ndima muorivhi kupinda duodenum. rikawira Kazhinji ikoko mukati munhu maviri maawa.
• Murwere anoiswa pasi norutivi rwake rworudyi, uye noruoko Pakusuma vachiongorora kupinda kare anobviswa chubhu mugove "A" chagadzirwa duodenal mukati. Hazvina chakakanyiwa bile muto duodenum. Color mvura yemanyorero chiedza tsvuku.
• Vachiongorora zviri akaiswa kuburikidza duodenal chaiyo anotikurudzira uye pashure pfupi (5-10 min.) Yaiita mugove "B". A kuramba rima muorivhi bile kubva gallbladder. Kuri kuti chikamu paawa kutora mukati kuti zvinopera, ipapo vakurukurirane chinotarisirwa kakawanda.
• Mushure kwakakwana Kuburitswa mu pamusoro gallbladder, imwe mvura yakachena, musanganiswa intestinal uye chiropa bile muto - Batch "C".

zvikamu zvose bile haisi nguva zvichiita kuti kunyange vanhu zvimwe utano nokuda kwokushayiwa dzepanguva pakatanga yacho vakurukurirane. Kunyange zvakadaro, mune zvimwe zviitiko, duodenal intubation shanu-danho ingashandiswa nokupa maitikiro mashanu bile kuyerera.

Duodenal intubation chromatic

• maawa anenge maviri asati catheterization nzira murwere anopiwa gelatin Kamudzira kutora methylene rwebhuruu. Izvi zvinoitwa papera maawa maviri (asi kwete ambotaurwa) pashure chiedza chisvusvuro.
• Mangwanani vakaita zvetsika duodenal intubation. Panyaya iyi, iyo bile kwaanoda rwebhuruu. Izvi imhaka yokuti methylene rwebhuruu rakabuda ruvara parinopfuura kuburikidza bile iri chiropa kuburikidza muropa. Pamusoro kubvuma kuti gallbladder waro ruvara anodzorerwa zvakare, staining ari bile.

With nzira iyi zvinokwanisika kuti zvakarurama huwandu ari gallbladder bile, uyewo zvimwe zvidzidzo. nzira iyi nechirwere of biliary turakiti iri inoshanda chaizvo.

Pamwe nekuda kurapa parasitosis kutungamirira mishonga kuburikidza vachiongorora, kana kutakurwa duodenal intubation. Tupukanana panguva imwe chete pane rakananga mugumisiro zvinodhaka.

Vana michini uye muitiro nokuda achiona vezera-kugumbuka.