Nzira nechirwere - gastric intubation

Nasogastric intubation ashandiswe nechinangwa mokusvinwa kugutsikana, zvichiteverwa kuongorora kuti gastric mabasa. Zvikurukuru, injini uye secretory mabasa. Ngatitange aine mazita contraindications.

• Ulceration kana kuzvimba muromo, pharynx.
• Gastric uye esophageal kubuda ropa.
• Kutyora esophageal mhingaidzo.
• Dumbu maronda.
• Zvemwoyo chirwere.

Gamuchirai kugutsikana kwakadaro mushure bvunzo kudya kana usina chawadya. The nzira pacharo kubvisa (chido) zviri mudumbu uye / kana duodenum (duodenal urikanwi), kuburikidza chaiwo vachiongorora. Zvadaro, kunoguma kugutsikana anotumirwa kuti yezvirwere kunovhenekwa.

nasogastric intubation

• Kufanana zuva, uye zuva nzira, murwere anodzivisa kusvuta.
• Rimwe zuva asati vachifunga anobva audza zvinodhaka zvose.
• gastric intubation It rinoitwa usina chawadya. Kwemaawa 14 vasati zvakazara akarega kugamuchira nyora.
• Kana murwere ane mazino dentures, unofanira kubvisa navo.

A imwe-nguva vachifunga mudumbu

Kumhanya gobvu vachiongorora ane kureba vanenge 80 cm. On the woita magumo ane mawindo maviri. Nzira iyi ndiyo nyore uye nyore zvazviri, asi kuva uninformative, anenge hatibati nhasi kuti chirwere zvinangwa. Muchiitiko ichi gobvu chubhu rinoshandiswa panguva gastric lavage uye dzimwe nzira dzokurapa.

Inoda kufunga dumbu fractional

Vanoita dzakaonda vachiongorora kuti chirwere zvinangwa. The rabha chubhu (vachiongorora) chitete, kunosvika hafu mita pakureba. vachiongorora kwakadaro pasina Nokumukira iri emetic dzepanguva, angagara mudumbu kwemaawa anopfuura maviri sezvinodiwa. Saka kuwana chinangwa Tracking uye kutsvakurudza kuti secretory mashandiro munguva runodiwa nguva. Gastric magumo pasina emiorivhi ari vakagumisa uye ane maburi maviri. At chinhambwe 50 uye 70 masendimita pakazopera yacho iripo tags. Nokuti kutanga nhete vachiongorora kunoda kushingaira murwere kutarisirwa.

• Vachiongorora hunosumwa usina chawadya kunyanya nokugara chinzvimbo.
• kuguma vachiongorora anoiswa pamusoro pamudzi rurimi. Kufema murwere, uye inobereka zvikuru leisurely kumedza.
• Gara murwere ari kuedza kuteura musoro mberi.
• Wokutanga Mucherechedzo rinoratidza kuti vachiongorora zvasvika fundus nharaunda, uye wechipiri, kuti zvasvika kuti pyloric nharaunda.
• Kuti zvakazara wabvisa mukati, kuti vachiongorora mugumo vanofanira kupinda distal, i.e. pinda vanenge 50 - 60 masendimita kubva micheto kwemeno. Unogona kutarisa murwere kukura nokusuma kuti vachiongorora kuti kudzika - ". Kubvisa zana masendimita rakakwirira murwere kukura"
• kuguma vachiongorora wanamatira imwe kiramba rokunze zvipfeko murwere. Izvi zvinoitawo kuti chipingamupinyi kupinda duodenum.
• On nevakomana kuguma vachiongorora zviri kupfeka sirinji. With yakabereka buritsa zviri mudumbu.

Sezvo vachiziva gastric musvi pumped chose, riri mudumbu. Mumakore akatevera awa, kuti kuunganidzwa kwemari gastric mukati, vanoongorora basal secretion. Uyezve secretion dzinovhurika nokuda pentagastrin kana histamine kutarisira. Mushure dzishande kweawa ose nemaminitsi gumi nemashanu zvikaramba mugove pakati gastric muto. Ivo Kuongorora kutarisana, nemakemikari, nemaziso nzira.

bofu intubation

Chinangwa Washing ndiwo bile mutsinga dzinofamba nemukaka, nduru dundira, chiropa uye vachidzikisa. Zvakakosha chaizvo kuti varwere vakambova chiropa. vachifunga kwakadaro runogonesa aibuda bile kupinda ura, saka kuwedzera ayo motokari basa.

• Mangwanani, akadhakwa usina chawadya girazi remvura inodziya.
• Mushure hafu yeawa kuti kutora inokosha choleretic kwemangwanani.
• Mukombe inodziya tii.
• Norutivi rwako rworuboshwe, pamusoro nzvimbo chiropa rinoshandisirwa inodziya water bottle.
• Anodzivirira, nhema saka nehafu yeawa.
• Pashure pokupedza vanoita chiedza kurovedza uye ipapo unogona kudya.

batsira

Bofu intubation ari Dzakamukurudzirawo pamberi nyanzvi.