Ndeipi nzira yekuisa gastric chubhu mumurwere anorwara zvakanyanya?

Mubasa redu remakiriniki ezuva nezuva, apo vashandi vedu vezvehutano vekukurumidzira vanokurudzira kuisa gastric tube kune murwere nekuda kwemamiriro akasiyana-siyana, dzimwe nhengo dzemhuri dzinowanzotaura maonero akaita sezviri pamusoro apa.Saka, chii chaizvo chinonzi gastric tube?Ndevapi varwere vanoda kuiswa gastric tube?

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I. Chii chinonzi gastric chubhu?

Gastric chubhu ichubhu refu yakagadzirwa nesilicone yezvokurapa uye zvimwe zvinhu, isina kuomarara asi ine imwe kuomarara, ine madhayamita akasiyana zvichienderana nechinangwa uye nzira yekupinza (kuburikidza nemhino kana nemuromo);kunyange zvazvo pamwe chete ichinzi "gastric tube", inogona kupatsanurwa kuva gastric tube (imwe mugumo mugumbo rekudya rinosvika mudumbu lumen) kana jejunal tube (imwe mugumo mugumbo rekudya inosvika panotangira ura hudiki) zvichienderana nekudzika kwe kuisa.(imwe mugumo wegumbo rekudya rinosvika pakutanga kwemukati mudiki).Zvichienderana nechinangwa chekurapwa, gastric chubhu inogona kushandiswa kubaya mvura, chikafu chemvura kana mushonga mudumbu remurwere (kana kuti jejunum), kana kuburitsa zviri mudumbu remurwere uye zvakabuda kunze kwemuviri. gastric tube.Nekuenderera mberi kwekuvandudzwa kwezvinhu uye maitiro ekugadzira, kutsvedzereka uye kushorwa kwekupokana kwegastric chubhu yakagadziridzwa, izvo zvinoita kuti gastric chubhu isashatise kumuviri wemunhu panguva yekuiswa uye kushandiswa uye inowedzera hupenyu hwayo hwesevhisi kune akasiyana madhigirii.

Kazhinji, gastric chubhu inoiswa kuburikidza nemhino mhango uye nasopharynx mukati megumbo, izvo zvinokonzera kusagadzikana kudiki kumurwere uye hazvikanganisi kutaura kwemurwere.

Chechipiri, ndevapi varwere vanoda kuisa gastric tube?

1. Vamwe varwere vakaonda zvakanyanya kana kurasikirwa nekugona kutsenga nekumedza chikafu nekuda kwezvikonzero zvakasiyana, saka kana vakamanikidzwa kutora chikafu nemuromo, kwete chete kunaka uye huwandu hwekudya hazvigone kuvimbiswa, asiwo chikafu chinogona. pinda munzira yemhepo nekukanganisa, zvichitungamira kune zvakakomba zvakanyanya senge aspiration pneumonia kana kunyange asphyxia.Kana tikavimba nekudya kunoiswa mutsinga kare kare, zvinokonzeresa zviri nyore gastrointestinal mucosa ischemia uye kuparadzwa kwezvipingamupinyi, izvo zvinozoenderera mberi zvichikonzera matambudziko senge peptic ulcer uye kubuda ropa.Mamiriro ezvinhu akaoma anogona kukonzera kusakwanisa kwevarwere kudya zvakanaka kuburikidza nemuromo zvinosanganisira: zvikonzero zvakasiyana-siyana zvekutadza kuziva izvo zvakaoma kupora mukati mechinguva chiduku, pamwe nekunyanya kumedza kusashanda kunokonzerwa nesitiroko, chepfu, kukuvara kwemusana. , Green-Barre syndrome, tetanus, nezvimwewo;zvirwere zvisingaperi zvinosanganisira: sequelae yezvimwe zvirwere zvepakati penheyo, zvirwere zvisingaperi zveuromuscular (Parkinson's disease,, myasthenia gravis, motor neuron chirwere, nezvimwewo) pa mastication.Mamiriro ezvinhu asingagumi anosanganisira sequelae yeimwe central central nervous system zvirwere, zvirwere zvisingaperi zveuromuscular (Parkinson's disease, myasthenia gravis, motor neuron chirwere, nezvimwewo) izvo zvine simba rinofambira mberi pakuita mastication uye kumedza basa kusvikira varasika zvakanyanya.

2. Vamwe varwere vane zvirwere zvakakomba vanowanzova nemusanganiswa we gastroparesis (iyo peristaltic uye digestive mabasa emudumbu akanyanya kupera simba, uye zvokudya zvinopinda mugastric cavity zvinogona kukonzera nyore nyore kusvotwa, kurutsa, kuchengetwa kwegastric content, nezvimwewo), kana yakaoma acute pancreatitis, kana chikafu chinenge chichidikanwa, jejunal chubhu inoiswa kuitira kuti chikafu, nezvimwe zvipinde mudumbu diki (jejunum) zvakananga pasina kuvimba negastric peristalsis.

Kuiswa panguva yakakodzera kwegastric tube yekudyisa kudya kune varwere vane marudzi maviri aya emamiriro ezvinhu kwete kungoderedza dambudziko rematambudziko asiwo kunovimbisa rubatsiro rwekudya zvakanyanya sezvinobvira, iyo inokosha chikamu chekuvandudza kufungidzira kwekurapa munguva pfupi. , asi zvakare inoitika kuva imwe yematanho ekuvandudza hupenyu hwevarwere munguva refu.

3. Pathological kuvharidzirwa kwegumbo rakafanana nekuvharwa kwematumbo uye kuchengetwa kwegastric kunokonzerwa nemhando dzakasiyana-siyana, edema yakaoma yegumbo remucosa, acute pancreatitis, vasati uye mushure mekuvhiyiwa kwakasiyana-siyana kwegumbo, nezvimwewo, izvo zvinoda kusunungurwa kwenguva pfupi kwekuwedzera kukurudzira uye mutoro gastrointestinal mucosa uye gastrointestinal nhengo (pancreas, chiropa), kana kuti inoda kumanikidzwa panguva yakakodzera mugumbo rakavharidzirwa, zvose zvinoda madharu akagadzirwa ekufambisa Iyi artificial chubhu inonzi gastric tube uye inoshandiswa kubvisa zviri mukati megumbo uye mito yekugaya yakavigwa kunze kwemuviri.Iyi artificial chubhu ichubhu yemudumbu ine gastrointestinal dhizaini yakasungirirwa kumagumo ekunze kuti ive nechokwadi chekuenderera kwemvura, oparesheni inonzi "gastrointestinal decompression".Iyi nzira inotova chiyero chinoshanda chekubvisa marwadzo emurwere, kwete kuwedzera.Hakusi chete kuti murwere abdominal distension, kurwadziwa, kusvotwa uye kurutsa kunoderera zvakanyanya mushure mekuita uku, asi njodzi yematambudziko inoderedzwa zvakare, ichigadzira mamiriro ezvimwe chikonzero-chaiyo kurapwa.

4. Kudiwa kwekucherechedza kwechirwere uye kuongorora kwekubatsira.Mune vamwe varwere vane zvakanyanya kuoma kwepamuviri mamiriro ezvinhu (akadai seropa remudumbu) uye vasingakwanisi kushivirira endoscopic yegumbo uye kumwe kuongorora, gastric tube inogona kuiswa kwenguva pfupi.Kuburikidza nemvura, kuchinja kwehuwandu hwekubuda kweropa kunogona kuonekwa uye kuyerwa, uye kumwe kuongorora uye kuongorora kunogona kuitwa pamvura yapera yekudya kubatsira varapi kuona mamiriro emurwere.

5. Gastric lavage uye detoxification nekuisa gastric chubhu.Kune chepfu yehumwe chepfu inopinda mumuviri kuburikidza nemuromo, gastric lavage kuburikidza negastric chubhu idanho rinokurumidza uye rinoshanda kana murwere asingakwanisi kubatira pamwe nekurutsa ari ega, chero bedzi chepfu yacho isinganyanyi kuodza.Muchetura uhu unozivikanwa se: mapiritsi ekukotsirisa, mishonga yezvipembenene inonzi organophosphorus, doro rakawandisa, heavy metal uye kumwe kuchetura kwechikafu.Iyo gastric chubhu inoshandiswa kugezesa gastric lavage inoda kuve yakakura dhayamita kuitira kudzivirira kuvharika nemukati medumbu, izvo zvinokanganisa kugona kwekurapa.


Nguva yekutumira: Kubvumbi-20-2022