Duodenal intubation: hana 'ana i kūpono, na nāʻikepili

'Aʻole mau kālailai o ke koko, mimi, a me feces ke haawi pololei' ike e pili ana i ka moku'āina o ke ola ana o ka hoʻomanawanui. Ma ia mau hihia, i kauoha mai ai i na mea PalekanaEND_LINK manipulation.

ke kaʻina hana no Overview

Kekahi o ia mea i ka duodenal intubation, hana 'ana i kūpono i pono kekahi e hoomakaukau ai hanana.

Kēia ke kaʻina hana no ka ia i loko o ke alo o ka gallbladder maʻi, a me ka akepaʻa.

Pehea hana duodenal intubation? Algorithm o kona mau mea e noiʻi i kahi o ka duodenum. Ua Ua loko mai o ka intestinal, gastric a me pancreatic Piʻihonua a me bile ukuhiia.

Duodenal intubation, i hōʻike manaʻo ka hapanui 'oluʻolu, e kokua i ka möakäka hou i ke kahua me ka hoʻoʻino lesions o ka gallbladder a me ka ake a me ka bile ducts. No hoi ka mea hiki ke hoʻohana 'ia e huai ae i ke alo o parasites i loko o ke kino.

Mai hana ai 'i kaʻimiʻana

Mua e paʻa ana paʻa duodenal intubation, pono e hoʻomaʻamaʻa ai i keia manipulation i ka hoʻomanawanui. About ka hebedoma mua ka mea, aole ia i waiho aku e lawe i kekahi mau lapaʻauʻia:

• Bile;
• kekahi antispasmodics;
• vasodilators;
• laxatives;
• lapaau i ka hoʻoikaika 'ana digestion.

ʻai a me ka meaʻai

Inā i'ōleloʻia ai duodenal intubation, hana 'ana i kūpono ia e ke ikaika i hahai ma hope. E manipulated ma luna o ka nele'ōpū. Ka hope palaoa e lawe wahi i ka po mua, i mua o 19:00 hope. Ua mea kupono i ke awakea ua maʻalahi. Ua Ua pololei papaia e hoʻohana huahana e hiki i pokole o ka flatulence. Mau nā:

• uala;
• Borodino berena;
• haleʻuwī waiū huahana.

I ke ahiahi, i ka hoʻomanawanui ua hoakaka ia ka lāʻau "Atropine" e lawe 8 kulu. Ma kekahi mau hihia, ka mea, ua lawelawe subcutaneously. I hana i ka wai i loko o ka palapala o ka wela, i ka i i huiia 30 g. O ka xylitol.

E hoomakaukau ai no ke kakahiaka

Duodenal intubation, ka algorithm o i hoʻomaka i ke kakahiaka mau ekolu i eha hora. Mua o nā mea a pau, e hoomanawanui i e hai aku i ke kaʻina o nā kaʻina hana. I hoomaopopo i ka mea i manaoia e dispel i kekahi kanaka mai, e kanalua ai i ka pono no keia manipulation.

Ma hope o ia, i ka hoʻomanawanui ua kau ma luna o ka nohoʻana ma noho i loko o ka oihana overture me kulou poo. Ua hāʻawiʻia ka lima i ka kūikawā pń halihali papahana no ka tuha, a hoonoho iho la i ka pahu pepa.

Inā he kanaka ka mea nana e lawe mai i kēia kaʻina hana i dentures, ka mea pono e wehe.

Ka hoʻomaka i ke kaʻina hana

Ma hope iho o kēia mau hoomakaukau lawe hoʻomalu sterile duodenalʻimi, a moisturizes i ka hopena o kona mau wai. Hana keia, alaila e kaili i kaʻimi i loko o ka lima akau ma kekahi oihana i mea o ka hola eono iniha mai o ka oliva. Ma ka lima hema o ka lua o ka hopena.

A laila, hoʻomaka keʻimi hoʻokomo o. Ma ka waha hamama i loko o ke kumu o ke alelo iʻoliva, a me ka hoomanawanui, e moni 'ia ana e neʻe me ke kōkua o ke hoʻomalu i loko o ka esophagus.

I mea e pale aku i ka gag reflex, pono hanu nui ihu i ka hoʻomanawanui. Inā i keia manawa i ke kaʻina hana o ka hanu i wahi me kekahi nā pilikia, ia mea he hōʻailona ia o ka duodenal Tube ua i loko o ka esophagus.

E hoolilo ana i moni 'ia ka neʻe' ana, ka hoʻomanawanui paipai 'ia kaʻimi malalo iho, a ka mea hiki i ka'ōpū. E loaʻa mai, i ka hoʻomalu attaches he kupaianaha 'ohe. Inā ua piha ka ipu me ka murky wai, a 'o ia hoʻi i kaʻimi i ka wahi.

Ma ka mea aia no he kūikawā hoailona, a hooholo ma ka lāʻauʻoliva. No ka mea ha o ka'ōpū lawa holehole mai ai. Inā 'oe pono e hele malalo iho, i ka hiku o ka pilikia i hou holopono ua paʻa i loko o ka vertical kūlana. He pono i keia manawa, e hele lohi.

Inā 'oe makemake i ka duodenal kaʻimiʻana, i ka oliva i e ale i ka iwa o ka loloa. I ka mea, ae oi wale, i ka hoʻomanawanui ua kau ma luna o ka moe ma kaʻaoʻao hema. Ma lalo o ka pelvic wahi ua puni iho la ka lole wili uuku nui, a me na iwi aoao - he mehana paio hahana maoli nō pale.

Duodenal intubation. hana 'ana i kūpono

I kaʻoliva ma wahi, ua kuu iho la i ka noa hope o kaʻimi i ka ipu. Ua ku nei ma ka liʻiliʻi papa e pili ana i ke ku ma ke poo o ka hoʻomanawanui. Aia Ka i hoʻonoho i nā paipu ma i ka ohi ia mea no ka noiʻi.

A hiki i ke koho mōakāka wai yellow hue, i ka pau ana o kaʻimi, i mea paa ole, koke waihoia ma ka ipu mua. Ka mea, e halawai ma mua a hiki i ka hookahi kanaha ka pono o ka bile. Ua lawe e pili ana i ka hapalua hora.

A hiki aku i ka makemake nui o ka wai a ua hui pūʻia i loko o ka Tube mua, heʻimi hoʻomalu komo he 25 pakeneka pāʻoihana o ke makanekiuma sulufahate. Ka lāʻau i ka ia manawa e mau eʻenaʻena ai hanohano i loko o kanaha degere. A laila, zascheplyayut mea'ūmiʻi a nākiʻi i ka noa hope o kaʻimi anaina kanaka, a koe no laila, no ka ma kahi oʻumi minuke.

Mahope iho o keia manawa, no ka noa pau ana o kaʻimi ua hookuu a kuu iho la i ka ipu. A hiki i ke koho manoanoa pouli oliva bile, mai ka ipu manaʻo ua wehe a waiho i loko o ka lua Tube. Material no Ka Ikepili Pono hanohano i kanaono ka pono, e ohi i ka mea, e lawe i kekahi hapalua o ka hora.

Mahope iho o keia manawa, no ka noa pau ana o kaʻimi hou waiho i loko o ka ipu, a me ka hoʻomalu, koke ke koho hoʻomaka hepatic bile, i ka mea he melemele kala like 'ole, koke' oni iki i ke kolu o ka Tube. Oe e Pono e houluulu ma kahi he iwakalua ka pono o ka wai.

ma hope o kaʻimiʻana

I ka duodenal intubation gallbladder welau hoʻomalu hiki aku ai i ka hoʻomanawanui a hiki i ka noho kulana, a laila, e lawe aku oe i kaʻimi. Ma hope iho ua hoʻokolokolo haawi i antiseptic ai ka wai i ka moʻolelo o ka lua holoi.

Koke ma hope o ka hoʻomanawanui noi e pili ana i ke ola o ka manipulation. Ma hope iho o ia mea, haawi aku la i loko o ka hale, kahi i manao e haʻalele i ke kakahiaka aina kakahiaka. E haalele mai i ke kaʻina hana, ke hoʻomanawanui koi moe e maha ai, a me ka piha koena.

kanaka ka manao

Pehea e hoolilo nā mea maʻi duodenal intubation? Reviews o na kanaka, ka poe i ia, i ka i ana i ke kaʻina hana iho nei,ʻaʻole pēlā ino e like me ia mea i mua kilohi. Eia hou kekahi, ia mea he alanui nui e lawe mai i ke kino o ka oi bile.

O ka holo ana, eia nīnūnē hopena. Makanekiuma sulphate hiki lalo ke koko. ia no hoi, ua he laxative ia i loko o kekahi ma o na la e wehe ai i pā holoi.

Contraindications

E like me nā mea a pau manipulations, duodenal probingʻano hana o ka i like i ho'ākāka 'ia ma luna, ka mea i contraindications. He mea hiki ole ke lawe mai i ke kaʻina hana:

• e hoomanawanui i ka poe i ike kahe ana ke koko i loko o ka gastrointestinal'āpana;
• i ka hoʻoʻino keʻano o ka hanaʻana o ka laau make bladder;
• me ka ikaika naʻau ole;
• pathologies nosorotoglotki;
• ka wā hou o ka esophagus;
• ma ke alo o ka 'ōpū ulcers ;
• ka wā o ka hemorrhoidal aa koko i loko o ka esophagus hoʻonui;
• ina he mau complications ma mimikō mellitus;
• bronchial asthma;
• ma ke alo o ka epilepsy;
• ka wā mā esophagus;
• ka wā o ka hoʻomanawanui i ke kaumaha manaʻo nei ke, a me ia nō e paakiki i ka hana e like me ka lōʻihi ina hana.

Ua Ua hoi pololei hookapuia, keia manipulation o na keiki ma lalo o nā makahikiʻekolu, hapai na wahine a me ka poe e breastfeeding.

complications

Iloko o ke ao, complications kānāwai i loko o ka palapala o:

• mucosal eha o ka esophagus;
• o ke kahe ana ke koko;
• ka luaʻi;
• profuse salivation.