Mubasa redu remakiriniki ezuva nezuva, apo vashandi vedu vezvehutano vekukurumidzira vanokurudzira kuisa gastric tube kumurwere 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?
I. Chii chinonzi gastric chubhu?
Gastric chubhu ichubhu refu yakagadzirwa nesilicone yezvokurapa uye zvimwe zvinhu, isina kuomarara asi ine kumwe kuomarara, ine madhayamita akasiyana zvichienderana nechinangwa uye nzira yekupinza (kuburikidza nemhino kana nemuromo); kunyange zvazvo pamwe chete ichinzi "gastric tube", inogona kupatsanurwa kuva gastric chubhu (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, kutsvedzerera uye kushora kwekudzivirira kwegastric chubhu kwakagadziridzwa, izvo zvinoita kuti gastric chubhu isashatise kumuviri wemunhu panguva yekuiswa uye kushandiswa uye inowedzera hupenyu hwayo hwesevhisi kusvika kumadhigirii akasiyana.
Kazhinji, gastric chubhu inoiswa kuburikidza nemhino mhango uye nasopharynx kupinda digestive turakiti, izvo zvinokonzera zvishoma kusagadzikana kumurwere uye hazvikanganisi kutaura murwere.
Chechipiri, ndevapi varwere vanoda kuisa gastric tube?
1. Vamwe varwere vakapera simba zvakanyanya kana kurasikirwa nekukwanisa kutsenga nekumedza chikafu nekuda kwezvikonzero zvakasiyana, saka kana vakamanikidzwa kutora chikafu nemuromo, kwete chete kunaka uye huwandu hwekudya hahugone 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 zvinozowedzera kutungamirira kumatambudziko akadai se 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 menguva pfupi, 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 yezvimwe zvirwere zvepakati penheyo, zvirwere zvisingaperi zveuromuscular (Parkinson's disease, myasthenia gravis, motor neuron disease, etc.) iyo ine simba rinofambira mberi pakuita mastication uye kumedza basa kusvikira varasika zvakanyanya.
2. Vamwe varwere vane zvirwere zvakakomba vanowanzove nekubatana kwegastroparesis (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 mukati. yakaoma acute pancreatitis, kana chikafu chinodikanwa, jejunal chubhu inoiswa kuitira kuti chikafu, nezvimwe zvipinde mudumbu diki (jejunum) zvakananga pasina kuvimba nazvo. gastric 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 rakadai sekuvharwa kwematumbo uye kuchengetwa kwegastric kunokonzerwa nemhando dzakasiyana-siyana, edema yakakomba yemudumbu mucosa, acute pancreatitis, pamberi uye mushure mekuvhiyiwa kwakasiyana-siyana kwegastrointestinal, nezvimwewo, izvo zvinoda kuzorora kwenguva pfupi kwekuwedzera kukurudzira uye mutoro gastrointestinal mucosa uye nhengo dzomudumbu (pancreas, chiropa), kana kuti zvinoda kudzorwa panguva yakakodzera mudumbu rakavharika, zvese zvinoda madhaivhi akagadzirwa kuti atakure Iyi artificial chubhu inonzi gastric chubhu uye inoshandiswa kudhiza zviri mukati megumbo rekugaya uye muto wakavandika wekugaya kusvika 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 omurwere, kwete kuwedzera. Hakusi chete kuti chirwere chemudumbu chemurwere, kurwadziwa, kusvotwa uye kurutsa kunoderera zvakanyanya mushure mekuita uku, asi njodzi yezvinetso inoderedzwawo, zvichiita kuti mamiriro ezvinhu awedzere chikonzero-chaiyo kurapwa.
4. Kudiwa kwekucherechedza kwechirwere uye kuongorora kwekubatsira. Mune vamwe varwere vane zvakanyanya kuoma kwepamuviri mamiriro ezvinhu (akadai sekubuda ropa kwepamuviri) uye vasingakwanisi kushivirira endoscopy yemudumbu uye kumwe kuongorora, gastric tube inogona kuiswa kwenguva pfupi. Kuburikidza nemvura, kuchinja kwehuwandu hwekubuda kweropa kunogona kuonekwa uye kuyerwa, uye kumwe kuedzwa uye kuongorora kunogona kuitwa pamvura yapera yekudya kubatsira varapi kuona mamiriro emurwere.
5. Gastric lavage uye detoxification nekuisa gastric chubhu. Nokuda kwechepfu yehumwe chepfu inopinda mumuviri kuburikidza nemuromo, kugeza gastric kuburikidza negastric chubhu inzira inokurumidza uye inoshanda kana murwere asingakwanisi kushandira pamwe nekurutsa ari ega, chero bedzi muchetura wacho usina kukanganisa zvakanyanya. 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