Emsebenzini wethu wansuku zonke wezokwelapha, lapho abasebenzi bethu bezokwelapha eziphuthumayo bephakamisa ukubeka ithubhu lesisu esigulini ngenxa yezimo ezihlukahlukene, amanye amalungu omndeni ngokuvamile aveza imibono efana nale engenhla. Ngakho, liyini ngempela ithubhu lesisu? Yiziphi iziguli ezidinga ukufakwa ishubhu esiswini?
I. Liyini ishubhu lesisu?
I-gastric tube iyishubhu elide elenziwe nge-silicone yezokwelapha nezinye izinto, ezingaqinile kodwa ezinobunzima obuthile, obunobubanzi obuhlukene kuye ngokuthi kuhlosiwe kanye nendlela yokufaka (ngekhala noma ngomlomo); nakuba ngokuhlangene ebizwa ngokuthi “ithubhu lesisu”, lingahlukaniswa libe yithubhu lesisu (umkhawulo owodwa wokugaya ufinyelela kulume lwesisu) noma ishubhu le-jejunal (uhlangothi olulodwa emgudwini wokugaya lufika ekuqaleni kwamathumbu amancane) kuye ngokujula kwesisu. ukufaka. (umkhawulo owodwa wokugaya ufika ekuqaleni kwamathumbu amancane). Kuye ngenjongo yokwelashwa, ishubhu lesisu lingasetshenziswa ukujova amanzi, ukudla okuwuketshezi noma imithi esiswini sesiguli (noma i-jejunum), noma ukukhipha okuqukethwe komgudu wokugaya wesiguli kanye noketshezi oluphuma ngaphandle komzimba. ithubhu yesisu. Ngokuthuthukiswa okuqhubekayo kwezinto zokwakha kanye nenqubo yokukhiqiza, ukushelela kanye nokumelana nokugqwala kwethubhu lesisu kuye kwathuthukiswa, okwenza ithubhu lesisu lingacasuli umzimba womuntu ngesikhathi sokubekwa nokusetshenziswa futhi andise impilo yalo yesevisi ngamazinga ahlukahlukene.
Ezimweni eziningi, ithubhu lesisu lifakwa emgodini wekhala kanye ne-nasopharynx emgudwini wokugaya ukudla, okubangela ukungakhululeki okuncane esigulini futhi akuthinti inkulumo yesiguli.
Okwesibili, yiziphi iziguli ezidinga ukubeka i-gastric tube?
1. Ezinye iziguli ziye zaba buthaka kakhulu noma zalahlekelwa amandla okuhlafuna nokugwinya ukudla ngenxa yezizathu ezihlukahlukene, ngakho-ke uma ziphoqeleka ukuba zidle ukudla ngomlomo, hhayi kuphela izinga kanye nenani lokudla elingenakuqinisekiswa, kodwa futhi ukudla kungase kutholakale. ngena emgudwini womoya ngephutha, okuholela emiphumeleni engathi sína njenge-aspiration pneumonia noma i-asphyxia. Uma sithembela ekudleni okufakwe emthanjeni kusenesikhathi kakhulu, kuzodala kalula i-mucosa ye-gastrointestinal ischemia kanye nokucekelwa phansi kwezithiyo, okuzoqhubeka nokuholela ezinkingeni ezifana nesilonda se-peptic nokopha. Izimo ezibucayi ezingaholela ekutheni iziguli zingakwazi ukudla kahle ngomlomo zihlanganisa: izimbangela ezihlukahlukene zokuphazamiseka kokwazi okunzima ukululama phakathi nesikhathi esifushane, kanye nokungasebenzi kahle kokugwinya okubangelwa ukushaywa unhlangothi, ubuthi, ukulimala komgogodla. , i-Green-Barre syndrome, i-tetanus, njll.; izimo ezingapheli zihlanganisa: ukulandelana kwezifo ezithile zesimiso sezinzwa, izifo ezingapheli ze-neuromuscular (isifo sika-Parkinson,, i-myasthenia gravis, isifo se-motor neuron, njll) ekuqhumeni. Izimo ezingalapheki zihlanganisa ukulandelana kwezifo ezithile zesimiso sezinzwa esimaphakathi, izifo ezingapheli ze-neuromuscular (Isifo sika-Parkinson, i-myasthenia gravis, isifo se-motor neuron, njll.) ezinomthelela oqhubekayo ekusebenzeni kwe-mastication kanye nokugwinya kuze kube yilapho zilahleka kakhulu.
2. Ezinye iziguli ezinezifo ezinzima zivame ukuba nenhlanganisela ye-gastroparesis (imisebenzi ye-peristaltic kanye nokugaya kwesisu iba buthaka kakhulu, futhi ukudla okungena emgodini wesisu kungabangela kalula isicanucanu, ukuhlanza, ukugcinwa kwesisu, njll.), noma I-pancreatitis eyingozi kakhulu, lapho ukondliwa kwe-onsite kuyadingeka, kubekwa amashubhu e-jejunal ukuze ukudla, njll. kungene emathunjini amancane (jejunum) ngqo ngaphandle kokuncika. i-peristalsis yesisu.
Ukubekwa ngesikhathi kweshubhu esiswini ukuze ukondle ukudla okunomsoco ezigulini ezinalezi zinhlobo ezimbili zezimo akugcini nje ukunciphisa ingozi yezinkinga kodwa futhi kuqinisekisa ukwesekwa kokudla okunomsoco ngangokunokwenzeka, okuyingxenye ebalulekile yokuthuthukisa ukubikezelwa kokwelashwa esikhathini esifushane. , kodwa futhi kwenzeka ngesinye sezinyathelo zokuthuthukisa izinga lempilo yeziguli esikhathini eside.
3. Ukuvinjelwa kwe-pathological kwepheshana lesisu njengokuvinjwa kwamathumbu kanye nokugcinwa kwesisu okubangelwa i-etiologies ehlukahlukene, i-edema enzima ye-mucosa yamathumbu, i-pancreatitis eyingozi, ngaphambi nangemva kokuhlinzwa okuhlukahlukene kwesisu, njll., okudinga ukukhululeka kwesikhashana kokukhuthazwa okuqhubekayo nomthwalo i-mucosa ye-gastrointestinal kanye nezitho zesisu (ama-pancreas, isibindi), noma adinga ukukhululeka ngesikhathi sokucindezela emgodini wesisu ovimbekile, konke kudinga imigudu eyenziwe ngokwenziwa ukuze idluliselwe Leli shubhu lokwenziwa libizwa ngokuthi ishubhu lesisu futhi lisetshenziselwa ukukhipha okuqukethwe komgudu wokugaya ukudla kanye namajusi okugaya akhiqiziwe. ngaphandle komzimba. Le tube yokwenziwa iyishubhu lesisu elinomshini wokucindezela ongemuhle oxhunywe ekugcineni kwangaphandle ukuze kuqinisekiswe ukugeleza kwamanzi okuqhubekayo, ukuhlinzwa okubizwa ngokuthi "i-gastrointestinal decompression". Le nqubo empeleni iyisinyathelo esiphumelelayo sokukhulula ubuhlungu besiguli, hhayi ukubukhulisa. Akukhona nje kuphela ukuthi ukuvuvukala kwesisu kwesiguli, ubuhlungu, isicanucanu nokuhlanza kuncipha kakhulu ngemva kwale nqubo, kodwa ingozi yezinkinga nayo iyancishiswa, okwenza izimo zokwelashwa okwengeziwe okuqondene nembangela ethile.
4. Isidingo sokubhekwa kwezifo kanye nokuhlolwa okusizayo. Kwezinye iziguli ezinezimo ezimbi kakhulu zesisu (njengokopha emathunjini) futhi ezingakwazi ukubekezelela i-endoscopy yamathumbu nokunye ukuhlolwa, ishubhu lesisu lingafakwa isikhathi esifushane. Ngokukhipha amanzi, izinguquko enanini lokopha zingabonwa futhi zikalwe, futhi okunye ukuhlolwa nokuhlaziya kungenziwa oketshezini lokugaya ukudla oseluphelile ukusiza odokotela babone isimo sesiguli.
5. Ukugezwa kwesisu nokukhishwa ubuthi ngokubeka ishubhu lesisu. Ngoshevu oshubile wobuthi obungena emzimbeni ngomlomo, ukugezwa kwesisu ngeshubhu lesisu kuyisinyathelo esisheshayo nesisebenzayo uma isiguli singakwazi ukubambisana nokuhlanza sisodwa, inqobo nje uma ubuthi bungagqwali kakhulu. Lobu buthi buvamile njengalezi: amaphilisi okulala, izibulala-zinambuzane ze-organophosphorus, utshwala obudlulele, izinsimbi ezisindayo kanye nokunye ukudla okunoshevu. Ishubhu lesisu elisetshenziselwa ukugezwa kwesisu kumele libe nobubanzi obukhulu ukuze kuvinjwe ukuvaleka kokuqukethwe yisisu, okuthinta ukusebenza kahle kokwelashwa.
Isikhathi sokuthumela: Apr-20-2022