Kumsebenzi wethu wekliniki yemihla ngemihla, xa abasebenzi bethu bezonyango bexakeka becebisa ukuba babeke ityhubhu yesisu kwisigulane ngenxa yeemeko ezahlukeneyo, amanye amalungu entsapho ahlala ebonisa iimbono ezifana nezi ngasentla.Ngoko ke, yintoni kanye kanye ityhubhu yesisu?Zeziphi izigulana ekufuneka zibekwe ityhubhu yesisu?
I. Yintoni ityhubhu yesisu?
I-tube ye-Gastric yi-tube ende eyenziwe nge-silicone yonyango kunye nezinye izinto, ezingekho ngqongqo kodwa ezinobunzima obuthile, ezinobubanzi obuhlukeneyo ngokuxhomekeka kwithagethi kunye nendlela yokufakwa (ngempumlo okanye ngomlomo);Nangona ngokudibeneyo ebizwa ngokuba "yityhubhu yesisu", inokohlulwa ibe yityhubhu yesisu (enye isiphelo kwi-digestive tract ifikelela kwi-lumen yesisu) okanye i-jejunal tube (enye isiphelo kwi-digestive tract ifika ekuqaleni kwesisu esincinci) kuxhomekeke kubunzulu besisu. ukufakwa.(enye isiphelo sendlela yokugaya ifikelela ekuqaleni kwamathumbu amancinci).Ngokuxhomekeke kwinjongo yonyango, ityhubhu yesisu ingasetyenziselwa ukutofwa amanzi, ukutya okumanzi okanye amayeza esiswini sesigulana (okanye ijejunum), okanye ukukhupha izinto ezikwindlela yokwetyisa yesigulana kunye nezinto eziphuma ngaphandle emzimbeni. ityhubhu yesisu.Ngokuphuculwa okuqhubekayo kwezinto kunye nenkqubo yokuvelisa, ukuguquguquka kunye nokuxhatshazwa kwe-corrosion ye-tube ye-gastric kuye kwaphuculwa, okwenza ukuba ityhubhu ye-gastric ingabonakali emzimbeni womntu ngexesha lokubeka kunye nokusetyenziswa kunye nokwandisa ubomi bayo benkonzo ukuya kumaqondo ahlukeneyo.
Kwiimeko ezininzi, ityhubhu ye-gastric ifakwe kwi-nasopharynx kwi-digestive tract, ebangela ukungahambi kakuhle kwisigulane kwaye ayichaphazeli intetho yesigulane.
Okwesibini, zeziphi izigulane ezifuna ukubeka ityhubhu yesisu?
1. Ezinye izigulane ziye zaba buthathaka kakhulu okanye zilahlekelwe amandla okuhlafuna kunye nokugwinya ukutya ngenxa yezizathu ezahlukahlukeneyo, ngoko ke ukuba zinyanzeliswa ukuba zithathe ukutya ngomlomo, kungekhona nje umgangatho kunye nobungakanani bokutya obungenakuqinisekiswa, kodwa nokutya kunokuqinisekiswa. ngena kwindlela yomoya ngempazamo, nto leyo ekhokelela kwiziphumo ezimandundu ngakumbi njengenyumoniya yokunqwenela okanye ukuphefumla.Ukuba sithembele kwisondlo esifakwe kwi-intravens kwangethuba, kuya kubangela ngokulula i-mucosa yesisu esiswini kunye nokutshatyalaliswa komqobo, okuya kukhokelela ngakumbi kwiingxaki ezifana ne-peptic ulcer kunye nokopha.Iimeko ezibukhali ezinokukhokelela ekungakwazini kwezigulana ukutya ngokutyibilikayo ngomlomo zibandakanya: izizathu ezahlukeneyo zokuphazamiseka kwengqondo ekunzima ukuzibuyisela ngexesha elifutshane, kunye nokungasebenzi kakuhle kokuginya okubangelwa sistroke, ityhefu, ukwenzakala komnqonqo. , i-Green-Barre syndrome, i-tetanus, njl.;iimeko ezingapheliyo ziquka: i-sequelae yezinye izifo ze-nervous system, izifo ezingapheliyo ze-neuromuscular (isifo sika-Parkinson,, i-myasthenia gravis, isifo se-motor neuron, njl.) kwi-mastication.Izimo ezingapheliyo ziquka i-sequelae yezinye izifo ze-nervous system, izifo ezingapheliyo ze-neuromuscular (isifo sika-Parkinson, i-myasthenia gravis, isifo se-motor neuron, njl.) ezinempembelelo eqhubekayo kwi-mastication kunye nokugwinya umsebenzi de zilahleke kakhulu.
2. Ezinye izigulana ezinezifo ezinzima zihlala zinendibaniselwano ye-gastroparesis (i-peristaltic kunye nemisebenzi yokwetyisa kwesisu iyancipha kakhulu, kwaye ukutya okungena kwi-gastric cavity kunokubangela isicaphucaphu, ukuhlanza, ukugcinwa kwesisu, njl. i-pancreatitis ebukhali, xa isondlo se-onsite sifunwa, iityhubhu ze-jejunal zibekwe ukuze ukutya, njl.
Ukubekwa ngexesha elifanelekileyo ityhubhu ye-gastric ukondla isondlo kwizigulane ezineentlobo ezimbini zeemeko azigcini nje ukunciphisa umngcipheko weengxaki kodwa ziqinisekisa inkxaso yesondlo kangangoko kunokwenzeka, okuyinxalenye ebalulekileyo yokuphucula i-prognosis yonyango kwixesha elifutshane. , kodwa kwakhona kwenzeka ukuba enye yemilinganiselo yokuphucula umgangatho wobomi bezigulane kwixesha elide.
3. Ukuphazamiseka kwe-Pathological of the gastrointestinal tract ezifana nokuphazamiseka kwamathumbu kunye nokugcinwa kwesisu okubangelwa yi-etiologies ehlukahlukeneyo, i-edema enzima ye-mucosa yesisu, i-pancreatitis ebukhali, ngaphambi nangemva kotyando oluhlukeneyo lwesisu, njl., ezifuna ukukhululeka kwexeshana lokuvuselela ngakumbi kunye nomthwalo i-gastrointestinal mucosa kunye namalungu e-gastrointestinal (i-pancreas, isibindi), okanye ifuna ukunyanzeliswa koxinzelelo ngexesha elifanelekileyo kwindawo ethintelekileyo yesisu, zonke zifuna imigudu eyenziweyo yokudlulisa Le ityhubhu eyenziweyo ibizwa ngokuba yi-tube yesisu kwaye isetyenziselwa ukukhupha imixholo yendlela yokugaya kwaye incindi yokwetyisa efihliweyo ukuya ngaphandle komzimba.Le ityhubhu yokwenziwa ngumbhobho wesisu kunye nesixhobo esibi soxinzelelo olufakwe kwisiphelo sangaphandle ukuze kuqinisekiswe ukukhutshwa kwamanzi okuqhubekayo, umsebenzi obizwa ngokuba yi "gastrointestinal decompression".Ngokwenene le nkqubo iyindlela esebenzayo yokuthomalalisa iintlungu zesigulana, kungekhona ukuzinyusa.Akukuphela nje ukuba isisu somguli, intlungu, isicaphucaphu kunye nokugabha kuncipha kakhulu emva kwale nkqubo, kodwa umngcipheko weengxaki nawo uyancitshiswa, ukudala iimeko zonyango oluthe kratya.
4. Imfuno yokujongwa kwesifo kunye noviwo oluncedisayo.Kwezinye izigulana ezineemeko ezinzima kakhulu zesisu (ezifana nokopha kwesisu) kwaye zingakwazi ukunyamezela i-endoscopy yesisu kunye nezinye iimviwo, ityhubhu yesisu inokubekwa ixesha elifutshane.Ngokusebenzisa i-drainage, utshintsho kwixabiso lokopha lunokubonwa kwaye lulinganiswe, kwaye ezinye iimvavanyo kunye nohlalutyo lunokwenziwa kulwelo lokwetyisa olukhutshiweyo ukunceda oogqirha babone imeko yesigulana.
5. Ukuhlamba isisu kunye nokukhutshwa kwetyhefu ngokubeka ityhubhu yesisu.Kwityhefu eqatha yezinye iityhefu ezingena emzimbeni ngomlomo, ukuhlanjwa kwesisu ngombhobho wesisu ngumlinganiselo okhawulezayo nosebenzayo ukuba isigulana asinakukwazi ukusebenzisana nokugabha ngokwaso, ukuba nje loo tyhefu ingonakalisi kakhulu.Ezi tyhefu zixhaphakile njengezi: iipilisi zokulala, izibulali-zinambuzane ze-organophosphorus, utywala obugqithisileyo, iintsimbi ezinzima kunye netyhefu ethile yokutya.Umbhobho wesisu osetyenziselwa ukuhlamba isisu kufuneka ube nobukhulu obukhulu ukuze uthintele ukuvalelwa yimixholo yesisu, echaphazela ukusebenza kakuhle kwonyango.
Ixesha lokuposa: Apr-20-2022