Gastric lavage: technology, algọridim. Ụzọ gastric lavage

Onye ọ bụla nwere ike ịbụ na a ọnụ ọgụgụ nke ọnọdụ ebe ihe ọmụma nke otú e si arụ a gastric lavage, na Usoro, algọridim mmejuputa iwu na ụzọ nke na-arụ a dị mfe ihe nwere ike ịzọpụta ndụ. Olee otú ọ bụghị ga-efu na ihe esie ike? Na-apụghị ime ihe ọ bụla ikpe, na-enweghị saa?

Gịnị bụ a onye na-afo

Human afo - a aru esịnede muscle anụ ahụ, oghere n'ime. Ọ bụ otu n'ime ihe dị mkpa akụkụ nke digestive usoro. Nke a, ahụ na-emi odude n'etiti nkọlọ na duodenum eriri afọ. Adabaghi olu okenye mmadụ bụ ihe dị ka ọkara a liter. Postprandial enwekwu olu na 1 liter, na ngafe nke na-eriru - na 3.5-4 lita.

Gastric lavage Usoro (algọridim) nke ga-kọwara n'isiokwu a nwere ike a chọrọ ma ọ bụrụ na ndị gị n'ụlọnga weere nata ihe oriri dị ka ize ndụ. Na nke a, na bolus na-nọgidere na gastric esite na-adịghị akpụ akpụ na eriri afọ ebe absorption n'ime ọbara ikowa ize ndụ bekee. Ọgbụgbọ, vomiting, abdominal mgbu.

Mgbe afo-na-asa

Egosi maka gastric lavage, e nwere ọtụtụ:

1. Iri na emebiwo nri ma ọ bụ egbu egbu dịkwa ka usoro ha, na-eduga nnukwu nsị na nri.
2. Igbu egbu dị ka a n'ihi nke impermissibly elu doses nke mmanya.
3. Nsi site ọgwụ, na-egbu egbu mmadụ, ezinụlọ ọgwụ, ọgwụ.
4. Nsogbu na nsia permeability.
5. Muscular atony afo mgbidi anụ ahụ.
6. Iribiga nri ókè.
7. Ọgwụgwọ nke eriri afọ ọrịa na ndị ọzọ ngwa usoro.

Isi eruba nke nsị etinye obi gị dum n'ime n'ọbara nke mbụ 2 awa mgbe nsi. Nke a pụtara na ọ bụ na-achọsi ike na-ebu na-ọcha nke afo mgbe omume nke mbụ mgbaàmà nke igbu egbu.

Atọ saa usoro

Dabere na ndidi na ogo nke ikpughe, gastric lavage nwere ike rụrụ site iche iche usoro. Ụzọ gastric lavage:

1. "Ụlọ oriri na ọṅụṅụ na usoro" ya bụ, enweghị a nyocha.
2. Lavage site a oké tube.
3. Iji a mkpa nyocha.

Esi kpọpụ mmadụ nile nke gastric ọdịnaya na ihe-eme Nchoputa Banyere Ẹnịm naanị site n'ụlọ ọgwụ.

contraindications

E nwere ọtụtụ nke na-ekwu, na-eme ka ọ ghara ikwe ka gastric lavage. Ngwa (algọridim) nke, na nke a dịghị mkpa, n'ihi na usoro a na-contraindicated ke ofụri ofụri. Ndị a na-ekwu, na-agụnye:

1. Ọbara ọgbụgba.
2. Nkwadebe nke acid ma ọ bụ alkali Burns nkọlọ ma ọ bụ eriri afọ usoro.
3. Nsogbu na ọrịa mgbasa.
4. Loss nke nsụhọ.
5. Mebiri nke na-aghọ nkọ, ọdụdọ.
6. Organic ibelata na nkọlọ.
7. Akwusighi nke obi ọnụego, myocardial infarction, rịaworo pectoris.

Na mgbagwoju ikpe, ọ bụla aghụghọ nke onye ọrịa a rụrụ nanị mgbe stabilization nke ọnọdụ ya.

Iche asacha ụlọ afo

Ịghọta otú na-asa si afo n'ụlọ, nwere ike budata melite ọnọdụ mgbe nri ma ọ bụ mmanya na nsi. The aja ga-aṅụ ọtụtụ mmiri na eji vomiting mpiaji. Nga-anọ a obere nkwadebe maka aghụghọ. Mee ka ihe ngwọta maka ịsa, enịm ọzọ akpa (efere ma ọ bụ ịwụ) maka afo ọdịnaya. Ugbu a ọ bụ omume na-ebu gastric lavage maka nsi.

Na ngụkọta, nwere obere nri-aṅụ 5 lita nke ọmụmụ. Na otu obibia eji 2 iko, mgbe ahụ o kwesịrị ịkpalite gag mpiaji. Ọ bụrụ na ọ naghị arụ ọrụ, ọ akpali nsogbu na mgbọrọgwụ nke ire. Nke a nwere ike mere swab ọgwụ spatula ma ọ bụ nanị na ya na mkpịsị aka ya ọnụ. Ọ dị mkpa ka na-agbalị na-aṅụ niile mmiri mmiri ozugbo. Hichaa afo ugboro ugboro nwere ma ọ gaghị enwe ike iji nweta ihe ndị ha chọrọ mmetụta.

Otu usoro eji na ụlọ ọgwụ, ma ọ bụrụ na onye ọrịa n'ihi ihe ọ bụla, na-enweghị ike ilo nyocha. Otu ihe dị mkpa nju bụ ọnụ ọgụgụ buru ibu nke multiple na ọmụmụ abanye afo, mfe ime ka vomiting, na mkpịsị aka ya n'ọnụ ya, ezughị. Mgbe ụfọdụ, dị ka mgbe na aja na-aṅụ ike acid ma ọ bụ alkaline ngwọta, eji vomiting agaghị ekwe omume, dị ka ga-re-ọkụ na nkọlọ. Rinsing na-na-ekwe site nyocha.

ịsa ngwọta

Itucha afo nwere ike nkịtị sie mmiri, ma ọ bụ mma ime n'ihi nzube a a pụrụ iche ngwọta. Proper nkwadebe ga-amụba arụmọrụ nke usoro. The mmiri mmiri maka ịsa afo kwesịrị lukewarm. Kacha okpomọkụ - 25-28 Celsius C. Hotter ngwọta ga-amụba ọnụego penetration nke nsị site dilated arịa. Cool ngwọta nwere ike ime ka spasm.

Ndị na-esonụ ikwọ ike ga-eji na-asa ihe:

1. Na-adịghị ike saline. Na 5 lita nke mmiri ọkụ na-etisasịwo 2 tablespoons nke nnu. Nke a mejupụtara enhances mkpi nke sphincter, na-egbochi penetration nke nsí na eriri afọ.
2. Pink potassium permanganate ngwọta. The ngwọta kwesịrị ìhè, ubé pinkish agba. Tupu na-eji ya na-ẹdụk ghara ịna-undissolved ahụ. Mejupụtara antiseptik na antimicrobial Njirimara.
3. A ngwọta nke mmiri soda. Na nke a, 5 lita nke sie mmiri na-iwere 2 spoonfuls nke soda.

Iji kwadebe a ogige saa bụghị ike, na ọ bụrụ na onye maara otú na-asa si afo n'ụlọ, mgbe na-eme ya ọkacha mma tupu ụgbọ ihe mberede. The mbụ nyere aka mee elu mee ndidi ga-agbake. Ya mere, ọ bụrụ na ị nwere ike ime ka afo ọcha usoro onwe gị, ị ga-eji nke a ohere.

Gastric lavage bụ a ọgwụ alụmdi. oké nyocha

The mmeghe nke a gastric tube maka ịsa esetịpụ naanị etozu. Oké nyocha - a roba tube na-enwe a ogologo banyere 120 cm na a dayameta nke 1 cm ngwaọrụ ịtinye site n'ọnụ na nkọlọ n'ime afo, mgbe ahụ, free ọgwụgwụ enyekwara foneelu na wụsara mmiri mmiri .. Number nke nsacha ngwọta na gbakọọ si arọ nke onye ọrịa. Ndinọ ugboro kwa kilogram nke 5-7 ml mmiri mmiri.

N'oge infusion nke a ọgwụ ọmụmụ esetịpụ foneelu n'elu ihu, na mgbe ngwọta esịmde ọnụ nke foneelu, ala n'ime akpa maka ṅachasịrị. Jisie na-ugboro ugboro iji nweta ọcha mmiri. Ịsa ọdịnaya nke mbụ òkè e zigara ka ọmụmụ.

stilet

Stylet nwere 2 nsụgharị: maka onu nlekọta na ọ dịghị òkè ochichi. The ngwá ọrụ iji iwepụ ihe ugboro ugboro na-eji ikpe nsi ụmụ. Kids ndị na-ruru 4 ọnwa, asa naanị ime mkpa nyocha site imi. The ngwọta na ẹkenam pụrụ iche Janet ntụtụ.

Na iwebata a nyocha site imi ọrịa nwere ike ikwu okwu. Ndị isi ihe - elele na nyocha kụrụ ya na afo, ọ bụghị na nkọlọ.

Akụkụ nke umu

The nwa bụghị ike na-aghọta na saa dị mkpa iji belata ọnọdụ ma ọ bụ na-azọpụta ndụ. The nwa na-adịghị twitching na anaghị egbochi ndị nurse, ọ tightly swaddled ma ọ bụ ẹkenịmde. Maka usoro na-achọ otu nnyemaaka.

Olu nke ọmụmụ ochichi n'ihi na nwa bụ ihe na-erughị. A otu dose nke mmiri mmiri maka nwa ọhụrụ - banyere 50 ml, maka ọnwa isii nwa - 100 ml, ruo otu afọ agadi na nwa - 200 ml.

isi njehie

Na n'ụlọ, na a ọgwụ gastric lavage Usoro (algọridim) nke dị mfe, ọ nwere ike rụrụ na-esonụ njehie:

1. The gụrụ ozugbo inye a nnukwu ego nke mmiri mmiri, nke na-eduga ná ngosi input sphincter nke afo na penetration nke nsí n'ime duodenum.
2. Ọ bụghị na-achịkwa ego nke ntinye na ndọrọ ego nke ihe ngwọta.
3. Ikwọ saa kwadebere na mkpọchị. Ihe ngwọta na-ihe ndọpụ karịa ka ọ dị ime, potassium permanganate bụghị protsezhena, okpomọkụ bụ nke ziri ezi.

Ndị a njehie nwere ike njọ ọrịa na-arịa, n'ihi ya, a na-emeso ihe akpọrọ usoro.

Na a ize ndụ, ọ dị mkpa na-masịrị, ma na-eme ihe ngwa ngwa na obi ike. Ọ bụrụ na ọ dị mkpa, na onye toro eto kwesịrị ịmalite saa afo n'ụlọ, tupu mbata nke dọkịta. Dị ka obere nwa, ọ na-achọsi ike iji napụta n'ụlọ ọgwụ, ndị ụmụ n'ụlọ na-ebu saa nwere ike ịbụ ruo a afọ ozugbo o kwere omume.