Rectal Tube: Mashandisirwo, Saizi, Zvinoratidza, uye Mirayiridzo Yekushandisa Kwakachengeteka

Therectal tubeichubhu inochinjika, ine mhango inopinzwa murectum kuti ibvise zviratidzo zvine chekuita nedambudziko remudumbu, senge gasi netsvina. Semhando yecatheter yezvokurapa, inobata basa rinokosha mune zvose zvekukurumidzira uye kutarisira chipatara chenguva dzose. Kunzwisisarectal chubhu chiratidzo, zvakakodzerarectal chubhu saizi, maitiro ekushandisa, uye kwenguva yakareba sei inogona kuramba yakachengeteka munzvimbo yakakosha kune inoshanda uye yakachengeteka kutarisirwa kwemurwere.

Chii chinonzi Rectal Tube?

A rectal chubhu, inozivikanwawo se flatus chubhu, is azvokurapa zvinodyiwayakagadzirirwa kubatsira kuderedza ura nekubvumira kubuda kwegasi kana chituru. Inowanzo gadzirwa nerabha yakapfava kana epurasitiki uye inoratidzira muromo wakatenderedzwa kuderedza kushungurudzika kune rectal mucosa. Mamwe machubhu erectal ane maburi akawanda epadivi kuti awedzere kushanda zvakanaka kwemvura.

Inoshandiswa zvakanyanya muzvipatara uye nzvimbo dzekuchengeta, rectal machubhu chikamu chechikamu chakakura chezvekurapa catheters. Kusiyana neurinary catheter, iyo inoiswa mudundira, rectal catheter yakagadzirirwa chaizvo kuiswa rectal kubatsira nebowel decompression kana stool diversion.

Rectal Tube Chiratidzo: Inoshandiswa Rini?

Kune akati wandei mamiriro ekiriniki umo rectal chubhu inogona kuratidzwa. Izvi zvinosanganisira:

1. Relief ye flatulence kana abdominal distension- Kana varwere vachitambura nekuwanda kwegasi kuvaka-up (kazhinji mushure mekuvhiyiwa), rectal machubhu anobatsira kuderedza kusagadzikana uye kuderedza kudzvinyirira padumbu remudumbu.
2. Fecal incontinence management- Mukutarisira kwakanyanya kana kwenguva refu varwere vanochengeta, kunyanya avo vakarara kana vasina chavanoziva, rectal chubhu inogona kubatsira kubata kusingadzorerwe mafambiro uye kudzivirira kuparara kweganda.
3. Fecal impaction-A rectal chubhu inogona kubatsira mukudzikamisa stool buildup kana zvechinyakare enemas kana manual dismpaction isingashande.
4. Asati kana mushure mekuvhiyiwa- Postoperative bowel atony kana ileus inogona kutungamirira kukuchengetedza gasi kwakanyanya. Rectal tubes inogona kuiswa kwenguva pfupi kuti ibvise zviratidzo.
5. Diagnostic maitiro- Mune mamwe maitiro ekufungidzira, rectal machubhu anobatsira kuunza musiyano midhiya muura kuitira kujeka kwekuona.

Mamiriro ezvinhu aya anonzi pamwe cheterectal tube zviratidzo, uye kuongororwa kwakakodzera nevashandi vezvokurapa kunodiwa tisati taiswa.

Rectal Tube Saizi: Kusarudza Iyo Yakarurama

Kusarudza chokwadirectal chubhu saizikwakakosha pakuchengetedzwa kwemurwere uye kunyaradzwa. Rectal machubhu anouya muhukuru hwakasiyana, anowanzo kuyerwa muFrench unit (Fr). Ukuru hweFrench hunoratidza dhayamita yekunze ye catheter - iyo yakakwira nhamba, yakakura chubhu.

Heano akajairwa rectal chubhu saizi nezera reboka:

• Vacheche nevacheche:12–14 Fr
• Vana:14–18 Fr
• Vakuru:22–30 Fr
• Vakwegura kana varwere vakaremara:Madiki madiki anogona kudiwa zvichienderana nerectal toni

Kusarudza saizi yakakodzera kunovimbisa kuti chubhu inoshanda pasina kukonzera kushungurudza kusingakoshi kana kusagadzikana. Machubhu akakura zvakanyanya anogona kukuvadza rectal lining, nepo machubhu akadikidiki anogona kusatendera mvura yakakwana.

Rectal Tube Insertion Procedure

Kuiswa kwerectal chubhu kunofanirwa kugara kuchiitwa nenyanzvi dzehutano dzakadzidziswa pasi pemamiriro easeptic. Heino mhedziso yemaitiro acho:

1. Kugadzirira:
   • Tsanangura maitiro kumurwere (kana achiziva) kuderedza kufunganya.
   • Unganidza zvinhu zvinodiwa: rectal chubhu, mvura-based lubricant, magirovhosi, mapedhi anonwisa, uye mudziyo wemvura kana bhegi rekuunganidza kana zvichidikanwa.
   • Isa murwere kudivi ravo rekuruboshwe (Sims 'nzvimbo) kuti vatevedzere yakasikwa curve rectum uye sigmoid colon.
2. Kupinza:
   • Pfeka magirovhosi uye shandisa lubricant ine rupo kune chubhu.
   • Isai chubhu zvinyoronyoro mukati merectum (inenge 3-4 inches kuvanhu vakuru) uchitarisa kupikisa.
   • Kana kuramba kuchizadzikiswa, usamanikidza chubhu—asi, edza kuisazve murwere kana kushandisa chubhu diki.
3. Kuongorora uye Kuchengetedza:
   • Kana yangoiswa, tarisa mafambiro egasi, chituru, kana mvura.
   • Iyo chubhu inogona kubatanidzwa kune drainage system kana kusiiwa yakavhurika kumhepo zvichienderana nekushandiswa kwaunoda.
   • Tarisa kune murwere kusagadzikana, kubuda ropa, kana zviratidzo zvebowel perforation.
4. Kubvisa uye Kuchengeta:
   • Mazhinji machubhu erectal haafanirwe kuramba ari munzvimbo nekusingaperi.
   • Kana isingachadiwi, bvisa chubhu zvinyoro nyoro woirasa maererano nemitemo yekudzivirira utachiona hwechipatara.

Rectal Tube Inogona Kugara Nguva Yakadii?

Nguva iyo rectal chubhu inogona kuramba ichiiswa zvinoenderana nemamiriro ekiriniki uye mamiriro emurwere. Zvisinei, rectal tubes kazhinjiisina kugadzirirwa kushandiswa kwenguva refu.

• Kusununguka kwenguva pfupi (gasi, kukanganisa):Machubhu anogona kuiswa kwemaminetsi makumi matatu kusvika paawa imwe obva abviswa.
• Fecal manejimendi masisitimu (yekusagadzikana):Mamwe masisitimu akasarudzika anogona kusiiwa ari panzvimbokusvika kumazuva 29, asi chete pasi pekutariswa kwakasimba kwechiremba.
• Nguva dzose kushandiswa muchipatara:Kana chubhu ikasiiwa panzvimbo yemvura, inofanira kuongororwa maawa mashoma oga oga uye kuchinjwa kwemaawa 12-24 ega ega kuderedza njodzi yekukuvara kana utachiona.

Kuwedzerwa kushandiswa kunogona kutungamirira kumatambudziko akadai serectal ulcers, pressure necrosis, kana kunyange perforation. Naizvozvo, kuenderera mberi kwekuongorora kwakakosha, uye kushandiswa kwenguva refu kunofanirwa kudzivirirwa kunze kwekunge uchishandisa chigadzirwa chakagadzirirwa nguva iyoyo.

Njodzi uye Dziviriro

Nepo rectal machubhu kazhinji akachengeteka kana akashandiswa nemazvo, njodzi dzinogona kuitika dzinosanganisira:

• Rectal kubuda ropa kana mucosal trauma
• Kuputika kwemukati (kashoma asi kwakakomba)
• Kukuvara kwekumanikidzwa kune anal sphincter
• Utachiona kana kutsamwa

Kuti uderedze njodzi idzi, zvakakosha kushandisa iyo chaiyorectal chubhu saizi, chengetedza kuiswa zvinyoro, uye kuderedza nguva yekuisa. Varwere vanofanirwa kutariswa zvakanyanya nekuda kwekusagadzikana, kubuda ropa, kana zvimwe zvinokonzeresa.

Mhedziso

Therectal tubechinhu chinokoshazvokurapa zvinodyiwainoshandiswa kugadzirisa zvakasiyana-siyana zvegastrointestinal uye zvine chekuita nehutumbu. Kungave kubvisa gasi, kutonga incontinence, kana kubatsira mukuongorora maitiro, kunzwisisa kwakakodzera.rectal chubhu chiratidzo, zvakakodzerarectal chubhu saizi, uye yakachengeteka nzira nhungamiro yakakosha pamhedzisiro yemurwere.

Sezvinowanzoshandiswacatheter yezvokurapa, kushandiswa kwayo kunofanira kugara kuchitungamirirwa nekutonga kwenyanzvi yezvokurapa. Nekushandiswa kwakakodzera uye kutarisa, rectal machubhu anogona kuvandudza zvakanyanya kunyaradza kwemurwere uye kuderedza matambudziko ane chekuita nekusashanda zvakanaka kwematumbo.