Tubhu reRectal: Mashandisirwo, Saizi, Zviratidzo, uye Nhungamiro dzeKushandisa Zvakachengeteka

Iyochubhu yemudumbuichubhu inochinjika, isina chinhu inopinzwa murectum kuderedza zviratidzo zvine chekuita nematambudziko emudumbu, akadai segasi netsvina. Semhando yekatheta yekurapa, inoita basa rakakosha mukutarisira vanhu vane dambudziko rekukurumidzira uye mukutarisira zvipatara nguva dzose.chiratidzo chechubhu yerectal, zvakakodzerasaizi yechubhu yerectal, maitiro ekushandisa, uye kuti inogona kuramba iripo kwenguva yakareba sei zvakakosha kuti murwere atarisirwe zvakanaka uye zvakachengeteka.

Chii chinonzi Rectal Tube?

Chubhu yemudumbu, inozivikanwawo sechubhu yeflatus, ichubhu inezvinodyiwa zvekurapaYakagadzirirwa kubatsira kubvisa gasi kana tsvina mudumbu nekubvumira kuti gasi ribude. Inowanzogadzirwa nerabha yakapfava kana purasitiki uye ine muromo wakatenderera kuderedza kukuvara kwemucosa yemudumbu. Mamwe machubhu emudumbu ane maburi akawanda eparutivi kuti awedzere kushanda zvakanaka kwemvura.

Machubhu erectal anoshandiswa zvakanyanya muzvipatara nenzvimbo dzekutarisira varwere, chikamu chechikamu chakakura chemacatheter ekurapaKusiyana nemacatheter emuweti, ayo anoiswa mudundira, macatheter emurectal akagadzirirwa kuiswa murectal kuti abatsire kubvisa ura kana kubvisa tsvina.

Chiratidzo cheRectal Tube: Inoshandiswa Rini?

Kune zvirwere zvakasiyana-siyana zvinogona kutaurwa kuti munhu anofanira kuvhiyiwa nechubhu yemudumbu. Izvi zvinosanganisira:

1. Kurerutsira dumbu rinoputika kana kuzvimba kwedumbu– Kana varwere vachitambura nekuwedzera kwegasi (kazhinji mushure mekuvhiyiwa), machubhu emudumbu anobatsira kuderedza kusagadzikana uye kuderedza kumanikidzwa kwedumbu.
2. Kutarisira kusazvidzora kwetsvina– Muvarwere vanorwara zvakanyanya kana kuti vanorwara kwenguva refu, kunyanya avo vanogara vakarara pamubhedha kana vasina chavanoziva, chubhu yemudumbu inogona kubatsira kudzora kufamba kwedumbu zvisina kurongeka uye kudzivirira kukuvara kweganda.
3. Kubatwa netsvina– Chubhu yemudumbu inogona kubatsira mukuderedza kuungana kwetsvina yakaoma kana kushandisa nzira dzechinyakare dzekuchenesa kana kuibvisa nemaoko kusingashande.
4. Usati wavhiyiwa kana kuti mushure mekuvhiyiwa– Kuora kwedumbu mushure mekuvhiyiwa kana kuti ileus kunogona kukonzera kuchengetwa kwegasi zvakanyanya. Machubhu epadumbu anogona kuiswa kwenguva pfupi kuti aderedze zviratidzo.
5. Maitiro ekuongorora chirwere- Mune dzimwe nzira dzekufungidzira, machubhu emudumbu anobatsira kuisa contrast media mudumbu kuti zvionekwe zviri nyore.

Mamiriro aya anotaurwa pamwe chete sezviratidzo zvechubhu yemudumbu, uye kuongororwa kwakakodzera nenyanzvi dzezvekurapa kunodiwa usati waisa mushonga.

Saizi dzeTube yeRectal: Kusarudza Yakakodzera

Kusarudza chakakodzerasaizi yechubhu yerectalZvakakosha kuti murwere agare akachengeteka uye anyaradzwe. Machubhu erectal anouya muhukuru hwakasiyana, anowanzo kuyerwa muFrench units (Fr). Saizi yeFrench inoratidza dhayamita yekunze yecatheter - nhamba yacho yakakura, uye chubhu yacho yakakurawo.

Heano saizi dzemachubhu emudumbu dzinoshandiswa nezera:

• Vacheche nevacheche:12–14 Fr
• Vana:14–18 Fr
• Vakuru:22–30 Fr
• Varwere vakwegura kana vasina simba:Saizi diki dzingasarudzwa zvichienderana nerudzi rwe rectal

Kusarudza saizi chaiyo kunoita kuti chubhu ishande zvakanaka pasina kukonzera kukuvara kana kusagadzikana. Machubhu akakura zvakanyanya anogona kukuvadza mutsipa wetsvina, nepo machubhu madiki zvakanyanya angasabvumira mvura yakakwana kubuda.

Maitiro Ekuisa Tube Rectal

Kuiswa kwechubhu yemudumbu kunofanira kuitwa nenyanzvi dzehutano dzakadzidziswa pasi pemamiriro asina utachiona. Heino ongororo yakajairika yemaitiro acho:

1. Kugadzirira:
   • Tsanangurai murwere (kana achiziva) maitiro acho kuti muderedze kuzvidya mwoyo.
   • Unganidza zvinhu zvinodiwa: chubhu yemudumbu, mafuta anozorwa nemvura, magirovhosi, mapedhi anonyudza mvura, uye mudziyo wekudhonza mvura kana bhegi rekuunganidzira kana zvichidikanwa.
   • Isa murwere kuruboshwe rwake (nzvimbo yaSims) kuti atevere kutenderera kwechisikigo kwerectum ne sigmoid colon.
2. Kuisa:
   • Pfeka magirovhosi wozora mafuta akawanda pachubhu.
   • Isa chubhu zvinyoro nyoro murectum (inenge 3-4 inches kuvanhu vakuru) uchitarisa kuti hapana chirwere chinorwisa utachiona.
   • Kana zvikasashanda zvakanaka, usamanikidza chubhu—panzvimbo pezvo, edza kuisa murwere panzvimbo imwe chete kana kushandisa chubhu diki.
3. Kutarisa uye Kuchengetedza:
   • Kana yangoiswa, tarisa kuti hapana gasi, tsvina, kana mvura inoyerera here.
   • Chubhu iyi inogona kubatanidzwa nehurongwa hwekudhonza mvura kana kusiiwa yakavhurika kuti ipinde mhepo zvichienderana nekushandiswa kwayo.
   • Tarisa murwere kuti aone kana achinzwa kusanzwa zvakanaka, kubuda ropa, kana zviratidzo zvekuboorwa kweura.
4. Kubviswa uye Kutarisirwa:
   • Machubhu mazhinji erectal haafanirwe kugara munzvimbo yawo nekusingaperi.
   • Kana zvisisadiwi, bvisa chubhu zvinyoro nyoro woirasa zvichienderana nemitemo yekurapa hutachiona muchipatara.

Tube yeRectal Inogona Kugara Mukati Kwenguva Yakadini?

Nguva iyo chubhu yemudumbu inogona kuramba yakaiswa inoenderana nemamiriro ekurapa uye mamiriro emurwere. Zvisinei, chubhu dzemudumbu dzinowanzo kuvehaina kugadzirwa kuti ishandiswe kwenguva refu.

• Rubatsiro rwechinguvana (gasi, kukanganiswa):Machubhu anogona kuiswa kwemaminitsi makumi matatu kusvika awa imwe chete obva abviswa.
• Masisitimu ekuchengetedza tsvina (yekusazvidzora):Mamwe masisitimu akasarudzika anogona kusiiwa panzvimbo yawokusvika mazuva makumi maviri nemapfumbamwe, asi chete kana uchitarisirwa zvakanyanya nachiremba.
• Kushandiswa kwechipatara nguva dzose:Kana chubhu ikasiyiwa panzvimbo yayo kuti ibudise mvura, inofanira kuongororwa maawa mashoma ega ega uye kuchinjirwa maawa gumi nemaviri kusvika makumi maviri nemana ega ega kuderedza njodzi yekukuvara kwepressure kana hutachiona.

Kushandisa kwenguva refu kunogona kukonzera matambudziko akadai semaronda emudumbu, kuvharwa kweropa, kana kutoboorwa. Saka, kuongororwa nguva dzose kwakakosha, uye kushandiswa kwenguva refu kunofanira kudzivirirwa kunze kwekunge uchishandisa mushonga wakagadzirirwa nguva iyoyo.

Njodzi uye Kudzivirira

Kunyange zvazvo machubhu emudumbu akachengeteka kana akashandiswa nemazvo, njodzi dzinogona kuitika dzinosanganisira:

• Kubuda ropa mudumbu kana kukuvara kwemucosal
• Kuboorwa kweura (kusingawanzoitiki asi kwakakomba)
• Kukuvara kwekumanikidzwa kwe sphincter yekumashure
• Utachiona kana kutsamwisa

Kuti uderedze njodzi idzi, zvakakosha kushandisa nzira dzakakodzerasaizi yechubhu yerectal, iva nechokwadi chekuti waisa zvinyoro nyoro, uye deredza nguva yekuisa. Varwere vanofanira kutariswa zvakanyanya kuti vaone kana paine kusagadzikana, kubuda ropa, kana zvimwe zvinokanganisa.

Mhedziso

Iyochubhu yemudumbuchinhu chinokoshazvinodyiwa zvekurapaInoshandiswa pakurapa zvirwere zvakasiyana-siyana zvemudumbu nezvemudumbu. Ingava kuderedza gasi, kugadzirisa kusazvidzora, kana kubatsira mukuongorora chirwere, kunzwisisa zvakakodzerachiratidzo chechubhu yerectal, zvakakodzerasaizi yechubhu yerectal, uye nhungamiro dzakachengeteka dzemaitiro dzakakosha kuti murwere awane mhedzisiro yakanaka.

Sechinhu chinowanzoshandiswakatheta yekurapa, kushandiswa kwayo kunofanira kugara kuchitungamirirwa nepfungwa dzechiremba dzenyanzvi. Kana ikashandiswa zvakanaka uye ichitariswa, machubhu emudumbu anogona kuvandudza nyaradzo yemurwere uye kuderedza matambudziko ane chekuita nekushanda zvakanaka kwemudumbu.