Nubuhe buryo bwo gushyira umuyoboro wa gastrici kumurwayi urwaye cyane?

Mubikorwa byacu byubuvuzi bya buri munsi, mugihe abakozi bacu bashinzwe ubuvuzi bwihutirwa basabye gushyira umurwayi wa gastrici bitewe nubuzima butandukanye, bamwe mubagize umuryango bakunze kuvuga ibitekerezo nkibi byavuzwe haruguru.None, mubyukuri ni umuyoboro wa gastrici ni uwuhe?Ni abahe barwayi bakeneye gushyirwaho umuyoboro wa gastric?

I. Umuyoboro wa gastrici ni iki?

Umuyoboro wa Gastricike ni umuyoboro muremure wakozwe na silicone yubuvuzi nibindi bikoresho, bidakomeye ariko bifite ubukana, hamwe na diameter zitandukanye bitewe nintego n'inzira yo kwinjiza (binyuze mumazuru cyangwa mumunwa);nubwo twese hamwe bita "gastric tube", irashobora kugabanywamo umuyoboro wa gastrica (impera imwe mumyanya yigifu igana lumen igifu) cyangwa umuyoboro wa jejunal (impera imwe mumyanya yigifu igera kumitangiriro y amara mato) bitewe nuburebure bwimbitse. Kwinjiza.(impera imwe yinzira yigifu igera ku ntangiriro y amara mato).Bitewe n'intego yo kuvura, umuyoboro wa gastrica urashobora gukoreshwa mugutera amazi, ibiryo byamazi cyangwa imiti munda yumurwayi (cyangwa jejunum), cyangwa kumena ibiri mumitsi yumubiri wumurwayi hamwe nibisohoka hanze yumubiri binyuze mumubiri gastric tube.Hamwe nogukomeza kunoza ibikoresho nuburyo bwo gukora, ubworoherane no kurwanya ruswa byigifu cya gastrica byatejwe imbere, ibyo bigatuma umuyoboro wigifu utarakara kumubiri wumuntu mugihe cyo kuyishyira no kuyikoresha kandi ukongerera ubuzima bwa serivisi muburyo butandukanye.

Kenshi na kenshi, umuyoboro wa gastrica ushyirwa mu cyuho cyizuru na nasofarynx mu nzira yigifu, ibyo bikaba bitera uburwayi buke kumurwayi kandi ntibigire ingaruka kumvugo yumurwayi.

Icya kabiri, ni abahe barwayi bakeneye gushyira umuyoboro wa gastric?

1. Bamwe mu barwayi bagabanutse cyane cyangwa batakaje ubushobozi bwo guhekenya no kumira ibiryo kubera impamvu zitandukanye, bityo rero niba bahatiwe gufata ibiryo binyuze mu kanwa, ntabwo ubwiza nubwinshi bwibiribwa bidashobora kwizerwa, ariko kandi ibiryo birashobora injira mu kirere wibeshye, biganisha ku ngaruka zikomeye nka aspiration pneumonia cyangwa na asphyxia.Niba twishingikirije ku mirire yimitsi hakiri kare, bizatera byoroshye ischemia gastrointestinal mucosa ischemia no kurimbuka kwa bariyeri, ibyo bikazatera izindi ngaruka nkibisebe bya peptike no kuva amaraso.Ibihe bikaze bishobora gutuma abarwayi badashobora kurya neza binyuze mu kanwa harimo: impamvu zitandukanye zitera ubwenge bwangiritse bigoye gukira mugihe gito, ndetse no kumira bikabije kumira biterwa nubwonko, uburozi, gukomeretsa umugongo Indwara ya Green-Barre, tetanusi, nibindi.;ibihe bidakira birimo: ibikurikira byindwara zimwe na zimwe zo mu mitsi yo hagati, indwara zidakira zifata ubwonko (indwara ya Parkinson ,, myasthenia gravis, indwara ya neuron moteri, nibindi) ku kwikinisha.Indwara zidakira zirimo urukurikirane rw'indwara zimwe na zimwe zo mu mitsi yo hagati, indwara zidakira zifata ubwonko (indwara ya Parkinson, myasthenia gravis, indwara ya neuron moteri, n'ibindi) zigira ingaruka zigenda zitera kwikinisha no kumira kugeza igihe zizimiye cyane.

2. Bamwe mu barwayi bafite uburwayi bukabije bakunze kugira gastroparesis (imikorere ya peristaltike nigifu igifu igabanuka cyane, kandi ibiryo byinjira mumyanya yigifu bishobora gutera byoroshye isesemi, kuruka, kugumana ibintu bya gastric, nibindi), cyangwa muri pancreatite ikaze cyane, mugihe hakenewe imirire kurubuga, hashyirwaho tebes ya jejunal kugirango ibiryo, nibindi byinjire mu mara mato (jejunum) bitaziguye bidashingiye kuri perisiti ya gastric.

Gushyira mu gihe gikwiye umuyoboro wa gastrica kugirango ugaburire imirire ku barwayi bafite ubu bwoko bubiri ntabwo bigabanya gusa ibyago byo guhura nibibazo ahubwo binatanga infashanyo yimirire uko bishoboka kose, kikaba ari igice cyingenzi cyo kunoza imenyekanisha ryubuvuzi mugihe gito , ariko kandi bibaho kuba imwe mungamba zo kuzamura imibereho yabarwayi mugihe kirekire.

3. Inzitizi ya pathologiya yinzira yigifu nko guhagarika amara no kugumana gastrica iterwa na etiologiya zitandukanye, indurwe ikabije ya mucosa gastrointestinal mucosa, pancreatite ikaze, mbere na nyuma yo kubagwa gastrointestinal zitandukanye, nibindi, bisaba kuruhuka byigihe gito kubindi bitera imbaraga nuburemere kuri mucosa gastrointestinal mucosa na gastrointestinal organes (pancreas, umwijima), cyangwa bisaba kugabanya umuvuduko mugihe cyimyanya myibarukiro ya gastrointestinal, byose bisaba imiyoboro yashizweho muburyo bwo kwimura Iyi miyoboro yubukorikori yitwa umuyoboro wa gastrica kandi ikoreshwa mugukuramo ibiri mumitsi yigifu kandi imitobe igogora isohoka hanze yumubiri.Uyu muyoboro wububiko ni umuyoboro wigifu ufite igikoresho cyumuvuduko mubi gifatanye kumpera yinyuma kugirango amazi akomeze, igikorwa cyitwa "gastrointestinal decompression".Ubu buryo mubyukuri nigipimo cyiza cyo kugabanya ububabare bwumurwayi, ntabwo ari ukongera.Ntabwo gusa kugabanuka k'inda k'umurwayi, kubabara, isesemi no kuruka bigabanuka cyane nyuma yubu buryo, ariko ibyago byo guhura nabyo biragabanuka, bigatuma habaho ubundi buryo bwo kuvurwa bwihariye.

4. Gukenera kwitegereza indwara no kwisuzumisha.Mu barwayi bamwe bafite uburwayi bukomeye bwa gastrointestinal (nko kuva amaraso gastrointestinal) kandi ntibashobora kwihanganira endoskopi ya gastrointestinal hamwe nibindi bizamini, umuyoboro wa gastrica urashobora gushyirwaho mugihe gito.Binyuze mu miyoboro y'amazi, impinduka zijyanye no kuva amaraso zirashobora kugaragara no gupimwa, kandi ibizamini hamwe nisesengura bimwe na bimwe birashobora gukorwa kumazi yumubiri wumye kugirango bifashe abaganga kumenya uko umurwayi ameze.

5. Gastric lavage na disoxification ushyira umuyoboro wa gastric.Kuburozi bukabije bwuburozi bwinjira mumubiri binyuze mumunwa, ubwonko bwa gastrica binyuze mumiyoboro ya gastric nigipimo cyihuse kandi cyiza mugihe umurwayi adashobora gufatanya no kuruka wenyine, mugihe cyose uburozi butangirika cyane.Ubu burozi burasanzwe nka: ibinini byo kuryama, imiti yica udukoko twa organophosifore, inzoga nyinshi, ibyuma biremereye ndetse nuburozi bwibiryo.Umuyoboro wa gastrica ukoreshwa mugukwirakwiza gastrica ugomba kuba ufite diameter nini kugirango wirinde guhagarikwa nibintu bya gastric, bigira ingaruka kumikorere.