Mhlawumbi ukubonile kwiimuvi, xa umntu ngengozi okanye ngesizathu esithile esela iipilisi ezininzi kakhulu, azise esibhedlele aze afake ityhubhu aze akhuphe amanzi esiswini sakhe. Oku sidla ngokukubiza ngokuba 'kukuhlamba isisu' okanye 'ukumpompa isisu'. Nangona kunokubonakala kuyoyikisa kancinci, yinkqubo yezonyango ebaluleke kakhulu enokusindisa ubomi. Kodwa ngaba le yinto eyenziwa ngalo lonke ixesha? Yenziwa njani? Ngaba ibuhlungu? Makhe sithethe ngale nto namhlanje, kanye kanye, ngaphandle koloyiko.
Kalula nje, yintoni ukuhlamba isisu?
Ukuhlamba isisu yinkqubo yokufunxa okungaphakathi kwesisu sakho (okungaphakathi kwesisu sakho). Oku kuthiwa yi-gastric lavage ngokwezonyango . 'Ukuhlamba' kuthetha 'ukuhlamba'. Ngoko ke, kule nkqubo, izinto ezimbini zenzeka ngokwenene. Ugqirha okanye ilungu lezonyango eliqeqeshiweyo lifaka ityhubhu esiswini sakho, liyihlambe ngamanzi okanye ityuwa, lize liyifunxe okungaphakathi kwesisu sakho ngolwelo. Le tyhubhu idla ngokudluliselwa ngempumlo yakho (ityhubhu ye-nasogastric) okanye ngomlomo wakho (ityhubhu ye-orogastric) iye esiswini sakho.
Kutheni kubalulekile ukuhlamba isisu?
Njengoko uninzi lwabantu lusazi, oku kwenziwa xa kukho imeko engxamisekileyo. Ngokuchanekileyo, ukuba umntu usela ityhefu, okanye uthatha i-overdose yento efana neepilisi , le ndlela isetyenziselwa ukusindisa ubomi ngokususa ityhefu ngokukhawuleza esiswini ngaphambi kokuba ingene emzimbeni.
Kodwa ubusazi na ukuba ukuhlamba isisu asikokwenza nje into xa utye ityhefu? Kunokuba luncedo kakhulu nakwiimeko ezingengobungozi kangako.
Umzekelo:
- Abanye abantu bafumana uxinzelelo olukhulu kunye nokungonwabi esiswini ngenxa yokutya, ulwelo, okanye umoya. Ngaloo maxesha, le ndlela isetyenziselwa ukunciphisa olo xinzelelo.
- Ukuba kukho ukopha kakhulu (ukopha igazi) ngenxa yento efana nesilonda esiswini, oku kuya kunceda ekucoceni nasekususeni igazi elingaphezulu.
- Ngexesha lotyando olukhulu, ngelixa uphantsi kwe-anesthesia, kukho ithuba elikhulu lokuba okungaphakathi esiswini kuya kubuyela emqaleni kuze kubhajwe kumbhobho womoya (i-aspiration). Khawuthelekelele ukuba oko kungaba yingozi kangakanani. Ukuthintela izinto ezinjalo, le ndlela ikwasetyenziselwa ukususa ulwelo oluqokelelana esiswini kulo lonke utyando.
| Iimeko apho kunokufuneka ukuhlamba isisu | Inkcazo |
|---|---|
| Ukuginya okunetyhefu | Ukususa izinto ezinobuthi ezifana namayeza kunye neekhemikhali emzimbeni ngaphambi kokuba zifunxwe. |
| Ukungasebenzi kakuhle kwesisu | Ukususa ukutya okuzeleyo kwiimeko apho isisu singaphumi kakuhle (umz., i-gastroparesis). |
| Ukuvaleka kwamathumbu | Ukunciphisa uxinzelelo ngokususa ulwelo nomoya oqokelelana esiswini ngenxa yokuvaleka kwamathumbu. |
| Ukuhlanza okungapheliyo | Xa kukho ukuhlanza okungapheliyo kunye nesicaphucaphu esingenakulawulwa zezinye iindlela zonyango. |
| Ukopha kwe-GI ephezulu | Ukuze ukhuphe igazi esiswini, chonga owona mthombo wokopha, kwaye ucoce isisu ngaphambi kokuba wenze uvavanyo olufana ne-endoscopy. |
| Utyando kunye nezinye iinkqubo zonyango | Ngexesha lotyando olukhulu, xa kubonelelwa ngokuphefumla okwenziwayo (ukuncedisa ukuphefumla), ukucoca isisu ngaphambi kokuba kwenziwe i-endoscopy. |
Ingaba ukuhlamba isisu akuxhaphakanga kangaka kule mihla xa kukho imeko engxamisekileyo?
Ewe, elo bali liyinyani. Ngokungafaniyo nexesha elidlulileyo, ayinguye wonke umntu osele ityhefu ngoku ekufuneka ahlanjwe isisu. Kumashumi eminyaka akutshanje, kwanemibutho ephambili yehlabathi enobungozi iye yacebisa ukuba oku akufanele kwenziwe rhoqo.
Isizathu soku kukuba kwezinye iimeko, kukho ezinye iindlela ezikhuselekileyo nezisebenzayo kunokuhlamba isisu. Umzekelo, enye indlela kukunika i-activated charcoal . Le yi-powder emnyama. Xa ingena esiswini, ifunxa iityhefu ezisesiswini phezu kwayo. Emva koko, kunye neetyhefu, ikhutshwa kwi-stool. Enye indlela yileUkunkcenkceshela Amathumbu Apheleleyo (WBO) . Oku kuquka ukukhupha yonke indlela yokugaya ukutya ngolwelo olukhethekileyo oluninzi. Ngoko ke, ugqirha ugqiba unyango olufanelekileyo ngokusekelwe kwizinto ezininzi, ezifana nemeko yesigulane, uhlobo lwetyhefu etyiweyo, kunye nokuba sele ikho ixesha elingakanani.
Kulungile, masibone ukuba olu nyango lusebenza njani kanye kanye.
Le nkqubo yonke ingahlulwahlulwa ibe ngamanyathelo amathathu aphambili.
1. Ukulungiselela
2. Ukufakwa kwetyhubhu
3. Ukufunxa/Ukuhlamba isisu
Ukulungiselela
Ngaphambi kokuba uqale oku, abasebenzi bezonyango baza kuqala bajonge ngononophelo iimpawu zakho ezibalulekileyo, ezinje ngoxinzelelo lwegazi, izinga lokubetha kwentliziyo, kunye nezinga lokuphefumla . Ukuba uphaphile, baza kukuchazela unyango baze bafumane imvume yakho enolwazi. Baza kujonga i-gag reflex yakho. Ngamanye amaxesha, kunokufakwa ityhubhu yokuphefumla ukunceda ukugcina umoya wakho uvulekile ngeli xesha le nkqubo.
Ukufunxa
Ityhubhu esetyenziselwa ukuhlamba isisu ingafakwa ngempumlo (ityhubhu ye-nasogastric) okanye ngomlomo (ityhubhu ye-orogastric), njengoko bekutshiwo ngaphambili. Ukuze kukhutshwe ngokukhawuleza okungaphakathi esiswini, kusetyenziswa ityhubhu ebanzi kancinci, efakwa ngomlomo.
Nantsi indlela yokwenza oku:
- Okokuqala, uza kubekwa kwindawo ethe nkqo kancinci, okanye uza kubekwa ngomqolo intloko yakho ithotywe kancinci uze ujike uye ngasekhohlo.
- Emva koko, kufakwa isitshizi sokubulala iintlungu emqaleni. Oku kunciphisa ukungonwabi okufana nokucaphuka kunye nomphimbo obuhlungu.
- Ukuba usebenzisa i-mouthpiece, kukho i-slob encinci yokuluma ngaphakathi emlonyeni wakho ukuze ikuthintele ekuhlafuneni ngempazamo i-mouthpiece.
- Okulandelayo, ugqirha uza kulinganisa aze aphawule ubude bombhobho ofunekayo ukuze ufikelele esiswini sakho.
- I-lubricant ifakwa kwincam yombhobho ize idluliselwe ngononophelo olukhulu entanyeni.
- Ukuba uphaphile engqondweni, ungacela uncedo lokuginya umbhobho okanye ucele amanzi okusela ngengca.
- Nje ukuba ityhubhu ifakwe kubungakanani obuphawulweyo, ibotshelelwa eluswini ngeplasta ukuze ingashukumi.
Eyona nto ibalulekileyo kukuba ukuba ufumana ukukhohlela okanye ubunzima bokuphefumla ngelixa ufaka ityhubhu, yeka ukufaka ityhubhu ngoko nangoko, uyikhuphe okwethutyana, linda okwethutyana, uze uzame kwakhona. Ukuba ityhubhu ingene esiswini okanye ingene ngempazamo kwi -windpipe kunokuqinisekiswa nge-X-ray okanye ngokuthatha isampuli encinci yolwelo oluvela kwityhubhu kwaye uvavanye i-pH yayo.
Ukuhlamba isisu nokususa ulwelo
Nje ukuba ityhubhu iqine esiswini, inkqubo yokuhlamba iqala. Oku kungenziwa ngamanzi aqhelekileyo okanye isisombululo se-saline. I-saline isetyenziswa, ingakumbi kubantwana abancinci kunye nabo baphelelwe ngamanzi emzimbeni ngenxa yokuhlanza, ukugcina ityuwa yomzimba kunye ne-electrolyte balance. Ngamanye amaxesha, iyeza elifanelekileyo lohlobo lwetyhefu elityiweyo linokongezwa kwesi sisombululo.
- Okokuqala, ulwelo oluncinci (malunga ne-300 mL kumntu omdala, malunga ne-10 mL yomntwana) luthunyelwa ngetyhubhu ukuya esiswini.
- Emva kokuyishiya malunga nomzuzu omnye okanye emibini, ulwelo luyatsalwa lubuyele ngaphandle ngetyhubhu (i-suction).
- Le nkqubo iphindaphindwa izihlandlo ezininzi de ulwelo olubuyayo lucoceke, nto leyo ethetha ukuba phantse yonke into esesiswini isusiwe.
- Ukuba kuyimfuneko, i-activated charcoal yongezwa kulwelo lokugqibela. Oku kuya kubamba naziphi na iinxalenye ezinobuthi eziseleyo esiswini, okuzivumela ukuba zidlule emathunjini zize zisuswe kunye nendle.
Ingaba kubuhlungu kakhulu xa usenza oku? Uziva njani?
Le yingxaki enabantu abaninzi. Enyanisweni, ukupompa akubuhlungu. Nangona kunjalo, ukuba nombhobho emqaleni wakho kunokuba yinto engathandekiyo. Usenokuba buhlungu emqaleni, ingakumbi xa ufaka kwaye ususa umbhobho. Nangona kunjalo, oogqirha banokukunceda ukunciphisa oku kungakhululeki ngokusebenzisa isitshizi sokufiphaza okanye ukuthambisa umbhobho, nto leyo enokulawuleka lula.
Zithini iingozi kunye neengxaki zolu nyango?
Ukuba ugqirha oqeqeshiweyo wenza le nkqubo ngokuchanekileyo, umngcipheko weengxaki uphantsi kakhulu. Nangona kunjalo, njengakwiinkqubo zonke zonyango, kukho umngcipheko omncinci.
- Ukulimala okuncinci kwi-esophagus okanye esiswini xa kufakwa ityhubhu.
- Ukuba uyahlanza ngexesha lonyango, okuqulethwe kuyo kunokungena kwindlela yakho yomoya (i-aspiration) . Oku kunokuba yingozi.
- Ityhubhu ingena ngempazamo kwindlela yomoya. (Yiyo loo nto indawo echanekileyo iqinisekisiwe)
- Xa ityhubhu isemqaleni, i-nerve (vagus nerve) iyavuselelwa, nto leyo ebangela ukungasebenzi kakuhle kwentliziyo .
Amathuba okuba into efana nale yenzeke mancinci kakhulu. Nangona kunjalo, abasebenzi bezonyango bahlala bephaphile kwaye bathatha amanyathelo afunekayo.
Ukuba utyiwe ityhefu, ngaba kuyimfuneko ukuhlamba isisu? Uthatha isigqibo njani?
Lo ngumbuzo obaluleke kakhulu. Ukuhlamba isisu kusebenza kakhulu kuphela ukuba kwenziwa kwangethuba kwinkqubo yokutyhefa. Ekuhambeni kwexesha, ityhefu iya kuqala ukufunxwa emzimbeni isuka emathunjini. Ngelo xesha, ukuhlamba isisu akuyi kuba luncedo kangako. Ke ngoko, ugqirha uya kuqwalasela izinto ezininzi xa egqiba ekubeni enze olu nyango na.
| Izihlandlo ezifanelekileyo zokuhlamba isisu | Xa ukuhlamba isisu kungafanelekanga okanye kuyingozi |
|---|---|
| Ukufika esibhedlele kungekapheli neyure emva kokuba etyhefwe. | Ukuba utye nantoni na ebangela ubushushu okanye ukubola kakhulu (umz. i-asidi, i-bleach). (Ityhubhu ingonakalisa ngakumbi xa ifakwa). |
| Uhlobo lwetyhefu olutyiweyo luyingozi kakhulu kwaye lubeka ubomi esichengeni . | Ukuba usele i-hydrocarbon efana nepetroli okanye i-parafini (ezi zinokungena lula kwindlela yokuphefumla zize zenze umonakalo). |
| Ezinye iindlela zonyango (umz. i-Activated Charcoal) azanelanga okanye azinakubonelelwa. | Isigulana asinyangeki kakhulu kunyango okanye siziphethe ngendlela ephazamisayo. |
| Uhlobo lwetyhefu olutyiwayo lolo lubangela ukuba isisu singaphumi kakuhle. | Isigulana sinesifo sokuxhuzula . |
| Iqela lezonyango elenza olu nyango lifumene uqeqesho olukhethekileyo kulo nyango. | Isigulana asizi nto okanye silele kwaye indlela yomoya ayikhuselekanga. |
Uyibona njani imeko engxamisekileyo? Ziziphi iimpawu zokuba kufuneka uye kugqirha ngoko nangoko?
Ukuba wena okanye umntu omkhathaleleyo usele amayeza kakhulu, usele ityhefu, okanye unesifo sokutyhefa utywala, funa ingcebiso kagqirha ngoko nangoko. Musa ukulinda de kuvele iimpawu. Ukuba uyathandabuza, yiya esibhedlele esikufutshane ngoko nangoko.Yisa kwiYunithi yoNyango oluNgxamisekileyo (i-ETU).
Nazi ezinye zeempawu eziqhelekileyo zokutyhefa:
- Isiyezi
- Isicaphucaphu nokuhlanza
- Ukubetha kwentliziyo
- Ubunzima bokuphefumla
- Ukutsha ngaphakathi okanye kufutshane nomlomo
- Ivumba lekhemikhali emlonyeni
- Ukuxhuzula
- Ukungazoli okanye ukuphazamiseka
- Ukulahlekelwa yingqondo
- Ukozela kakhulu okanye ukulahleka kwengqondo
Kubalulekile: Ukuba ukrokrela ukuba kukho ityhefu, ungaze uzame ukunyanga okanye ukukubangela ukuhlanza ekhaya. Ukuba ufuna ingcebiso, ungatsalela umnxeba iZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo eSri Lanka. Nangona kunjalo, ukuba imeko yesigulana imbi kakhulu, kubalulekile ukuba umse esibhedlele ngaphandle kokulibazisa.
Umyalezo Wokuya Ekhaya
- Ukumpompa isisu lunyango olubalulekileyo olunokusindisa ubomi kwiimeko ezithile ezingxamisekileyo, kodwa lusenokungabi lolona nyango lokuqala lwetyhefu kule mihla.
- Nangona kungathandeki ukuba nombhobho emqaleni wakho ngexesha lonyango, akubuhlungu kakhulu. Oogqirha bathatha amanyathelo okunciphisa ukungonwabi.
- Ukuba wena okanye umntu omaziyo ngempazamo utye ityhefu, iyeza, okanye ikhemikhali, ungaze uzame ukuyinyanga ekhaya. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele esikufutshane (ETU) ngoko nangoko.
- Ugqirha ohlola isigulane nguye ogqibayo ukuba umntu ufuna ukuhlamba isisu okanye akunjalo. Zininzi izinto eziqwalaselwayo, njengemeko yesigulane, into etyiweyo, kunye nexesha elidlulile.
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