I-Rectal Tube: Ukusetshenziswa, Osayizi, Izinkomba, kanye Nemihlahlandlela Yesicelo Esiphephile

Ii-rectal tubeiyishubhu eliguquguqukayo, elingenalutho elifakwe ku-rectum ukuze kukhululeke izimpawu ezihlobene nezinkinga zesisu, njengegesi kanye ne-fecal impaction. Njengohlobo lwei-catheter yezokwelapha, idlala indima ebalulekile kukho kokubili ukunakekelwa kwezimo eziphuthumayo kanye nokuphathwa kwesibhedlela okuvamile. Ukuqonda iinkomba ye-rectal tube, efaneleusayizi we-rectal tube, inqubo yokusetshenziswa, nokuthi ingahlala isikhathi esingakanani endaweni ngokuphephile kubalulekile ekunakekelweni kwesiguli okuphumelelayo nokuphephile.

Iyini I-Rectal Tube?

Ishubhu le-rectal, elaziwa nangokuthi i-flatus tube, i-aukusetshenziswa kwezokwelaphayakhelwe ukusiza ukuwohloza amathumbu ngokuvumela ukudlula kwegesi noma indle. Ngokuvamile yenziwe ngerabha ethambile noma ipulasitiki futhi ifaka ithiphu eliyindilinga ukuze kuncishiswe ukuhlukumezeka kulwelwesi lwama-rectal. Amanye amashubhu angama-rectal anezimbobo eziningi eziseceleni ukuze kuthuthukiswe ukusebenza kahle kokukhipha amanzi.

Asetshenziswa ngokuyinhloko ezibhedlela nasezikhungweni zokunakekela, amashubhu angama-rectal ayingxenye yesigaba esibanzi seama-catheter ezokwelapha. Ngokungafani nama-catheter omchamo, ashuthekwa esinyeni, ama-catheter angama-rectal aklanyelwe ngokukhethekile ukufakwa kwe-rectal ukuze asize ngokucindezelwa kwamathumbu noma ukuphambukisa indle.

I-Rectal Tube Indication: Isetshenziswa Nini?

Kunezimo eziningana zomtholampilo lapho kungase kuboniswe khona ishubhu le-rectal. Lokhu kubandakanya:

1. Ukukhululwa kwe-flatulence noma ukukhuphuka kwesisu- Uma iziguli zihlushwa ukwakheka kwegesi ngokweqile (ngokuvamile ngemva kokuhlinzwa), amashubhu e-rectal asiza ekudambiseni ukungakhululeki futhi anciphise ingcindezi emgodini wesisu.
2. Ukuphathwa kwe-fecal incontinence- Ekunakekelweni okubucayi noma iziguli ezinakekela isikhathi eside, ikakhulukazi lezo ezilele embhedeni noma eziqulekile, ithubhu le-rectal lingasiza ekulawuleni ukunyakaza kwamathumbu okungalawulwa futhi kuvimbele ukuwohloka kwesikhumba.
3. I-Fecal impaction- Ishubhu le-rectal lingasiza ekudambiseni ukunqwabelana kwendle eqinile lapho ama-enema endabuko noma ukubola okwenziwa ngesandla kungasebenzi.
4. Ngaphambi noma ngemva kokuhlinzwa- I-postoperative bowel atony noma ileus ingaholela ekugcinweni kwegesi okunzima. Amashubhu angama-rectal angase abekwe okwesikhashana ukuze kudambise izimpawu.
5. Izinqubo zokuxilonga- Kwezinye izindlela zokuthwebula izithombe, amashubhu e-rectal asiza ukwethula imidiya ehlukile emathunjini ukuze kubonakale ngokucacile.

Le mibandela kubhekiselwa kuyo ngokuhlanganyela ngokuthiizinkomba ze-rectal tube, futhi ukuhlolwa okufanele ochwepheshe bezokwelapha kuyadingeka ngaphambi kokufakwa.

Amasayizi we-Rectal Tube: Ukukhetha Okulungile

Ukukhetha okulungileusayizi we-rectal tubekubalulekile ekuphepheni kwesiguli nokunethezeka. Amashubhu angamarectal eza ngosayizi abahlukahlukene, ngokuvamile akalwa ngamayunithi wesiFulentshi (Fr). Usayizi wesiFulentshi ubonisa ububanzi bangaphandle be-catheter - inombolo ephakeme, ithubhu enkulu.

Nawa osayizi bamashubhu kanxande ngokweqembu lobudala:

• Izinsana nezinsana:12–14 Fr
• Izingane:14–18 Fr
• Abantu abadala:22–30 Fr
• Iziguli ezikhulile noma ezikhubazekile:Osayizi abancane bangakhethwa kuye ngethoni ye-rectal

Ukukhetha usayizi ofanele kuqinisekisa ukuthi ithubhu iyasebenza ngaphandle kokubangela ukuhlukumezeka okungadingekile noma ukungakhululeki. Amashubhu amakhulu ngokweqile angalimaza ulwelwesi lwama-rectal, kuyilapho amashubhu amancane kakhulu angase angakuvumeli ukugeleza kwamanzi okwanele.

Inqubo Yokufaka I-Rectal Tube

Ukufakwa kweshubhu le-rectal kufanele njalo kwenziwe ngochwepheshe bezempilo abaqeqeshiwe ngaphansi kwezimo ze-aseptic. Nasi isifinyezo esijwayelekile senqubo:

1. Ukulungiselela:
   • Chaza inqubo esigulini (uma sazi) ukunciphisa ukukhathazeka.
   • Hlanganisa izinto ezidingekayo: ishubhu elingunxantathu, okokugcoba okusekelwe emanzini, amagilavu, amaphedi amuncayo, kanye nesitsha sokudonsa amanzi noma isikhwama sokuqoqa uma kudingeka.
   • Misa isiguli ohlangothini lwaso lwesobunxele (isikhundla sika-Sims) ukuze silandele ijika lemvelo le-rectum nekholoni ye-sigmoid.
2. Ukufakwa:
   • Gqoka amagilavu ​​futhi usebenzise i-lubricant eningi epayipini.
   • Faka kahle ishubhu ku-rectum (cishe ama-intshi angu-3–4 kubantu abadala) kuyilapho uqapha ukumelana.
   • Uma ukumelana kuhlangatshezwana nayo, ungaliphoqeleli ishubhu—esikhundleni salokho, zama ukuhlehlisa isiguli noma usebenzise ishubhu elincane.
3. Ukuqapha Nokuvikela:
   • Uma isifakiwe, bheka ukudlula kwegesi, indle, noma uketshezi.
   • Ishubhu lingaxhunywa ohlelweni lokudonsa amanzi noma lishiywe livuleleke emoyeni kuye ngokusetshenziswa okuhlosiwe.
   • Gada ukungaphatheki kahle kwesiguli, ukopha, noma izimpawu zokubhobozwa kwamathumbu.
4. Ukususwa Nokunakekelwa:
   • Amashubhu amaningi e-rectal awahloselwe ukuhlala endaweni unomphela.
   • Lapho kungasadingeki, khipha ishubhu ngobumnene futhi ulilahle ngokuvumelana nezinqubo zokulawula ukutheleleka esibhedlela.

I-Rectal tube ingahlala isikhathi esingakanani?

Ubude besikhathi ishubhu le-rectal elingahlala lifakwe lincike esimweni somtholampilo kanye nesimo sesiguli. Kodwa-ke, amashubhu angama-rectal ngokuvamileakuklanyelwe ukusetshenziswa isikhathi eside.

• Usizo lwesikhashana (igesi, ithonya):Amashubhu angase afakwe imizuzu engama-30 kuya ehoreni elingu-1 bese ekhishwa.
• Amasistimu okuphatha i-Fecal (yokungakwazi ukuzithiba):Amanye amasistimu akhethekile angashiywa endaweni yawokufika ezinsukwini ezingama-29, kodwa kuphela ngaphansi kokuqondisa okuqinile kodokotela.
• Ukusetshenziswa kwesibhedlela okuvamile:Uma ishubhu lishiywe ukuze likhiphe amanzi, kufanele lihlolwe njalo ngemva kwamahora ambalwa bese lishintshwa njalo ngemva kwamahora angu-12-24 ukuze kuncishiswe ingozi yokulimala noma ukungenwa izifo.

Ukusetshenziswa okunwetshiwe kungaholela ezinkingeni ezifana nezilonda zamarectal, i-pressure necrosis, noma ukubhobozwa. Ngakho-ke, ukuhlola okuqhubekayo kubalulekile, futhi ukusetshenziswa isikhathi eside kufanele kugwenywe ngaphandle kwalapho kusetshenziswa umkhiqizo ohloselwe leso sikhathi ngokuqondile.

Izingozi Nezinyathelo Zokuqapha

Nakuba amashubhu e-rectal ngokuvamile ephephile uma esetshenziswa ngendlela efanele, izingozi ezingaba khona zihlanganisa:

• Ukopha kwe-rectal noma ukuhlukumezeka kwe-mucosal
• Ukubhobozwa kwamathumbu (okungavamile kodwa kubi)
• Ukulimala kwengcindezi ku-anal sphincter
• Ukutheleleka noma ukucasuka

Ukuze unciphise lezi zingozi, kubalulekile ukusebenzisa okulungileusayizi we-rectal tube, qinisekisa ukufakwa okuthambile, futhi ukhawule ubude besikhathi sokubekwa. Iziguli kufanele ziqashwe ngeso elibukhali ukuze kutholakale ukungakhululeki, ukopha, noma eminye imiphumela emibi.

Isiphetho

Ii-rectal tubeiyiguguukusetshenziswa kwezokwelaphaesetshenziselwa ukuphatha izimo ezihlukahlukene zesisu namathumbu. Ukuthi ukukhulula igesi, ukulawula ukungakwazi ukuzithiba, noma ukusiza ezinqubweni zokuxilonga, ukuqonda okufaneleinkomba ye-rectal tube, efaneleusayizi we-rectal tube, futhi imihlahlandlela yenqubo ephephile ibalulekile ukuze kube nemiphumela emihle yesiguli.

Njengesisetshenziswa esivamilei-catheter yezokwelapha, ukusetshenziswa kwayo kufanele ngaso sonke isikhathi kuqondiswe ukwahlulela kochwepheshe bezokwelapha. Ngokusetshenziswa nokuqapha okufanele, amashubhu angama-rectal angathuthukisa kakhulu ukunethezeka kwesiguli futhi anciphise izinkinga ezihambisana nokungasebenzi kahle kwamathumbu.