I-Rectal Tube: Ukusetshenziswa, Osayizi, Izinkomba, kanye Neziqondiso Zokusetshenziswa Okuphephile

Iipayipi elingemuvaiyipayipi eligobile, elingenalutho elifakwe e-rectum ukuze kuncishiswe izimpawu ezihambisana nezinkinga zesisu, njengokushaywa yigesi kanye nendle. Njengohlobo lwe-i-catheter yezokwelapha, kudlala indima ebalulekile kokubili ekunakekelweni okuphuthumayo kanye nokuphathwa kwesibhedlela okuvamile.inkomba yepayipi elingemuva, okulungileusayizi wepayipi le-rectal, inqubo yokusebenzisa, nokuthi ingahlala isikhathi esingakanani endaweni yayo ngokuphephile kubalulekile ekunakekelweni kwesiguli okuphumelelayo nokuphephile.

Iyini i-Rectal Tube?

Ipayipi eliseceleni, elaziwa nangokuthi ipayipi elithambile, liyipayipi elinomoya ophansi.okudliwayo kwezokwelaphaYenzelwe ukusiza ekunciphiseni amathumbu ngokuvumela ukudlula kwegesi noma indle. Ngokuvamile yenziwe ngerabha ethambile noma ipulasitiki futhi inesihloko esiyindilinga ukuze kuncishiswe ukulimala kwe-mucosa yamathumbu. Amanye amashubhu amathumbu anezimbobo eziningi eziseceleni ukuze kuthuthukiswe ukusebenza kahle kokukhipha amanzi.

Amashubhu angemuva asetshenziswa kakhulu ezibhedlela nasezikhungweni zokunakekelwa, ayingxenye yesigaba esibanzi se-ama-catheter ezokwelaphaNgokungafani nama-catheter omchamo, afakwa esinyeni, ama-catheter asemaceleni enzelwe ngqo ukufakwa emaceleni ukuze kusizwe ekunciphiseni amathumbu noma ekuguquleni indle.

Isibonakaliso Se-Rectal Tube: Sisetshenziswa Nini?

Kunezimo eziningana zezokwelapha lapho kungadingeka khona ipayipi elingaphakathi. Lezi zifaka:

1. Ukuqeda ukuqunjelwa noma ukuvuvuka kwesisu– Uma iziguli zihlushwa ukwakheka kwegesi ngokweqile (ngokuvamile ngemva kokuhlinzwa), amapayipi angaphakathi esinqeni asiza ekunciphiseni ukungakhululeki nokunciphisa ingcindezi esiswini.
2. Ukuphathwa kokungakwazi ukuzibamba kwendle– Ezigulini ezinakekelwa kakhulu noma ezinakekelwa isikhathi eside, ikakhulukazi lezo ezilele embhedeni noma ezingazi lutho, ipayipi elinomsila lingasiza ekuphatheni ukuhamba kwamathumbu okungalawulwa futhi livimbele ukuphuka kwesikhumba.
3. Ukuthinteka kwendle– Ipayipi elisesinqeni lingasiza ekunciphiseni ukunqwabelana kwendle eqinile lapho ukwenza i-enema noma ukuhlanza ngesandla kungasebenzi kahle.
4. Ngaphambi noma ngemva kokuhlinzwa– Ukuvaleka kwamathumbu ngemva kokuhlinzwa noma i-ileus kungaholela ekugcinweni kwegesi okukhulu. Amapayipi angase abekwe okwesikhashana ukuze kuncishiswe izimpawu.
5. Izinqubo zokuxilonga– Kwezinye izindlela zokuthwebula izithombe, amashubhu angemuva asiza ukufaka imidiya yokuhlukanisa emathunjini ukuze kubonakale ngokucacile.

Lezi zimo zibizwa ngokuthiizinkomba zepayipi elingemuva, futhi ukuhlolwa okufanele ochwepheshe bezokwelapha kuyadingeka ngaphambi kokufakwa.

Usayizi Weshubhu Engemuva: Ukukhetha Efanele

Ukukhetha okulungileusayizi wepayipi le-rectalKubalulekile ekuphepheni nasekududuzeni kwesiguli. Amashubhu asemaceleni eza ngobukhulu obuhlukahlukene, ngokuvamile alinganiswa ngamayunithi esiFulentshi (Fr). Ubukhulu besiFulentshi bubonisa ububanzi bangaphandle be-catheter - uma inani liphezulu, ithubhu liba likhulu.

Nazi izilinganiso ezivamile zamapayipi e-rectal ngokweqembu leminyaka:

• Izinsana kanye nezinsana:12–14 Fr
• Izingane:14–18 Fr
• Abantu abadala:22–30 Fr
• Iziguli ezikhulile noma ezibuthakathaka:Osayizi abancane bangase bakhethwe kuye ngokuthi ithoni yerectal injani

Ukukhetha usayizi ofanele kuqinisekisa ukuthi ithubhu liyasebenza ngaphandle kokubangela ukulimala okungadingekile noma ukungakhululeki. Amathubhu amakhulu kakhulu angalimaza ulwelwesi lwe-rectal, kanti amathubhu amancane kakhulu angase angavumeli ukuphuma kwamanzi okwanele.

Inqubo Yokufaka Ishubhu Lase-Rectal

Ukufakwa kwepayipi elisesinqeni kufanele kwenziwe njalo ochwepheshe bezempilo abaqeqeshiwe ngaphansi kwezimo ezingezona ezibulala amagciwane. Nasi isifinyezo esijwayelekile senqubo:

1. Ukulungiselela:
   • Chazela isiguli (uma siqaphela) inqubo ukuze sinciphise ukukhathazeka.
   • Hlanganisa izinto ezidingekayo: ipayipi eliseceleni, igrisi elisekelwe emanzini, amagilavu, amaphedi okumunca, kanye nesitsha sokukhipha amanzi noma isikhwama sokuqoqa uma kudingeka.
   • Beka isiguli ohlangothini lwaso lwesobunxele (indawo kaSims) ukuze silandele indlela egobile ngayo i-rectum kanye ne-sigmoid colon.
2. Ukufakwa:
   • Gqoka amagilavu ​​​​bese ufaka amafutha amaningi epayipini.
   • Faka ipayipi ngobumnene e-rectum (cishe amasentimitha angu-3-4 kubantu abadala) ngenkathi uqapha ukumelana.
   • Uma ukumelana kuhlangatshezwana nakho, ungaliphoqi ithubhu—kunalokho, zama ukushintsha indawo yesiguli noma usebenzise ithubhu elincane.
3. Ukuqapha Nokuvikela:
   • Uma usufakiwe, qaphela ukuthi igesi, indle, noma uketshezi kuyadlula yini.
   • Ipayipi lingaxhunywa ohlelweni lokukhipha amanzi noma lishiywe livulekile emoyeni kuye ngokuthi lisetshenziswe kanjani.
   • Qaphela ukungakhululeki kwesiguli, ukopha, noma izimpawu zokubhoboka kwamathumbu.
4. Ukususwa Nokunakekelwa:
   • Amapayipi amaningi e-rectal awahloselwe ukuhlala endaweni yawo unomphela.
   • Uma ungasadingeki, khipha ipayipi ngobumnene bese ulilahla ngokwemigomo yokulawula ukutheleleka esibhedlela.

I-Rectal Tube Ingahlala Isikhathi Eside Kangakanani Kuyo?

Ubude besikhathi ipayipi elingaphakathi elingasetshenziswa lincike esimweni sempilo kanye nesimo sesiguli. Kodwa-ke, amapayipi angaphakathi ngokuvamile asetshenziswaakuklanyelwe ukusetshenziswa isikhathi eside.

• Ukukhululeka kwesikhashana (igesi, umthelela):Amapayipi angafakwa imizuzu engama-30 kuya ehoreni eli-1 bese esuswa.
• Izinhlelo zokuphatha indle (zokungazithibi):Ezinye izinhlelo ezikhethekile zingashiywa endaweni yazo ukuzekufika ezinsukwini ezingama-29, kodwa kuphela ngaphansi kokuqashwa okuqinile kwezokwelapha.
• Ukusetshenziswa njalo esibhedlela:Uma ipayipi lishiywe endaweni yalo ukuze likhiphe amanzi, kufanele lihlolwe njalo emahoreni ambalwa bese lishintshwa njalo emahoreni angu-12-24 ukuze kuncishiswe ingozi yokulimala kwengcindezi noma ukutheleleka.

Ukusetshenziswa isikhathi eside kungaholela ezinkingeni ezifana nezilonda zangemuva, i-pressure necrosis, noma ngisho nokubhoboka. Ngakho-ke, ukuhlolwa okuqhubekayo kubalulekile, futhi ukusetshenziswa isikhathi eside kufanele kugwenywe ngaphandle kokusebenzisa umkhiqizo ohloselwe ngqo leso sikhathi.

Izingozi Nezinyathelo Zokuqapha

Nakuba amashubhu angaphakathi evame ukuphephile uma esetshenziswa ngendlela efanele, izingozi ezingaba khona zifaka:

• Ukopha okubangelwa yi-rectum noma ukulimala kwe-mucosal
• Ukubhoboka kwamathumbu (okungavamile kodwa okubi kakhulu)
• Ukulimala kwengcindezi ku-sphincter yendunu
• Ukutheleleka noma ukucasuka

Ukuze unciphise lezi zingozi, kubalulekile ukusebenzisa izindlela ezifanele zokuvimbela.usayizi wepayipi le-rectal, qinisekisa ukufakwa kancane, futhi unciphise isikhathi sokufakwa. Iziguli kufanele ziqashwe ngokucophelela ukuze zithole ukungakhululeki, ukopha, noma eminye imiphumela emibi.

Isiphetho

Iipayipi elingemuvakuyinto eyiguguokudliwayo kwezokwelaphaisetshenziswa ukuphatha izimo ezahlukahlukene zesisu kanye nezihlobene namathumbu. Kungakhathaliseki ukuthi kunciphisa igesi, ukuphatha ukungakwazi ukuzibamba, noma ukusiza ezinqubweni zokuxilonga, ukuqonda okufaneleinkomba yepayipi elingemuva, okulungileusayizi wepayipi le-rectal, kanye neziqondiso zenqubo ephephile kubalulekile ukuze kube nemiphumela emihle yesiguli.

Njengokusetshenziswa okuvame ukusetshenziswai-catheter yezokwelapha, ukusetshenziswa kwayo kufanele kuqondiswe njalo ukwahlulela kochwepheshe bezokwelapha. Ngokusetshenziswa nokuqapha okufanele, amashubhu angaphakathi angathuthukisa kakhulu induduzo yesiguli futhi anciphise izinkinga ezihlobene nokungasebenzi kahle kwamathumbu.