Tikanga o te tātaritanga - intubation pekitīlia

intubation Nasogastric whakahaeretia ki te whāinga o te te ihirangi kohika, aru i te tūhuratanga o ngā mahi pekitīlia. I roto i ngā, nekeneke me mahi secretory. Kia tīmata te ki te rārangi o contraindications.

• Ulceration mumura o te mangai ranei, pharynx.
• toto pekitīlia me esophageal.
• Tūkinotanga tukuna ai esophageal.
• mariao puku.
• mate Cardiovascular.

Riro taua ihirangi muri te kai whakamātautau ranei i runga i te puku kau. Ko te tukanga iho he momi (wawata) o nga tirotiro o te puku duodenum (whewhe duodenal) me / ranei, i roto i te uiuia motuhake. Na ka, kua tonoa te ihirangi hua ki te taiwhanga mo whakamātautau.

intubation nasogastric

• Ka rite ki te ra i mua, me te ra o te tikanga, te kīanga manawanui i te kai paipa.
• Kotahi ra i mua i te Tārewa e tumâ taero katoa.
• intubation pekitīlia Kei te whakamana te reira i runga i te puku kau. Hoki 14 haora i mua tino mutu te fariiraa i tuhituhi.
• Ki te he niho more niho he manawanui, e hiahia ana koe ki te tango ia ratou.

He Tārewa kotahi-wā o te puku

E rua tatau rere uiuia matotoru he roa o e pā ana ki 80 cm. I runga i te mutunga porotaka. He māmā, me ngāwari wātea tū, engari he uninformative tenei tikanga, tata kore whakamahia tenei ra mō ngā take tātaritanga. I roto i tenei take e whakamahia te ngongo matotoru te i roto i lavage pekitīlia me ētahi atu ngā tukanga hauora.

Pūkenga puku hautanga

Te mahi uiuia angiangi mō ngā take tātaritanga. Te ngongo rapa (uiuia) he kikokore, tae he hawhe mita i roto i te roa. he uiuia taua i waho whakapataritari i te pūpū hiaruaki, kia noho i roto i te kopu mo neke atu i te rua nga haora rite hiahiatia. Ko te kupu te whakatutuki i te whakaaro o te aroturuki me te rangahau o ngā mahi secretory i roto i te wa e hiahiatia ana. porotaka mutunga pekitīlia kahore oriwa te me e rua rua. I te tawhiti o 50 me 70 henimita i te mutunga o nga tūtohu e wātea ana. Hoki te whakataki o te uiuia angiangi titau tiaki manawanui kaha.

• whakaurua uiuia i runga i te puku kau te nuinga i roto i te tūranga e noho ana.
• whakanohoia mutunga o te uiuia i runga i te pakiaka o te arero. Manawa o te manawanui, a ka hua reira he horomia leisurely hohonu.
• Noho te ngana te manawanui ki tahoro i te matenga mua.
• Ko te tohu tuatahi tohu e te uiuia tae te rohe fundus, me te tuarua, e kua tae te reira i te rohe pyloric.
• Hei tango tino te tirotiro, kia whiwhi i te mutunga uiuia ki te distal, i.e. tomo āhua 50 - 60 henimita i te taha o nga niho. Ka taea e koe te arotahi ki runga i te tupu o te manawanui i te whakauru i te uiuia ki te hohonu o - "., haunga te kotahi rau henimita o te tiketike o te tupu o te manawanui"
• Kei te piri whakamutunga o te uiuia ki te rawhi kakahu waho o te manawanui. hanga tenei he arai ki te urunga ki te duodenum.
• I runga i te mutunga te ritenga o te uiuia hoatu i runga i te pūwero. Ki te whakaputaina reira unu nga tirotiro o te puku.

Mai iteraa wai pekitīlia te mäminga i roto i rawatia, i te mea i roto i te kopu. Neke atu i te te haora i muri, kia te kohinga o pekitīlia tirotiro, te arotake secretion basal. secretion anō whakaongaongatia e pentagastrin whakahaere histamine ranei. I muri whakaongaonga hoki te haora katoa rima meneti tangohia wahi o wai pekitīlia. tūhura ratou te ataata, matüora, tikanga mōkitokito.

intubation matapo

Ko te whakaaro o te horoi ko te ate tau mahani, au tōngāmimi, ate me te unloading. He mea tino nui mō te tūroro e kua i kakā. whakarei ake taua Tārewa te rere o ate ki te whēkau, te kupu tere tona mahi nekeneke.

• I roto i te ata, haurangi i runga i te puku kau, he karaihe o te wai mahana.
• I muri i te hawhe haora ki te tango i parakuihi choleretic motuhake.
• Inumia he kapu o te tea mahana.
• E takoto ana i runga i tou taha maui, i runga i te rohe o te ate tono te pounamu mahana te wai.
• Maru, takoto pera te hawhe haora.
• I muri i te otinga mahi mahi marama, me te ka taea e koe te kai.

te āwhina

Kei te tūtohu hoki intubation matapo i roto i te aroaro o te mātanga.