Izilumkiso zokhathalelo lwesondlo esingena emlonyeni

Izilumkiso zokhathalelo lwesondlo esingena emlonyeni

Izilumkiso zokhathalelo lwesondlo esingena emlonyeni

Izilumkiso zokhathalelo lwezondlo ezinje ngokulandelayo:
1. Qinisekisa ukuba isisombululo sezondlo kunye nezixhobo zokugalela zicocekile kwaye azinyumba
Isisombululo sezondlo kufuneka silungiswe kwindawo engenanto, sibekwe kwisikhenkcisi esingaphantsi kwe-4℃ ukuze sigcinwe okwexeshana, kwaye sisetyenziswe kwiiyure ezingama-24. Isikhongozeli sokulungiselela kunye nezixhobo zokugalela kufuneka zigcinwe zicocekile kwaye zingenazintsholongwane.

2. Khusela imifinya kunye nolusu
Izigulane ezine-tube ye-nasogastric ehlala ixesha elide okanye i-tube ye-nasointestinal ixhomekeke kwizilonda ngenxa yoxinzelelo oluqhubekayo kwi-nasal kunye ne-pharyngeal mucosa. Kufuneka bafake i-ointment yonke imihla ukugcina umngxuma weempumlo uthanjiswa kwaye bagcine ulusu olujikeleze i-fistula lucocekile kwaye lomile.

3. Thintela ukulangazelela
3.1 Ukufuduka kombhobho wesisu kwaye ubeke ingqalelo kwindawo; hlawula ingqalelo ekhethekileyo ekugcineni indawo ye-tube ye-nasogastric ngexesha lokunyuswa kwesisombululo sezondlo, kwaye ungayihambisanga phezulu, ukukhupha isisu kucotha, kwaye isisombululo sezondlo sifakwe kwi-tube ye-nasogastric okanye i-gastrostomy Isigulane sithatha isikhundla se-semi-recumbent ukukhusela i-reflux kunye ne-aspiration.
3.2 Ukulinganisa ubungakanani be-residual fluid esiswini: ngexesha lokufakwa kwesisombululo sezondlo, pompa isixa esishiyekileyo esiswini rhoqo kwiiyure ezi-4. Ukuba ingaphezulu kwe-150ml, ukufakwa kufuneka kumiswe.
3.3 Ukuqwalaselwa kunye nonyango: Ngexesha lokunyuswa kwesisombululo sezondlo, ukusabela kwesigulane kufuneka kujongwe ngokusondeleyo. Nje ukuba ukhohlele, ukukhohlela kweesampulu zesisombululo sezondlo, ukufuthaniselwa okanye ukuphefumla kancinci, kunokumiselwa njengomnqweno. Khuthaza isigulana ukuba sikhohlele kwaye sinqwenele. , Ukuba kuyimfuneko, susa into efakwe kwi-bronchoscope.

4. Thintela iingxaki zesisu
4.1 Iingxaki ze-catheterization:
4.1.1 Ukulimala kwe-Nasopharyngeal kunye ne-esophageal mucosal: Kubangelwa ityhubhu enzima kakhulu, ukusebenza okungafanelekanga okanye ixesha elide lokungena;
4.1.2 Ukuvaleka kwemibhobho: Kubangelwa kukuba ilumen ibhityile kakhulu, isisombululo sezondlo singqindilili kakhulu, asilingani, sijiyile, kwaye nesantya sokuhamba sicotha kakhulu.
4.2 Iingxaki zesisu: isicathulo, ukuhlanza, intlungu yesisu, isisu esiswini, isifo sohudo, ukuchithwa, njl., ezibangelwa ukushisa, isantya kunye nokugxininiswa kwesisombululo sezondlo kunye noxinzelelo olungafanelekanga lwe-osmotic olubangelwa yiyo; ungcoliseko lwesisombululo sezondlo kubangela ukusuleleka kwamathumbu; Iziyobisi zibangela intlungu yesisu kunye nohudo.
Indlela yokuthintela:
I-1) Uxinzelelo kunye noxinzelelo lwe-osmotic lwesisombululo sezondlo esilungisiweyo: Uxinzelelo lwezondlo eziphezulu kakhulu kunye noxinzelelo lwe-osmotic lunokubangela isicaphucaphu, ukuhlanza, intlungu yesisu kunye nohudo. Ukuqala kwi-concentration ephantsi, ngokuqhelekileyo iqala kwi-12% kwaye inyuka ngokuthe ngcembe ukuya kwi-25%, amandla aqala kwi-2.09kJ / ml kwaye anyuke ukuya kwi-4.18kJ / ml.
2) Lawula umthamo we-liquid kunye nesantya se-infusion: qalisa ngexabiso elincinci le-liquid, umthamo wokuqala ngu-250 ~ 500ml / d, kwaye ngokuthe ngcembe ufikelele kwivolumu epheleleyo ngaphakathi kweveki ye-1. Izinga lokungena liqala ukusuka kwi-20ml / h kwaye liyenyuka ngokuthe ngcembe ukuya kwi-120ml / h yonke imihla.
3) Lawula ubushushu besisombululo sezondlo: ukushisa kwesisombululo sesondlo akufanele kube phezulu kakhulu ukukhusela i-scalding ye-mucosa yesisu. Ukuba iphantsi kakhulu, inokubangela ukuqaqanjelwa sisisu, isisu esibuhlungu, kunye norhudo. Inokufudunyezwa ngaphandle kwetyhubhu esondele kwityhubhu yokutya. Ngokuqhelekileyo, ubushushu bulawulwa malunga nama-38°C.
4.3 Iingxaki ezithathelwanayo: I-Aspiration pneumonia ibangelwa ukufakwa kwe-catheter engafanelekanga okanye ukufuduka, ukulibaziseka kwesisu okanye i-nutrient fluid reflux, iziyobisi okanye ukuphazamiseka kwe-neuropsychiatric okubangelwa yi-reflexes ephantsi.
4.4 Iingxaki ze-Metabolic: i-hyperglycemia, i-hypoglycemia, kunye nokuphazamiseka kwe-electrolyte, okubangelwa isisombululo esingalinganiyo sezondlo okanye ifomula yecandelo elingafanelekanga.

5. Ukunyamekela ityhubhu
5.1 Lungisa ngokufanelekileyo
5.2 Thintela ukujija, ukusonga, kunye noxinzelelo
5.3 Gcina ucocekile kwaye ungenazintsholongwane
5.4 Hlamba rhoqo


Ixesha lokuposa: Jul-16-2021