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;nikela ingqalelo ekhethekileyo ekugcineni indawo yombhobho we-nasogastric ngexesha lokufakwa kwesisombululo sezondlo, kwaye ungasiqhubeli phezulu, ukukhupha isisu kucotha, kwaye isisombululo sezondlo sifakwe kwi-tube ye-nasogastric okanye i-gastrostomy. i-semi-recumbent isikhundla sokuthintela i-reflux kunye nomnqweno.
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