Isisu: injongo, ubungako kanye nokubekwa imishini

tube esiswini isetshenziselwa kokubili ngezinhloso zokuxilonga nokwelapha. Le divayisi kwenza kube nokwenzeka ukuba uhlole okuqukethwe pheshana emathunjini, futhi uma kudingeka, i-duodenum. Uphenyo Ngaphandle esiswini - kuyinto ezithambile iraba tube. Kuye isicelo kungase diameters ezahlukene: ezinkulu nezincane.

Kwezinye izimo, linqume Bebona

Iphenya esiswini - inqubo ulwazi futhi iphephile. Singasho zinikwa izifo eziningi, ezifana isilonda esiswini kolwelwesi, isifo reflyuksornaya, atony esiswini ileus nabanye. Ngaphezu kwalokho, tube esiswini esetshenziselwa umsoco yokufakelwa iziguli nasezinkingeni ezilandela ngemva kokuhlinzwa.

Ukusebenzisa uphenyo eyenziwa lavage esiswini ushevu ukudla osekonakele noma ubuthi. Futhi abathola siwasebenzise olwenziwa uvo esiswini kokuvula stenosis esimweni ngokwahlukana ngokusebenzisa le mucosa esiswini we ezinobuthi, isibonelo, uma kwehluleka kwezinso.

Izinhlobo iphenya. uphenyo obukhulu

Ake uchaze kabanzi obukhulu tube esiswini. Usayizi iraba yakhe tube:

• obuphelele kusukela 70 kuya ku-80 cm;
• kuya ku-12 mm ububanzi;
• i inesikhala engaphakathi 0.8 mm.

Ukuphela distal tube ukuba owethulwa zingene esiswini, is babanjwa. Ubizwa ngokuthi i-izimpumputhe. Ukuphela probe yesibili ibizwa ngokuthi evulekile. Kancane ngenhla ugobile kukhona izimbobo ezimbili okweqanda. Ngabo, okuqukethwe isisu ingena ukuba kwenziwe uphenyo. Ngemva 40, 45 no-55 cm kusukela ekupheleni oyindilinga we ilebula ezinyathelisiwe. Bona sihambisana ukucwiliswa ukujula, okungukuthi, ibanga elisuka kumugqa izinyo emnyango esiswini.

Empeleni, ukuthi enze uphenyo enjalo isetshenziselwa nokugeza esiswini noma irisidi kanyekanye lokuqukethwe esiswini.

stilet

Le divayisi kuyinto mncane iraba tube, ogama ubude 1.5 m. Ububanzi kwalesi tube ingeqi 3 mm. Ukuphela okuyinto busuka esiswini, ifakwe ekhethekile iraba kanzima noma isiliva omnqumo. Oliva has amathuba okuqukethwe isisu. On the tube imakwe amamaki ezintathu: 45, 70, 90. Lezi ukuchaza ka dive ukujula. Kulokhu 45 cm - ibanga ukusuka dentition ngaphambi kokungena sikhwama esiswini, 70 cm - ibanga ukusuka dentition ngaphambi le pylorus, 90 cm - Uphenyo isezingeni Vater ingono.

Ukugwinya ngamapayipi mncane kuyinto lula kakhulu. Yena neze kubangela reflex Gag futhi kungenziwa etholakala esiswini isikhathi eside. Lokhu kuvumela ukusetshenziswa iphenya mncane ukuqapha ukwehlukana juice esiswini futhi afeze isampula wamaqhuzu okuqukethwe isssleduemoy ingaphakathi.

Ukuze abaphathi acinene, uphenyo mncane usebenzisa tube ezithambile ngaphandle iminqumo. uphenyo ezinjalo kulula kakhulu ukufaka futhi ungakwazi ukuyisebenzisa kuqhubeke isikhathi eside. Ezimweni eziningi, iphenya acinene setha ngemva ukuhlinza noma atony esiswini.

Okokuphenya, duodenale

Uphenyo okunjalo esiswini ngoba yethula uhlelo duodenum. Khomba abathola enjalo ezimeni isibindi noma biliary ipheshana isifo. Aspirate probe ivumela ekutadisheni Mark Bile. Ucwaningo wenziwa ngendlela nezimo iraba tubing kabani ubukhulu ingeqi 5 mm. Ucwaningo obuphelele 1.5 m. Ukuphela egxilile esiswini, unikezwa eziyize omnqumo lensimbi izimbobo. Ngobungako ukuqina -. 2 kuya 0.5 cm on amalebula tube isetshenziswa ukulawula dive. Indawo yabo - 40 (45), 70 no-80 cm kusukela iminqumo. Uphawu kude cishe kubonisa ibanga kusuka amazinyo angaphambili kuya papilla (the duodenum).

Isidingo enteral (Uphenyo) Amandla

Kwezinye izifo, iziguli zithola umsoco parenteral. Lokhu kusho ukuthi izakhi busuka umzimba ngemithambo yegazi, ngokudlula pheshana emathunjini. Kodwa la mandla ekhishwa ngokuqhubekayo ngaso sonke isikhathi kuyafaneleka, kusukela izakhi ukumuncwa inqubo ipheshana wokugaya ukudla has eziningi eziwusizo. Inqubo ethula izakhi izixazululo zingene esiswini noma encane amathumbu libizwa umsoco enteral. Ngenxa yale njongo, mncane Uphenyo isisu nge umqhubi. Enteral tube yokudla kuvimbela izinguquko esiwohlozayo odongeni emathunjini. Ukuze yokutakula okwengeziwe kubaluleke kakhulu.

zesiteji uphenyo

Ukuze ufake kahle ngamapayipi esiswini, isiguli Usululungele zokukhwabanisa. Uma kuwukuthi engqondweni, chaza umehluko wemisindo nemiqondo yamagama inqubo. Qiniseka ukukala ingcindezi, uzizwa ishayela bese uhlole umgudu.

Ukukhiqizwa ngu gavage ngomlomo kudinga yokulinganisa ibanga ukusuka namazinyo emucwini kuya inkaba (plus ububanzi entendeni). uphawu ohambelana lufakwa tube kusukela ekupheleni abayizimpumputhe. Zezimo Eziphuthumayo iba ohlangothini nesineke futhi ubeka ukuphela oyindilinga empandeni nolimi. Ngokulandelayo, isiguli wenza singagwinyi ukunyakaza, bese isisebenzi sezimo eziphuthumayo ikhuthaza tube probe amamaki elihambisana.

Uma kusethwa probe ngokusebenzisa ekhaleni pre vymeryat ibanga kusuka ingxenye ophumile kwekhala endlebeni Lobe, bese kusuka ichopho inqubo xiphoid we sternum. On the tube 2 isetshenziswa ilebula.