M'mimba cholinga, kukula ndi kuyika zida

chubu chapamimba kuigwiritsa ntchito pa onse matenda ndi achire. chipangizo Izi zimathandiza kufufuza nkhani za mundawo m'mimba ndipo ngati n'koyenera, ndi duodenum. Kunja chapamimba kafukufuku - ndi mphira zofewa chubu. Malinga ntchito kungakhale wa diameters zosiyanasiyana: yaikuluikulu.

Nthawi zina, mankhwala poona

Akufufuza mpata m'mimba - ndi ndondomeko nkhani komanso otetezeka. Iwo akhoza anatumizidwa ku matenda ambiri, monga chapamimba chilonda, gastritis, matenda reflyuksornaya, chapamimba atony, ileus ndi ena. Komanso, chubu chapamimba ntchito zakudya yokumba odwala postoperative.

Ntchito kafukufuku anagwira chapamimba lavage kuti chiphe owonongedwa chakudya kapena ziphe. Komanso ankatenthetsa cholinga amachitidwa pa Muzifunsa m'mimba kutsegula stenosis pa nkhani ya kupatukana mwa mucosa chapamimba wa poizoni Mwachitsanzo, mu nkhani ya kulephera aimpso.

Mitundu ya probes. wandiweyani kafukufuku

Tiyeni kufotokoza zambiri wandiweyani chapamimba chubu. Kukula kwa mphira chubu wake:

• kutalika kwa 70 cm 80;
• kuti mamilimita 12 awiri;
• ndi lumen lamkati la 0,8 mm.

Mapeto wapotalikira a chubu kuti anadzetsa m'mimba, ndi anamaliza. Iwo akutchedwa akhungu. Mapeto yachiwiri kafukufuku amatchedwa lotseguka. Pang'ono pamwamba kupindika ndi mabowo awiri chowulungika. Kudzera mwa iwo, zili m'mimba akulowa kafukufuku. Pambuyo 40, 45 ndi 55 masentimita ku mapeto anamaliza wa chizindikiro kusindikizidwa. Iwo zogwirizana akuya kumiza, womwe ndi mtunda kuchokera mzere dzino pakhomo m'mimba.

Kwenikweni, zimenezi kafukufuku ntchito washings chapamimba kapena munthawi yomweyo chiphaso cha nkhani muzituluka.

stilet

chipangizo Izi ndi woonda mphira chubu, amene kutalika ndi 1.5 m. The awiri a chubu uyu alibe upambana mamilimita 3. Mapeto omwe anadzetsa m'mimba, ali okonzeka ndi wapadera mphira molimba maolivi siliva. Oliva ali mipata zili m'mimba. Pa chubu amalembedwa zizindikiro zitatu: 45, 70, 90. Awa chimatanthauza akuya madzi a. Pankhaniyi 45 cm - mtunda kuchokera dentition asanayambe chinthucho chapamimba, 70 cm - mtunda kuchokera dentition musanakhale pylorus ndi, 90 cm - kafukufuku ali pa Vater nipple.

Kumeza chubu woonda ndi zosavuta. Iye nkomwe amachititsa gag reflex ndipo akhoza ili mu m'mimba kwa nthawi yaitali. Ichi chizathandiza ntchito probes woonda kuwayang'anira kulekana kwa madzi muzituluka ndi kugwira fractional nyemba zili isssleduemoy patsekeke.

Pakuti makonzedwe m'mphuno, ndi kafukufuku woonda ntchito chubu zofewa popanda azitona. Chotero kafukufuku ndi zosavuta kulowa ndipo angagwiritsidwe ntchito nthawi yaitali. Nthawi zambiri, probes m'mphuno anapereka pambuyo ntchito yovuta kapena chapamimba atony.

Probes, duodenale

Chotero kafukufuku chapamimba kwa oyamba mu duodenum ndi. Tisonyezeni cholinga choterechi milandu chiwindi kapena biliary matenda thirakiti. Aspirate kafukufuku limalola kuphunzira Mark ya ndulu. Kafukufuku imagwiridwa mu mawonekedwe a yamachubu mphira kusintha amene awiri alibe upambana 5 mm. Kafukufuku kutalika 1.5 m. Mapeto kumizidwa mmimba, amaperekedwa ndi dzenje zitsulo azitona ndi mabowo. Kuchuluka kwa thickening -. 2 0,5 masentimita pa zolemba chubu ntchito kulamulira madzi. malo - 40 (45), 70 ndi 80 masentimita kwa Maolivi. Chilemba m'malekezero ziri limasonyeza mtunda kuchokera mano kutsogolo kwa papilla (ndi duodenum).

Kufunika enteral (kafukufuku) Mphamvu

Mu matenda ena, odwala kulandira zakudya parenteral. Izi zikutanthauza kuti zakudya tikuuzidwa mu thupi m'nsinga, anyalanyaza thirakiti m'mimba. Koma mphamvu si nthawi zonse wolungama, popeza michere mayamwidwe ndondomeko pa mundawo m'mimba angapo ubwino. The ndondomeko ya kuyambitsa njira michere mu m'mimba kapena yaing'ono intestine amatchedwa zakudya enteral. Chifukwa chaichi, woonda m'mimba kafukufuku ndi wochititsa lapansi. Enteral chubu kudya kumathandiza kusintha osachiritsika mpanda matumbo. Apeze zina ndi zofunika kwambiri.

staging kafukufuku

Bwino kwabasi chubu chapamimba, wodwalayo okonzekera mpheto. Ngati tili ndi maganizo, kufotokoza mokoma ndondomeko. Onetsetsani kuyeza zoipazi, kumva kugunda kwa mtima ndi fufuzani airway.

Kupanga ndi gavage kudzera pakamwa amafuna kuyeza mtunda kuchokera mano ulusi kuti Mchombo (kuphatikiza m'lifupi pachikhatho cha). Lolingana chizindikiro amavalidwa chubu ku mapeto akhungu. Anthu pangozi amakhala mbali ya wodwala ndipo amayika mapeto anamaliza muzu wa lilime. Kenako, wodwalayo amachita Pomeza kayendedwe, ndi anthu pangozi amalimbikitsa kafukufuku chubu kuti zizindikiro zake.

Pamene wakhala kafukufuku kudzera mphuno chisanadze vymeryat mtunda kuchokera gawo yotundumukira kunja kwa mpanda wa mphuno kwa Lobe khutu, ndiyeno kuchokera kunsonga kuti ndondomeko xiphoid wa sternum lapansi. Pa chubu 2 umagwiritsidwa ntchito chizindikiro.