Matenda oopsa a shuga ndi matenda ashuga amakula nthawi zambiri. Kwenikweni, kuwonjezeka kwa kupanikizika kumachitika pamene zovuta monga nephropathy zikuwonekera motsutsana ndi maziko a matenda a glycemia.
Matenda oopsa kwa odwala matenda ashuga ndi owopsa chifukwa amatha kutha kuwonongeka, kuwona kwaimpso, kukanika, kapena vuto la mtima. Pofuna kupewa mavuto osafunikira, ndikofunikira kuti magazi azikhala munthawi yake.
Njira yofatsa komanso yothandiza yokhala ndi kuthamanga kwa magazi ndiwopatsa chidwi. Ndondomeko imakhala yotupa mwachangu, imachotsa madzimadzi owonjezera m'thupi, komanso imachepetsa kukakamiza kwina. Koma musanatembenukire, muyenera kuphunzira zomwe adachita ndikuzidziwitsa zolakwika.
Kodi ma enema oopsa ndi ati?
Mankhwala, yankho lapadera limatchedwa hypertonic. Kupanikizika kwake kwa osmotic ndikofunikira kuposa kuthamanga kwa magazi. Zotsatira zamankhwala zimatheka ndikuphatikiza mayankho a isotonic ndi hypertonic.
Mitundu iwiri ya zakumwa zikaphatikizidwa, zimalekanitsidwa ndi nembanemba yotulutsa thupi (mthupi la munthu izi ndiziphatikizo za maselo, matumbo, mitsempha yamagazi), kuzungulira kwamadzi kumalowa mu sodium yankho kuchokera ku yankho la thupi. Mfundo yokhudza thupi ndiyo maziko ogwiritsira ntchito enemas pazochita zamankhwala.
Mfundo zoyendetsera kukhazikika kwa magazi ndizofanana ndi zomwe zimagwiritsidwa ntchito popanga enema yachilendo. Njira yodzazirayi m'matumbo ndi chimbudzi chamadzimadzi pakuyenda kwamatumbo.
Kudzinyenga kotereku kumagwira ntchito limodzi ndi kutupa kambiri kwamtundu uliwonse ndi kudzimbidwa. Kuyika enema yophatikiza, nthawi zambiri amagwiritsa ntchito mug wa Esmark. Ndikotheka kugwiritsa ntchito phukusi lapadera lotenthetsera ndi payipi ndi nsonga.
Hypertensive enema imachotsa madzi ochulukirapo m'thupi, chifukwa chomwe zotsatira zake ndi zomwe zimapangitsa, ndipo zotupa m'mimba zimatsimikiza. Njirayi imathandizanso kuchepetsa kukakamiza kwa intracranial.
Ubwino wa nyimbo yamphamvu:
- chitetezo poyerekeza;
- kumasuka kwa kukhazikitsa;
- mkulu achire ogwira;
- Chinsinsi chosavuta.
Madokotala ambiri amavomereza kuti enema yokhala ndi matenda oopsa amachepetsa kuthamanga kwa magazi kuposa kuthamanga kwa mankhwala a antihypertgency. Izi zimachitika chifukwa chakuti yankho la mankhwalawa limalowa nthawi yomweyo m'matumbo, kenako limalowa m'magazi.
Mitundu ya mayankho ndi njira zawo pokonzekera
Poika, ma enemas adagawidwa ku zakumwa zoledzeretsa (zotsekemera zama psychotropic), kuyeretsa (kuletsa kupezeka kwa matenda am'matumbo) ndi achire. Omalizirawa akuwonetsa kuyambika kwa njira zamafuta mthupi. Komanso, mafuta osiyanasiyana amatha kugwiritsidwa ntchito ndondomekoyi, yomwe imathandiza kwambiri kudzimbidwa.
Hypertensive enema imachitika ndi njira zosiyanasiyana, koma magnesium sulfate ndi magnesium sulfate amagwiritsidwa ntchito nthawi zambiri. Zinthu izi zimapezeka mufesi iliyonse. Amangochulukitsa nthawi yomweyo kuthamanga kwa osmotic, komwe kumawathandiza kuchotsa madzi owonjezera m'thupi. Matenda a wodwalayo amakhalanso ngati mphindi 15 mutakhazikitsa mankhwalawa.
Hypertonic solution ikhoza kukonzedwa kunyumba. Kuti muchite izi, konzani 20 ml ya madzi osachedwa kapena owiritsa (24-26 ° C) ndikusungunulira supuni ya mchere m'menemo.
Ndizofunikira kudziwa kuti mukakonza njira yothetsera mchere, ndibwino kugwiritsa ntchito mbale zopangidwa ndi enamel, ceramic kapena galasi. Zowopsa sodium sizingachitike ndi zida.
Popeza mchere umakwiyitsa matumbo mucosa, kuti muchepetse zina zake, onjezerani yankho:
- glycerin;
- mankhwala azitsamba;
- mafuta a masamba.
Kukonzekera njira yodyetsera michere ya munthu wamkulu, mafuta, mpendadzuwa kapena mafuta a azitona amagwiritsidwa ntchito. Mu 100 ml ya madzi oyera kuwonjezera supuni ziwiri zazikulu za mafuta.
Zizindikiro ndi contraindication
Kuyeretsa ndi isotonic ndi hypertonic solution kumachitika pofuna kuteteza matenda a magazi. Komabe, enema imatha kukhala yogwira mtima nthawi zina zopweteka.
Chifukwa chake, njirayi ikuwonetsedwa kudzimbidwa koopsa komanso kwa atonic, kuchuluka kwachulukidwe kapena kukakamira kwa m'magazi, poyizoni wa maumboni osiyanasiyana. Komanso, kudzimbidwa ndi mankhwala vuto la dysbiosis, sigmoiditis, proctitis.
Hypertensive enema imatha kuchitika ndi mtima komanso edema, zotupa, matumbo a m'mimba. Njira yina imakhazikitsidwa mayeso a kufufuza kapena ntchito asanachitike.
Njira yoyeretsa matumbo yoponderezedwa imaphatikizidwa mu:
- hypotension;
- magazi m'mimba;
- zotupa zoyipa, ma polyp amatulutsidwa m'mimba;
- peritonitis kapena appendicitis;
- yotupa njira mu anorectal zone (fistulas, fissures, zilonda zam'mimba, zotupa m'mimba mu shuga, kupezeka kwa zilonda mu anorectal zone);
- kuchuluka kwa rectum;
- kulephera kwamtima kwambiri;
- zilonda zam'mimba.
Komanso, hypertonic enema njira imapangidwa chifukwa cha matenda otsekula m'mimba, kupweteka kwam'mimba kwa ma etiology angapo, kutentha kwadzuwa kapena kutenthedwa, komanso kusokonezeka kwa bwino kwa ma electrolyte.
Sitikulimbikitsidwa kuchita njirayi ndi matenda ashuga.
Kukonzekera ndi njira ya enema
Pambuyo poyeserera mankhwala oopsa, muyenera kukonzekera njirayi mosamala. Poyambirira, muyenera kulumikizana ndi enema ya peyala, mug wa Esmark kapena syringe ya Janet.
Mudzafunikanso beseni lalikulu kapena mbale, yomwe idzagwiritsidwa ntchito kutsanulira. Kuti musanyalanyaze zachipatala, muyenera kugula zovala zamafuta, magolovu, Mafuta, mafuta odzola.
Pabedi pomwe wodwalayo angagone ndi yokutidwa ndi mafuta, ndipo pamwamba ndi pepala. Gawo lokonzekera likamalizidwa, pitirizani kuchititsa njirayo.
Algorithm yokhazikitsa enema yopanda magazi sichovuta, chifukwa chake, manambala amatha kuchitika kuchipatala komanso kunyumba. Pamaso pa njirayi, tikulimbikitsidwa kuti mutulutse matumbo.
Choyamba, yankho la mankhwalawa liyenera kutenthedwa mpaka madigiri 25-30. Mutha kuwongolera kutentha ndi thermometer yosavuta. Kenako wodwalayo atagona pabedi kumanzere kwake, ndikugwada mawondo ake, ndikuwakokera ku peritoneum.
Njira yokhazikitsa enema oopsa:
- Namwino kapena munthu yemwe akuchita kuyeretsa amavala magolovu ndikumatsitsa nsonga ya enema ndi Vaselate ndikuyambitsa ndi gawo la anal.
- Poyenda mozungulira, nsonga iyenera kukwezedwa kulowa mu rectum mpaka kuya kwa 10 cm.
- Kenako yankho la hypertonic limayambitsidwa pang'onopang'ono.
- Enema ikapanda kanthu, wodwalayo azigudukira kumbuyo kwake, zomwe zimamuthandiza kusunga yankho pafupifupi mphindi 30.
Beseni liyenera kuyikidwa pafupi ndi kama pomwe wodwala wagona. Nthawi zambiri, chilimbikitso chofuna kudzipatula chimachitika mphindi 15 ndikamaliza njirayi. Ngati matenda oopsa anachitika molondola, ndiye kuti nthawi komanso pambuyo pake sizichitika mosasangalatsa.
Pambuyo pa njirayi, nthawi zonse ndikofunikira kukonzanso nsonga kapena chubu cha mawonekedwe omwe agwiritsidwa ntchito. Kuti izi zitheke, zida zake zimanyowa kwa mphindi 60 mu yankho la chloramine (3%).
Kukhazikitsidwa kwa kuyeretsa, hypertonic, siphon, zopatsa thanzi, mankhwala ndi enema ya mafuta kumachitika pokhapokha pazamankhwala. Popeza pakunyenga kwa zamankhwala mudzafunika machitidwe apadera omwe amaphatikizapo rabara, chubu chagalasi ndi chofukizira. Kuphatikiza apo, enemas opatsa thanzi a mtundu uliwonse wa shuga amatsutsana chifukwa shuga imapezeka mu yankho.
Ngati chiwopsezo cha ana chimaperekedwa kwa ana, ndiye kuti mfundo zingapo ziyenera kukumbukiridwa:
- Kuphatikizika ndi kuchuluka kwa yankho kumachepa. Ngati sodium chloride itagwiritsidwa ntchito, ndiye kuti 100 ml ya madzi idzafunidwa, ndipo mukamagwiritsa ntchito magnesium sulfate, 50 ml ya madzi mudzafunika.
- Nthawi yochita izi, mwana ayenera kugonekedwa kumsana kwake.
- Njira yowonetsera manambala pogwiritsa ntchito enema wamba kapena peyala ndi zofanana ndi zomwe tafotokozazi, koma pogwiritsa ntchito siphon enema, algorithm ndi yosiyana.
Zotsatira zoyipa
Enema yoopsa kwambiri imalimbikitsidwa kamodzi pa sabata. Kupatula apo, sodium yankho imayimitsa matumbo, zomwe nthawi zambiri zimayambitsa kupanga ming'alu mu chiwalo.
Pambuyo pa mtundu uwu wa enema, monga momwe mungagwiritsire ntchito zachipatala zilizonse, zovuta zingapo zimatha kuchitika. Zotsatira zoyipa zimawonekera ndikugwiritsa ntchito nyimbo yotsuka pafupipafupi.
Chifukwa chake, njirayi imatha kubweretsa m'mimba ndi kupindika kwamitsempha, zomwe zimathandizira kuchepetsedwa kwa yankho ndi zonyowa mthupi. Mwanjira imeneyi, makoma am'matumbo amatambasuka, ndipo kupindika kwamkati kumawonjezeka. Izi zimapangitsa kukulira kwa kutupa kosatha mu mafupa am'mimba, kumabweretsa kupindika kwa zomata ndi kulowa mkati mwa chinsinsi chawo cha per puroneum.
Njira ya sodium imakwiyitsa matumbo, omwe amachititsa kuti michere ya michere ikhale. Zotsatira zake, matenda a colitis kapena dysbiosis amatha.
Kodi ndimmutu wama hypertensive akufotokozedwa bwanji mu kanema munkhaniyi.
