Enemas zatsopano

Ma enema oyeretsa amagwiritsidwa ntchito kuyeretsa matumbo kuchokera ku ndowe ndi mpweya. Ma enema oyeretsa amangotulutsa m'mimba. Madzi oyambitsidwawo amakhala ndi makina, otenthetsera thupi komanso am'mimba pamatumbo, amathandizira ma peristalsis, amasula chopondera ndipo amathandizira kutuluka kwawo. Zochita za enema zimachitika pambuyo pa mphindi 5 mpaka 10, ndipo wodwalayo sayenera kuvutika ndi kupindika.

Zizindikiro: kusungidwa kwanyumba, kukonzekera kuyesedwa kwa x-ray, poyizoni ndi kuledzera, musanatenge mankhwala othandizira komanso kukoka.

Zoyipa: kutupa m'matumbo, magazi m'matumbo, kukokoloka kwa rectum, m'mimba komanso magazi m'matumbo.

►Kuyika enema yotsuka, muyenera:

Mugu wa Esmarch (mugulu la Esmarch ndi chosungira (galasi, enamels kapena rabara) yokhala ndi 1.5-2 l. Pansipa ya muguyo pali nipple pomwe bomba la mphira wamiyala. 5m, mainchesi -1 cm. Chubu limatha ndi gawo lochotsa (galasi, pulasitiki) 8-10 masentimita Upangiriwu uyenera kukhala wolimba, ngakhale utakhala m'mphepete. kuvulala kwambiri m'matumbo. Mukatha kugwiritsa ntchito, nsongayo imatsukidwa bwino ndi sopo pansi pa mtsinje wa madzi ofunda ndikuwuphika. Potsatira nsonga yake pa chubu ndi mpopi womwe umayang'anira kutuluka kwamatumbo kulowa m'matumbo. Ngati mulibe bomba, lingasinthidwe ndi pachovala, clip, ndi zina.

galasi loyera kapena nsonga yolira

spatula (ndodo) yamatanda yothira nsonga ndi mafuta odzola,

muedro.

Kukhazikitsa nyimbo yotsuka:

dzazani chikwama cha Esmarch mu 2/3 ya buku ndi madzi mufiriji,

tsekani kampopi pa chubu cha mphira,

onani kukhulupirika kwa m'mbali mwa nsonga, kuyiyika mu chubu ndikuthira mafuta ndi mafuta odzola,

tsegulani chotsekera pa chubu ndikutulutsa madzi kuti adzaze dongosolo,

tsekani kampopi pa chubu,

popachika mugonero wa Esmarch

kuti agone wodwalayo pabedi kapena pabedi pafupi m'mphepete kumanzere kwamiyendo ndi miyendo ndikugwedezeka mpaka m'mimba,

Ngati wodwala sangathe kumbali yake, mutha kumayimbira kumbuyo kwake,

ikani zothira mafuta pansi pa matako, ndikutsitsa malire osafunikira mumtsuko,

kanikizani matako ndi kuzungulira nsonga mosamala mu rectum,

tsegulani kampopi pa chubu cha mphira,

pang'onopang'ono bweretsani madzi mu rectum,

yang'anirani momwe wodwalayo aliri: ngati pali ululu wam'mimba kapena kukakamira pampando, tsitsani mugulu la Esmarch kuti muchotse mpweya m'matumbo,

ululu utachepa, kwezani mbewa pamwamba pa kama mpaka madzi onse atuluka,

siyani madzi pang'ono kuti musalowetse mpweya m'matumbo,

sinthanitsani nsonga ndi bomba litatsekedwa,

Siyani wodwalayo mphindi 10,

kutumiza wodwala kupita kuchimbudzi kuti akatulutse matumbo,

gonekerani wodwalayo pansi pa kama,

pambuyo matumbo kusamba,

ikani chimbudzi ndi mafuta ndi kutuluka kupita kuchimbudzi,

ndikwabwino kuyala wodwalayo ndi kuphimba ndi bulangeti,

Mbale ndi nsonga za Esmarch ziyenera kutsukidwa bwino ndikuthira mankhwala ophera 3% ya chloramine,

sungani malangizo m'mitsuko yoyera ndi thonje pansi;

► Kuti muyike enema ya siphon, muyenera: makina ogwiritsira ntchito ma enema (chithunzithunzi ndi puloti ya mphira), 5-6 l yamadzi owiritsa (kutentha +36 gr.), Chombo cha mphira, chitsuko cha mafuta, ndowa, apuroni, parafini wamadzi (glycerin), wosabala kupukuta, njira ya potaziyamu permanganate (potaziyamu permanganate 1: 1000), ma tonneti, magolovesi a mphira, chidebe chokhala ndi yankho la disinfectant, kama.

Wiritsani wodwalayo pabedi la bafa (enema) kudzanja lamanja, ndikugwedeza miyendo kumapazi a bondo.

Valani magolovesi achimpira, kwezani pelvis ya wodwalayo, kufalitsa msuzi wamafuta, ndikuchepetsa m'mphepete mwake mu chidebe.

Ikani bwato la mphira pansi pa pelvis ya wodwala.

Muyenera kuyang'ananso rectum, uku mukuchotsa ndowe.

Sinthani magolovesi a mphira.

Phatikizani nsonga ya probe (kumapeto) ndi parafini yamadzi pamtunda wa 30-40 cm.

Fotokozerani matako a wodwalayo ndikulowetsa nsongayo m'matumbo ake kutalika kwa 30-40 cm.

Lumikizani ndi fundeni (kapena mugu ya Esmarch) ndikuthira malita 1-1,5 amadzi mu dongosololi.

Kwezani chimbudzi ndikutsanulira madzi m'matumbo.

Chotsani chimbudzi pa probe ndikutsitsa chikhomo cha probe mu chidebe kwa mphindi 15-20.

Kubwereza njirayi, yeretsani matumbo kuti "oyeretsa" madzi osamba.

Chotsani kafukufukuyo m'matumbo.

Sambani anus ndi njira yofunda ya potaziyamu permanganate, pogwiritsa ntchito ma tweezers ndi zovala.

Kukhetsa anus ndi mafuta odzola a mafuta.

Gwiritsani ntchito zinthu zothandizira kuchipatala mu chidebe chophera mankhwala.

Chotsani magolovu ndikuziyika mu chidebe chothira mankhwala ophera tizilombo.

Kodi enema ndi chiyani?

Dzinali limatanthawuza kumayambiriro kudzera mu anus kulowa mu rectum yamadzi ndi zotsatira zosiyanasiyana. Mchitidwewu suyenda ndi kusamva bwino komanso kupweteka, pomwe zotsatira zake ndi zazikulu.

Pofuna kukhazikitsa, sankhani mitundu ya enemas:

kuyeretsa
mankhwala
zopatsa thanzi
siphon
mafuta
hypertonic
emulsion.

Iliyonse ya izo ili ndi mawonekedwe ake ogwiritsira ntchito. Kutengera mtundu wa enemas, ndi mawonekedwe amomwe amagwiritsidwira ntchito zimasiyana.

Ndondomeko iyenera kuchitidwa ndi chilolezo cha dokotala ndipo makamaka moyang'aniridwa. Izi ndichifukwa choti zili ndi zotsutsana zingapo, kunyalanyaza zomwe zitha kukhala zovulaza thanzi.

Sizoletsedwa kuyendetsa enema ndi:

mitundu yosiyanasiyana ya kutupa kwa mucous nembanemba
matenda am'mimba omwe ali pachimake (mwachitsanzo, ndi apendicitis, peritonitis),
kufanana kwa kukhalapo kwa magazi m'mimba kapena, ngati alipo,
kulephera kwa mtima
dysbiosis,
magazi a m'matumbo
kupezeka kwa neoplasms mu colon.

Kuphatikiza apo, enema imayesedwa masiku ochepa atatha opaleshoni m'mimba.

Kodi ndikufunika kuphunzitsidwa?

Mosasamala mtundu wa mtundu wa enema omwe akuyenera kugwiritsidwa ntchito, sikofunikira kutsatira malamulo okhwima musanawagwiritse ntchito.

tsiku lisanafike ndondomeko, ndikofunikira kupatula zakudya zopakidwa ndi michere muzakudya,
tsiku lisanafike enema, ndikulimbikitsidwa kuti muzikonda kwambiri mbale zoyambirira.

Ngati cholinga cha njirayi ndikutsuka matumbo, mankhwala ofewetsa tuvi siofunika. Sizikhudza zotsatira zake.

Enema ya mankhwala osokoneza bongo

Nthawi zina zimakhala zosatheka kapena zosafunikira kupaka jakisoni mankhwala. Zikatero, mtundu uwu wa enema umagwiritsidwa ntchito.

Zowonetsa kugwiritsa ntchito kwake ndi:

kufooka kwa mankhwala ofewetsa thukuta ndi kudzimbidwa nthawi zonse,
matenda opatsirana a rectum,
kwambiri ululu syndrome
matenda a prostate gland mwa amuna,
kupezeka kwa helminths.

Kuphatikiza apo, ndikofunikira kugwiritsa ntchito mankhwala enema ngati wodwala wapezeka ndi matenda a chiwindi. Mwanjira iyi, mankhwala omwe adalowetsedwa samayamwa nawo ndipo samakhala ndi vuto ku chiwalo.

Mtundu uwu wa enema ndi njira yachipatala. Kuchuluka kwa yankho sikuyenera kupitirira 100 ml, ndipo kutentha kwake koyenera - 38 ° C. Kulephera kutsatira izi, kumapangitsa kuti ndowe zisamayende bwino, chifukwa chomwe kufalikira kwa mankhwalawa m'matumbo kumachepa ndipo njirayi imawerengedwa kuti siyothandiza.

Kapangidwe ka yankho kumatengera cholinga cha kapangidwe. Zogwiritsidwa ntchito kwambiri:

kukhuthala
antibacterial mankhwala,
adrenaline
mankhwala enaake achitsulo
antispasmodics
zitsamba (chamomile, valerian, fern, etc., amathanso kugwiritsidwa ntchito mwa njira yoyeretsa ya enema).

Njira ya mankhwala enema:

Mankhwalawa amayenera kutenthetsedwa kuti athe kutentha ndikuwadzaza ndi syringe ya Janet kapena babu. Mafuta chubu (nsonga) ndi mafuta odzola kapena mafuta zonona.
Gonerani mbali yanu yakumanzere ndikusunthira miyendo kuti igwedeze.
Mudafinya matako, pang'onopang'ono tengani nsonga yake mu akuchotsa mpaka 15 cm.
Mukathira peyala kapena syringe, nyayoyo imayenera kuchotsedwa osatsegula. Kuti mupewe bwino mankhwalawa, ndikulimbikitsidwa kuti mugone kumsana kwanu ndikukhala m'malo awa pafupifupi theka la ola.

Pamapeto pa njirayi, zida za enema ziyenera kutetezedwa ndi zotentha kapena kuthandizidwa ndi mowa wamankhwala.

Njira yothandizira mankhwalawa imathandizira kulowa mwachangu kwa zinthu zomwe zimagwira m'magazi. Chifukwa cha izi, achire zotsatira zimachitika munthawi yochepa kwambiri.

Pansi pazithunzi - mtundu wa enema yotsogolera mankhwala, omwe amatchedwa syringe ya Janet. Kutalika kwake kwakukulu ndi 200 cm 3.

Chakudya chopatsa thanzi

Ndondomeko amatanthauza kudyetsa wodwalayo. Ndikofunikira pakakhala kovuta kuyambitsa michere mthupi kudzera mkamwa. Koma mtundu wa enema uwu ukhoza kungotengedwa ngati njira yowonjezera yodyetsera. Nthawi zambiri, njira ya shuga ya 5% yosakanikirana ndi sodium chloride imalowetsedwa ndi iyo.

Mtundu wazakudya zamtundu wa enema ndizotsatirazi:

kusowa kwamadzi
kulephera kwakanthawi kudyetsa mkamwa.

Ndondomeko ziyenera kuchitika m'malo opumira. Asanakwanitse, wodwalayo amayeretsedwa bwino ndi matumbo pogwiritsa ntchito mugu la Esmarch. Zidazo zitaphatikizidwa ndi slag ndi poizoni zitachotsedwa, namwino amayamba kukonzekera njira yobweretsa zakudya.

Kupanga kwa yankho kumasankhidwa ndi dokotala munjira iliyonse, mwakufuna kwake, madontho ochepa a opium akhoza kuwonjezeredwa kwa iwo. Voliyumu yamadzi ndi pafupifupi 1 lita, ndipo kutentha kwake ndi 40 ° C.

Algorithm yokhazikitsa mtundu wamtunduwu imaphatikizapo zinthu zotsatirazi:

Botolo la mphira limadzaza ndi yankho, nsonga yake imakhala ndi mafuta odzola.
Wodwalayo amagona pabedi ndikutembenukira mbali yake yakumanzere, kenako atapinda miyendo yake m'mamaondo.
Namwino amafalitsa matako ake ndikuyika mosamala nsonga ya balalo.
Pambuyo pake, amayamba kukanikiza pang'onopang'ono pazopangazo ndikupitiliza kuchita izi mpaka yankho lonse litalowa mu rectum.
Pamapeto pa njirayi, nsonga ya ballo imachotsedwa mosamala kwa anus. Wodwalayo ayenera kugona pang'onopang'ono pafupifupi ola limodzi.

Chovuta chachikulu chomwe mungakumane nacho ndikupezeka kwa chilimbikitso champhamvu chodziletsa. Kuti muchotse, muyenera kupumira mwakuya kudzera pamphuno.

Siphon enema

Njirayi imawonedwa ngati yovuta, chifukwa chake ndizoletsedwa kuzichita kunyumba. Itha kuchitika ku chipatala pamaso pa namwino ndi dokotala.

Enema yamtunduwu imawerengedwa ngati yowawa kwambiri kuyambira pamalingaliro ndi thupi ndi malingaliro, chifukwa chake, amachitika ndi akatswiri omwe akudziwa zambiri m'munda uno komanso omwe amatha kuyanjana mwachinsinsi ndi odwala. Kuphatikiza apo, njirayi yochitidwa pawokha panyumba imatha kuyambitsa dysbiosis, kudzimbidwa nthawi zonse, komanso kuvulala kwamatumbo ntchito.

Enema ya siphon imapereka muyeso wokwanira wa kuyeretsa, koma ngakhale m'mabungwe azachipatala sachitidwa. Amawerengedwa kuti "zojambula zolemera" ndipo amangoikidwa pazifukwa zaumoyo:

poyizoni woopsa
matumbo,
Kukonzekera kuchitapo kanthu kwa wodwala musanadziwe,
kupweteka kwamatumbo.

Njira yake idakhazikitsidwa ndi lamulo lazolumikizira ziwiya. Poterepa, ndimfundo yapadera komanso matumbo a wodwalayo. Kuyanjana pakati pawo kumatheka chifukwa chosintha malo a thankiyo ndi madzi osamba a mnofu wa munthu. Chifukwa cha izi, madziwo amatsuka matumbo ndikuwasiya pomwepo.

Amafunikira madzi ambiri owiritsa (10-12 l), atakhazikika mpaka 38 ° C. Nthawi zina amasinthidwa ndi mchere. Palibe mankhwala omwe amawonjezeredwa pamadzi, kupatula milandu ikamafunika yoyambitsa chinthu chomwe chimaletsa poyizoni poizoni.

Kuphatikiza pa kuchitapo kanthu, zimasiyana mumitundu yonse ya enemas ndi njira yawo yopangira. Siphon amadziwika kuti ndi wovuta kwambiri.

The algorithm ya zochita za wazachipatala:

Nyimbo yoyambirira yoyeretsa imachitidwa.
Malirowo amalumikizidwa ndi chubu cha mphira, womwe umakhala wothira mafuta.
Pambuyo pake, kutha kwake kumayikidwa mu thumbo lakuya masentimita 20 mpaka 40. Ngati zovuta zikuchitika pakadali pano, namwino amayika chala cha index mu anus, ndikuwongolera bwino chubu.
Fotoyi imadzaza ndi madzi osamba ndipo imayikidwa pamalo okwera pafupifupi 1 mita.
Madzi akatha, amatsika thupi la wodwalayo. Pakadali pano, madzi okhala ndi chopondapo ndi zinthu zovulaza amayamba kutuluka kuchokera m'matumbo kupita ku makola. Kenako amathira ndikuyeretsa madzi kumabwezeretsanso matumbo. Ndondomeko imachitidwa mpaka madzi osambitsa adatsuka, kuwonetsera kuyeretsa kwathunthu.

Ngati zida zosagwiritsidwa ntchito ngati zotaya zitha kugwiritsidwa ntchito, ndiye kuti ndi ophera tizilombo toyambitsa matenda.

Enema yamafuta

Ndi thandizo loyamba kudzimbidwa, komwe kumachitika zomwe zimakwiya chifukwa cha kusachita bwino kwa dongosolo la mantha am'magazi. Zimaphatikizidwa ndi kupweteka kwambiri komanso kutulutsa, ndipo ndowe zimatuluka m'minyewa yaying'ono yolimba.

Zizindikiro zina ndi:

zotupa mu rectum,
nthawi ya pambuyo ndi yogwira ntchito (ngati opaleshoni idachitidwa pamimba).

Mtundu wa mafuta ukhoza kukhazikitsidwa kunyumba. Ndi chithandizo chake, chopondapo chimakhala chofewa ndipo makhoma amatumbo amakutidwa ndi filimu yopyapyala. Chifukwa cha izi, kutsanulira sikumapweteka.

Mutha kugwiritsa ntchito mafuta aliwonse azamasamba pafupifupi 100 ml, otentha mpaka 40 ° C. Zotsatira sizibwera nthawi yomweyo - muyenera kudikira maola ochepa (pafupifupi 10).

Kukhazikitsa mafuta:

Konzani madzi ndikudzaza ndi syringe.
Patsani mafuta chitoliro ndi mafuta odzola kapena mafuta amkaka.
Bodza pambali yako ndikuyiyika mosamala mu anus. Kanikizirani syringe, kusintha kusintha kwa mafuta m'matumbo.
Chotsani popanda kutsegula. Sungani malo pafupifupi ola limodzi.

Ndondomeko akulimbikitsidwa asanagone. Mukadzuka, matumbo amayenda m'mawa.

Enema owonjezera

Njirayi imayikidwa ndi adokotala okha, koma angathe kuchitika kunyumba.

kudzimbidwa
edema
kupezeka kwa zotupa m'mimba,
kuchuluka kwachuma kwachuma.

Ubwino wopindulitsa waumoyo wake ndi kutengera kwake mofatsa pamatumbo.

Yankho likhoza kugulidwa ku pharmacy kapena kukonzekera lokha. Mufunika:

mchere
chidebe chagalasi
supuni yachitsulo chosapanga dzimbiri.

M'pofunika kukonzekera zinthu zotere, chifukwa sodium mankhwala ena ake amayamba kuwononga zida zosakhazikika ndi mankhwala. Ndikofunikira kupasuka 3 tbsp. l mchere mu 1 lita imodzi yophika ndikuwukhira mpaka 25 ° C madzi. Muthanso kuwonjezera magnesium sulfate, koma pokhapokha mwa chilolezo cha adokotala, chifukwaIzi zimakwiyitsa matumbo a m'mimba.

Ndipo mitundu ya enemas, ndi kapangidwe kake ndizosiyana, mogwirizana ndi momwe ma algorithm amachitidwe amayenera kupatsidwa chidwi chapadera kuti asavulaze thupi.

Konzekerani yankho ndikudzaza ndi mug wa Esmarch wokhala ndi lita imodzi.
Phatikizani nsonga mowirikiza ndi mafuta odzola kapena mafuta amwana.
Bodza kumbali yako, ndikufalitsa matako ako, lowetseni mu anus mpaka pakuya kwa 10 cm.
Kanikizirani botolo la mphira kuti muchepetse mayendedwe.
Kumapeto kwa njirayi, khalani pakanthawi kwa theka la ola.

Zida zonse ziyenera kupetedwa. Ndi kuperekedwa koyenera kwa zonse zomwe wodwalayo wachita, kusasangalala ndi ululu sizisokoneza.

Emulsion enema

Nthawi zambiri, njirayi imagwiritsidwa ntchito nthawi yomwe wodwala amaletsedwa kukakamiza minofu pamimba yam'mimba, zomwe zimachitika mosavomerezeka panthawi yovomerezeka.

Zomwe zikuwonetsedwera pakupanga enema ya emulsion ndi:

kudzimbidwa kwa nthawi yayitali, ngati njira yodyetsedwera matendawa sinathe,
njira zotupa za m'matumbo,
Matenda oopsa oopsa (omwe ali ndi matendawa, kuvuta kwa minofu ya munthu ndikosayenera).

Kuphatikiza apo, enema ya emulsion ndiyothandiza kwambiri kuposa yoyeretsa, ndipo ikhoza kuiwala.

Njirayi imagwiridwa m'malo osasunthika, koma imaloledwa kuchita payokha.

Nthawi zambiri, emulsion imakonzedwa kuchokera pazinthu zotsatirazi:

decoction kapena kulowetsedwa kwa chamomile (200 ml),
yolk yol (1 pc.),
sodium bicarbonate (1 tsp),
mafuta parafini kapena glycerin (2 tbsp. l.).

Njira yophikira imatha kukhala yosavuta posakaniza mafuta a nsomba ndi madzi. Kuchuluka kwa gawo lililonse kuyenera kukhala theka la supuni. Kenako emulsion iyi iyenera kuchepetsedwa mu kapu yophika ndikuwukhira mpaka 38 ° C madzi. Kukonzekera kwa njira zonsezi si njira yovuta ndipo sikutanthauza maluso apadera.

Motsatira zochita mukakhazikitsa enemion enema:

Konzani madzi ndikudzaza ndi syringe kapena syringe ya Janet.
Onjezerani nsonga ya malonda ndi mafuta odzola kapena mafuta amwana.
Gonerani mbali yanu yakumanzere, kugwada mawondo ndikuwakanikiza mpaka m'mimba mwanu.
Mudafinya matako, ikanizani nsonga yake ku anus mpaka akuya masentimita 10. Kuti muchepetse njirayi, mutha kugwiritsa ntchito chitoliro polowera pa syringe kapena syringe ya Jean.
Pang'onopang'ono kufinya malonda, dikirani mpaka voliyumu yonse ya emulsion ilowe rectum. Chotsani popanda kutsegula.
Khalani kumapumulo kwa mphindi pafupifupi 30.

Pamapeto pa njirayi, zida zonse zogwiritsidwa ntchito ziyenera kuyeretsedwa bwino.

Pomaliza

Masiku ano, pali mitundu yosiyanasiyana ya enemas, mothandizidwa ndi momwe mungathere kuchotsa kudzimbidwa kwanthawi yayitali ndi matenda ena. Ngakhale kuti pali mankhwala ambiri omwe amagulitsidwa ndi unyolo wamankhwala, njirayi sinatherebe kufunika kwake. Zizindikiro zamitundu yonse ya enemas ndizosiyana, komanso kapangidwe kake, makamaka kukonza njira, mogwirizana ndi momwe njirayi imalimbikidwira kuti ichitike kuchipatala moyang'aniridwa ndi katswiri wazachipatala. Ngati dokotala wakupatsani chilolezo, mutha kutero nokha, koma potsatira malamulo onse ndikuzindikira mitundu yonse yamalingaliro.