ʻO ka Rectal Tube: Nā hoʻohana, nā nui, nā hōʻailona, ​​​​a me nā alakaʻi no ka hoʻopili palekana

ʻO kapaipu rectumhe ʻōmole palupalu, hakahaka i hoʻokomo ʻia i loko o ka rectum e hōʻoluʻolu i nā hōʻailona e pili ana i nā pilikia gastrointestinal, e like me ke kinoea a me ka fecal impaction. Ma ke ʻano he ʻano ocatheter lapaʻau, he kuleana koʻikoʻi ia i ka mālama ulia pōpilikia a me ka hoʻokele haukapila maʻamau. Ke hoʻomaopopo nei i kahōʻike ʻana i ka paipu rectal, kūponoka nui o ka paipu rectal, ke kaʻina hana hoʻohana, a me ka lōʻihi o ka hiki ke waiho palekana ʻia ma kahi he mea nui ia no ka mālama pono a me ka palekana o ka mea maʻi.

He aha ka ʻōmole rectal?

ʻO ka ʻōmole rectal, i ʻike ʻia hoʻi he ʻōmole flatus, he ʻōmole iamea hoʻopau lāʻau lapaʻaui hoʻolālā ʻia e kōkua i ka hoʻomaha ʻana i ka ʻōpū ma ka ʻae ʻana i ke kahe ʻana o ke kinoea a i ʻole ka ʻōpala. Hana ʻia ia me ka laholio palupalu a i ʻole ka palakiko a he wēlau poepoe e hōʻemi i ka trauma i ka mucosa rectal. Loaʻa i kekahi mau paipu rectal nā lua ʻaoʻao he nui e hoʻomaikaʻi i ka pono o ka hoʻokahe ʻana.

Hoʻohana nui ʻia ma nā haukapila a me nā keʻena mālama, ʻo nā ʻōpū rectal kekahi ʻāpana o ka māhele ākea onā catheters lapaʻauʻAʻole e like me nā catheters urinary, i hoʻokomo ʻia i loko o ka ʻōpū mimi, ua hoʻolālā kūikawā ʻia nā catheters rectal no ka hoʻokomo ʻana i ka rectal e kōkua me ka decompression bowel a i ʻole ka hoʻohuli ʻana i ka ʻōpala.

Nā hōʻailona no ka ʻōmole rectal: I ka manawa hea e hoʻohana ʻia ai?

Aia kekahi mau kūlana lapaʻau e hiki ai ke hōʻike ʻia kahi ʻōmole rectal. ʻO kēia mau mea:

1. Hoʻomaha i ka pahū ʻana o ka ʻōpū a i ʻole ka ʻōpū– Ke ʻeha nā maʻi i ka hōʻiliʻili nui ʻana o ke kinoea (pinepine ma hope o ke ʻoki ʻana), kōkua nā ʻōmole rectal i ka hōʻoluʻolu ʻole a me ka hoʻēmi ʻana i ke kaomi ma ka lua ʻōpū.
2. Ka mālama ʻana i ka incontinence fecal– I nā poʻe maʻi mālama koʻikoʻi a i ʻole ka mālama lōʻihi, ʻoiai ka poʻe e moe ana ma kahi moe a ʻike ʻole paha, hiki i kahi ʻōmole rectal ke kōkua i ka hoʻokele ʻana i nā neʻe ʻana o ka ʻōpū i hoʻoponopono ʻole ʻia a pale i ka haki ʻana o ka ʻili.
3. Ka hoʻopilikia ʻana o ka fecal– Hiki i kahi ʻōmole rectal ke kōkua i ka hōʻoluʻolu ʻana i ka hōʻiliʻili ʻana o ka ʻōpala paʻakikī ke ʻole e holo pono nā enemas kuʻuna a i ʻole ka disimpaction manual.
4. Ma mua a ma hope paha o ke ʻoki kino– ʻO ka atony bowel a i ʻole ka ileus ma hope o ke ʻoki ʻana hiki ke alakaʻi i ka paʻa nui ʻana o ke kinoea. Hiki ke kau ʻia nā ʻōmole rectal no kekahi manawa e hōʻoluʻolu i nā hōʻailona.
5. Nā kaʻina hana hōʻoia– Ma kekahi mau ʻano hana kiʻi, kōkua nā ʻōmole rectal i ka hoʻokomo ʻana i nā mea hoʻohālikelike i loko o ka ʻōpū no ka ʻike maopopo ʻana.

Ua kapa ʻia kēia mau kūlana ma ke ʻano henā hōʻailona o ka paipu rectal, a pono ka loiloi kūpono e nā loea lapaʻau ma mua o ke hoʻokomo ʻana.

Nā Nui o nā Paipu Rectal: Ke koho ʻana i ka mea kūpono

Ke koho ʻana i ka mea kūponoka nui o ka paipu rectalhe mea nui ia no ka palekana a me ka ʻoluʻolu o ka mea maʻi. Loaʻa nā ʻano nui like ʻole o nā paipu rectal, i ana pinepine ʻia ma nā anakahi Farani (Fr). Hōʻike ka nui Farani i ke anawaena o waho o ka catheter - ʻo ke kiʻekiʻe o ka helu, ʻo ka nui o ka paipu.

Eia nā nui o nā ʻōmole rectal maʻamau e ka hui makahiki:

• Nā pēpē a me nā keiki hānau hou:12–14 Pōʻalima
• Nā keiki:14–18 Pōʻalima
• Nā mākua:22–30 Pōʻalima
• Nā poʻe maʻi ʻelemakule a nāwaliwali paha:Hiki ke makemake ʻia nā nui liʻiliʻi ma muli o ke kani rectal

ʻO ke koho ʻana i ka nui kūpono e hōʻoiaʻiʻo ana i ka pono o ka paipu me ka ʻole o ka hoʻoulu ʻana i ka trauma pono ʻole a i ʻole ka ʻoluʻolu ʻole. Hiki i nā paipu nui loa ke hōʻino i ka uhi rectal, ʻoiai ʻo nā paipu liʻiliʻi loa ʻaʻole hiki ke ʻae i ka hoʻokahe kūpono.

Kaʻina Hana Hoʻokomo ʻana i ka Rectal Tube

Pono e hana mau ʻia ke kau ʻana o kahi ʻōmole rectal e nā loea mālama ola kino i aʻo ʻia ma lalo o nā kūlana aseptic. Eia kahi ʻike laulā o ke kaʻina hana:

1. Hoʻomākaukau:
   • E wehewehe i ke kaʻina hana i ka mea maʻi (inā ʻike) e hōʻemi i ka hopohopo.
   • E hōʻuluʻulu i nā mea e pono ai: ka paipu rectal, ka lubricant wai, nā mīkina lima, nā pads absorbent, a me kahi pahu hoʻokahe wai a i ʻole ʻeke hōʻiliʻili inā pono.
   • E hoʻonoho i ka mea maʻi ma ko lākou ʻaoʻao hema (ke kūlana o Sims) e hahai i ke kūlou maoli o ka rectum a me ka sigmoid colon.
2. Hoʻokomo:
   • E komo i nā mīkina lima a e hoʻopili i ka lubricant nui i ka ʻōmole.
   • E hoʻokomo mālie i ka ʻōmole i loko o ka rectum (ma kahi o 3-4 ʻīniha no nā mākua) me ka nānā ʻana i ke kūʻē ʻana.
   • Inā kū ka kū'ē, mai hoʻokau i ka paipu—akā, e ho'āʻo e hoʻololi i ke kūlana o ka mea maʻi a i ʻole e hoʻohana i kahi paipu liʻiliʻi.
3. Ka Nānā ʻana a me ka Palekana ʻana:
   • Ke hoʻokomo ʻia, e nānā i ke kahe ʻana o ke kinoea, ka ʻōpala, a i ʻole ka wai.
   • Hiki ke hoʻopili ʻia ka paipu i kahi ʻōnaehana hoʻokahe wai a waiho ʻia paha i ka ea ma muli o ka hoʻohana ʻia ʻana.
   • E nānā i ka ʻehaʻeha o ka mea maʻi, ke kahe ʻana o ke koko, a i ʻole nā ​​​​hōʻailona o ka perforation o ka ʻōpū.
4. Ka wehe ʻana a me ka mālama ʻana:
   • ʻAʻole i manaʻo ʻia ka hapa nui o nā ʻōmole rectal e noho mau loa ma kahi.
   • Ke ʻole e pono hou, e huki mālie i ka ʻōmole a hoʻolei aku e like me nā kaʻina hana kaohi maʻi o ka haukapila.

Pehea ka lōʻihi e hiki ai i kahi Rectal Tube ke noho i loko?

ʻO ka lōʻihi o ka hoʻokomo ʻia ʻana o kahi paipu rectal e pili ana i ke kūlana lapaʻau a me ke kūlana o ka mea maʻi. Eia nō naʻe, ʻo ka maʻamau, ʻo nā paipu rectalʻaʻole i hana ʻia no ka hoʻohana lōʻihi.

• Hoʻomaha manawa pōkole (kinoea, impaction):Hiki ke hoʻokomo ʻia nā ʻōmole no 30 mau minuke a i 1 hola a laila wehe ʻia.
• Nā ʻōnaehana hoʻokele fecal (no ka incontinence):Hiki ke waiho ʻia kekahi mau ʻōnaehana kūikawā noa hiki i 29 mau lā, akā ma lalo o ka mākaʻikaʻi koʻikoʻi a ke kauka wale nō.
• Ka hoʻohana mau ʻana i ka haukapila:Inā waiho ʻia kahi ʻōmole no ka hoʻokahe ʻana, pono e nānā ʻia i kēlā me kēia mau hola a hoʻololi ʻia i kēlā me kēia 12-24 mau hola e hōʻemi i ka pilikia o ka ʻeha kaomi a i ʻole ka maʻi.

ʻO ka hoʻohana lōʻihi ʻana e alakaʻi paha i nā pilikia e like me nā ʻeha rectal, ka necrosis pressure, a i ʻole ka perforation. No laila, he mea nui ka loiloi mau ʻana, a pono e pale ʻia ka hoʻohana lōʻihi ke ʻole ka hoʻohana ʻana i kahi huahana i manaʻo kūikawā ʻia no kēlā lōʻihi.

Nā Pōʻino a me nā Mālama

ʻOiai ʻo ka palekana o nā ʻōmole rectal ke hoʻohana pono ʻia, ʻo nā pilikia kūpono e pili ana:

• Ke kahe koko ʻana o ka rectal a i ʻole ka trauma mucosal
• Ka puka ʻana o ka ʻōpū (kākaʻikahi akā koʻikoʻi)
• ʻEha kaomi i ka sphincter anal
• Ka maʻi a i ʻole ka huhū

No ka hōʻemi ʻana i kēia mau pilikia, he mea nui e hoʻohana i ka mea kūponoka nui o ka paipu rectal, e hōʻoia i ka hoʻokomo mālie ʻana, a e kaupalena i ka lōʻihi o ke kau ʻana. Pono e nānā pono ʻia nā mea maʻi no ka ʻeha, ke kahe ʻana o ke koko, a i ʻole nā ​​​​hopena maikaʻi ʻole ʻē aʻe.

Hopena

ʻO kapaipu rectumhe mea waiwai nuimea hoʻopau lāʻau lapaʻauhoʻohana ʻia e mālama i nā ʻano maʻi gastrointestinal a me ka ʻōpū. Inā paha e hōʻoluʻolu ana i ke kinoea, e mālama ana i ka incontinence, a i ʻole e kōkua ana i nā kaʻina hana diagnostic, e hoʻomaopopo ana i ke kūponohōʻike ʻana i ka paipu rectal, kūponoka nui o ka paipu rectal, a he mea nui nā alakaʻi kaʻina hana palekana no nā hopena maikaʻi loa a ka mea maʻi.

Ma ke ʻano he mea i hoʻohana pinepine ʻiacatheter lapaʻau, pono e alakaʻi mau ʻia kāna noi e ka hoʻoholo lapaʻau loea. Me ka hoʻohana pono ʻana a me ka nānā ʻana, hiki i nā ʻōmole rectal ke hoʻomaikaʻi nui i ka ʻoluʻolu o ka mea maʻi a hōʻemi i nā pilikia e pili ana me ka hana ʻole o ka ʻōpū.