Umuyoboro w'amaraso: Imikoreshereze, Ingano, Ibipimo, n'Amabwiriza yo Gukoresha mu Mutekano

Itsindaumuyoboro wa rectumni umuyoboro woroshye kandi urimo ubusa winjizwa mu mara kugira ngo ugabanye ibimenyetso bifitanye isano n'ingorane zo mu gifu, nko gukururwa n'imyanda n'amacandwe. Nk'ubwoko bwakatheteri yo kwa muganga, bigira uruhare runini mu kwita ku buzima bwihutirwa ndetse no mu micungire isanzwe y'ibitaro.ikimenyetso cy'umuyoboro wa rectal, bikwiyeIngano y'umuyoboro wa rectum, uburyo bwo kuyikoresha, n'igihe ishobora kumara mu mwanya wayo mu mutekano ni ingenzi kugira ngo umurwayi yitabweho neza kandi mu mutekano.

Umuyoboro wa Rectal ni iki?

Umuyoboro w'inyuma, uzwi kandi ku izina rya flatus tube, niibikoreshwa mu buvuziYagenewe gufasha gukuraho umwuka cyangwa umwanda mu mara binyuze mu gutuma umwuka cyangwa amabyi binyura. Ubusanzwe ikorwa mu cyuma cyoroshye cyangwa pulasitiki kandi ifite umutwe uzingiye kugira ngo igabanye imvune ku gice cy'umura. Imiyoboro imwe n'imwe y'umura ifite imyobo myinshi yo ku ruhande kugira ngo yongere ubushobozi bwo gusohora amazi.

Imiyoboro ya rectal ikoreshwa cyane cyane mu bitaro no mu bigo byita ku bana, ni imwe mu byiciro binini byakatheteri zo kwa mugangaBitandukanye na catheter zo mu nkari, zishyirwa mu ruhago, catheter zo mu rura zigenewe by’umwihariko gushyiramo rurago kugira ngo zifashe mu kugabanya amara cyangwa kuyobya umwanda.

Ikimenyetso cy'umuyoboro w'inyuma: Ikoreshwa ryari?

Hari indwara nyinshi zishobora kugaragara aho umuyoboro w'amaraso ushobora gupimwa. Izi zirimo:

1. Ituza indwara yo kubyimba cyangwa kubyimba inda– Iyo abarwayi bafite ikibazo cyo kwiyongera k’imyuka (akenshi nyuma yo kubagwa), imiyoboro y’amaraso ifasha kugabanya ububabare no kugabanya umuvuduko ku nda.
2. Kurwanya indwara yo kudakoresha indorerwamo z'amacandwe– Mu barwayi barembye cyane cyangwa barererwa igihe kirekire, cyane cyane abaryamye mu buriri cyangwa batazi, umuyoboro w’amaraso ushobora gufasha mu gucunga amara adakurikije amategeko no gukumira kwangirika k’uruhu.
3. Gutera amacandwe– Umuyoboro w’inyuma ushobora gufasha mu kugabanya kwirema kw’umwanda ukomeye mu gihe gukoresha imiti isanzwe cyangwa kuyikoresha n'intoki bidakora neza.
4. Mbere cyangwa nyuma yo kubagwa– Nyuma yo kubagwa amara cyangwa ilasi bishobora gutuma umwuka uguma mu mara cyane. Imiyoboro y'amaraso ishobora gushyirwaho by'agateganyo kugira ngo bigabanye ibimenyetso.
5. Uburyo bwo gusuzuma indwara– Mu buryo bumwe na bumwe bwo gufata amashusho, imiyoboro y'amagufwa ifasha kwinjiza ibyuma bitandukanya amara kugira ngo bigaragare neza.

Ibi bintu byitwa byose hamwe nkaibimenyetso by'umuyoboro wa rectal, kandi isuzuma rikwiye rikorwa n'inzobere mu by'ubuvuzi ni ngombwa mbere yo gushyiramo.

Ingano z'umuyoboro w'indabo: Guhitamo uwukwiye

Guhitamo igikwiyeIngano y'umuyoboro wa rectumni ingenzi cyane ku mutekano w'umurwayi no kumuhumuriza. Imiyoboro y'amaraso iri mu bunini butandukanye, ubusanzwe ipimwa mu bipimo by'Abafaransa (Fr). Ingano y'Abafaransa yerekana umurambararo wo hanze wa catheter - uko umubare wayo uba munini, niko umuyoboro uba munini.

Dore ingano zisanzwe z'imiyoboro y'inda ikoreshwa mu gutwikirwa kw'ijisho hakurikijwe imyaka:

• Impinja n'abana bato:Kuva 12–14 Fr
• Abana:Kuva 14–18 Fr
• Abantu bakuru:Kuva 22–30 Fr
• Abarwayi bageze mu za bukuru cyangwa bafite intege nke:Ingano nto zishobora kuba nziza bitewe n'uko imiterere y'urukiramende iteye

Guhitamo ingano ikwiye bituma umuyoboro ugira akamaro nta gukomeretsa cyangwa kubabara bitari ngombwa. Imiyoboro minini cyane ishobora kwangiza igice cy'umuyoboro w'inyuma, mu gihe imiyoboro mito cyane ishobora kudatuma amazi asohoka neza.

Uburyo bwo gushyiramo umuyoboro wa rectal

Gushyiramo umuyoboro w'inda ibyara bigomba gukorwa n'abaganga bahuguwe mu gihe hari ikibazo cyo kutagira amazi. Dore incamake rusange y'uburyo bwo gukora:

1. Imyiteguro:
   • Sobanurira umurwayi uburyo bwo gukora (niba abizi) kugira ngo agabanye imihangayiko.
   • Tegura ibikoresho bikenewe: umuyoboro w'amaraso, amavuta yo kwisiga ashingiye ku mazi, uturindantoki, udupfundikizo tw'amazi, n'igikoresho cyo gukurura amazi cyangwa ishashi yo kuyakuramo niba bikenewe.
   • Shyira umurwayi ku ruhande rwe rw'ibumoso (aho Sims ahagaze) kugira ngo akurikize imiterere karemano y'urura runini rw'inda n'urura runini rw'inda.
2. Ishyirwamo:
   • Ambara uturindantoki hanyuma usige amavuta menshi ku muyoboro.
   • Shyiramo witonze umuyoboro mu nda y'umura (hafi santimetero 1.5-16 ku bantu bakuru) ukurikirana niba hari ubudahangarwa bw'imitsi.
   • Niba umurwayi afite ubushobozi bwo kumurwaza, ntugashyire umuyoboro ku ngufu—ahubwo gerageza kongera gushyira umurwayi mu mwanya we cyangwa ukoreshe umuyoboro muto.
3. Gukurikirana no kurinda umutekano:
   • Umaze kuyishyiramo, reba neza niba umwuka, amabyi cyangwa amazi binyuramo.
   • Umuyoboro ushobora guhuzwa n'uburyo bwo gusohora amazi cyangwa ugasigara ufunguye bitewe n'uburyo buteganyijwe gukoreshwa.
   • Genzura umurwayi niba arwaye, ava amaraso, cyangwa ibimenyetso by'uko amara ye yatobotse.
4. Gukuraho no Kwitaho:
   • Imiyoboro myinshi y'inyuma ntabwo igamije kuguma mu mwanya wayo ubuziraherezo.
   • Iyo bitagikenewe, fata umuyoboro witonze uwujugunye ukurikije amabwiriza yo kurwanya ubwandu mu bitaro.

Umuyoboro w'amaraso ushobora kumara igihe kingana iki mu muyoboro w'amaraso?

Igihe umuyoboro w'inda umara mu maraso ushobora kumara giterwa n'imiterere y'ubuzima n'uko umurwayi amerewe. Ariko, muri rusange imiyoboro y'inda iraharintabwo byagenewe gukoreshwa igihe kirekire.

• Ubutabazi bw'agateganyo (gas, ingaruka):Imiyoboro ishobora gushyirwamo iminota 30 kugeza ku isaha 1 hanyuma ikakurwamo.
• Uburyo bwo gucunga umwanda (ku bijyanye no kudafata indorerwamo):Sisitemu zimwe na zimwe zihariye zishobora gusigwa kugira ngokugeza ku minsi 29, ariko gusa ari ukugenzurwa cyane n'abaganga.
• Gukoresha ibitaro buri gihe:Iyo umuyoboro usigaye aho ujya gusohora amazi, ugomba gusuzumwa buri masaha make kandi ugasimburwa buri masaha 12-24 kugira ngo ugabanye ibyago byo gukomereka cyangwa kwandura.

Gukoresha igihe kirekire bishobora gutera ingorane nko kugira ibisebe mu mikaya, gucika kw'umuvuduko w'amaraso, cyangwa gutobora. Kubwibyo, gusuzuma buri gihe ni ingenzi, kandi gukoresha igihe kirekire bigomba kwirindwa keretse ukoresheje umuti wagenewe icyo gihe.

Ingaruka n'uburyo bwo kwirinda

Nubwo imiyoboro y'inda ikoreshwa mu buryo bw'umuraso muri rusange iba ifite umutekano iyo ikoreshejwe neza, ingaruka zishobora kubaho zirimo:

• Kuva amaraso mu mitsi cyangwa gukomereka mu mitsi
• Gutobora amara (bidasanzwe ariko bikomeye)
• Gukomereka k'umuvuduko ku gice cyo mu kibuno
• Kwandura cyangwa kurakara

Kugira ngo ugabanye izi ngaruka, ni ngombwa gukoresha uburyo bukwiyeIngano y'umuyoboro wa rectum, shyiramo buhoro buhoro, kandi ugabanye igihe cyo kuyishyiramo. Abarwayi bagomba gukurikiranirwa hafi kugira ngo barebe ko batagira ububabare, kuva amaraso, cyangwa izindi ngaruka mbi.

Umwanzuro

Itsindaumuyoboro wa rectumni ikintu cy'agaciroibikoreshwa mu buvuziikoreshwa mu kuvura indwara zitandukanye ziterwa n'igifu n'amara. Byaba kugabanya umwuka, kuvura ikibazo cyo kudafata neza, cyangwa gufasha mu gusuzuma indwara, gusobanukirwa uburyo bukwiye bwoikimenyetso cy'umuyoboro wa rectal, bikwiyeIngano y'umuyoboro wa rectum, kandi amabwiriza y’imikorere yizewe ni ingenzi kugira ngo umurwayi agire umusaruro mwiza.

Nk'ikintu gikunze gukoreshwakatheteri yo kwa muganga, ikoreshwa ryayo rigomba kugengwa buri gihe n'ubushishozi bw'abaganga. Iyo ikoreshejwe neza kandi igakurikiranwa neza, imiyoboro y'amaraso yo mu mara ishobora kongerera umurwayi ihumure kandi ikagabanya ingorane zijyanye no kudakora neza kw'amara.