UwitekaUmuyoboroni umuyoboro woroshye, wuzuye winjijwe muri rectum kugirango ugabanye ibimenyetso bifitanye isano ningaruka zo munda, nka gaze na fecal impaction. Nubwoko bwaubuvuzi, igira uruhare runini haba mubuvuzi bwihutirwa no kuyobora ibitaro bisanzwe. Gusobanukirwaurukiramende rwerekana, bikwiyeingano y'urukiramende, uburyo bwo gukoresha, nigihe gishobora kuguma mumutekano ni ngombwa mukuvura neza kandi neza.
Umuyoboro ugororotse ni iki?
Umuyoboro urukiramende, uzwi kandi nka flatus tube, ni aubuvuzi burashobora gukoreshwayagenewe gufasha kugabanya amara yemerera kunyura gaze cyangwa intebe. Ubusanzwe ikozwe muri reberi yoroshye cyangwa plastike kandi igaragaramo uruziga ruzengurutse kugabanya ihahamuka ryijimye. Imiyoboro imwe igororotse ifite imyobo myinshi kuruhande kugirango yongere amazi neza.
Ikoreshwa cyane cyane mubitaro no mubigo byita ku barwayi, imiyoboro y'urukiramende ni igice cyagutse cyaubuvuzi. Bitandukanye na catheteri yinkari, zinjizwa mu ruhago, catheteur igororotse yagenewe cyane cyane kwinjiza urukiramende kugira ngo ifashe mu mara cyangwa guta intebe.
Icyerekezo cya Tube Yerekana: Ni ryari ikoreshwa?
Hariho amavuriro menshi aho hashobora kwerekanwa umuyoboro. Muri byo harimo:
- Kugabanya uburibwe cyangwa kwaguka mu nda- Iyo abarwayi bafite ikibazo cyo kwiyongera kwa gaze cyane (akenshi nyuma yo kubagwa), imiyoboro y'urukiramende ifasha kugabanya ibibazo no kugabanya umuvuduko ukabije w'inda.
- Gucunga fecal- Mu buvuzi bukomeye cyangwa abarwayi bamara igihe kirekire, cyane cyane abo baryamye cyangwa batazi ubwenge, umuyoboro wurukiramende urashobora gufasha gucunga amara atagengwa no kwirinda uruhu.
- Impinduka- Umuyoboro urukiramende urashobora gufasha mukugabanya ibyokurya bikomeye mugihe intebe gakondo cyangwa kutavura intoki bidakorwa neza.
- Mbere cyangwa nyuma yo kubagwa- Amara nyuma yo guterwa amoni cyangwa ileus birashobora gutuma gaze igumana cyane. Imiyoboro igororotse irashobora gushyirwaho byigihe gito kugirango igabanye ibimenyetso.
- Uburyo bwo gusuzuma- Muburyo bumwe bwo gufata amashusho, imiyoboro y'urukiramende ifasha kwinjiza itangazamakuru ritandukanye mu mara kugirango ryerekanwe neza.
Ibi bisabwa byerekanwe hamwe nkukourukiramende, kandi isuzuma ryiza ryinzobere mubuvuzi rirakenewe mbere yo gushiramo.
Ingano ya Tube Ingano: Guhitamo Iburyo
Guhitamo nezaingano y'urukiramendeni ingenzi kumutekano wumurwayi no guhumurizwa. Imiyoboro igororotse iza mubunini butandukanye, mubisanzwe bipimwa mubice byigifaransa (Fr). Ingano yubufaransa yerekana diameter yo hanze ya catheter - uko umubare munini, nini nini.
Dore ubunini busanzwe bwa rectal tube ukurikije imyaka:
- Impinja n'impinja:12–14 Fr.
- Abana:14-18 Fr.
- Abakuze:22-30 Fr.
- Abarwayi bageze mu zabukuru cyangwa bafite intege nke:Ingano ntoya irashobora guhitamo bitewe nijwi ryurukiramende
Guhitamo ingano iboneye byemeza ko umuyoboro ukora neza udateze ihahamuka ridakenewe cyangwa kubura amahwemo. Imiyoboro minini irashobora kwangiza urukiramende, mugihe imiyoboro ntoya cyane ntishobora kwemerera amazi.
Uburyo bwo Kwinjiza Umuyoboro
Kwinjiza umuyoboro urukiramende bigomba guhora bikorwa ninzobere mu buvuzi zahuguwe mugihe cya aseptic. Dore incamake rusange yuburyo bukurikira:
- Imyiteguro:
- Sobanurira umurwayi inzira (niba abizi) kugirango agabanye amaganya.
- Kusanya ibikoresho nkenerwa: umuyoboro wurukiramende, amavuta ashingiye kumazi, gants, udukariso, hamwe nigikoresho cyo kumena amazi cyangwa igikapu cyo gukusanya niba bikenewe.
- Shyira umurwayi kuruhande rwibumoso (umwanya wa Sims) kugirango ukurikire umurongo usanzwe wa rectum na sigmoid colon.
- Kwinjiza:
- Wambare uturindantoki hanyuma ushyire amavuta meza kuri tube.
- Ongera witonze umuyoboro muri rectum (hafi santimetero 3-4 kubantu bakuru) mugihe ukurikirana ibiturwanya.
- Niba guhangana byujujwe, ntugahatire umuyoboro - ahubwo, gerageza kwimura umurwayi cyangwa gukoresha umuyoboro muto.
- Gukurikirana no kubungabunga umutekano:
- Bimaze kwinjizwamo, reba inzira ya gaze, intebe, cyangwa amazi.
- Umuyoboro urashobora guhuzwa na sisitemu yo gutemba cyangwa igasigara ifunguye ikirere bitewe nikoreshwa.
- Kurikirana ibibazo by'abarwayi, kuva amaraso, cyangwa ibimenyetso byo gutobora amara.
- Gukuraho no Kwitaho:
- Imiyoboro myinshi igororotse ntabwo igenewe kuguma mu mwanya utazwi.
- Mugihe bitagikenewe, kura buhoro buhoro umuyoboro hanyuma ujugunye ukurikije protocole yo kurwanya indwara.
Umuyoboro uhagaze ushobora kumara igihe kingana iki?
Umwanya umuyoboro uringaniye ushobora kuguma winjizamo biterwa nubuzima bwa clinique nuburyo umurwayi ameze. Nyamara, imiyoboro y'urukiramende ni rusangentabwo yagenewe gukoreshwa igihe kirekire.
- Ubutabazi bwigihe gito (gaze, impaction):Imiyoboro irashobora kwinjizwa muminota 30 kugeza kumasaha 1 hanyuma igakurwaho.
- Sisitemu yo gucunga fecal (kuri incontinence):Sisitemu yihariye irashobora gusigara mumwanya wakugeza ku minsi 29, ariko gusa bikurikiranwa nubuvuzi bukomeye.
- Gukoresha ibitaro bisanzwe:Niba umuyoboro usigaye mu mwanya w’amazi, ugomba kugenzurwa buri masaha make ugasimburwa buri masaha 12-24 kugirango ugabanye ibyago byo gukomeretsa cyangwa kwandura.
Gukoresha kwagutse birashobora gukurura ingorane nka ibisebe byurukiramende, necrosis yumuvuduko, cyangwa no gutobora. Kubwibyo, isuzuma rihoraho ni ngombwa, kandi gukoresha igihe kirekire bigomba kwirindwa keretse ukoresheje ibicuruzwa bigenewe icyo gihe.
Ingaruka no Kwirinda
Mugihe imiyoboro y'urukiramende ifite umutekano muri rusange iyo ikoreshejwe neza, ingaruka zishobora kuba zirimo:
- Kuva amaraso neza cyangwa ihahamuka
- Gutobora amara (bidasanzwe ariko bikomeye)
- Gukomeretsa igitutu kuri anal sphincter
- Kwandura cyangwa kurakara
Kugabanya izo ngaruka, ni ngombwa gukoresha nezaingano y'urukiramende, menya neza ko winjizamo witonze, kandi ugabanye igihe cyo gushyira. Abarwayi bagomba gukurikiranirwa hafi kugirango batamerewe neza, kuva amaraso, cyangwa izindi ngaruka mbi.
Umwanzuro
UwitekaUmuyoboroni Agaciroubuvuzi burashobora gukoreshwaikoreshwa mugucunga ibintu bitandukanye gastrointestinal nu mara bijyanye. Haba kugabanya gaze, gucunga ibidahwitse, cyangwa gufasha muburyo bwo gusuzuma, gusobanukirwa igikwiyeurukiramende rwerekana, bikwiyeingano y'urukiramende, kandi amabwiriza yumutekano aringirakamaro ningirakamaro kubisubizo byiza byabarwayi.
Nkibisanzweubuvuzi, ishyirwa mu bikorwa ryayo rigomba guhora riyobowe nubuvuzi bwumwuga. Hamwe nimikoreshereze ikwiye nogukurikirana, imiyoboro yurukiramende irashobora kunoza cyane ihumure ryumurwayi no kugabanya ingorane zijyanye no gukora nabi amara.
Igihe cyo kohereza: Gicurasi-06-2025