Ityhubhu Engasasebenziyo: Ukusetyenziswa, Ubungakanani, Iimpawu, kunye neMigaqo yokusetyenziswa ngokukhuselekileyo

Iityhubhu yerectalyityhubhu eguquguqukayo, engenanto ifakwa kwi-rectum ukunciphisa iimpawu ezinxulumene neengxaki zesisu, ezifana negesi kunye nokuchaphazeleka yindle. Njengohlobo lwei-catheter yezonyango, idlala indima ebalulekileyo kunyango olungxamisekileyo kunye nolawulo lwesiqhelo lwesibhedlele.isalathiso setyhubhu yerectal, ngokufanelekileyoubungakanani betyhubhu yerectal, inkqubo yokusetyenziswa, kunye nokuba ingahlala ixesha elingakanani kwindawo yayo ngokukhuselekileyo kubalulekile ukuze kunyanyekelwe izigulane ngempumelelo nangokukhuselekileyo.

Yintoni iRectal Tube?

Ityhubhu yerectal, eyaziwa ngokuba yityhubhu yeflatus, yiizinto ezisetyenziswa kwezonyangoYenzelwe ukunceda ukuthomalalisa amathumbu ngokuvumela ukuba kudlule igesi okanye ilindle. Ngokwesiqhelo yenziwe ngerabha ethambileyo okanye iplastiki kwaye inencam engqukuva yokunciphisa ukwenzakala kwi-rectal mucosa. Ezinye iityhubhu ze-rectal zinemingxuma emininzi esecaleni ukuphucula ukusebenza kakuhle kokukhupha amanzi.

Iityhubhu zerectal zisetyenziswa kakhulu kwizibhedlele nakwizibonelelo zokhathalelo, kwaye ziyinxalenye yoluhlu olubanzi lwezifo.ii-catheters zonyangoNgokungafaniyo nee-catheter zomchamo, ezifakwa kwisinyi, ii-catheter zerectal zenzelwe ngokukodwa ukufakwa kwerectal ukunceda ekunciphiseni amathumbu okanye ekuguquleni isitulo.

Isalathisi seRectal Tube: Isetyenziswa Nini?

Kukho iimeko ezininzi zonyango apho kunokuboniswa khona ityhubhu yerectal. Ezi ziquka:

1. Ukunceda isisu siphume umoya okanye ukudumba kwesisu– Xa izigulana zihlushwa kukuqokelelwa kwegesi eninzi (ngokuqhelekileyo emva kotyando), iityhubhu zerectal zinceda ekunciphiseni ukungonwabi nokunciphisa uxinzelelo kwisisu.
2. Ulawulo lokungakwazi ukuzibamba ngamathumbu– Kwizigulane ezinyamekela abantu abagula kakhulu okanye ezinyamekela ixesha elide, ingakumbi ezo zilele ebhedini okanye ezingazi nto, umbhobho osetyenziswa emqolo unokunceda ukulawula ukuhamba kwamathumbu okungalawulwayo kwaye uthintele ukuqhekeka kolusu.
3. Ukuchaphazeleka lindle– Umbhobho ongasemva unokunceda ekunciphiseni ukwakheka kwendle eqinileyo xa ukwenza i-enema yendabuko okanye ukucoca ngesandla kungasebenzi.
4. Ngaphambi okanye emva kotyando– Ukudumba kwamathumbu emva kotyando okanye ileus kunokubangela ukuba igesi igcinwe kakhulu. Iityhubhu ezingaphakathi zingafakwa okwethutyana ukuze kuncitshiswe iimpawu.
5. Iinkqubo zokuxilonga– Kwezinye iindlela zokwenza imifanekiso, iityhubhu zerectal zinceda ekungeniseni imidiya yokwahlulahlula emathunjini ukuze kubonakale ngokucacileyo.

Ezi meko zibizwa ngokubaizalathiso zetyhubhu yerectal, kwaye uvavanyo olufanelekileyo luyimfuneko ziingcali zonyango ngaphambi kokufakwa.

Ubungakanani beTube yeRectal: Ukukhetha Efanelekileyo

Ukukhetha okuchanekileyoubungakanani betyhubhu yerectalKubalulekile kukhuseleko lwesigulane kunye nentuthuzelo. Iityhubhu zerectal ziza ngobukhulu obahlukeneyo, zihlala zilinganiswa ngeeyunithi zesiFrentshi (Fr). Ubukhulu besiFrentshi bubonisa ububanzi bangaphandle be-catheter - okukhona inani liphezulu, kokukhona ityhubhu inkulu.

Nazi ubungakanani obuqhelekileyo betyhubhu yerectal ngokweminyaka:

• Iintsana kunye neentsana ezisandul’ ukuzalwa:12–14 Fr
• Abantwana:14–18 Fr
• Abantu abadala:22–30 Fr
• Izigulane zabantu abadala okanye ababuthathaka:Ubungakanani obuncinci bunokukhethwa ngokuxhomekeke kwithoni yerectal

Ukukhetha ubungakanani obufanelekileyo kuqinisekisa ukuba ityhubhu isebenza kakuhle ngaphandle kokubangela ukwenzakala okanye ukungonwabi okungeyomfuneko. Iityhubhu ezinkulu kakhulu zingonakalisa ulwelo lwerectal, ngelixa iityhubhu ezincinci kakhulu zisenokungavumeli ukutsalwa kwamanzi ngokwaneleyo.

Inkqubo yokufaka iRectal Tube

Ukufakwa kwetyhubhu yerectal kufuneka kwenziwe rhoqo ziingcali zempilo eziqeqeshiweyo phantsi kweemeko ezingasebenzi kakuhle. Nantsi ingcaciso ngokubanzi ngale nkqubo:

1. Ukulungiselela:
   • Chazela isigulana ngenkqubo (ukuba siyazi) ukuze sinciphise ixhala.
   • Hlanganisa izinto ezifunekayo: ityhubhu yerectal, i-lubricant esekelwe emanzini, iiglavu, ii-mubs ezifunxayo, kunye nesikhongozeli sokukhupha amanzi okanye ibhegi yokuqokelela ukuba kuyimfuneko.
   • Beka isigulane kwicala lasekhohlo (indawo kaSims) ukuze silandele indlela egobile ngayo i-rectum kunye ne-sigmoid colon.
2. Ukufakwa:
   • Nxiba iiglavu uze ufake i-lubricant eninzi kwityhubhu.
   • Faka ityhubhu ngobunono kwi-rectum (malunga ne-3-4 intshi kubantu abadala) ngelixa ujonge ukumelana nayo.
   • Ukuba ukuxhathisa kuyafezekiswa, musa ukuyinyanzela ityhubhu—endaweni yoko, zama ukuyibeka endaweni entsha isigulane okanye usebenzise ityhubhu encinci.
3. Ukubeka iliso nokukhusela:
   • Nje ukuba ifakwe, jonga ukuba igesi, isitulo, okanye ulwelo ziyadlula na.
   • Ityhubhu ingadityaniswa kwinkqubo yokukhupha amanzi okanye ishiywe ivulekile emoyeni kuxhomekeke kwindlela ecetywayo ukuyisebenzisa.
   • Jonga isigulane ukuba asiva kabuhlungu, siphuma igazi, okanye kukho iimpawu zokugqobhoka kwamathumbu.
4. Ukususwa kunye noNyango:
   • Uninzi lweetyhubhu zerectal azifanelekanga ukuba zihlale endaweni yazo ngonaphakade.
   • Xa ungasafuneki, yikhuphe kancinci ityhubhu uze uyilahle ngokwemigaqo yokulawula usulelo esibhedlele.

I-Rectal Tube Inokuhlala Ixesha Elingakanani?

Ubude bexesha elinokuthi lifakwe ityhubhu yerectal buxhomekeke kwimeko yezonyango kunye nemeko yesigulane. Nangona kunjalo, iityhubhu zerectal zihlala zisetyenziswaayilungiselelwe ukusetyenziswa ixesha elide.

• Uncedo lwexeshana (igesi, impembelelo):Iityhubhu zingafakwa imizuzu engama-30 ukuya kwiyure e-1 zize zisuswe.
• Iinkqubo zokulawula ilindle (lokungakwazi ukuzibamba):Ezinye iinkqubo ezikhethekileyo zingashiywa endaweni yazoukuya kuthi ga kwiintsuku ezingama-29, kodwa kuphela phantsi kweliso elingqongqo lezonyango.
• Ukusetyenziswa rhoqo esibhedlele:Ukuba ityhubhu ishiywe endaweni yayo ukuze kuphume amanzi, kufuneka ihlolwe rhoqo emva kweeyure ezimbalwa kwaye itshintshwe rhoqo emva kweeyure ezili-12-24 ukunciphisa umngcipheko wokwenzakala koxinzelelo okanye usulelo.

Ukusetyenziswa ixesha elide kunokukhokelela kwiingxaki ezifana nezilonda zamathumbu, i-pressure necrosis, okanye ukugqobhoka. Ke ngoko, uvavanyo oluqhubekayo lubalulekile, kwaye ukusetyenziswa ixesha elide kufuneka kuthintelwe ngaphandle kokuba kusetyenziswe imveliso eyenzelwe loo xesha.

Iingozi kunye namanyathelo okuzikhusela

Nangona iityhubhu ze-rectal zikhuselekile ngokubanzi xa zisetyenziswa ngokufanelekileyo, iingozi ezinokubakho ziquka:

• Ukopha okuphumayo okanye ukwenzakala kwi-mucosal
• Ukugqobhoka kwamathumbu (kunqabile kodwa kunzulu)
• Ukulimala koxinzelelo kwi-anal sphincter
• Usulelo okanye ukurhawuzelelwa

Ukuze kuncitshiswe ezi ngozi, kubalulekile ukusebenzisa iindlela ezichanekileyo zokuthintelaubungakanani betyhubhu yerectal, qinisekisa ukufakwa kancinci, kwaye unciphise ixesha lokufakwa. Izigulane kufuneka zijongwe ngononophelo ukuze zibone ukuba azikhululekanga, ziphuma igazi, okanye ezinye iziphumo ezibi.

Isiphelo

Iityhubhu yerectallixabiso elixabisekileyoizinto ezisetyenziswa kwezonyangoisetyenziselwa ukulawula iimeko ezahlukeneyo zesisu kunye neemeko ezinxulumene namathumbu. Nokuba kukuphelisa igesi, ukulawula ukungakwazi ukuzibamba, okanye ukunceda kwiinkqubo zokuxilonga, ukuqonda ezifanelekileyoisalathiso setyhubhu yerectal, ngokufanelekileyoubungakanani betyhubhu yerectal, kwaye izikhokelo zenkqubo ekhuselekileyo zibalulekile kwiziphumo ezilungileyo zesigulana.

Njengento esetyenziswa rhoqoi-catheter yezonyango, ukusetyenziswa kwayo kufuneka kuhlale kukhokelwe yingcali yezonyango. Ngokusetyenziswa ngokuchanekileyo nangokubekwa esweni, iityhubhu zerectal zinokuphucula kakhulu intuthuzelo yesigulana kwaye zinciphise iingxaki ezinxulumene nokungasebenzi kakuhle kwamathumbu.