Umbhobho weRectal: Ukusetyenziswa, ubungakanani, iziBonelelo, kunye neziKhokelo zeSicelo esiKhuselekileyo

Iityhubhu ye-rectalyi-flexible, ityhubhu engenanto efakwe kwi-rectum ukukhulula iimpawu ezinxulumene neengxaki zesisu, ezifana negesi kunye ne-fecal impaction. Njengohlobo lwecatheter yonyango, idlala indima ebalulekileyo kukhathalelo olungxamisekileyo kunye nokulawulwa kwezibhedlele eziqhelekileyo. Ukuqonda iisalathisi sombhobho we-rectal, ngokufanelekileyoubungakanani betyhubhu ye-rectal, inkqubo yokusetyenziswa, kunye nokuba inokuhlala ixesha elingakanani ngokukhuselekileyo ibalulekile kukhathalelo olusebenzayo nolukhuselekileyo lwesigulana.

Yintoni Umbhobho weRectal?

Ityhubhu ye-rectal, eyaziwa ngokuba yi-flatus tube, yi-zonyango olusebenzisekayoyenzelwe ukunceda ukuthothisa amathumbu ngokuvumela ukudlula kwerhasi okanye isitulo. Ngokwesiqhelo yenziwe ngerabha ethambileyo okanye iplastiki kwaye inencam engqukuva yokunciphisa ukwenzakala kwirectal mucosa. Ezinye iityhubhu ze-rectal zinemingxuma emininzi esecaleni ukunyusa ukusebenza kakuhle kwamanzi.

Isetyenziswe ngokuyinhloko kwizibhedlele kunye nezibonelelo zokunakekelwa, iibhubhu ze-rectal ziyingxenye yoluhlu olubanzi lwecatheters zonyango. Ngokungafaniyo neecatheter zomchamo, ezifakwe kwi-bladder, ii-catheters ze-rectal ziyilelwe ngokukodwa ukufakwa kwe-rectal ukuncedisa ukuxinzelela kwamathumbu okanye ukuphambuka kwesitulo.

Isalathisi seRectal Tube: Isetyenziswa nini?

Kukho iimeko ezininzi zeklinikhi apho ityhubhu ye-rectal ingaboniswa. Ezi ziquka:

1. Ukukhululeka kwe-flatulence okanye ukukhutshwa kwesisu– Xa izigulane zihlupheka ngenxa yokwakhiwa kwegesi eninzi (ngokuqhelekileyo emva kotyando), iibhubhu ze-rectal zinceda ukunciphisa ukungahambi kakuhle kunye nokunciphisa uxinzelelo kwisigxina sesisu.
2. Ulawulo lokungakwazi ukuzibamba- Kwinkathalo ebalulekileyo okanye izigulane zokunakekelwa kwexesha elide, ngakumbi ezo zilele embhedeni okanye zingenangqondo, ityhubhu ye-rectal inokunceda ukulawula ukunyakaza kwamathumbu okungalawulwayo kunye nokukhusela ukuphuka kwesikhumba.
3. Ukuchaphazeleka kwefecal-Ityhubhu ye-rectal inokuncedisa ukukhulula i-stool buildup xa i-enemas yendabuko okanye i-disimpaction manual ingasebenzi.
4. Ngaphambi okanye emva kotyando- I-postoperative bowel atony okanye ileus ingakhokelela ekugcinweni kwegesi enzima. Iityhubhu ze-rectal zinokubekwa okwethutyana ukuthomalalisa iimpawu.
5. Iinkqubo zokuxilonga-Kwezinye iindlela zokucinga, iityhubhu ze-rectal zinceda ukwazisa imidiya eyahlukileyo kwi-bowel ukuze ibonakale ngokucacileyo.

Le miqathango kubhekiselwa kuyo ngokudibeneyo njengeIimpawu zetyhubhu ye-rectal, kunye nokuhlolwa okufanelekileyo ngabasebenzi bezonyango kuyimfuneko ngaphambi kokufaka.

Ubungakanani beRectal Tube: Ukukhetha eLungileyo

Ukukhetha okulungileyoubungakanani betyhubhu ye-rectalibalulekile kukhuseleko nentuthuzelo yesigulana. Iityhubhu ze-rectal ziza ngokobukhulu obahlukeneyo, ngokwesiqhelo ukulinganiswa ngeeyunithi zesiFrentshi (Fr). Ubungakanani besiFrentshi bubonisa ububanzi bangaphandle be-catheter - inani eliphezulu, likhulu ityhubhu.

Nazi iisayizi eziqhelekileyo zetyhubhu ye-rectal ngokweqela lobudala:

• Iintsana kunye nabasanda kuzalwa:12–14 Fr
• Abantwana:14–18 Fr
• Abantu abadala:22–30 Fr
• Abantu abadala okanye abakhubazekileyo:Iisayizi ezincinci zingakhethwa ngokuxhomekeke kwithowuni ye-rectal

Ukukhetha ubungakanani obufanelekileyo buqinisekisa ukuba ityhubhu iyasebenza ngaphandle kokubangela ukuxhwaleka okungeyomfuneko okanye ukungonwabi. Iityhubhu ezinkulu kakhulu zingonakalisa i-rectal lining, ngelixa iityhubhu ezincinci kakhulu zingenakuvumela ukukhupha okwaneleyo.

Inkqubo yoFakelo lweRectal Tube

Ukufakwa kwetyhubhu ye-rectal kufuneka kuhlale kusenziwa ngabaqeqeshi bezempilo abaqeqeshiweyo phantsi kweemeko ze-aseptic. Nantsi inkcazo jikelele yenkqubo:

1. Ukulungiselela:
   • Cacisa inkqubo kwisigulane (ukuba uyazi) ukunciphisa ixhala.
   • Hlanganisa izinto eziyimfuneko: ityhubhu ye-rectal, i-lubricant yamanzi, iiglavu, iipads ezifunxayo, kunye nesitya sokukhupha amanzi okanye isikhwama sokuqokelela ukuba kukho imfuneko.
   • Beka isigulane kwicala labo lasekhohlo (indawo ye-Sims) ukulandela ijika lendalo le-rectum kunye ne-sigmoid colon.
2. Ufakelo:
   • Nxiba iiglavu kwaye usebenzise i-lubricant enesisa kwityhubhu.
   • Faka ngobunono ityhubhu kwi-rectum (malunga ne-3-4 intshi kubantu abadala) ngelixa ubeka iliso lokumelana.
   • Ukuba ukuxhathisa kuhlangatyezwana nayo, musa ukunyanzela ityhubhu—endaweni yoko, zama ukuphinda ubeke umguli okanye usebenzise umbhobho omncinane.
3. Ukubeka iliso kunye noKhuseleko:
   • Nje ukuba ifakelwe, jonga ukudlula kwegesi, isitulo, okanye ulwelo.
   • Ityhubhu inokudityaniswa nenkqubo yokuhambisa amanzi okanye ishiywe ivulekile emoyeni kuxhomekeke kusetyenziso olucetywayo.
   • Beka esweni ukungakhululeki kwesigulana, ukopha, okanye iimpawu zokubhoboza amathumbu.
4. Ukususwa kunye neNkathalo:
   • Uninzi lweetyhubhu ze-rectal azenzelwanga ukuba zihlale kwindawo ngokungenasiphelo.
   • Xa ingasafuneki, yikhuphe kancinci le tyhubhu kwaye uyilahle ngokwemigaqo yolawulo losulelo esibhedlele.

Ingaba Ityhubhu yeRectal ingahlala ixesha elingakanani?

Ubude betyhubhu ye-rectal ingahlala ifakwe kuxhomekeke kwimeko yeklinikhi kunye nemeko yesigulane. Nangona kunjalo, iityhubhu ze-rectal ziqhelekileyoayilungiselelwe ukusetyenziswa ixesha elide.

• Uncedo lwexeshana (igesi, impembelelo):Imibhobho inokufakwa imizuzu engama-30 ukuya kwiyure enye emva koko isuswe.
• Iinkqubo zolawulo lwe-Fecal (ukungakwazi ukuzibamba):Ezinye iinkqubo ezikhethekileyo zinokushiywa kwindawo yazoukuya kwiintsuku ezingama-29, kodwa kuphela phantsi kweliso elingqongqo likagqirha.
• Ukusetyenziswa kwesibhedlele rhoqo:Ukuba ityhubhu ishiywe kwindawo yokukhutshwa kwamanzi, kufuneka ihlolwe rhoqo kwiiyure ezimbalwa kwaye itshintshwe rhoqo kwiiyure ezingama-12-24 ukunciphisa umngcipheko wokulimala koxinzelelo okanye usulelo.

Ukusetyenziswa okongeziweyo kunokukhokelela kwiingxaki ezifana nezilonda ze-rectal, i-necrosis yoxinzelelo, okanye ukubhoboza. Ke ngoko, uvavanyo oluqhubekayo lubalulekile, kwaye ukusetyenziswa ixesha elide kufuneka kuthintelwe ngaphandle kokuba kusetyenziswa imveliso elungiselelwe kanye elo xesha.

Imingcipheko kunye noLungelo

Ngelixa iityhubhu ze-rectal zikhuselekile xa zisetyenziswa ngokufanelekileyo, iingozi ezinokuthi zibandakanye:

• Ukopha kwi-rectal okanye ukwenzakala kwe-mucosal
• Ukugqojozwa kwamathumbu (kunqabile kodwa kubi kakhulu)
• Ukulimala koxinzelelo kwi-anal sphincter
• Ukosuleleka okanye ukucaphuka

Ukunciphisa le mingcipheko, kubalulekile ukusebenzisa echanekileyoubungakanani betyhubhu ye-rectal, qinisekisa ukufakwa okuthambileyo, kunye nokunciphisa ixesha lokubeka. Izigulana kufuneka zijongwe ngokusondeleyo ngenxa yokungakhululeki, ukopha, okanye ezinye iziphumo ezibi.

Ukuqukumbela

Iityhubhu ye-rectallixabisozonyango olusebenzisekayoesetyenziselwa ukulawula iimeko ezahlukeneyo zesisu kunye nezibilini ezinxulumene nezibilini. Nokuba kuthomalalisa irhasi, ukulawula ukungakwazi ukuzibamba, okanye ukunceda kwiinkqubo zokuxilonga, ukuqonda okufanelekileyoisalathisi sombhobho we-rectal, ngokufanelekileyoubungakanani betyhubhu ye-rectal, kunye nezikhokelo zenkqubo ezikhuselekileyo ziyimfuneko kwiziphumo ezifanelekileyo zesigulane.

Njengesiqhelo esetyenziswacatheter yonyango, isicelo sayo kufuneka sisoloko sikhokelwa sisigwebo sonyango lwengcali. Ngokusetyenziswa okufanelekileyo kunye nokubeka iliso, iityhubhu ze-rectal zinokuphucula kakhulu intuthuzelo yesigulana kunye nokunciphisa iingxaki ezinxulumene nokungasebenzi kakuhle kwamathumbu.