Kutheni i-Flatulence (Farting) Emva kweNkqubo yoPhando
Kuyinto engaqhelekanga ukuba oogqirha kunye nabongikazi banokubonakala bexhalabele kakhulu ngokukwazi kwakho "ukudlula igesi" emva kokuhlinzwa. Kungaphezu kokuqiqa ukubuza ukuba kutheni unomdla ongeyinto engavamile kwizinto eziqhelekileyo eziyingxenye ebomini yobomi bemihla ngemihla. Yikholelwa okanye cha, kukho impendulo enhle kuyo yonke inkxalabo malunga nokukwazi ukukhulula igesi emva kokuba uneshesia .
Xa uhlaziya kwiyunithi yokunakekelwa kwe-anesthesia (PACU) , unokuxelelwa ukuba uzazise umongikazi ukuba uyadlula igesi. Kwimeko yokulungisa abantwana, umntwana unokuxelelwa ukuba umongikazi angathanda ukwazi ukuba "toot" okanye "fart", enokubangela ukuba ezinye izihlazo okanye iintloni.
Kutheni konke oku kugxila kwigesi edlula? Kulula kunene, kuthetha ukuba awuyikuphuhlisa i-Postus Operative Ileus (POI), imeko enzima.
Kutheni Imicimbi Yegesi Emva kokuPiliswa
Emva kokuhlinzwa, okanye ngokukodwa, emva kokuba amayeza anikwa ngexesha lotyando, kungenzeka ukuba inkathazo ebizwa ngokuthi i-leus postoperative (POI) ingahlakulela. Oku kukulibaziseka kwintlungu yesisu - indlela yezokwelapha yokutshintsha ukuhamba kwamathumbu akho okuhambisa izinto ezisuka esiswini sakho ngegciwane lokutya. Ubunzima bungabakho kwixesha elibonakalayo elincinci lokucotha indlela yokutya ukutya kwiinkcenkceshe ezinzulu ezifuna unyango olunzulu.
Ngendlela elula, iileus yokusebenza emva kokuthetha ithetha ukuba kuthatha amathumbu akho ixesha elide ukuba avuke kwi-anesthesia kunabo bonke abanye. Ukukwazi ukudlula igesi kukubonakalisa ukuba indlela yakho yesisu isukuma kwaye i-POI yayingekho okanye iphucula. Yingakho oongikazi kunye noogqirha banenkathalo malunga nokuba ngaba awuyi kudlula igesi emva kweeyure emva kokuhlinzwa .
Kuwuphawu lokuba izitho zakho zokugaya zibuyela kwiimeko eziqhelekileyo.
Kwezinye uphando, isigulane senza isilungiso ngaphambi kokuba kulandelwe inkqubo, ehlambulula isitulo emathunjini. Ezi zi gulane, kunokuthi zibe iintsuku ezimbalwa ngaphambi kokuba zitshise, ngoko kudlula igesi ngenye yeempawu zokuqala zamathumbu ezivusayo.
Kwimeko yokuhlinzwa ngonyango, kudinga igesi edlula phambi kokuba ukwazi ukubuyela ekhaya. Abasebenzi abafuni ukuthumela ekhaya ngeenkcenkceshe ezinzulu, ngoko ke ningacingi ngokutshabalalisa, bazise ukuba uye waphumelela ngepesi.
Izizathu
Abaphandi abavumelani ukuba kutheni i-leus ehamba phambili. Enye inkolelo kukuba inkqubo ye-nervous sympathetic system, evame ukunciphisa inani lokunyakaza okwenziwa ngamathumbu, okwethutyana kunamandla okulawula amathumbu kunenkqubo ye - nervympathetic nervous , eyenza ukunyuka kwamathumbu.
Enye ingcamango ibonisa ukuba i-POI ibangelwa ngexesha lokusetyenziswa kwesisu ngokuxhaphaza amathumbu ngexesha lotyando, njengokubakhupha ngaphandle kwendlela yokufikelela kwezinye izakhiwo zomzimba okanye ukwenza utyando ngokuthe ngqo kubo. Oku kuqala ukusebenza kwimeko yegazi xa amangqamuzana egazi amhlophe emathunjini evuselelwa ngumsebenzi wokutyanda kwaye athatha ezinye iintlobo zeeseli ukuba zihambe kuloo ndawo.
Ezinye iimbono zibonisa ukungalingani kwe-electrolyte kunye nokusetyenziswa kwe-opioids yokulawula ubuhlungu.
Impendulo enokwenzeka kukuba i-POI ingabangelwa yimiba engaphezu kweyodwa, kwaye ngamnye umntu uyathinteka ngokukodwa ngolu hlobo. Umntu omnye unokukwazi ukuthatha amayeza enhlungu ngaphandle kobunzima kwaye omnye uya kuba noqhenqo olunzulu kunye neleus xa ethatha amayeza enhlungu.
Iimpawu
Kwizigulane ezininzi, ukulibaziseka kwindlela yokugcoba ngesantya kukufutshane, kodwa kwabanye, inkxalabo idinga ukuhlala kwisibhedlele eside kunokuba kuhlosiwe. Kuzo zi gulane, iimpawu ze-ileus zinokuba nzima kakhulu.
- I sizathu
- Ukuqhawula
- Ukuvutha
- Ubumnene besisu okanye intlungu
- Ukunyuka kwegesi / isitoreli kulibaziseka okanye akunakwenzeka
Izinto zobungozi
Izigulane ezithe zenziwa utyando olufuna ukuphathwa kwamathumbu okanye utyando olwenziwe emathunjini basengozini ephezulu yokuphuhlisa i-leus emva kokusebenza. Ubunzima be-POI bungenako ukwandiswa kwezi zi gulane. Izigulane ezifumana iipilisi ze- opioid zokhuseleko lweentlungu nazo zisengozini enkulu yokuphuhlisa i-POI, njengokuba izigulane sele zineengxaki ngamathumbu abo.
Thintelo
Ngoxa ukuthintela i-ileus yokusebenza emva kwayo ingenakwenzeka ngokupheleleyo, kukho iindlela zokunciphisa umngcipheko. Izigulane ezifumana i -anesthesia ye-epidural instead of anesthesia jikelele zibuye ziphume ngokukhawuleza kule ngxaki. Ngokuqhelekileyo, i-anesthesias ekhanyayo iya kubangela ubuncipheko obuncinane be-POI.
Amacandelo amancinci amancinci anganciphisa ubude be-ileus emva kokuqhathaniswa nokusetyenziswa kobugcisa bendabuko. Isixa esingaphantsi kwe-anesthesia kunye nomthelela omncinci kumzimba unokuba isizathu esenza ukuba ukuhlinzwa okungaphantsi kweminye kubangele i-POI encinane kwisigaba sokubuyisela.
Esinye sezimpendulo ezilula, ezibonisa izithembiso zophando zophando, kunokufuna ukuhlafuna i-gum emva kokuhlinzwa. Iziphumo eziliqela zakutshanje zibonise ukwehla kwexesha leyayus postoperative kwizigulane ezazitshengisa i-gum kwaye kukho ubungqina bokuba ukuhlala kwabo esibhedlele kwakumfutshane kunokuba kungabikho i-cheum chewers. Ukuhamba emva kokuhlinzwa, njenge-gum chewing, yindlela elula yokuncedisa ukunciphisa ubunzima beempawu kunye nokukhawuleza ukubuyela kwinto evamile.
ILizwi
Kungenzeka ukuba akuqhelekanga ukuba uthethe ngokunyanisekileyo kwimini yakho yemihla ngemihla, okanye unokuba ukhululekile ngokupheleleyo uthetha ngeeots and stinkers, nokuba yintoni imini yokuhlinzwa kwakho ngumhla wokukhulula ukuthetha ngemisebenzi yakho yomzimba.
Unyanisekile nabasebenzi bokuhlinzwa malunga nokuba ungadlulanga i-gesi okanye unayo intshukumo. Enye indlela eya kubhalwa yindlela ekhethiweyo ingaba yileus postoperative ingathatyathwa ngexesha elifanelekileyo, leyo ayiyona indlela efanelekileyo yokuqalisa ukubuyiswa kwakho.
Umthombo:
> Alavi, Karim. UCaroll, uYakobi. I-Pathogenesis kunye noLawulo lwe-Ileus Postoperative. Klinikhi Colon Rectal Surg. 2009 Feb; 22 (1): 47-50. i-doi: 10.1055 / s-0029-1202886.