Icyitonderwa cyo kwita ku mirire yimbere

Icyitonderwa cyo kwita ku mirire yimbere ni ibi bikurikira:
1. Menya neza ko igisubizo cyintungamubiri nibikoresho byogusukura bifite isuku kandi bidafite sterile
Umuti wintungamubiri ugomba gutegurwa ahantu hadakomeye, ugashyirwa muri firigo munsi ya 4 for kugirango ubike byigihe gito, ugakoreshwa mumasaha 24. Ibikoresho byo gutegura nibikoresho byo gushiramo bigomba guhorana isuku kandi bidafite sterile.

2. Kurinda ururenda nuruhu
Abarwayi bafite umuyoboro muremure wa nasogastricike cyangwa umuyoboro wa nasointestinal bakunze kwibasirwa n'ibisebe kubera umuvuduko ukabije kumitsi yizuru na pharyngeal. Bagomba gukoresha amavuta buri munsi kugirango amazuru yamavuta asige kandi bagumane uruhu ruzengurutse fistula kandi rwumye.

3. Irinde icyifuzo
3.1 Gusimbuza umuyoboro wa gastrica no kwitondera umwanya; witondere cyane kubungabunga imyanya ya nasogastricique mugihe cyo kwinjiza igisubizo cyintungamubiri, kandi ntukayimure hejuru, gusiba igifu bitinda, kandi igisubizo cyintungamubiri cyinjizwa mumiyoboro ya nasogastric cyangwa gastrostomy Umurwayi afata umwanya wa kabiri wo kwisubiraho kugirango wirinde kugaruka no kwifuza.
3.2 Gupima ingano y'amazi asigaye mu gifu: mugihe cyo gushiramo intungamubiri, pompa ibisigara mu gifu buri masaha 4. Niba irenze 150ml, infusion igomba guhagarikwa.
3.3 Kwitegereza no kuvura: Mugihe cyo gushiramo intungamubiri, umurwayi agomba kwitwara neza. Iyo gukorora, gukorora intungamubiri zintungamubiri, guhumeka cyangwa guhumeka neza, birashobora kugenwa nkicyifuzo. Shishikariza umurwayi gukorora no kwifuza. , Nibiba ngombwa, kura ibintu byashizwemo ukoresheje bronchoscope.

4. Irinde ingorane zo munda
4.1 Ingorane za catheterisation:
4.1.1.
4.1.
4. umwanda ukomoka ku ntungamubiri utera kwandura amara; Ibiyobyabwenge bitera ububabare bwo munda no gucibwamo.
Uburyo bwo kwirinda:
1) Kwibanda hamwe numuvuduko wa osmotic wumuti wintungamubiri wateguwe: Kwiyongera kwintungamubiri nyinshi hamwe numuvuduko wa osmotic birashobora gutera byoroshye isesemi, kuruka, kubabara munda no gucibwamo. Guhera ku gipimo gito, muri rusange guhera kuri 12% no kwiyongera buhoro buhoro kugera kuri 25%, ingufu zitangirira kuri 2.09kJ / ml kandi ikiyongera kugera kuri 4.18kJ / ml.
2) Kugenzura umuvuduko wamazi numuvuduko wa infusion: tangira numubare muto wamazi, ingano yambere ni 250 ~ 500ml / d, hanyuma buhoro buhoro ugera mububiko bwuzuye mugihe cyicyumweru 1. Igipimo cyo kwinjiza gitangirira kuri 20ml / h kandi kigenda cyiyongera kugeza kuri 120ml / h buri munsi.
3) Kugenzura ubushyuhe bwumuti wintungamubiri: ubushyuhe bwumuti wintungamubiri ntibugomba kuba hejuru cyane kugirango wirinde gutwika mucosa gastrointestinal. Niba ari muke cyane, birashobora gutera uburibwe bwinda, kubabara munda, no gucibwamo. Irashobora gushyuha hanze yigituba cyegereye umuyoboro ugaburira. Muri rusange, ubushyuhe bugenzurwa nka 38 ° C.
4.
4.4 Ingorane ziterwa na metabolike: hyperglycemia, hypoglycemia, hamwe na electrolyte ihungabana, biterwa numuti wintungamubiri utaringaniye cyangwa formulaire idakwiye.

5. Kugaburira umuyoboro
5.1 Gukosora neza
5.2 Irinde kugoreka, kuzinga, no kwikuramo
5.3 Komeza kugira isuku kandi udahinduka
5.4 Karaba buri gihe