Chifukwa Chake Kukhala Wokhutira (Kutsegulira) Kumatha Kuchita Zinthu Zopangira Opaleshoni
Ndizodabwitsa kuti madokotala ndi anamwino angaoneke ngati akudandaula kwambiri kuti mungathe "kupititsa gasi" mutatha opaleshoni. Ndizomveka kudabwa kuti pali chifukwa chotani chodabwitsa chomwe chiri gawo labwino kwambiri la moyo wa tsiku ndi tsiku. Khulupirirani kapena ayi, pali yankho labwino pazinthu zonse zomwe mukudandaula nazo kuti mutha kutulutsa mpweya mutatha kukhala ndi anesthesia .
Pamene mukuchira mu malo osamalira anesthesia (PACU) , mukhoza kuuzidwa kuti mudziwe namwino wanu ngati mupita gasi. Mu chikhalidwe cha ana, mwana akhoza kuuzidwa kuti namwino akufuna kudziwa ngati "toot" kapena "fart", zomwe zingayambitse zinazake kapena manyazi.
Nchifukwa chiyani zonsezi zimagwiritsa ntchito gasi? Ndizosavuta kwenikweni, zikutanthauza kuti simukukhazikitsa Postus Operative Ileus (POI), vuto lalikulu.
Chifukwa Chakufunika kwa Gasi Pambuyo Opaleshoni
Pambuyo pa opaleshoni, kapena makamaka, pambuyo pa mankhwala omwe amaperekedwa pa opaleshoni, ndizotheka kuti vuto lotchedwa ileus postoperative (POI) lingapangidwe. Ichi ndi kuchedwa kwa mimba motility - njira yachipatala yofotokozera kayendetsedwe ka m'matumbo anu omwe amasuntha zinthu kuchokera m'mimba mwathu kudzera m'magazi. Kuwopsa kwake kungakhale kosawerengeka kwambiri momwe mumakonzera chakudya ku vuto lalikulu limene limafuna thandizo lalikulu la mankhwala.
M'mawu ophweka, ileus ya postoperative imatanthawuza kuti zimatengera matumbo anu nthawi yayitali kudzuka kwa anesthesia kuposa inu nonse. Kukhoza kupitila gasi ndi chizindikiro chodziwika kuti tsamba lanu la m'mimba likudzuka ndipo POI sinalipo kapena ikukula. Ichi ndi chifukwa chake anamwino ndi madokotala amasamalira ngati mukudutsa gasi maola angapo mutatha opaleshoni .
Ndi chizindikiro chakuti ziwalo zanu za m'mimba zimabwerera kwawo.
Kuchita opaleshoni ina, wodwala amachita chokonzekera cham'mbuyo asanayambe ndondomeko, yomwe imatsuka chifuwa m'mimba. Kwa odwalawa, pangakhale masiku angapo asanakhalepo, kotero kudutsa gasi ndi chimodzi mwa zizindikiro zoyambirira za matumbo awo.
Ngati mukuchita upaleshoni wopita kuchipatala , mungafunike kupuma gasi musanayambe kupita kwanu. Antchito sakufuna kukutumizani kunyumba ndi vuto lalikulu, kotero musaganize kuti mukhale bashful, muwadziwitse ngati mwadutsa gasi.
Zimayambitsa
Ochita kafukufuku sagwirizana pa chifukwa chake ileus postoperative ikuchitika. Nthano imodzi ndi yakuti mchitidwe wamanjenje wachifundo, umene umachepetsa kuchuluka kwa kayendetsedwe ka m'matumbo, kamene kamakhala ndi mphamvu yaikulu pamatumbo kuposa dongosolo la mantha la parasympathetic , lomwe limapangitsa kuyenda kwa matumbo.
Nthano ina imanena kuti POI imayambitsa nthawi ya m'mimba mwa kuyendetsa m'matumbo pochita opaleshoni, monga kuwasokoneza kuti apite kuzipinda zina kapena kuchita opaleshoni mwachindunji. Izi zimayambitsa chiwonongeko pamene maselo oyera a m'matumbo akulimbikitsidwa ndi opaleshoni ndikuyambitsa maselo ena kuti asamukire kudera.
Mfundo zina zimagwirizana ndi kusamvana kwa electrolyte ndi kugwiritsa ntchito opioids pofuna kupweteka kupweteka.
Mwinamwake yankho ndi lakuti POI ikhoza kuyambitsidwa ndi zochitika zambiri, ndipo munthu aliyense amakhudzidwa mwapadera ndi izi. Munthu mmodzi amatha kumwa mankhwala opweteka popanda vuto ndipo wina amatha kudzimbidwa kwambiri ndi leyu akamamwa mankhwala opweteka.
Zizindikiro
Kwa odwala ambiri, kuchedwa kwa chapamimba motility ndi kochepa, koma kwa ena, vutoli limafuna kukhala ndi chipatala chokwanira kusiyana ndi cholinga. Kwa odwalawo, zizindikiro za leus zingakhale zovuta kwambiri.
- Nausea
- Kutseka
- Kuthamanga
- Mimba yachikondi kapena ululu
- Kupita gasi / sitima ikuchedwa kapena sizingatheke
Zowopsa
Odwala omwe amawachita opaleshoni omwe amafunika kugwiritsidwa ntchito m'matumbo kapena opaleshoni yomwe imachitidwa pamatumbo amakhala pachiopsezo chachikulu chokhala ndi ileus yoperekera ntchito. Kulemera kwa POI kungaperekedwe kwa odwalawa. Odwala omwe amalandira mankhwala opioid pofuna kupwetekedwa mtima amakhalanso ndi chiopsezo chachikulu cha kukhala ndi POI, monga odwala omwe ali ndi vutoli m'matumbo.
Kupewa
Ngakhale kupewa leus postoperative sikungatheke konse, pali njira zochepetsera chiopsezo. Odwala omwe akulandira mankhwala osokoneza bongo m'malo mwa anesthesia ambiri amakhala ndi vuto lachidziwitso mwamsanga. Kawirikawiri, kupweteka kwa anesthesias kumakhala ndi mwayi wochepa wa POI.
Njira zowonongeka zochepa zingathe kuchepetsa kuchuluka kwa ileus yomwe ikugwira ntchito pambuyo poyerekeza ndi njira zamakono zochizira. Nthawi yocheperapo pansi pa anesthesia ndi zotsatira zochepa pa thupi lingakhale chifukwa chomveka choti opaleshoni yochepa yosawonongeka imayambitsa zochepa zochepa poyambira.
Imodzi mwa njira zosavuta, zomwe zikuwonetsera lonjezo mu maphunziro a kafukufuku, zikhoza kukhala kusaka chingamu pambuyo pa opaleshoni. Kafukufuku watsopano wam'mbuyo amasonyeza kuchepa kwa leus postoperative kwa odwala amene ankafunafuna gum ndipo panali umboni wina wakuti chipatala chawo chinali chofupikitsa kusiyana ndi osasambira. Kuyenda pambuyo pochita opaleshoni, monga chingamu kusuta, ndi njira yosavuta yothandizira kuchepetsa kuopsa kwake kwa zizindikiro ndikufulumira kubwerera kwachibadwa.
Mawu Ochokera
Zingakhale zosayenerera kuti muyankhule momveka bwino za moyo wanu tsiku ndi tsiku, kapena mutha kukhala okonzeka kulankhula za toots ndi stinkers, kaya tsiku la opaleshoni yanu ndi tsiku kuti mukhale omasuka kulankhula za ntchito zanu.
Lankhulani moona mtima ndi ogwira ntchito opaleshoni ngati mwadutsa gasi kapena mukuyenda. Njira yowonjezereka kwa njira yovomerezeka ikhoza kukhala yenius postoperative yomwe sichipezeka m'nthawi yake, yomwe si njira yabwino yothetsera vuto lanu.
Chitsime:
> Alavi, Karim. Caroll, James. Pathogenesis ndi Management of Postoperative Ileus. Chipatala cha Clinol Chikulire Chokwanira. 2009 Feb; 22 (1): 47-50. lembani: 10.1055 / s-0029-1202886.