Kushambidza dumbu: pazvinoratidzwa uye nemabatirwo azvo

Zvemukati

• Kana zvaratidzwa
• Kugeza mudumbu kunoitwa sei
• Zvinokwanisika kusuka matambudziko
• Ndiani asingafanire kuita

Kuchenesa dumbu, kunozivikanwawo sekuti gastric lavage, inzira inobvumidza iwe kusuka mukati memudumbu, uchibvisa zvirimo zvisati zvatorwa nemuviri. Nekudaro, maitiro aya anowanzo shandiswa muzviitiko zvekumwa kwe chepfu kana zvinhu zvinogumbura, izvo zvisina mushonga kana imwe nzira yekurapa. Nzwisisa zvekuita nekukasira kana ukaita chepfu.

Sezvineiwo, gastric lavage inofanira kuitwa mukati memaawa maviri ekumesa chinhu uye inofanirwa kuitwa muchipatara nemukoti kana mumwe nyanzvi yehutano inokwanisa kudzivirira zvinetswa sekushuvira kwemvura mumapapu.

Kana zvaratidzwa

Muzviitiko zvakawanda, gastric lavage inoshandiswa kuchenesa dumbu kana ikamedza mizinga mizhinji yezvinhu kana mishonga inogona kutyisa muviri, senge:

• Antihypertensives, senge propranolol kana verapamil;
• Tricyclic antidepressants, senge Amitriptyline, Clomipramine kana Nortriptyline.

Nekudaro, haazi ese makesi ekuwedzeredzwa kumedzwa kwechinhu anoda gastric lavage. Nzira yakanakisa yekuziva kana maitiro aya achinyanya kudikanwa, uye zvekuita kudzikisa njodzi yezvinetso, kubvunza iyo Anti-Poison Ruzivo Center, pa 0800 284 4343.

Zvishoma kazhinji, kushambidza kwemudumbu kunogona zvakare kushandiswa kudurura dumbu usati waongororwa bvunzo, senge endoscopy, semuenzaniso. Tsvaga zvimwe nezve endoscopy uye kana zvaitwa.

Kugeza mudumbu kunoitwa sei

Kushambidza matumbo kunofanirwa kuitirwa kuchipatara nemukoti kana mumwe akadzidziswa nezvehutano. Munguva yekuita, nyanzvi inofanira kutevera anotevera matanho:

1. Pinza gastric chubhu kuburikidza nemuromo kana mhino kudumbu;
2. Gadzika munhu pasi womutendeudzira kuruboshwe, kufambisa kubuda kwemudumbu;
3. Unganidza sirinji ye100 mL kune chubhu;
4. Bvisa zvemukati zvemudumbu kushandisa sirinji;
5. Isa mazana maviri kusvika mazana matatu emamLL emvura inodziya pa 38ºC mukati medumbu;
6. Bvisa zvese zvemudumbu zvakare uye isa zvakare mazana maviri kusvika mazana matatu emamirioni esamu;
7. Dzokorora matanho aya kusvikira zvirimo zvabviswa mudumbu zvabuda pachena.

Kazhinji, kuti uwane chaiyo gastric lavage, zvinofanirwa kushandisa kusvika 2500 mL ye saline panguva yese maitiro. Panyaya yevana, huwandu hwesamu hunodiwa hunogona kusiyana pakati pegumi kusvika makumi maviri nemashanu mL yeseramu paKg imwe yehuremu, inosvika pamazana mazana maviri nemamirimita

Mushure mekugeza, zvinokurudzirwa zvakare kuisa pakati pe50 kusvika 100 gramu yemarasha akaiswa mudumbu, kudzivirira kutorwa kwechero chinhu chinenge chasara mudumbu. Panyaya yevana, huwandu uhwu hunofanirwa kungove 0,5 kusvika 1 gramu pa kg yehuremu.

Zvinokwanisika kusuka matambudziko

Nepo kugeza mudumbu iri nzira yekuponesa hupenyu kune mumwe munhu atora yakanyanya dosi yechinhu chine chepfu, inogona kukonzeresa mamwe matambudziko. Chinojairika ndiko kushuvira kwemvura mumapapu, ayo anogona kupedzisira achikonzera mabayo, semuenzaniso.

Kuti udzivise njodzi iyi, maitiro acho anofanirwa kuitwa nemukoti uye munzvimbo yekugara, sezvo paine mukana mushoma wemvura inopfuura nemumhepo. Zvimwe zvinonetsa zvinogona kuitika zvinosanganisira kubuda ropa mudumbu, kuputika kwedokoriro kana kupora kwegurokuro, kunoda kurapwa nekukurumidza muchipatara.

Ndiani asingafanire kuita

Sarudzo yekugeza mudumbu inofanirwa kugara ichiongororwa nechikwata chekurapa, zvisinei, gastric lavage inopesana mumamiriro akadai se:

• Munhu asingazivi asina intubation;
• Kuiswa kwezvinhu zvinokanganisa;
• Kuvapo kwemahombekombe esophageal varices;
• Kuwedzeredza vhoriyamu yekurutsa neropa.

Uye zvakare, kana kuvhiya kwakaitwa padumbu, kugeza kunodawo kuongororwa zvakanaka, sezvo paine njodzi huru yezvinetso.