Holoi ʻōpū: ke hōʻike ʻia a pehea e hana ai
Anter
ʻO ka lavage ʻōpū, i ʻike ʻia ʻo gastric lavage, kahi hana e ʻae iā ʻoe e holoi i loko o ka ʻōpū, e hoʻoneʻe i nā ʻike i komo ʻole ʻia e ke kino. No laila, hoʻohana maʻamau ʻia kēia kaʻina hana i nā hihia o ka ʻai ʻana i nā mea ʻona a hoʻonāukiuki paha, no ka mea ʻaʻohe lāʻau ʻaloʻalo a ʻaʻohe ʻano lapaʻau ʻē aʻe. Hoʻomaopopo i ka mea e hana koke ai inā loaʻa ka lāʻau make.
ʻO ke kūpono, pono e hana i ka lavage gastric ma waena o 2 mau hola o ke komo ʻana i ka lāʻau a pono e hana ʻia ma ka haukapila e kahi kahu maʻi a i ʻole kahi ʻoihana olakino ʻē aʻe e hōʻalo i nā pilikia e like me ka ʻiʻini o nā wai i loko o ka māmā.
Ke kuhikuhi ʻia
I ka hapanui o nā hihia, hoʻohana ʻia ka lavage gastric e hoʻomaʻemaʻe i ka ʻōpū i ka hihia o ke komo ʻana i nā koina kiʻekiʻe o nā mea a i ʻole nā lāʻau e hiki ai ke hōʻeha i ke kino, e like me
- Nā Antihypertensives, e like me propranolol a verapamil paha;
- Nā lāʻau antidepressants Tricyclic, e like me Amitriptyline, Clomipramine a i ʻole Nortriptyline.
Eia naʻe, ʻaʻole nā hihia āpau o ka lawe nui ʻia ʻana o kahi mea e pono ai ka gastric lavage. ʻO ke ala ʻoi loa e ʻike inā pono maoli kēia hana, a he aha ka mea e hana ai e hōʻemi i ka pilikia o nā pilikia, e nīnau aku i ka Pūnaewele ʻIke Kūʻē Kūʻē, ma 0800 284 4343.
ʻO ka liʻiliʻi pinepine, hiki i ka lavage ʻōpū ke hoʻohana ʻia e hakahaka i ka ʻōpū ma mua o nā hoʻokolohua diagnostics, e like me endoscopy, no ka laʻana. E ʻike hou aʻe e pili ana i ka endoscopy a ke pau.
Pehea e holoi ai i ka ʻōpū
Pono e holoi ka ʻōpū ma ka haukapila e kahi kahu maʻi a i ʻole kahi ʻoihana olakino i hoʻomaʻamaʻa ʻia. I ka wā o ke kaʻina hana, pono ka ʻoihana e hāhai i kēia mau kaʻina hana:
- Hoʻokomo i kahi ʻōpū gastric ma o ka waha a i ʻole ka ihu i ka ʻōpū;
- E hoʻomoe i ke kanaka a huli iā ia i ka ʻaoʻao hema, e kōkua ai i ka hoʻonele ʻana i ka ʻōpū;
- E hoʻohui i kahi syringe 100 mL i ka paipu;
- Wehe i nā ʻōpū o ka ʻōpū me ka hoʻohana ʻana i ka syringe;
- E kau 200 a 300 mL o saline mahana ma 38ºC i loko o ka ʻōpū;
- Wehe hou i nā ʻōpū āpau a hookomo hou i 200 a 300 mL o ke serum;
- E hana hou i kēia mau anuu a hiki i ka ʻike i wehe ʻia mai loko mai ka ʻōpū.
ʻO ka maʻamau, no ka loaʻa ʻana o kahi lavage gastric pololei, pono ia e hoʻohana a 2500 mL o ka paʻakai i ka wā o ke kaʻina holoʻokoʻa. I ka hihia o nā keiki, hiki ke hoʻololi i ka nui o ke serum ma waena o 10 a 25 mL o ka serum no kēlā me kēia Kg o ke kaupaona, a i ka palena o 250 mL.
Ma hope o ka holoi ʻana, pono ia e hoʻokomo ma waena o 50 a 100 mau huna huna o ka lanahu i loko o ka ʻōpū, i mea e pale ai i ka lawe ʻana i nā mea i koe i koe i ka ʻōpū. I ka hihia o nā keiki, ʻo kēia nui he 0.5 wale nō i 1 gram i kēlā me kēia kg o ke kaupaona.
Hiki i nā pilikia holoi
ʻOiai ʻo ka holoi ʻōpū kahi hana mālama ola no kekahi mea i lawe i kahi lāʻau kiʻekiʻe loa o kahi mea ʻona, hiki ke hana i kekahi mau pilikia. ʻO ka mea maʻamau ka ʻiʻini o ka wai i loko o nā akemāmā, kahi e hoʻopau ai i ka hopena i ka maʻi puluma, no ka laʻana.
I mea e hōʻalo ai i kēia makaʻu, pono e hana i ke kaʻina hana e kahi kahu a ma kahi noho, no ka mea, heʻuʻuku ka manawa o ka wai e hele ma waena o nā alaloa. ʻO nā pilikia ʻē aʻe e hiki ke komo i loko o ka gastric kahe ʻana, spasm o ka larynx a i ʻole ka perforation o ka esophagus, kahi pono e mālama ai i ka wā koke i ka haukapila.
ʻO wai ka mea pono ʻole e hana
ʻO ka hoʻoholo e hana i ka lavage ʻōpū pono e loiloi mau ʻia e kahi hui kauka, akā naʻe, cont conticated ka lavage gastric i nā hihia e like me:
- Kanaka ʻike ʻole me ka ʻole o ka hoʻopulapula;
- ʻAe ʻana i nā mea kūpikipiki;
- Ke kūʻana o nā varises esophageal mānoanoa;
- ʻO ka nui o ka luaʻi me ke koko.
Hoʻohui ʻia, inā ua hana ʻia ke kaha ma luna o ka gastrointestinal tract, pono e loiloi maikaʻi ʻia ka holoi ʻana, ʻoiai ʻoi aku ka nui o ka pilikia o nā pilikia.