Kupopa mankhwala: ntchito, atakhala zida

Kupopa mankhwala cholinga wochapira m'mimba. Izo ntchito pa nthawi imene alipidwa mankhwala sapereka zotsatira ankafuna.

Ngati wodwala atchule mankhwala ndi njira m'kamwa sizingatheke kapena contraindicated, akhoza anaika rectum. Pakuti ichi cholinga mlingo mankhwala kupereka onse ambiri kanthu wamba. Mankhwala kanthu wamba, monga ulamuliro, ntchito zosiyanasiyana yotupa, localizing mu m'mimba. Pakuti enemas kanthu wamba monga matenda oopsa ndi mafuta. Nthawi zambiri, kuchita mankhwala, kupopa mankhwala kuthetsa kupotoza wa ku sigmoid m'matumbo.

Zikuonetsa kuti mankhwala kupopa:

- kuchotsa alimentary mankhwala ngalande kuwola nakweza nayonso mphamvu, mafinya, ntchofu, ziphe, amene kugwera mu intestine kudzera pakamwa;

- chosowa amasintha chithandizo cha enemas kapena kugwiritsa ntchito mankhwala ofewetsa tuvi;

- zazikulu atonic matumbo kutsekeka.

Contraindications kwa enemas kupopa pazikhalanso: pachimake ayankhe yotupa m'dera kumatako, neoplasms kugwa sitepe, pachimake matenda a m'matumbo, zotupa, matumbo ndi magazi muzituluka.

Kupopa mankhwala: staging zida

Kuchita njirayi ndi zofunika kukonzeketsera chigubu, malita khumi kapena khumi ndi awiri wa tizilombo toyambitsa matenda yankho (njira , chosawilitsidwa chubu 750 mm yaitali ndi sodium hydrogencarbonate) kapena saline ndi awiri a 15 mm. Pa mapeto lakunja la kafukufuku ndi chobvalidwa nyuzi, malo ku lita theka la madzi. Kutentha kwa njira wayikidwa dokotala. Nthaŵi iliyonse munthu, angakhale osiyana.

Kuchita ndondomeko mtima ndi ambiri anaika pa nsana kapena kumanzere, pansi pa matako Klenk kwenikweni enclose kapena Pochotsa absorbent. Kama kuika mtsuko wa madzi ndi ndowa kukhetsa zovalazo madzi kathebuloyo. Obweretsa mankhwala chiphunzitso imayamba ndi mawu oyamba mapeto a chubu mu rectum. Tisanafike apo, chotulukira kwadzaoneni topaka Vaselini, kenako mapeto a chubu patsogolo mwa 20-30 maganizo. Ngati ndi kotheka, malo a chubu chala chili chifukwa akhoza falitsani mu ampoule rectum.

Kupopa mankhwala, kapena m'malo nyuzi ake akhale pamwamba pa thupi wodwala mu malo otsamira. Mu ndondomeko ya kudzaza limatuluka pa thupi ndi kutalika kwa mita imodzi. Nkhani za nyuzi pang'onopang'ono akulowa intestine. Pamene mlingo madzi kufika nyuzi kuchepetsa, izo ndi adatchithisira pa beseni kapena ndowa. Mu malo oterowo mu hopper bwino apezeka wooneka wa ndowe ndi thovu la mpweya. Nkhani za nyuzi udzathiridwa mu mtsuko mudzaze izo kachiwiri ndi madzi.

Ndondomeko pamwamba akubwerezedwa kangapo kupeza oyera kusamba madzi ndi opanda mpweya kallovyh wt. Kukwaniritsa chimene mukufuna kungafune malita mpaka khumi ndi awiri a madzi. Pambuyo mwai onse kupopa mankhwala osambitsidwa ndi kupopera mankhwala.