Hauhawar jini a cikin jijiya tare da ciwon sukari yana tasowa koyaushe. Ainihi, haɓakar matsin lamba yana faruwa lokacin da rikitarwa irin su nephropathy ya bayyana akan asalin cutar glycemia na kullum.
Hauhawar jini ga masu ciwon sukari yana da haɗari a cikin wannan na iya haifar da asarar hangen nesa, gazawar koda, bugun jini, ko bugun zuciya. Don hana sakamakon da ba a so, yana da mahimmanci don daidaita hawan jini a cikin lokaci.
Hanya mai sauƙin tasiri tare da babban matakin hawan jini shine hauhawar jini. Hanyar yana da sakamako mai laxative mai sauri, yana kawar da ruwa mai yawa daga jiki, kuma yana rage matsa lamba. Amma kafin amfani da irin wannan jan hankali, yakamata a bincika fasalin halayensu kuma ku san kanku da maganin hana ƙwayoyin cuta.
Menene enema mai hauhawar jini?
A cikin magani, bayani na musamman ana kiran shi hypertonic. Matsinsa na osmotic ya fi karfin jini na yau da kullun. Ana samun sakamako na warkewa ta hanyar haɗuwa da hanyoyin magance isotonic da hauhawar jini.
Lokacin da aka haɗu da nau'ikan ruwa biyu, aka raba ta da membrane semipermeable (a cikin jikin mutum waɗannan sune membranes of sel, hanji, jijiyoyin jini), ruwa a cikin kimiyyar lissafi yana shiga cikin maganin sodium bisa ga ɗanɗano hankali. Wannan ka'idodin ilimin likita shine tushen amfani da enemas a cikin aikin likita.
Ka'idar hanya don kwantar da hawan jini ya yi kama da wanda aka yi amfani da shi wajen ƙirƙirar enema na al'ada. Wannan bayani mai narkewa a cikin hanji da kuma jijiyoyin jijiyoyin jiki na gaba yayin motsawar hanji.
Irin wannan juyawar yana da inganci tare da kumburi mai yawa na etiologies da maƙarƙashiya. Don saka enema mai hauhawar jini, yawanci suna amfani da ƙugiyar Esmark. Yana yiwuwa a yi amfani da pad ɗin dumama na musamman tare da tiyo da tip.
Hyma mai yawan hauhawar jini yana cire ruwa mai yawa daga jiki, wanda hakan yasa aka sami sakamako mai illa, kuma basur ya warware. Hakanan hanyar tana taimakawa wajen daidaita matsin lamba na ciki.
Ab Adbuwan amfãni na da enema hauhawar jini:
- aminci gwadawa;
- sauƙi na aiwatarwa;
- babban tasiri na warkewa;
- girke-girke mai sauƙi.
Yawancin likitoci sun yarda cewa enema tare da hauhawar jini yana rage karfin hawan jini da sauri fiye da gudanar da maganin baka na magungunan antihypertensive. Wannan ya faru ne saboda gaskiyar cewa maganin magani yana shiga cikin hanji cikin hanzari, sannan ya shiga cikin jini.
Iri mafita da hanyoyin don shiri
Ta hanyar alƙawura, enemas sun kasu kashi biyu zuwa giya (abubuwa na psychotropic abubuwa), tsaftacewa (hana faruwar cututtukan hanji) da warkewa. Latterarshe suna ba da shawarar gabatarwar magunguna a cikin jiki. Hakanan, ana iya amfani da mayuka daban-daban don aikin, waɗanda ke da tasiri musamman maƙarƙashiya.
Ana aiwatar da enema mai hauhawar jini tare da mafita daban-daban, amma magnesium sulfate da magnesium sulfate galibi ana amfani dasu. Ana samun waɗannan abubuwa a kowane kantin magani. Kusan suna ƙara matsa lamba na osmotic, wanda ke ba su damar cire ruwa mai yawa daga jiki. An daidaita yanayin mai haƙuri na mintina 15 bayan aiwatar da maganin warkewa.
Za'a iya shirya maganin hypertonic a gida. Har zuwa wannan, shirya 20 ml na distilled ko Boiled ruwa (24-26 ° C) kuma narke tablespoon na gishiri a ciki.
Abin lura ne cewa a cikin tsarin samar da maganin gishiri, yana da kyau a yi amfani da jita-jita da aka yi da enamel, yumbu ko gilashi. Don haka m sodium ba zai amsa tare da kayan ba.
Tunda gishiri yana sa mucosa na hanji, don taushi da aikinta, ƙara zuwa mafita:
- glycerin;
- kayan ado na ganye;
- kayan lambu.
Don shirya sinadaran abinci don enema mai hauhawar jini na dattijo, ana amfani da petrolatum, sunflower ko man zaitun. A cikin 100 ml na tsarkakakken ruwa ƙara 2 babban tablespoons na man.
Manuniya da contraindications
Ana aiwatar da tsafta tare da isotonic da mafita na jini don daidaita yanayin alamu na hawan jini. Koyaya, enema na iya zama mai tasiri a wasu yanayin mai raɗaɗi.
Don haka, an nuna hanya don tsananin maƙarƙashiya da atonic, ƙara yawan ƙwayar intracranial ko matsa lamba na ciki, guba na etiologies daban-daban. Hakanan, an wajabta amfani da magudi idan akwai wani dysbiosis, sigmoiditis, proctitis.
Ana iya aiwatar da enema mai hauhawar jini tare da cututtukan zuciya da cututtukan koda, basur, helminthiases na hanji. Wata hanya kuma an wajabta ta kafin gwaji ko bincike.
Hanyar tsarkakewar hanji na ciki yana contraindicated a cikin:
- hypotension;
- zub da jini a cikin narkewar abinci;
- cutar ciwace-ciwacen daji, polyps da aka sanya cikin hanjin narkewa;
- peritonitis ko appendicitis;
- tafiyar matakai masu kumburi a cikin yankin anorectal (fistulas, fissures, ulcers, basur a cikin ciwon sukari, kasancewar raunuka a cikin yankin anorectal);
- prolapse na dubura;
- tsananin rauni na zuciya;
- ciwan ciki.
Hakanan, hanyar hypertonic enema yana contraindicated idan akwai gudawa na zawo, zafin ciki na etiologies daban-daban, hasken rana ko zafi mai zafi, da tashin hankali na daidaitawar ruwa-electrolyte.
Ba da shawarar yin aikin tare da ciwon sukari ba.
Shiri da dabara na enema
Bayan an shirya maganin hypertonic, ya kamata ku shirya sosai don hanya. A farkon, kuna buƙatar ajiye tare da pear enema, ƙugiyar Esmark ko silar Janet.
Hakanan kuna buƙatar buɗaɗɗun kwano ko kwano, wanda za'a yi amfani da shi don ɓacewa. Don amfani da lafiyar likitanci, kuna buƙatar siyan mayafin likitanci, safofin hannu, ethanol, jelly.
Babban kujera wanda mara lafiya zai kwanta ya rufe shi da mayafin mai, kuma a saman tare da takardar. Lokacin da aka kammala aikin shirye-shiryen, ci gaba zuwa aiwatar da aikin kai tsaye.
Algorithm don saita enema mai hauhawar jini ba rikitarwa ba ne, saboda haka, ana iya yin amfani da maniyyi duka a asibiti da kuma a gida. Kafin a aiwatar, ana bada shawarar a cire komai hanjin.
Da farko, ya kamata a magance matsalar maganin zuwa digiri 25-30. Kuna iya sarrafa zazzabi tare da ma'aunin zafi da sanyio mai sauƙi. Sannan mai haƙuri ya kwanta akan gado a gefen hagunsa, ya sunkuyar da gwiwoyinsa, yana jan su zuwa ga peritoneum.
Dabarar don saita enema mai hauhawar jini:
- Likitan jinya ko mutumin da ke yin aikin tsarkakewa yana sanya dunƙule kuma yana sa mai ƙamshin farin ciki tare da Vaseline kuma ya gabatar da shi a cikin yankin anal.
- A cikin motsi, madaidaiciyar dole ne a haɓaka ta cikin dubura zuwa zurfin 10 cm.
- Sannan a hankali an gabatar da maganin hauhawar jini.
- Lokacin da enema ta zama fanko, mara lafiya yayi birgima a bayansa, wanda hakan zai taimaka masa ya kiyaye maganin kamar mintuna 30.
Ya kamata a sanya kwano kusa da babban kujera inda mai haƙuri ya kwanta. Sau da yawa, sha'awar ta ɓarke na faruwa a cikin mintina 15 bayan kammalawar. Idan hauhawar jini mai ƙima sosai an yi shi daidai, to akan lokaci kuma bayan hakan bai kamata ya faru da jin daɗin ji daɗi ba.
Bayan hanyar, koyaushe wajibi ne don aiwatar da tip ko bututu na kayan wuta da ake amfani dashi. Har zuwa wannan, kayan sun narke na minti 60 a cikin maganin chloramine (3%).
Tsarin tsabtacewa, hauhawar jini, siphon, mai gina jiki, magunguna da enema ana yin su ne kawai a yanayin likita. Tunda don magudi na likita zaku buƙaci tsarin musamman wanda ya haɗa da roba, bututu na gilashi da ƙusoshin ruwa. Bugu da ƙari, ƙwayoyin abinci masu gina jiki na kowane irin sukari suna rikicewa saboda glucose yana cikin mafita.
Idan an ba da enema mai hauhawar jini ga yara, to yakamata a yi la'akari da adadin lambobi:
- Natsuwa da girma daga cikin mafita yana raguwa. Idan ana amfani da sinadarin sodium chloride, to za a buƙaci 100 ml na ruwa, kuma lokacin amfani da magnesium sulfate, ana buƙatar ruwa na 50 ml na ruwa.
- Yayin aiwatar da aikin, yakamata a ɗora yaron a kan bayansa.
- Hanya don yin amfani da manipulations ta amfani da enema ko pear daidai yake da wanda aka bayyana a sama, amma lokacin amfani da siphon enema, algorithm ya bambanta.
Side effects
Ana bada shawarar enema mai hauhawar jini har zuwa sau ɗaya a mako. Bayan haka, maganin sodium yana bushewa da mucosa na hanji, wanda yawanci yakan haifar da kirkirar fasa a cikin sashin jiki.
Bayan wannan nau'in enema, kamar yadda tare da kowane magudi na likita, yawancin sakamako masu illa na iya faruwa. Abubuwan da ba a sani ba suna bayyana tare da amfani da kullun akan tsarkakewar enema.
Don haka, hanyar tana iya haifar da spinal na hanji da kuma yawan farjinta, wanda zai ba da gudummawa ga jinkirin maganin allura da kuma jijiyoyin jiki. A wannan yanayin, ganuwar hanji tana yaduwa, kuma karfin gwiwa na ciki na kara girma. Wannan yana haifar da fashewa da kumburi mai kumburi a ƙashin ƙugu, yana haifar da katsewa daga adhesions da kuma shigar azzakarin cikin zuciyar su ta cikin faruwar cutar.
Maganin sodium yana haushi da hanji, wanda ke ba da gudummawa ga koyon microflora. Sakamakon haka, ciwo na kullum ko dysbiosis na iya haɓaka.
Yaya aka bayyana enema mai hauhawar jini a cikin bidiyon a wannan labarin.
