Kungani Ukuguqulwa Kweqhwa (Ukuhlukanisa) Ngemva Kwezinqubo Zokuhlinzwa
Kuyinto engavamile ukuthi odokotela nabahlengikazi bangabonakala bekhathazekile kakhulu ngekhono lakho "lokudlula igesi" emva kokuhlinzwa. Kungaphezu kokucabangela ukubuza ukuthi kungani kukhona inzalo engavamile engathandekayo kulokho ngokuvamile okuyingxenye enhle yomuntu wokuphila kwansuku zonke. Yikholelwa noma cha, kukhona impendulo enhle kukho konke ukukhathazeka mayelana nekhono lakho lokukhipha igesi ngemuva kokuba ne- anesthesia .
Uma usubuyela endaweni yokunakekela i-post-anesthesia (PACU) , ungatshelwa ukuthi wazise umhlengikazi wakho uma udlula igesi. Esikhathini sokubeka izingane, ingane ingatshelwa ukuthi umhlengikazi angathanda ukwazi ukuthi "i-toot" noma "i-fart", engase ibangele amanye amahloni noma amahloni.
Kungani konke lokhu kugxile kwigesi edlula? Kunengqondo ngempela, kusho ukuthi awukwakhiwa i-Post-Operative Ileus (POI), isimo esingase sína.
Okwenza Izinto ZeGesi Emva Kokuhlinzwa
Ngemuva kokuhlinzwa, noma ngaphezulu, emva kwemithi enikezwa ngesikhathi sokuhlinzwa, kungenzeka ukuthi inkinga okuthiwa i-leus postoperative (POI) ingahle ikhule. Lokhu kungukubambezeleka kwe-motility ye-gastric - indlela yezokwelapha yokusho ukunyakaza kwamathambo akho okuhambisa izinto kusuka esiswini sakho ngokusebenzisa umgudu wokugaya. Ubunzima bungabuka ekunciphiseni okungaqondakali kokuthi ulungisa kanjani ukudla okunzima kakhulu okudinga ukwelashwa okubalulekile.
Ngokwemibandela elula, ileus postoperatif kusho ukuthi kuthatha amathumbu akho isikhathi eside ukuvuka kusuka anesthesia kunabo bonke abanye. Ikhono lokudlula igesi kuyisibonakaliso esicacile sokuthi isisu sakho sesisu sisukuma nokuthi i-POI yayingakaze ibe khona noma iphuthumayo. Yingakho abahlengikazi nodokotela bekhathalela ukuthi ngabe udlula yini igesi emahoreni emva kokuhlinzwa .
Kuwuphawu lokuthi izitho zakho zokugaya zibuyela esimweni sabo esivamile.
Ngezinye izindlela zokuhlinza, isiguli senza isilungiselelo sezinyosi ngaphambi kwenqubo, ehlanza isitembu emathunjini. Kulezi ziguli, zingase zibe nezinsuku ezimbalwa ngaphambi kokuba zibeke, igesi elidlulayo lingenye yezimpawu zokuqala zamathumbu azovuka.
Uma kwenzeka ukwelashwa okwelashwa , kudinga igesi edlula ngaphambi kokuba ukwazi ukubuyela ekhaya. Abasebenzi abafuni ukukuthumela ekhaya ngenkinga enkulu, ngakho-ke ungacabangi ngisho nangokushisa, ubazise uma usuphelile ngempumelelo igesi.
Izimbangela
Abacwaningi abavumelani ngokuthi kungani i-ileus esebenzayo isebenza. Enye imfundiso yukuthi uhlelo lomzwelo oluzwelayo, oluvame ukunciphisa inani lokunyakaza olwenziwe ngamathumbu, okwamanje linamandla okulawula amathumbu kunesimiso se- nervympathetic senzwa , okwandisa ukuhamba kwamathumbu.
Enye imibono iphakamisa ukuthi i-POI ibangelwa ngesikhathi sezinsizwa ngokusebenzisa amathumbu ngesikhathi sokuhlinzwa, njengokubakhuthaza endleleni yokufinyelela ezinye izakhiwo zomzimba noma ukwenza ukuhlinzwa ngokuqondile kubo. Lokhu kuqala ukusebenza komzimba lapho amangqamuzana amhlophe egazi emathunjini evuselelwa umsebenzi wokuhlinza bese enza ezinye izinhlobo zamaseli ukuba athuthele endaweni.
Ezinye izinkolelo zikhomba ukungalingani kwe-electrolyte kanye nokusetshenziswa kwe-opioids yokulawula ubuhlungu.
Impendulo kungenzeka ukuthi i-POI ingabangelwa yizinkinga ezingaphezu kweyodwa, futhi ngamunye ngamunye uyathinteka ngokukhethekile yizici. Umuntu oyedwa angakwazi ukuthatha imithi yobuhlungu ngaphandle kobunzima futhi omunye uzothola ukuqotshwa okukhulu kanye neleus lapho ethatha imithi yobuhlungu.
Izimpawu
Kulezi ziguli eziningi, ukubambezeleka kwe-motility ye-gastric kufushane, kepha kwabanye, ukucindezeleka kudinga ukuhlala esibhedlela isikhathi eside kunalokho okuhlosiwe. Kulezo ziguli, izimpawu ze-ileus zingase zibe nzima kakhulu.
- I-nausea
- Ukuvimbela
- Ukuvota
- Ububele besisu noma ubuhlungu
- Ukuhamba kwegesi / isitoreji kuyasheshiswa noma akunakwenzeka
Izingozi Zezingozi
Iziguli ezenziwa ukuhlinzwa ezidinga ukuphathwa kwamathumbu noma ukuhlinzwa okwenziwe emathunjini zisengozi enkulu yokuthuthukisa i-leus postoperative. Ubukhulu be-POI bungabuye banda kulezi ziguli. Iziguli ezithola imithi yama- opioid yokuphumula ubuhlungu nazo zingengozini enkulu yokuthuthukisa i-POI, njengoba kunjalo neziguli ezivele zinezinkinga ngamathumbu azo.
Ukuvimbela
Nakuba ukuvimbela i-ileus yoku-postoperative kungase kungabi nakwenzeka ngokuphelele, kunezindlela zokunciphisa ingozi. Iziguli ezithola i- anesthesia ye-epidural kune- anesthesia ejwayelekile ngokuvamile zilulame ngokushesha kulokhu kunzima. Ngokuvamile, ama-anesthesias alula angabangela amathuba athile we-POI.
Amasu amancane angenayo futhi anganciphisa isikhathi seleus postoperative uma kuqhathaniswa namasu okuhlinzeka ngokwendabuko. Isikhathi esincane ngaphansi kwe-anesthesia nomthelela omncane emzimbeni kungase kube isizathu esizwakalayo sokuthi ukuhlinzwa okuncane okungavumelekile kuholele ku-POI encane esigabeni sokutakula.
Esinye sezixazululo ezilula, esibonisa isithembiso ekucwaningweni kocwaningo, kungase kube ukuhlafuna i-gum ngemuva kokuhlinzwa. Ucwaningo oluthile lwamanje lubonise ukwehla esikhathini se-ileus postoperative ezigulini ezazihlafuna i-gum futhi kwakukhona ubufakazi bokuthi ukuhlala kwabo esibhedlela kwakumfushane kunama-chewers. Ukuhamba ngemva kokuhlinzwa, njenge-gum chewing, kuyindlela elula yokusiza ukunciphisa ubunzima bezimpawu futhi ukusheshisa ukubuya okujwayelekile.
Izwi elivela
Kungase kungavamile ukuba ukhulume ngokubhekisana nokuphila kwakho usuku nosuku, noma ungase ukhululekile ngokuphelele ukukhuluma ngama-toots nama-stinkers, noma ngabe usuku lokuhlinzeka kwakho usuku lokukhululeka ukukhuluma ngemisebenzi yakho yomzimba.
Thembeka nabasebenzi abahlinzayo ngokuthi ngabe usuqedile yini igesi noma uhamba ngokuhamba. Okunye okunye okumele ukwenze kungase kube ileus ye-postoperative engatholakali ngesikhatsi esifanele, okuyinto engeyona indlela enhle yokuqala ukutakula.
Umthombo:
> Alavi, Karim. UCarol, uJames. I-Pathogenesis ne-Management of Ileus Postoperative. I-Clin Colon Rectal Surg. 2009 Feb; 22 (1): 47-50. i-doi: 10.1055 / s-0029-1202886.