Ukukhupha abantwana kunye nemithetho yokuziphatha kwabo

I-Enema, njengenye yezixhobo zonyango, inokuba yimfuneko kubantwana nanini na ubudala. Kwiinyanga zokuqala zobomi, umntwana unokufumana iingxaki zokugaya ukutya ngenxa ye-microflora engaqhelekanga encedayo ukutya ukutya. Kulo thuba lobomi bentsana ebonakalayo ibaluleke kakhulu. Kule nqaku, sibheke ukuba yeyiphi inxaxheba kubantwana kunye nemithetho yokuziphatha kwabo.

I-enema yinkqubo yokuqaliswa kwamanzi kwi-rectum ngenjongo yokuxilongwa okanye unyango. Isingeniso kwi-rectum yamanzi athile okhethekileyo ngenjongo yokuqhuba uvavanyo lwe-X-ray kuthiwa yi-enema diagnostic. I-enema yokunakekelwa yinkqubo efanayo, apho isilungiso, ukucoceka, okunomsoco kunye nokulungiselela amachiza kunye nezonyango kusetyenziswa.

Imithetho yokubamba i-enemas.

Ukwenza i-enema yomntwana omncinci, iiflethi ezincinci zerabha zamehlo afane neefowuni zisetyenzisiweyo, ezibizwa ngokuba ngama-syringes. Ama-douches aza neengcebiso eziphambili zeplastiki okanye iingcebiso ezithintekayo zerabha, ezifana nokuqhubeka kwesirinji. Ama-Douches afumaneka kwiimitha ezivela kwi-30 ukuya kwi-360 milliliters.

Ukuthabatha i-enema yomntwana osweleyo kufuna iindlela ezithile ezizodwa zokwenziwa. Okokuqala kuyimfuneko ukubilisa isirinji imizuzu engama-30 ukuyilisa. Emva koko kufuneka ufumane umlinganiselo ofanelekileyo wombane kwaye ugcobe iphoyinti yesirinji ngeoli engcolileyo yemifuno okanye i-cream cream. Emva koko kuyimfuneko ukukhulula umoya kwisirinji - ngenxa yale nto kufuneka uphendule i-syringe tip up, kwaye cindezela ngokukhawuleza phantsi. Emva koko, umntwana kufuneka abekwe kwicala lesobunxele, aguqe imilenze emadolweni kwaye, aqhube amathambo akhe ngaphandle, faka ngokucophelela intonga yesirinji ngaphakathi ngaphakathi kwi-3 ukuya kwe-5 cm. Ekuqaleni kwejoyi, isalathiso kufuneka sithunyelwe (2 cm), kwaye emva kokudlula i-sphincters yangaphandle kunye yangaphakathi , kwi-2 cm ye-3 cm yezantsi kwaye ucinezela phantsi kwe-syringe ngokukhawuleza, uthele i-liquid kwi-rectum. I-sphincter ibizwa ngokuba yiimisipha zetyhula ezixinzezelayo nokwandisa i-lumen ye-rectum.

Kubalulekile ukuqapha ukuphefumula komntwana, kuba ukufakwa kwamanzi kuqhutyelwa kuphela kwi-inhalation. Emva kokuphela kwenkqubo, isicatshulwa ngokucophelela ngaphandle, kwaye amacandelo omntwana kufuneka acaciswe malunga nomzuzu. Emva koko kuyimfuneko ukubeka umntwana emva, uze uqale kuqala kwicala, ecaleni kwesisu ukwenzela ukuba i-fluid isasazeke ngamathumbu.

Kubantwana emva kweminyaka emithathu yokulingana akwanele, kwaye apha i-enema isetyenziselwa ikg ye-Esmarch. Umug i-cylinder ye-rubber ene-1, 5-2 ilitha, exhunywe kwisibonda sethubhu ende. Kwibhubhu kukho intambo ekhethekileyo, okanye umpompo wokulawula izinga lokudla kwamanzi. Emva kwe-enema, umntwana kufuneka alele kwiindawo ezahlukeneyo (ngasemva, emacaleni, ngesisu) imizuzu eyi-10 ukuphucula i-peristalsis.

Iintlobo zeenemas.

Ukucocwa kwe-enemas kusetyenziswa ukuphazamiseka kokugaya (ukubhubhisa, ukumbombola), ngaphambi kokunyanga kweyeza, kungekudala ngaphambi kovavanyo lwephepha lokutya.

Ukucosa i-enema iqulethwe, ifudumale kwiqondo lokushisa lama-33 - 35C amanzi. Ubungakanani bamanzi kwi-enema yokucoca ixhomekeke ngqo kwisisindo kunye nobudala bomntwana. Amanani anjengeendlela ezilandelayo: ukufikelela kwisiqingatha sonyaka wama-30-60 ml; ukususela kwiinyanga ezili-6 ukuya kwezi-12-ukuya kwi-150 ml; ukususela kunyaka omnye ukuya kwiminyaka emibini - ukuya kwi-200 ml; 2 - 5 iminyaka - 300 ml; Iminyaka emi-5 ukuya kweyesi-9-400 ml, kunye neminyaka engaphezu kwe-10 - 0, 5 ilitha. Abantwana abakhulileyo bangasebenzisa amanzi ngokupholile.

Ukwandisa impembelelo ye-enema yokuhlambulula abantwana abaselula abangaphantsi kweminyaka engama-1, faka i-oyile encinane yemifino emanzini okanye kungabi ngaphezu kwe-1 ithisipuni ye-glycerin.

Xa kufezekile ukuhlanjululwa kubalulekile ukukhumbula: xa imeko yesifo esiqatha (appendicitis, ukuphazamiseka, ukubambisana), izifo ezahlukahlukeneyo ze-rectum, i-purmative enemas zichasene.

Abantwana asebekhulile baphathwe ngokukhupha izibilini ezilungele ukumbombozwa okubangelwa sisifo se-intestinal musculature. Iinjongo ezinjalo zinokuba yi-glycerin kunye neoli-i-oyile ye-oememas iyabangela ukucaphuka komzimba we-intestinal mucosa, iyomeleza i-peristalsis yayo kwaye iququzelele inkqubo yokuxhamla. Ezi zinjalo zingasetyenziselwa unyango lokuvuvukala emathunjini.

I-enema ephumayo iqukethe i-40 - 180 ml yeoli yemifuno eshushu, okanye i-5 -10 ml ye-glycerin yahlanjululwa. Iiyure ezimbalwa emva kwe-enema, isihlalo sibonakala. Ukuba i-enema yenziwa ngokuhlwa, ngoko isihlalo siya kuba sekuseni ekuseni.

I-variant ye-enema ye-laxative yi-hypertonic 10% isisombululo setyuwa yetyuwa (10 g ityuwa nge-100 g yamanzi). Inema enjalo ithatha amanzi kwaye ihlambulule amathumbu. Ukuba kukho i-peristalsis engabonakaliyo, engenzi negalelo ekukhuthazeni isitoli (ngokuthiwa kuthiwa yi-atonic constipation), le enema ifaneleka kakuhle.

Xa usebenzisa i-cemetery ekhethekileyo, isetyenziselwa ukuba ujobe ngokuchanekileyo inani lemithi enesirinji. Iimpawu zezokwelapha zenziwa kuphela kwimaminithi engama-30 ukuya kwimizuzu engama-40 emva kokuhlanjululwa kwe-enema, ukuqinisekisa ukuxhamla okupheleleyo kweziyobisi ngamathumbu.

Ngokuhlanza okuqhubekayo, ukunyusa okunesondlo kwenziwa. Ziquka iindlela ezahlukeneyo zesisombululo kunye nezisombululo ezibuthathaka ze-glucose.