I-Arterial hypertension nesifo sikashukela iba kaningi. Ngokuyisisekelo, ukwanda kwengcindezi kwenzeka lapho ukuvela kwezinkinga ezinjenge-nephropathy kuphambana nesizinda se-glycemia esingamahlalakhona.
I-Hypertension yabanesifo sikashukela iyingozi ngoba kungaholela ekulahlekelweni kombono, ukwehluleka kwezinso, ukugwazwa noma ukuhlaselwa yisifo senhliziyo. Ukuze uvikele imiphumela engathandeki, kubalulekile ukwenze umfutho wegazi ube ngesikhathi esifanele.
Indlela emnene futhi ephumelelayo nenamazinga aphezulu wegazi yi-enert hypertonic. Inqubo inomphumela osheshayo we-laxative, isusa uketshezi oluningi emzimbeni, futhi inciphise ingcindezi ye-intracranial. Kepha ngaphambi kokuguqukela kulokho kunyanga, kufanele ufunde izici zokuziphatha kwabo futhi uzijwayeze ngemininingwane yokuphikisana.
Yini i-enema yegazi elinamandla?
Kwezokwelapha, isixazululo esikhethekile sibizwa ngokuthi yi-hypertonic. Umfutho we-osmotic wakhe mkhulu kunomfutho wegazi ojwayelekile. Umphumela wokwelapha utholakala ngokuhlanganisa izixazululo ze-isotonic ne-hypertonic.
Lapho izinhlobo ezimbili zotshwala zihlanganiswa, zihlukaniswe yi-membipane ethathekayo (emzimbeni womuntu lezi ziyizingqimba zamangqamuzana, amathumbu, imithambo yegazi), ukuhlangana kwamanzi emzimbeni okungena kusisombululo se-sodium kusuka kwisixazululo somzimba. Le mfundo ngokomzimba iyisisekelo sokusetshenziswa kwe-enemas kwezokwelashwa.
Isimiso senqubo yokuqinisa umfutho wegazi siyefana naleso esisetshenziswe ekwakhiweni kwengoma evamile. Le khambi lokugcwalisa emathunjini kanye nokukhishwa okulandelayo koketshezi ngesikhathi sokuhamba kwamathumbu.
Ukukhohlisa okunjalo kuyasebenza ngokuvuvukala okukhulu kwemithi ehlukahlukene nokuqunjelwa. Ukubeka i-enema ye-hypertensive, bavame ukusebenzisa mug ka-Esmark. Kungenzeka ukusebenzisa i-pad yokufudumeza ekhethekile nge-hose nesiphu.
I-enema ye-Hypertensive isusa amanzi amaningi emzimbeni, ngenxa yokuthi umphumela we-hypotensive utholakala, futhi kuxazululwa ama-node hemorrhoidal. Inqubo futhi isiza ukuguqula ukucindezela kwe-intracranial.
Izinzuzo ze-enema yegazi elikhulu:
- ukuphepha okuqhathaniswa;
- ukukhululeka kokuqalisa;
- ukusebenza kahle kwezokwelapha;
- iresiphi elula.
Odokotela abaningi bayavuma ukuthi i-enema ene-hypertension yehlisa umfutho wegazi ngokushesha okukhulu kunokuphathwa ngomlomo kwemithi ye-antihypertensive. Lokhu kungenxa yokuthi isixazululo sokwelashwa sidonswa masinyane emathunjini, bese singena egazini.
Izinhlobo zezisombululo nezindlela zokulungiselela kwabo
Ngokuqokwa, i-enemas ihlukaniswe ngotshwala (i-excrete psychotropic zvinhu), ukuhlanza (ukuvimbela ukuvela kwezifo zamathumbu) kanye nokwelapha. Lesi sakamuva sibonisa ukwethulwa kwezixazululo zokwelapha emzimbeni. Futhi, uwoyela ahlukahlukene angasetshenziselwa inqubo, asebenza kakhulu ukuqunjelwa.
I-enema ye-Hypertensive yenziwa nezixazululo ezihlukile, kepha i-magnesium sulfate ne-magnesium sulfate zivame ukusetshenziswa. Lezi zinto zitholakala kuwo wonke amakhemisi. Bacishe bandise ngokushesha ingcindezi ye-osmotic, ebavumela ukuthi bakhiphe amanzi ngokweqile emzimbeni. Isimo sesiguli senziwa ngendlela ejwayelekile imizuzu eyi-15 ngemuva kokuqaliswa kokusebenzisa amandla okwelapha.
Isixazululo se-Hypertonic singalungiswa ekhaya. Ukuze wenze lokhu, lungiselela u-20 ml wamanzi agcobhoziwe noma abilisiwe (24-26 ° C) bese usula isipuni sikasawoti kuyo.
Kuyaphawuleka ukuthi lapho usalungiselela isixazululo se-saline, kungcono ukusebenzisa izitsha ezenziwe ngokhilimu, i-ceramic noma ingilazi. Ngakho-ke i-sodium enolaka ngeke isabele ngezinto zokwakha.
Njengoba usawoti uthukuthelisa i-mucosa yamathumbu, ukuthambisa isenzo sayo, engeza kwikhambi:
- glycerin;
- decoctions amakhambi;
- uwoyela wemifino.
Ukulungiselela isixazululo sokondlayo we-enema yomuntu okhulile, i-petrolatum, i-sunflower noma i-olive yamafutha. Ku-100 ml wamanzi ahlanzekile engeza izipuni ezimbili zikawoyela.
Izinkomba kanye ne-contraindication
Ukuhlanzwa ngezixazululo ze-isotonic ne-hypertonic kwenziwa ngendlela yokuthi izinkomba zokucindezela kwegazi zenziwe ngokwejwayelekile. Noma kunjalo, i-enema ingasebenza kwezinye izimo ezibuhlungu.
Ngakho-ke, inqubo iboniswa ukuqunjelwa okunamandla futhi kwe-atonic, ukukhushulwa kwengcindezi ye-intracranial noma ye-intraocular, ubuthi be-etiologies ehlukahlukene. Futhi, ukukhwabanisa kunqunyelwe esimweni se-dysbiosis, sigmoiditis, proctitis.
I-enema ye-Hypertensive ingenziwa nge-cardiac ne-reema edema, hemorrhoid, helminthiases yamathumbu. Enye inqubo enqunyelwe ngaphambi kokuhlolwa noma kokuhlinzwa.
Indlela yokuhlanzeka kwamathumbu enamazinyo ifakwe ku-:
- hypotension;
- ukopha emgodini wokugaya ukudla;
- amathumba amlimazayo, ama-polyps enziwe endaweni yokugaya ukudla;
- i-peritonitis noma i-appendicitis;
- izinqubo zokuvuvukala endaweni ye-anorectal (fistulas, fissures, ulcers, hemorrhoids in sikashukela, ukuba khona kwezilonda endaweni ye-anorectal);
- ukwanda kwe-rectum;
- ukwehluleka kwenhliziyo okukhulu;
- isilonda esiswini.
Futhi, indlela ye-hypertonic enema is contraindicated uma kwenzeka isifo sohudo, ubuhlungu besisu bobuchwepheshe obahlukahlukene, ukushiswa kwe-solar noma i-thermal, nokuphazamiseka kokulingana kwamanzi-electrolyte.
Akunconyelwe ukwenza inqubo nesifo sikashukela.
Indlela yokulungiselela kanye ne-enema
Ngemuva kokuthi isixazululo se-hypertonic isilungisiwe, kufanele ulungiselele ngokucophelela inqubo. Ekuqaleni, udinga ukufaka phezulu nge-enema ephakathi, isigaxa sika-Esmark noma isiponji sikaJanet.
Uzodinga nomcengezi omkhulu noma isitsha, esizosetshenziselwa ukungasebenzi. Ukukhohlisa ngendlela yezempilo, udinga ukuthenga i-oyela yezokwelapha, amagilavu, i-ethanol, i-petroleum jelly.
Umbhede lapho isiguli sizolala kuwo umbozwe nge-oyela, nangaphezulu ngeshidi. Lapho isigaba sokulungiselela sesiphothuliwe, qhubekisela ekusebenzeni ngqo kwenqubo.
I-algorithm yokusetha i-enema enegazi ayinkimbinkimbi, ngakho-ke, ukukhohlisa kungenziwa zombili emtholampilo nasekhaya. Ngaphambi kwenqubo, kunconywa ukuthulula amathumbu.
Okokuqala, ikhambi lokwelashwa kufanele lishiswe ngama-25-30 degrees. Ungalawula izinga lokushisa nge-thermometer elula. Ngemuva kwalokho isiguli silala embhedeni ohlangothini lwesobunxele, siguqe ngamadolo, sidonsele e-peritoneum.
Isu lobuciko bokumisa i-enema yegazi elikhulu:
- Umhlengikazi noma umuntu owenza inqubo yokuhlanza ubeka amagilavu futhi agcoba ithiphu le-enema ngeVaseline futhi ayingenise endaweni ye-anal.
- Ekuhambeni okuyindilinga, ichopho kufanele lithuthukiselwe ku-rectum ukuya ekujuleni kwe-10 cm.
- Ngemuva kwalokho isixazululo se-hypertonic silelwa kancane kancane.
- Lapho i-enema ingenalutho, isiguli kufanele sidlule emhlane wakhe, okuzomsiza ukuthi agcine isixazululo cishe imizuzu engama-30.
Isigaxa kufanele sibekwe eduze kombhede lapho isiguli silala khona. Imvamisa, isifiso sokuduka senzeka emizuzwini eyi-15 ngemuva kokuqedwa kwenqubo. Uma i-enema ye-hypertensive yenziwa kahle, khona-ke ngesikhathi nangemuva kwayo akumele kwenzeke imizwa engathandeki.
Ngemuva kwenqubo, ngaso sonke isikhathi kuyadingeka ukucubungula isiphu noma ishubhu lengubo esetshenzisiwe. Kuze kube manje, imishini imanzi imizuzu engama-60 kusisombululo se-chloramine (3%).
Ukuhlelwa kokuhlanza, i-hypertonic, i-siphon, okunempilo, i-enema yokwelapha neyamafutha kwenziwa kuphela ezimeni zezokwelapha. Kusukela ngokukhohlisa kwezokwelapha uzodinga uhlelo olukhethekile olufaka irabha, ishubhu lengilazi kanye ne-funnel Ngaphezu kwalokho, i-enemas enempilo yanoma yiluphi uhlobo lwesifo sikashukela i-contraindised ngoba i-glucose ikhona kusisombululo.
Uma i-enema ye-hypertensive inikezwa izingane, khona-ke ama-nuances amaningi kufanele abhekwe:
- Ukuqoqwa kanye nevolumu ikhambi kunciphisa. Uma kusetshenziswa i-sodium chloride, kuzodingeka i-100 ml koketshezi, kuthi lapho usebenzisa i-magnesium sulfate, u-50 ml wamanzi uzodingeka.
- Ngesikhathi senqubo, ingane kufanele ibekwe ngokushesha emhlane wakhe.
- Indlela yokwenza amandla ngokusebenzisa i-enema evamile noma iparele iyafana nale echazwe ngaphezulu, kepha uma usebenzisa i-siphon enema, i-algorithm ihlukile.
Imiphumela emibi
I-Enema ene-hypertensive iyanconywa kuze kube kanye ngesonto. Ngemuva kwakho konke, ikhambi le-sodium liyomisa i-mucosa yamathumbu, okuvame ukuholela ekwakhiweni kokuqhekeka esitho.
Ngemuva kwalolu hlobo lwe-enema, njenganoma yikuphi ukukhohlisa kwezokwelapha, imiphumela emibi eminingana ingavela. Imiphumela emibi ivela ngokusetshenziswa njalo kwe-enema yokuhlanza.
Ngakho-ke, inqubo ingaholela ekugudleni kwamathumbu kanye ne-peristalsis yayo eyandayo, okuzoba nomthelela ekubambezelweni kwekhambi elifakiwe kanye nokugcwala emzimbeni. Kulesi simo, izindonga zamathumbu zeluliwe, futhi ingcindezi yesisu sangaphakathi iyanda. Lokhu kubangela ukukhuphuka kokuvuvukala okungapheli ku-pelvis, kuholele ekuqhekekeni kokunamathela kanye nokungena kokuqunjelwa kwabo kwe-purulent ku-peritoneum.
Isixazululo se-Sodium sicaphukisa amathumbu, okufaka isandla ekutsheni i-microflora. Ngenxa yalokho, i-colitis noma i-dysbiosis engapheli ingakhula.
Ngabe kuchazwa kanjani i-enema ye-hypertensive kuvidiyo kuleli vidiyo?
