Kuyini intubation duodenal

Ukuze kuhlonzwe kanye nokwelashwa kwezifo isibindi, futhi leli pheshana biliary isicelo intubation duodenal. Inhloso kunemidanti ukuthola i okuyobe kuqukethwe duodenum (duodenum - isilonda duodenal). Siqukethe ogxile ka uketshezi pancreatic, kanye Bile.

Ngosizo yalolu cwaningo futhi siphetha impilo kanye nesimo yezitho zangaphakathi ezilandelayo:

• duodenum,
• gallbladder ,
• Bile Amapayipi,
• amanyikwe,
• isibindi.

Kwezinye izimo, itholiwe pathologies emizimbeni oshiwo ngenhla.

intubation duodenal wenziwa, futhi ukwenza umuthi. Kulokhu, izidakamizwa elihambisana yethulwe nge tube ekhethekile duodenal.

Okokuphenya, duodenale

Kuyinto oyinyumba mncane iraba tube, 1.5 m eside ngenhloso ububanzi inesikhala ka 2.3 milimitha. Ekupheleni kufakwe ishubhu zingene esiswini ehlanganisa metal omnqumo apertured, nephupho ngaphakathi.

intubation duodenal. Ukulungiselela, inqubo ukuziphatha

• Isiguli kufanele uzilungiselele nasengqondweni obukholisayo kuye manipulations olwenziwa ngokuphepha.
• intubation duodenal isiguli wenziwa ikamelo esikhethekile esiswini esingenalutho. Ngobusuku obandulela isiguli kuthatha noma phansi kwesikhumba ku ikhambi atropine, idina kufanele kube ukukhanya, ngaphandle ukudla ezibanga ukubuyisa. Black isinkwa, amazambane, ubisi.
• Isiguli kufanele Hlambulula umlomo wakho nge isixazululo isinqandakuvunda.
• Ngo duodenal imakwe Uphenyo kude amazinyo inkaba isiguli e-imile.
• Oliva, okungase nivame nge glycerin, linamathele umlomo lesiguli.
• Wazibandezela impande ulimi ngokufanele nangesidingo nesineke bancibilika udonsa umoya, kwenza nokugwinya ukunyakaza.
• Ngakho, i-probe kancane kancane kugwinyiwe kuze kube ukudlula umnqumo phakathi duodenum. Ngokuvamile kuba khona kungakapheli amahora amabili.
• Isiguli ubekwe ngakwesokunene sayo, futhi ngokwethula uphenyo azilungiselela bashiye tube ingxenye "A" lokuqukethwe duodenal. Kuyinto ixutshwe Bile juice duodenum. Umbala uketshezi ngokuvamile ukukhanyisa ophuzi.
• Ucwaningo is eyayifakwa duodenal umfutho ethize kanye emva kwesikhashana (5-10 imiz.) Ayesiza ingxenye "B". A kanzulu omnqumo Bile amnyama kusukela gallbladder. Esimweni lapho ingxenye yesine ihora ukuthatha okuqukethwe ehluleka, ke umfutho iqondiswa ngokuphindaphindiwe.
• Ngemva bethulula ephelele gallbladder, uketshezi esicacile, inhlanganisela emathunjini bese isibindi Bile juice - batch "C".

Zonke izingxenye Bile akuyona njalo kungenzeka ukuba uthole ngisho abantu empeleni abaphile saka ngenxa yokuntuleka reflex ne ukwethulwa umfutho. Noma kunjalo, kwezinye izimo, intubation duodenal ezinhlanu okhombisa singasetshenziswa ngokunikeza izigaba ezinhlanu Bile ukugeleza.

Duodenal intubation chromatique

• Cishe amabili amahora ngaphambi inqubo catheterization isiguli kunikezwa capsule gelatin ukuthatha methylene okwesibhakabhaka. Lokhu kwenziwa ngemva kwamahora amabili (kodwa hhayi ngaphambili) emva dinner ukukhanya.
• Ekuseni wenza bendabuko intubation duodenal. Kulokhu, lo Bile uphendulela blue. Lokhu kungenxa yokuthi i-blue methylene ezishintshe umbala njengoba sidlula Bile esibindini ngemithambo yegazi. Lapho yokwemukela gallbladder umbala waso kubuyiselwa futhi, staining le Bile.

Nale ndlela kungenzeka ukunquma ngokunembile inani Bile gallbladder, kanye nezinye izindawo eziningana lapho izifundo. Le ndlela ukuxilongwa ipheshana biliary siyasebenza kakhulu.

Kungenzeka futhi ekwelapheni parasitosis esasikhipha imithi elwa namagciwane ngokusebenzisa uphenyo, lapho kwenziwe intubation duodenal. Izimuncagazi ngesikhathi esifanayo kuba nomphumela ngqo izidakamizwa.

Izingane imishini kanye nenqubo Bebona efanayo engu-sensitive.