Chikonzero Nei Kuzvipira (Kutarisa) Pashure Pekutsvakurudza Kwakaitika Zvinhu
Icho chinhu chisinganzwisisiki kuti vanachiremba uye vanamukoti vanogona kunge vakaita sevanonyanya kunetseka pamusoro pekugona kwenyu "kudarika gesi" mushure mekuvhiyiwa. Izvo zvinopfuura kungonzwisisika kushamisika kuti nei kune chikamu chakadai chisingawanzwisisiki mune izvo zvinowanzova chikamu chakanaka chehupenyu hwezuva nezuva. Unotenda kana kwete, pane mhinduro yakanaka yezvose zvinonetsa pamusoro pekugona kwako kusunungura gasi mushure mokunge une aneshesia .
Paunenge uchirasikirwa mu -post-anesthesia care unit (PACU) , unogona kuudzwa kuti udzazi mukoti wako kana iwe ukapfuura gesi. Muzvigaro zvevana, mwana anogona kuudzwa kuti mukoti angada kuziva kana ivo "toot" kana "fart", izvo zvinogona kukonzera mamwe maitiro kana kunyara.
Nei izvi zvose zvichifunga nezvekupfuura gasi? Zviri nyore nyore chaizvo, zvinoreva kuti hausi kuumba Post-Operative Ileus (POI), iyo inogona kunge yakaoma.
Chinoita Kuti Gesi Inzive Pashure Pokuvhiya
Mushure mekuvhiyiwa, kana zvakanyanya kunyanya, mushure memishonga inopiwa panguva yekuvhiyiwa, zvinoita kuti chinetso chinonzi postoperative ileus (POI) chinogona kukura. Uku ndiko kunonoka mune gastric motility - nzira yezvehutano yekureva kufamba kwemukati mako kunotendesa zvinhu kubva mudumbu rako kuburikidza nehutano hwekudya. Iyo yakasimba inogona kubva pane kutadza kuoneka kusinganzwisisiki kwokuti unogadzirisa sei kudya kune chinetso chakakomba chinoda kurapwa kwakakosha.
Mumashoko akajeka, ileus postoperative zvinoreva kuti zvinotora matumbo ako kwenguva refu kuti upe kubva kune anesthesia kupfuura iwe mose. Kugona kupfuudza gasi chiratidzo chakajeka chokuti maratiro ako emimba ari kumuka uye kuti POI haina kumbovapo kana iri kuvandudza. Ichi ndicho chikonzero vanamukoti navanachiremba vanotarisira kuti kana iwe hausi kupfuura gasi mumaawa maawa mushure mekuvhiyiwa .
Icho chiratidzo chokuti nhengo dzako dzekudya dzinodzokera kumamiriro avo ehurumende.
Kune mamwe mavhivhi, murwere anoita chigadziro chemuviri asati asvika, iyo inochenesa chigaro kubva mumatumbo. Kune ava varwere, inogona kuva mazuva mashomanana vasati vadzika, saka kudarika gasi ndeimwe yezviratidzo zvekutanga zvemukati mavo anomuka.
Munyaya yekuvhiya kunze kwepasi, gasi rinopfuura rinogona kudiwa musati mava kuenda kumusha. Vashandi havadi kukutumira kumba nechinetso chakakomba, saka usatombofunga nezvekushandura, uvazivise kana iwe wapedza kubudirira gesi.
Zvinokonzera
Vatsvakurudzi havabvumirani pamusoro pekuti seiusoperative ileus inoitika. Imwe nyanzvi ndeyekuti tsitsi inonzwira tsitsi, iyo inowanzoderedza kuwanda kwekufamba kunoitwa nemukumbo, kwenguva pfupi ine simba guru pamusoro pematumbo kupfuura chirwere chinoshungurudza chirwere , chinowedzera kufamba kwematumbu.
Imwe nyanzvi inoratidza kuti POI inokonzerwa panguva yepamuviri nekugadzirisa matumbo panguva yekuvhiyiwa, sekuita kuti vaende kunze kwenzira kuti vasvike dzimwe dzimba dzemuviri kana kuita kuvhiyiwa zvakananga pavari. Izvi zvinotanga kukonzera kushanda apo masero matsvuku eropa mumatumbo anosimudzirwa nebasa rokuvhiya uye anotora mamwe mhando dzemasero kuti aende kunharaunda yacho.
Dzimwe dzidziso dzinoratidza kusagadzikana kwe electrolyte uye kushandiswa kweipioid yekurwadziwa kwekutambudzika.
Icho chinogona kupindura ndeyekuti POI inokwanisa kukonzerwa nepamusoro peiyo imwe nyaya, uye munhu mumwe nomumwe anonyanya kugadziriswa nezvinhu izvi. Mumwe munhu angakwanisa kutora mishonga inorwadza pasina dambudziko uye mumwe achaona kuvhiringidzwa kwakanyanya uye neyeus paanotora mishonga inorwadza.
Zviratidzo
Kune vanorwara vazhinji, kunonoka kwegastric motility kunopfupika, asi kune vamwe, kubata kunoda nguva refu yekugara muchipatara pane yakatarwa. Kune avo varwere, zviratidzo zveeusus zvingave zvakaoma zvikuru.
- Nausea
- Bloating
- Kudzora
- Kusuruvara kwepamuviri kana kurwadziwa
- Kupfuura gasi / mbiru kunonoka kana kusingaiti
Risk Factors
Varwere vanovhiyiwa vanoda kushandiswa kwematumbo kana kuvhiyiwa kunoitwa mumatumbo vari pangozi yakakura yokuva ileus postoperative. Kuoma kwePPI kunogonawo kuwedzerwa kune ava varwere. Varwere vanowana mishonga yeopioid yekununurwa kunorwadzawo vari pangozi yakakura yekusimudzira POI, sezvinove varwere vanotova nehutano nemarumbo avo.
Kudzivirira
Kunyange zvazvo kudzivirira kweiyo postoperative hakukwanise kuitika zvachose, kune nzira dzekudzikisa ngozi. Varwere vanowana chirwere chepachirwere chinonzi anesthesia kwete pane anesthesia kazhinji vanowedzera kukurumidza kubva pane zvinetso izvi. Kakawanda, chighter anesthesias ichaguma nehuwandu huri pasi hwePPI.
Nzira dzisinganzwisisiki dzinogonawo kuderedza kureba kweeius postoperative kana ichienzaniswa nehutsika hwekugadzira dzimwe tsika. Pashoma nguva pasi peanesthesia uye nharo shoma pamuviri inogona kunge iri chikonzero chinonzwisisika kuti kuvhiya kwepasina kuitika kunotungamirira ku POI shoma muchikamu chekudzorera.
Imwe yenzira dzakashata, iyo inoratidza chivimbiso mune zvidzidzo zvekutsvakurudza, inogona kunge ichichera gum mushure mekuvhiyiwa. Zvakawanda zvitsvakurudzo zvenguva pfupi zvakaratidza kuderera kwehuwandu hweiyo postoperative ileus kune varwere vakatsvaga gum uye pane humwe humwe uchapupu hwokuti kugara kwavo kuchipatara kwaive kupfupika kudarika kwete-gum chewers. Kufamba mushure mekuvhiyiwa, kufanana gum chewing, inzira inobatsira yekuderedza kuderera kwezviratidzo nekukurumidza kudzokera kune yakasarudzika.
Shoko Rinobva
Zvinogona kunge zvisina kunaka kuti iwe utaure pamusoro pekunyengera muzuva rehupenyu hwako, kana iwe unogona kunge wakanyatsonaka kutaura pamusoro peeti uye stinkers, chero nzira iyo zuva rekuvhiyiwa kwako ndiro zuva rekunyarara kutaura pamusoro pemabasa ako epanyama.
Iva akatendeseka nevashandi vekuvhiya pamusoro pekuti iwe hauna kupfuudza gasi here kana kuti iwe wakanga uine chikwata chemuviri. Imwe nzira yakasarudzika inogona kunge iri postoperative ileus isingawanikwi nenzira yakakodzera panguva iyo, iyo haisi iyo nzira yakanaka yekutanga kupora kwako.
Kunobva:
> Alavi, Karim. Caroll, James. Pathogenesis uye Management of Postoperative Ileus. Clin Colon Rectal Surg. 2009 Feb; 22 (1): 47-50. doi: 10.1055 / s-0029-1202886.