Kodi njira yoyika chubu cham'mimba mwa wodwala kwambiri ndi chiyani?

M'ntchito yathu yachipatala ya tsiku ndi tsiku, pamene ogwira ntchito zachipatala akuwonetsa kuti aike chubu cham'mimba kwa wodwala chifukwa cha mikhalidwe yosiyanasiyana, mamembala ena a m'banja nthawi zambiri amasonyeza maganizo monga omwe ali pamwambawa.Ndiye, kodi chubu chapamimba ndi chiyani?Ndi odwala ati omwe akuyenera kuyika chubu cham'mimba?

I. Kodi chubu cham'mimba ndi chiyani?

Chubu cham'mimba ndi chubu lalitali lopangidwa ndi silikoni yachipatala ndi zinthu zina, zosalimba koma zolimba, zokhala ndi mainchesi osiyanasiyana malinga ndi chandamale ndi njira yolowera (kupyolera m'mphuno kapena pakamwa);Ngakhale palimodzi amatchedwa "chapamimba chubu", akhoza kugawidwa mu chapamimba chubu (kumapeto kwa m`mimba thirakiti kufika lumen m`mimba) kapena jejunal chubu (kumapeto kwa m`mimba thirakiti kufika kuchiyambi kwa matumbo aang'ono) malinga ndi kuya kwa matumbo aang'ono. kulowetsa.(mapeto amodzi a m'mimba amafika kumayambiriro kwa matumbo aang'ono).Malingana ndi cholinga cha chithandizo, chubu chapamimba chingagwiritsidwe ntchito kubaya madzi, chakudya chamadzimadzi kapena mankhwala m'mimba mwa wodwalayo (kapena jejunum), kapena kukhetsa zomwe zili m'matumbo a wodwalayo ndi zotuluka kunja kwa thupi kudzera m'mimba. chubu chapamimba.Ndi kuwongolera kosalekeza kwa zida ndi njira zopangira, kusalala komanso kukana kwa dzimbiri kwa chubu chapamimba kwasinthidwa, zomwe zimapangitsa kuti chubu chapamimba chisakwiyitse thupi la munthu pakuyika ndikugwiritsa ntchito ndikukulitsa moyo wake wautumiki ku magawo osiyanasiyana.

Nthawi zambiri, chapamimba chubu anayikidwa kudzera m`mphuno patsekeke ndi nasopharynx mu m`mimba thirakiti, amene amachititsa kuti pang`ono kusapeza kwa wodwalayo ndipo sizimakhudza kulankhula kwa wodwalayo.

Chachiwiri, ndi odwala ati omwe amafunikira kuyika chubu chapamimba?

1. Odwala ena afowoka kwambiri kapena ataya mphamvu yakutafuna ndi kumeza chakudya pazifukwa zosiyanasiyana, kotero ngati amakakamizika kudya chakudya kudzera pakamwa, sikuti zakudya zabwino komanso kuchuluka kwa chakudya sizingatsimikizidwe, komanso chakudyacho chikhoza kutsimikiziridwa. kulowa munjira ya mpweya molakwika, zomwe zimadzetsa zowopsa kwambiri monga aspiration chibayo kapenanso kupuma movutikira.Ngati tidalira zakudya zam'mitsempha msanga kwambiri, zitha kuyambitsa m'mimba mucosa ischemia ndi kuwonongeka kwa zotchinga, zomwe zingayambitse zovuta monga zilonda zam'mimba ndi magazi.Matenda owopsa omwe angapangitse odwala kuti asadye bwino pakamwa ndi monga: zifukwa zosiyanasiyana za kusokonezeka kwa chidziwitso zomwe zimakhala zovuta kuti zibwezeretsedwe mkati mwa nthawi yochepa, komanso kumeza kwakukulu koopsa chifukwa cha sitiroko, poizoni, kuvulala kwa msana. , Green-Barre syndrome, kafumbata, etc.;Matenda osatha akuphatikizapo: kutsatizana kwa matenda ena amitsempha yapakati, matenda osatha a neuromuscular (matenda a Parkinson,, myasthenia gravis, motor neuron matenda, etc.) pa mastication.Matendawa amaphatikizapo zotsatira za matenda ena apakati a mitsempha, matenda a neuromuscular (matenda a Parkinson, myasthenia gravis, motor neuron matenda, etc.)

2. Odwala ena omwe ali ndi matenda oopsa nthawi zambiri amakhala ndi kuphatikiza kwa gastroparesis (ntchito za peristaltic ndi kugaya kwa m'mimba zimafooka kwambiri, ndipo chakudya cholowa m'mimba chimatha kuyambitsa nseru, kusanza, kusunga zam'mimba, ndi zina zambiri), kapena m'mimba. Pancreatitis yovuta kwambiri, pakafunika kudya zakudya zopatsa thanzi, machubu a jejunal amayikidwa kuti chakudya, ndi zina zotere, zilowe m'matumbo aang'ono (jejunum) mosadalira chapamimba peristalsis.

Kuyika kwanthawi yake kwa chapamimba chubu kuti adyetse zakudya kwa odwala omwe ali ndi mitundu iwiriyi sikungochepetsa chiopsezo cha zovuta komanso kumatsimikizira kuti chithandizo chamankhwala chingatheke, chomwe ndi gawo lofunikira kwambiri pakuwongolera chithandizo chamankhwala kwakanthawi kochepa. , komanso zimachitika kuti ndi imodzi mwa njira zowonjezera moyo wa odwala m'kupita kwanthawi.

3. Matenda kutsekereza m`mimba thirakiti monga kutsekereza m`mimba ndi chapamimba posungira chifukwa cha etiologies osiyanasiyana, kwambiri edema wa m`mimba mucosa, pachimake kapamba, isanayambe ndi pambuyo zosiyanasiyana m`mimba maopaleshoni, etc., amene amafuna mpumulo kanthawi kukondoweza zina ndi katundu pa. m'mimba mucosa ndi ziwalo zam'mimba (pancreas, chiwindi), kapena zimafuna mpumulo wanthawi yake m'matumbo otsekeka, onse amafunikira ma ducts okhazikika kuti asamutsire chubu chopangira ichi chotchedwa gastric chubu ndipo chimagwiritsidwa ntchito kukhetsa zomwe zili m'mimba ndi madzi otuluka m'mimba kupita kunja kwa thupi.Chubu chochita kupanga ichi ndi chubu chapamimba chokhala ndi chipangizo choponderezedwa choyipa chomwe chimamangiriridwa kumapeto kwakunja kuti zitsimikizire kukhetsa kosalekeza, opareshoni yotchedwa "gastrointestinal decompression".Njira imeneyi ndi njira yabwino yothetsera ululu wa wodwalayo, osati kuwonjezera.Osati kokha kuti wodwalayo m`mimba distension, ululu, nseru ndi kusanza kuchepa kwambiri pambuyo ndondomeko, koma chiopsezo cha mavuto ndi yafupika, kupanga zinthu zina chifukwa-enieni mankhwala.

4. Kufunika koyang'anitsitsa matenda ndi kufufuza kothandizira.Odwala ena omwe ali ndi vuto lalikulu la m'mimba (monga kutuluka magazi m'mimba) ndipo sangathe kulekerera endoscopy ya m'mimba ndi kufufuza kwina, chubu chamimba chikhoza kuikidwa kwa nthawi yochepa.Kupyolera mu ngalande, kusintha kwa kuchuluka kwa magazi kumatha kuwonedwa ndikuyezedwa, ndipo kuyesa ndi kusanthula kwina kutha kuchitidwa pamadzi am'mimba otayidwa kuti athandizire madokotala kudziwa momwe wodwalayo alili.

5. Kutsuka m'mimba ndi kuchotsa poizoni poyika chubu chapamimba.Pachiwopsezo chachikulu cha ziphe zina zomwe zimalowa m'thupi kudzera mkamwa, kuchapa chapamimba kudzera mu chubu chapamimba ndi njira yofulumira komanso yothandiza ngati wodwalayo sangathe kugwirizana ndi kusanza yekha, bola ngati chiphecho sichingawononge kwambiri.Poizoni izi ndizofala monga: mapiritsi ogona, mankhwala ophera tizilombo a organophosphorus, mowa wopitilira muyeso, zitsulo zolemera komanso poyizoni wazakudya.Chubu chapamimba chomwe chimagwiritsidwa ntchito potsuka chapamimba chiyenera kukhala chokulirapo kuti chiteteze kutsekeka ndi zomwe zili m'mimba, zomwe zimakhudza mphamvu yamankhwala.