ʻO ka lavage ʻōpū, a i ʻole ka gastric lavage, kahi hana kūpilikia i lawe ʻia i ka hanana o ka ʻona nui ma hope o ka hoʻomoe ʻana a me ka hana ʻole ʻana o kahi lāʻau ʻona (lāʻau lāʻau, huahana home). Pili pinepine ʻia i loko o ka manaʻo hui pū me nā hoʻāʻo pepehi kanaka lāʻau, ʻo ka gastric lavage ka mea ʻoi aku ka liʻiliʻi a me ka liʻiliʻi o ka hoʻohana ʻia i kēia lā.

ʻO ka lavage ʻōpū, a i ʻole ka gastric lavage (LG), kahi hana kūpilikia i hana ʻia i ka lāʻau make loa. ʻO kāna kumu e hoʻoneʻe i nā mea ʻona i loaʻa i loko o ka ʻōpū ma mua o ka lawe ʻia ʻana a hana i nā liona a i ʻole hoʻololi i kekahi o nā hana o ke kino.

ʻO ka lavage ʻōpū kekahi o nā hana i kapa ʻia ʻo ka hoʻomaʻemaʻe digestive, ma ka ʻaoʻao:

• hoʻokomo luaʻi;
• adsorption o nā mea ʻona ma luna o carbon i hoʻoheheʻe ʻia;
• hoʻonui o ka lawe ʻōpū.

Hana ʻia ka lavage Gastric i kahi hoʻonohonoho haukapila, maʻamau i ka lumi pilikia. ʻO ka hoʻokomo mua ʻana i kahi ala helehelena "palekana" ākea e paipai ikaika ʻia, a he mea koi ke alo o kahi kaʻa hoʻōla. Ua ʻae ʻia nā kahu maʻi e hana i ke kaʻina hana akā pono ke alo o ke kauka i ka wā o ke kaʻina hana. Hiki ke hana ʻia ka lavage Gastric ma luna o ke kanaka i ʻike a i ʻole hōʻino i ka ʻike. I kēia hihia, e hoʻopili ʻia ʻo ia.

Hoʻokumu ʻia ka lavage Gastric ma ke kumu o ke kamaʻilio ʻana i nā moku, a i ʻole "siphoning", i kēia hihia ma waena o nā ʻike o ka ʻōpū a me ka hāʻawi ʻana i nā wai waho.

Hoʻokomo ʻia kahi probe, i kapa ʻia he Tube Faucher, i loko o ka waha, a laila i ka esophagus a hiki i ka ʻōpū. Hoʻopili ka probe i ka waha me ka lipine, a laila pili ka tulip (jar) i ka probe. Ninini ʻia ka wai paʻakai ʻo Lukewarm i loko o ka probe, i nā mea liʻiliʻi, a loaʻa ka wai holoi e siphoning, me ka massage epigastric. Hana hou ʻia ka hana a maopopo ka wai. Pono paha ka nui o ka wai (10 a 20 liters).

Hana ʻia ka waha ma ka hopena o ka gastric lavage. No ka hoʻopili ʻana i ka lavage gastric, hiki ke lawelawe ʻia nā nānahu ʻeleu ma hope o ka hemo ʻana o ka catheter.

Ma loko o ke kaʻina hana, nānā pono ʻia ka mokuʻāina o ka ʻike, ka naʻau a me nā helu hanu.

Ka nānā ʻana

Ma hope o ka gastric lavage, nānā pono ka mea maʻi. Hoʻokomo ʻia ʻo ia i kahi kūlana e moe ana ma kona ʻaoʻao, e hōʻalo ai i ka luaʻi. Lawe ʻia kahi kukui x, kahi ionogram koko, kahi ECG a me ka mahana.

E hoʻomaka maʻamau ka hana Digestive ma hope o ka gastric lavage. 

Nā pilikia 

Aia nā pilikia ʻokoʻa i ka lavage ʻōpū:

• ʻo ka inhalation bronchial ka komplication koʻikoʻi nui loa, hiki ke hoʻoweliweli i ke ola;
• hypertension, tachycardia;
• bradycardia o ke kumu vagal i ka wā o ka hoʻolauna ʻana o ka paipu;
• lesion niho a waha paha.

Hiki ke hana i ka lavage ʻōpū:

• i ka hanana o ka ʻona ʻona ʻana, ʻo ia hoʻi ka hoʻāʻo ʻana e pepehi kanaka i ka lāʻau (a i ʻole "intoxication lāʻau ʻona manawaleʻa"), a i ʻole kuhihewa ʻia, i nā keiki pinepine;
• i kekahi mau hihia o ke kahe o ka gastrointestinal, e nānā i ka hana kahe a hoʻoikaika i ka endoscopy diagnostic.

Inā no ka manawa lōʻihi ka hoʻomaʻemaʻe ʻana o ka ʻōpū ma ke ʻano he ala kuhikuhi no ka hoʻokuʻu ʻana i nā huahana ʻona, ʻoi aku ka liʻiliʻi i kēia lā. ʻO kahi hālāwai kūkākūkā 1992, i hoʻoikaika ʻia e nā ʻōlelo aʻoaʻo a ka American Academy Clinicat Toxicology a me ka European Association of Poison Centers and Clinicat toxicologists, ʻoiaʻiʻo, ua kau ʻia nā hōʻailona koʻikoʻi no ka holoi ʻana i ka ʻōpū ma muli o kona mau pōʻino, kona haʻahaʻa haʻahaʻa a me kona ʻano pilikia. ke kumu kūʻai (e hoʻoneʻe ka ʻenehana i nā limahana a lawe i ka manawa). Hoʻomaopopo kēia mau hōʻailona i ke ʻano o ka ʻike o ka mea maʻi, ka manawa i hala ma hope o ka ʻai ʻana a me ka hiki ke ʻona o nā huahana i ʻai ʻia. I kēia lā, hoʻomaʻamaʻa ʻia ka holoi ʻana o ka ʻōpū i kēia mau hōʻailona kakaʻikahi:

• i nā mea maʻi ʻike, i ka hanana ʻana o nā mea me kahi hiki ke loaʻa i ka ʻeha (Paraquat, Colchicine, kahi i hana ʻole ʻia ai ka nānahu ʻino) a i ʻole ka hanana nui ʻana me nā antidepressants tricyclic, chloroquine, digitalis a theophylline paha;
• i nā mea maʻi me ka ʻike i hoʻololi ʻia, hoʻopili ʻia, i ka mālama nui ʻana, i ka hanana ʻana i nā mea me nā mea ʻona kiʻekiʻe.
• i nā mea maʻi me ka ʻike i hoʻololi ʻia, ʻaʻole i hoʻopili ʻia, ma hope o kahi hōʻike me Flumazenil (e ʻike ai i ka ʻona ʻana o benzodiazepine), i ka hanana ʻana o nā mea me ka hiki ke loaʻa i ka lāʻau ʻona kiʻekiʻe.

ʻAʻole kūlana kēia mau hōʻailona. Hoʻohui ʻia, ʻae ʻia i kēia manawa ʻo ka lavage gastric, ma ke ʻano nui, ʻaʻole pono ma mua o hoʻokahi hola ma hope o ke komo ʻana o nā mea ʻona, no ka haʻahaʻa o ka hopena ma hope o kēia wā o ka manawa. I ka ʻoiaʻiʻo, ʻoi aku ka makemake o ka lanahu hoʻonāukiuki ma mua o ka gastric lavage.

Hoʻopili ʻia ka lavage Gastric i nā hihia aʻe:

• ka ʻona ʻana e ka caustics (bleach no ka laʻana), hydrocarbons (ʻuhane keʻokeʻo, wehe ʻia nā stains, diesel), nā huahana huʻu (wai holoi kīʻaha, pauka holoi, etc.);
• lāʻau make me nā opiates, benzodiazepines;
• ke ʻano i hoʻololi ʻia o ka ʻike, inā ʻaʻole i hoʻopili ʻia ka mea maʻi me kahi catheter balloon inflated;
• ka mōʻaukala o ka ʻōpū gastric (ke kū ʻana o nā kaha ʻōpū), ka maʻi kōpaʻa holomua a i ʻole nā ​​ʻeha esophageal;
• i ka hopena o ka hopena o ka inhalation, ka haunaele, ka nalo ʻana o nā reflex pale o nā alaloa;
• ka poʻe ʻelemākule hilinaʻi;
• pēpē ma lalo o 6 mau mahina;
• nā kūlana hemodynamic precarious.