Kuchotsa m'mimba, kapena kutsuka m'mimba, ndi njira yadzidzidzi yomwe imachitika munthu akaledzera pambuyo poti mwadala mwangozi kapena mwangozi mankhwala osokoneza bongo (mankhwala, zinthu zapakhomo). Nthawi zambiri zimalumikizidwa m'malingaliro am'magulu ndi kuyesa kudzipha mankhwala, kutsekula m'mimba sikugwiritsidwenso ntchito kwenikweni masiku ano.

Kuchapa m'mimba, kapena kutsuka m'mimba (LG), ndichinthu chadzidzidzi chomwe chimachitika poyizoni koopsa. Cholinga chake ndikutulutsa zinthu zakupha zomwe zili mkati mwa m'mimba zisananyekeke ndikupangitsa zilonda kapena kusintha ntchito imodzi mthupi.

Kuchapa m'mimba ndi imodzi mwazomwe zimatchedwa njira zotsukira m'mimba, pambali:

• kusanza;
• Kutsekemera kwa poizoni pa mpweya wotsegulidwa;
• mathamangitsidwe mayendedwe matumbo.

Kuchapa m'mimba kumachitika mchipatala, nthawi zambiri kuchipinda chadzidzidzi. Kuyika koyambirira kwa njira yotetezera "zotetezera" ndikulimbikitsidwa kwambiri, ndipo kupezeka kwa ngolo yotsitsimutsa ndikofunikira. Anamwino amaloledwa kuchita izi koma kupezeka kwa dokotala ndikofunikira panthawiyi. Kuwotcha m'mimba kumatha kuchitidwa ndi munthu yemwe ali ndi chidziwitso kapena ali ndi vuto lakumva. Poterepa, ndiye kuti adzasangalatsidwa.

Kuwotcha m'mimba kumakhazikitsidwa ndi mfundo yolumikizirana ndi zotengera, kapena "kupopera", pamenepa pakati pazomwe zili m'mimba ndikupereka zakumwa zakunja.

Kafukufuku, wotchedwa chubu cha Faucher, amalowetsedwa mkamwa, kenako ndikum'mero ​​mpaka kukafika m'mimba. Kafukufukuyu amalumikizidwa pakamwa ndi tepi, kenako tulip (mtsuko) umamangiriridwa pa kafukufukuyo. Madzi amchere ofewetsa amathiridwa mu kafukufukuyo, pang'ono, ndipo madzi osamba amapezedwanso ndikupopera, limodzi ndi epigastric massage. Ntchitoyi imabwerezedwa mpaka madziwo atha. Madzi ochuluka angafunike (malita 10 mpaka 20).

Kusamalira pakamwa kumachitika kumapeto kwa kuchapa m'mimba. Pofuna kuthandizira kutsuka kwa m'mimba, makala amoto amatha kuperekedwa pambuyo poti catheter ichotsedwa.

Pazomwe zikuchitika, mawonekedwe a wodwalayo azindikire, mtima ndi momwe amapumira amayang'aniridwa.

Kuyang'anira

Pambuyo pakutsuka m'mimba, wodwalayo amayang'anitsitsa. Amaikidwa pamalo ogona chammbali, kuti asasanze. X-ray pachifuwa, ionogram yamagazi, ECG ndi kutentha kumatengedwa.

Kugaya chakudya kumayambiranso mwachilengedwe kutayikira m'mimba. 

Kuopsa kwake 

Pali zoopsa zosiyanasiyana pakutsuka m'mimba:

• bronchial inhalation ndi vuto lalikulu kwambiri, lomwe lingawononge moyo;
• matenda oopsa, tachycardia;
• bradycardia ya vagal yoyambira nthawi yoyamba chubu;
• zotupa zamano kapena zam'kamwa.

Kutulutsa m'mimba kumatha kuchitidwa:

• ngati mwauchidakwa mwauchidakwa, ndiko kuti kuyesa kudzipha (kapena "kumwa mwa kufuna kwanu"), kapena mwangozi, makamaka mwa ana;
• Nthawi zina kutuluka magazi m'mimba, kuwunika momwe magazi akutuluka komanso kuthandizira kuzindikira za endoscopy.

Ngati kuchapa chapamimba kwa nthawi yayitali kumawonedwa ngati njira yochotsera zinthu zapoizoni, ndizochepa kwambiri masiku ano. Msonkhano wogwirizana wa 1992, wolimbikitsidwa ndi malingaliro a American Academy Clinicat Toxicology ndi European Association of Poison Centers and Clinicat toxicologists, kwenikweni anaika zizindikiro zokhwima kwambiri zotsuka m'mimba chifukwa cha kuopsa kwake, phindu lake lochepa / chiwopsezo komanso chiwopsezo chake. mtengo (njirayo imasonkhanitsa antchito ndipo imatenga nthawi). Zizindikiro zimenezi kuganizira mkhalidwe wa wodwalayo, nthawi inadutsa kuyambira ingestion ndi kuthekera kawopsedwe wa mankhwala ingedzo. Masiku ano, kutsuka kwa m'mimba kumachitika mwa zizindikiro izi:

• Odwala omwe amadziwa, pakamwa zinthu zomwe zili ndi poizoni wambiri wovulaza (Paraquat, Colchicine, yomwe imayambitsa makala amtundu uliwonse) kapena ngati mwaledzera kwambiri ndi tricyclic antidepressants, chloroquine, digitalis kapena theophylline;
• Odwala omwe asintha chikumbumtima, osakhazikika, osamalidwa bwino, pakamwa zinthu zomwe zili ndi poizoni;
• Odwala omwe asintha chikumbumtima, osakhudzidwa, atayesedwa ndi Flumazenil (kuti aone kuledzeretsa kwa benzodiazepine), pakamwa zinthu zomwe zili ndi poizoni.

Izi zikuwonetsa kuti sizoyenera. Kuphatikiza apo, tsopano zikuvomerezedwa kuti kutsuka kwa m'mimba kwenikweni sikothandiza kuposa ola limodzi pambuyo pomeza zinthu zapoizoni, chifukwa chazovuta zake patadutsa nthawi yayitali. M'malo mwake, makala amathandizira nthawi zambiri amakonda kuposa kutsukira m'mimba.

Kuchotsa m'mimba kumatsutsana pazotsatira izi:

• poyizoni ndi caustics (bulichi mwachitsanzo), ma hydrocarbon (mzimu woyera, chochotsa banga, dizilo), zinthu zotulutsa thobvu (madzi otsukira mbale, ufa wochapira, etc.);
• poyizoni ndi opiates, benzodiazepines;
• kusintha kwa chidziwitso, pokhapokha wodwalayo atakopeka ndi catheter yampweya;
• mbiri ya opaleshoni yam'mimba (kupezeka kwa mabala am'mimba), zilonda zam'mimba mwapang'onopang'ono kapena zotupa zam'mimba;
• ngati chiopsezo cha kupuma, kupweteka, kutayika kwa chitetezo cha mpweya;
• okalamba odalira;
• khanda osakwana miyezi isanu ndi umodzi;
• mikhalidwe yoopsa yamagetsi.