Ukugezwa kwesisu, noma ukugezwa kwesisu, kuyisinyathelo esiphuthumayo esenziwa lapho umuntu edakwe kakhulu ngemva kokungenwa ngamabomu noma ngephutha into enobuthi (isidakamizwa, umkhiqizo wasendlini). Okuvame ukuhlotshaniswa emcabangweni ohlangene nemizamo yokuzibulala yezidakamizwa, ukugezwa kwesisu empeleni kusetshenziswa kancane kancane namuhla.

Ukugezwa kwesisu, noma ukugezwa kwesisu (LG), kuyisinyathelo esiphuthumayo esenziwa ngobuthi obunzima. Inhloso yawo ukukhipha izinto ezinobuthi ezikhona ngaphakathi esiswini ngaphambi kokuba zigaywe futhi zidale izilonda noma ukuguqula omunye wemisebenzi yomzimba.

Ukugezwa kwesisu kungenye yezindlela ezibizwa ngokuthi zokuhlanza ukugaya ukudla, eceleni:

• ukuhlanza okubangelwa;
• i-adsorption yezinto ezinobuthi ku-activated carbon;
• ukusheshisa ukuhamba kwamathumbu.

Ukugezwa kwesisu kwenziwa endaweni yesibhedlela, ngokuvamile egumbini lezimo eziphuthumayo. Ukufakwa ngaphambili kwendlela ye-peripheral venous "yokuphepha" kunconywa kakhulu, futhi ukuba khona kwenqola yokuvuselela kuyimpoqo. Abahlengikazi bagunyaziwe ukwenza inqubo kodwa ukuba khona kukadokotela kuyadingeka ngesikhathi senqubo. Ukugezwa kwesisu kungenziwa kumuntu owaziyo noma onenkinga yokwazi. Kulokhu, uzobe esefakwa intuba.

Ukugezwa kwesisu kusekelwe esimisweni semikhumbi yokuxhumana, noma "i-siphoning", kulokhu phakathi kokuqukethwe kwesisu kanye nokunikezwa kwamanzi angaphandle.

I-probe, ebizwa ngokuthi i-Faucher tube, ifakwa emlonyeni, bese ingena emthonjeni ize ifike esiswini. I-probe ixhunywe emlonyeni nge-tape, bese i-tulip (imbiza) ifakwe ku-probe. Amanzi anosawoti afudumele abe esethelwa ku-probe, ngamanani amancane, futhi uketshezi oluwashayo lutholakala ngokuphonswa, kuhambisane ne-epigastric massage. Ukusebenza kuyaphindwa kuze kube yilapho uketshezi selucacile. Kungase kudingeke amanzi amaningi (amalitha ayi-10 kuye kwangama-20).

Ukunakekelwa ngomlomo kwenziwa ekupheleni kokugeza kwesisu. Ukwengeza i-gastric lavage, amalahle asebenzayo angasetshenziswa ngemva kokukhishwa kwe-catheter.

Kuyo yonke inqubo, isimo sokwazi kwesiguli, izinga lenhliziyo nokuphefumula liqashwe ngeso elibukhali.

Ukugadwa

Ngemva kokugezwa kwesisu, isiguli sigadwa ngokucophelela. Ubekwe endaweni elele ngohlangothi ukuze agweme ukuphalaza. I-x-ray yesifuba, i-ionogram yegazi, i-ECG nezinga lokushisa liyathathwa.

Umsebenzi wokugaya uzophinde uqalise ngokwemvelo ngemva kokugezwa kwesisu. 

Izingozi 

Kunezingozi ezihlukene zokugeza isisu:

• ukuhogela nge-bronchial kuyinkimbinkimbi enzima kakhulu, engaba yingozi empilweni;
• umfutho wegazi ophakeme, tachycardia;
• i-bradycardia yemvelaphi ye-vagal ngesikhathi sokwethulwa kwe-tube;
• izilonda zamazinyo noma zomlomo.

Ukugezwa kwesisu kungenziwa:

• esimweni sokudakwa okukhulu ngokuzithandela, okusho ukuthi umzamo wokuzibulala izidakamizwa (noma "ukudakwa kwezidakamizwa ngokuzithandela"), noma ngengozi, ngokuvamile ezinganeni;
• kwezinye izimo ukopha phezulu emathunjini, ukuqapha umsebenzi ukopha futhi lula endoscopy zokuxilonga.

Uma ukugezwa kwesisu bekubhekwa isikhathi eside njengendlela eyinkomba yokukhishwa kwemikhiqizo enobuthi, kuncane kakhulu namuhla. Ingqungquthela yokuvumelana yango-1992, eqiniswe izincomo ze-American Academy Clinicat Toxicology kanye ne-European Association of Poison Centers and Clinicat toxicologists, empeleni yabeka izinkomba eziqinile zokugezwa kwesisu ngenxa yezingozi zayo, inzuzo yayo ephansi / isilinganiso sengozi kodwa futhi izindleko (isu lihlanganisa abasebenzi futhi lithatha isikhathi). Lezi zinkomba zicabangela isimo sokwazi kwesiguli, isikhathi esidlulile kusukela ekumuleni kanye nobuthi obungaba khona bemikhiqizo engenisiwe. Namuhla, ukugezwa kwesisu kwenziwa ngalezi zinkomba ezingavamile:

• ezigulini eziqaphelayo, uma kwenzeka kudliwa izinto ezinobuthi obuphezulu bokulimala (i-Paraquat, i-Colchicine, lapho amalahle acushiwe angenawo umphumela) noma esimweni sokudakwa okukhulu ngama-antidepressants e-tricyclic, i-chloroquine, i-digitalis noma i-theophylline;
• ezigulini ezinokuqaphela okushintshile, ezifakwe ngaphakathi, ekunakekelweni okukhulu, uma kwenzeka kudliwa izinto ezinobuthi obuphezulu;
• ezigulini ezinokuqaphela okushintshile, okungafakwanga, ngemuva kokuhlolwa nge-Flumazenil (ukuthola ukudakwa kwe-benzodiazepine), lapho kudliwa izinto ezinamandla ezinobuthi obuphezulu.

Lezi zinkomba azihlelekile. Ngaphezu kwalokho, manje sekuyamukelwa ukuthi ukugezwa kwesisu, ngokomthetho, akusizi ngaphezu kwehora ngemva kokungenisa izinto ezinobuthi, ngenxa yokusebenza kahle kwayo okuphansi ngemva kwalesi sikhathi. Eqinisweni, amalahle acushiwe ngokuvamile akhethwa ngaphezu kokugezwa kwesisu.

I-gastric lavage i-contraindicated kulezi zimo ezilandelayo:

• ubuthi be-caustics (i-bleach ngokwesibonelo), ama-hydrocarbon (umoya omhlophe, isikhiphi samabala, udizili), imikhiqizo ephuma amagwebu (uketshezi lokuwasha izitsha, impushana yokuwasha, njll.);
• ubuthi nge-opiates, benzodiazepines;
• isimo sengqondo esishintshile, ngaphandle uma isiguli sifakwe i-catheter yebhaluni evuthele umoya;
• umlando wokuhlinzwa kwesisu (ukuba khona kwezibazi zesisu), isilonda sesisu esiqhubekayo noma i-varice esophageal;
• uma kwenzeka ingozi yokuhogela, ukudlikizeka, ukulahlekelwa yizici zokuzivikela zomoya;
• abantu abadala asebekhulile;
• usana olungaphansi kwezinyanga ezingu-6;
• izimo ze-hemodynamic eziyingozi.