Lavage na ciki, ko lavage na ciki, wani matakin gaggawa ne da ake aiwatarwa idan aka samu bugun buguwa bayan ganganci ko ganganci shan wani abu mai guba (magani, samfurin gida). Sau da yawa ana alakanta su cikin tunanin gama kai tare da ƙoƙarin kashe kansa na miyagun ƙwayoyi, lavage na ciki a zahiri ba shi da amfani sosai a yau.

Lavage na ciki, ko lavage na ciki (LG), ma'auni ne na gaggawa da ake yi a cikin guba mai tsanani. Manufarta ita ce fitar da abubuwa masu guba da ke cikin ciki kafin a narkar da su sannan su haifar da rauni ko canza ɗayan ayyukan jikin.

Lavage na ciki yana daya daga cikin hanyoyin da ake kira tsabtace narkewar abinci, tare:

• amai ya jawo;
• adsorption na abubuwa masu guba akan carbon da aka kunna;
• hanzarta wucewar hanji.

Ana yin lavage na ciki a cikin asibiti, yawanci a cikin dakin gaggawa. An riga an ba da shawarar shigar da tsarin “aminci” na jijiyoyin jiki na gefe, kuma kasancewar keken tayar da hankali wajibi ne. An ba masu aikin jinya izinin yin aikin amma kasancewar likita ya zama dole yayin aikin. Za a iya yin lavage na ciki a kan mutumin da ke da hankali ko kuma yana da rauni. A wannan yanayin, za ta kasance cikin ciki.

Gastric lavage ya dogara ne kan ƙa'idar sadarwa da tasoshin, ko "siphoning", a wannan yanayin tsakanin abin da ke cikin ciki da samar da ruwa na waje.

Ana gabatar da bincike, wanda ake kira Faucher tube, a cikin baki, sannan a cikin esophagus har sai ya isa ciki. An haɗa binciken a bakin tare da tef, sannan an haɗa tulip (jar) a binciken. Sannan ana zuba ruwan gishiri mai ɗumbin yawa a cikin binciken, a cikin adadi kaɗan, kuma ana dawo da ruwan wanka ta hanyar siyo, tare da tausa na epigastric. Ana maimaita aikin har sai ruwan ya bayyana. Ana iya buƙatar ruwa mai yawa (lita 10 zuwa 20).

Ana kula da baki a ƙarshen lavage na ciki. Don ƙarin lavage na ciki, ana iya gudanar da gawayi mai aiki bayan cire catheter.

A duk lokacin da ake gudanar da aikin, ana sanya ido sosai kan yanayin lafiyar majinyata, zuciya da yawan numfashi.

Kulawa

Bayan lavage na ciki, ana kula da mai haƙuri sosai. Ana sanya shi a matsayi yana kwance a gefensa, don gudun amai. Ana yin x-ray na kirji, ionogram na jini, ECG da zafin jiki.

Aikin narkewa zai ci gaba ta halitta bayan lavage na ciki. 

Hadarin 

Akwai haɗari daban -daban ga lavage ciki:

• Inhalation na mashako shine mafi rikitarwa, wanda zai iya zama barazanar rayuwa;
• hauhawar jini, tachycardia;
• bradycardia na asalin vagal yayin gabatarwar bututu;
• ciwon hakori ko na baka.

Za a iya yin lavage na ciki:

• a yayin da ake yawan buguwa da son rai, wato yunƙurin kashe kansa na miyagun ƙwayoyi (ko “maye na son rai”), ko mai haɗari, gaba ɗaya a cikin yara;
• a wasu lokuta na zubar da jini na sama, don saka idanu akan ayyukan zubar da jini da sauƙaƙe binciken endoscopy.

Idan an yi la'akari da lavage na ciki na dogon lokaci a matsayin hanyar tunani don fitar da samfurori masu guba, ya fi ƙasa a yau. Babban taron yarjejeniya na 1992, wanda aka ƙarfafa ta hanyar shawarwarin Cibiyar Nazarin Harkokin Kiwon Lafiya ta Amirka da Ƙungiyar Turai ta Cibiyoyin Guba da Clinicat toxicologists, a gaskiya an shimfiɗa alamun bayyanar cututtuka na ciwon ciki saboda haɗarinsa, ƙananan fa'ida / haɗarin haɗari amma kuma ta farashi (dabaran tana tattara ma'aikata kuma tana ɗaukar lokaci). Wadannan alamun suna yin la'akari da yanayin rashin lafiyar mai haƙuri, lokacin da ya wuce tun lokacin da aka yi amfani da shi da kuma yuwuwar guba na samfuran da aka cinye. A yau, ana yin amfani da lavage na ciki a cikin waɗannan alamun da ba kasafai ba:

• a cikin marasa lafiya da ke sane, a yayin da ake cin abubuwan da ke da babban haɗari mai guba don rauni (Paraquat, Colchicine, wanda gawayi da aka kunna ba shi da wani tasiri) ko kuma a yayin babban maye tare da magungunan antidepressant tricyclic, chloroquine, digitalis ko theophylline;
• a cikin marasa lafiya tare da canjin sani, intubated, a cikin kulawa mai zurfi, a yayin da ake cin abubuwan da ke da babban guba mai guba;
• a cikin marasa lafiya tare da canjin sani, ba a shiga ciki ba, bayan gwaji tare da Flumazenil (don gano maye na benzodiazepine), a yayin da ake cin abubuwan da ke da babban haɗari mai guba.

Waɗannan alamun ba na tsari ba ne. Bugu da kari, yanzu an yarda cewa lavage na ciki, a ƙa'ida, baya da amfani fiye da awa ɗaya bayan shan abubuwan guba, saboda ƙarancin aiki bayan wannan lokacin. A zahiri, galibi ana amfani da gawayi akan lavage na ciki.

Lavage na ciki yana contraindicated a cikin lokuta masu zuwa:

• guba ta hanyar caustics (misali bleach), hydrocarbons (farin ruhu, mai cire tabo, dizal), samfuran kumfa (ruwan wanki, foda, da sauransu);
• guba tare da opiates, benzodiazepines;
• canjin yanayin sani, sai dai idan mai haƙuri ya shiga cikin bututun kumburin balloon;
• tarihin tiyata na ciki (kasancewar tabo na ciki), ciwon ciki na ci gaba ko jijiyoyin hanji;
• idan akwai haɗarin shakar numfashi, raɗaɗi, asarar abubuwan kariya na hanyoyin iska;
• tsofaffi masu dogaro;
• jariri a ƙarƙashin watanni 6;
• matsanancin yanayin hemodynamic.