Как ставить очистительную клизму

Процедуру делают для удаления из нижнего отдела кишечника каловых масс и газов при запоре, а также с целью подготовки к различным рентгенологическим исследованиям желудка, кишечника или почек.

Нужно иметь кружку Эсмарха, которая представляет собой резиновый резервуар с резиновой трубкой длиной 1,5 метра, диаметром 1 сантиметр и наконечником. С помощью крана на конце трубки можно регулировать поступление жидкости в кишечник. На свободный конец трубки наденьте пластмассовый наконечник длиной 8-10 сантиметров.

Больной ложится на кровать, ближе к краю на левый бок, подтянув согнутые в коленях ноги к животу.

В кружку Эсмарха налейте 1-1,5 литра воды, температура которой +27 гр.С. Смажьте наконечник вазелином или любым кремом и введите его лёгкими вращательными движениями в заднепроходное отверстие. Первые 3-4 сантиметра наконечник надо вводить по направлению к пупку, затем ещё на 5-8 сантиметров параллельно копчику. Удобнее кружку Эсмарха подвесить на высоту 1 метра, затем открыть кран, и вода под давлением будет поступать в толстую кишку. Если вода перестаёт течь, это может быть вызвано тем, что наконечник упёрся в стенку кишки, его надо слегка подвигать. Важно следить за скоростью поступления воды в кишечник, регулируя её высотой расположения кружки. Слишком быстрое поступление воды может вызвать боль, сильный позыв на дефекацию. В таком случае кружку опустите пониже.

Оставив на дне кружки немного воды, чтобы в кишечник не попал воздух, закройте кран на конце резиновой трубки и извлеките наконечник. Желательно удержать после этого воду в течение 5-10 минут. Для этого нужно лежать на спине и глубоко дышать. Введённая в кишечник вода не всегда приводит к достаточному опорожнению. Для усиления действия клизмы в воду можно добавить половину чайной ложки растёртого в порошок детского мыла, или 2/3 столовой ложки поваренной соли, или стакан отвара ромашки.

К любой процедуре, даже к обычной клизме из одной воды, есть противопоказания. Это острые воспалительные заболевания в области заднего прохода, кровоточащий геморрой, любое кровотечение из желудка или кишечника.

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