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Ở các bệnh nhân sau các phẫu thuật lớn ở vùng bụng như cắt bỏ toàn bộ dạ dày, cắt bỏ dây thần kinh phế vị,… cần hút dịch dạ dày lâu dài. Mở thông dạ dày có thể thực hiện để tránh những biến chứng như trào ngược dịch dạ dày, nhiễm trùng hô hấp, hoặc viêm loét tại chỗ.
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Ở những bệnh nhân gặp khó khăn hoặc không thể ăn uống trực tiếp. mở thông dạ dày là giải pháp được lựa chọn để cung cấp dinh dưỡng cho người bệnh.
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3. Chăm sóc và theo dõi sau khi mở ống thông dạ dày:
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– Trước khi mở thông: Bệnh nhân nên nhịn ăn trong thời gian từ 6-8 tiếng và được nuôi dưỡng qua đường tĩnh mạch.
– Sau khi mở thông:
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3.2 Chăm sóc Ống Mở Thông Dạ Dày
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3.3 Những yếu tố cần được theo dõi sau khi dùng ống mở thông dạ dày
– Chân ống thông: Có sưng đỏ, rỉ dịch hay không.
– Tồn dư dạ dày: Nếu dịch tồn dư trên 200ml, cho bệnh nhân nhịn ăn và kiểm tra lại sau 2 giờ nếu vẫn trên 200ml cần gọi điện tới Trung tâm Bác sỹ Gia Đình tư vấn thêm. Nếu lượng dịch tồn dư nhỏ hơn 200ml thì bơm trả lại và cho ăn bình thường.
– Tình trạng trào ngược: Cho bệnh nhân nằm nghiêng đầu thấp.
– Tình trạng đại, tiểu tiện của bệnh nhân.
– Cân nặng của bệnh nhân
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