Artificial nutrition

Artificial nutrition - introduction of nutrients through the probe, fistulas or enemas, and intravenously or subcutaneously.
The following types of artificial feeding.
Food through a feeding tube. Indications for power through the gastric tube: the inability independently to swallow or waiver of meal (with mental illness). Gastric thin probe is inserted through the lower nasal passage and throat, then on the back of the throat into the esophagus. If the probe reaches instead of the esophagus in the throat, the patient begins to cough, and through the probe when the breath goes in and out a jet of air. With the introduction of the probe is the patient in a sitting position with a slightly thrown back his head. After hitting a probe into the esophagus on the free end put it on the funnel, you put 2-3 cups of liquid food (broth with egg yolk, milk, sweet fruit juices etc). Enter food slowly, under low pressure, several times a day. If necessary, the probe can be left in the stomach for 3-4 weeks. The outer end of the probe fix sticky patch to the skin of the cheeks or the ear.
The restless patients, as well as an unconscious rubber tube is fixed to the skin of the lips or cheeks silk suture, grabbing her the same silk thread. Indication for power through a thin probe is introduced into the duodenum or thin intestine, is a stomach ulcer of a stomach (for nonoperative off of the stomach from the digestive process).
Given the large difficulties for the patient (probe leave in the small intestine for 2-3 weeks) and the lack of advantages in comparison with other methods of treatment of peptic ulcer, this method can be applied only in exceptional cases.
Power over operating fistula stomach or small intestine. Indications for power fistula stomach: sharp narrowing or obstruction of the esophagus, and fistula small bowel - obstruction of the pylorus of the stomach. If there fistula probe directly injected into the stomach or small intestine. In the first days after surgery, the stomach enter in the small portions of food (150-200 ml) 5 to 6 times a day in the form of heat. In future the number of occasional receptions reduced to 3-4 per day, and the amount of food increased to 300-500 ml For better digestion sometimes such a patient is given food in mouth - grinding that it is mixed with the saliva. Then the patient collects it in a mug that breeds the necessary amount of liquid and infuses into the funnel. When fistula small intestine enter 100-150 ml of food mass. With the introduction of a larger number may come spasm circular muscle of the intestine and the food is released back fistula.
Rectal power - introduction of nutrients through the rectum using enemas. Fills the need of the body in fluid, common salt and to a lesser extent in nutrients. For rectal artificial feeding is often used isotonic solution of sodium chloride, 5% glucose, isotonic mixture of 25 g of glucose and 4.5 g of sodium chloride on 1 l of water and amino acid solutions. Approximately 1 hour before nutrient enema intestines purify regular enema. Little nutritional enema (200-500 ml solution heated to a temperature of 37-38°, with the addition of 5-40 drops of tincture of opium for the suppression of intestinal peristalsis), you can enter 3-4 times a day. More significant quantities (1 l and more) imposed once drip method.
Parenteral nutrition - introduction of nutrients intravenously or subcutaneously. A mixture of amino acids, glucose, vitamins, mineral substances. The introduction of these solutions are produced for the purposes and under the supervision of a physician.