[Forum medical--enterostomy therapy. A possibility for the further qualification of stoma therapists].
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Biomedical subjects
Publications and source records attributed to I Blumberg.
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Twenty percent of our patients who have had colostomy use irrigation to regulate the bowels. This decision is made by the patient himself after careful deliberation. By means of an irrigation set the large intestine is irrigated with approximately 1-1.5 l of water at body temperature. Subsequently there is a stool-free period of 24-28 h and a reduction of flatulence. The duration of irrigation is 45-60 min. Side effects are occasionally pressure sensation and mild convulsive symptoms, but there are no significant complications. Irrigation can begin after complete healing of the stoma, but is absolutely contraindicated in inflammatory intestinal diseases and relatively contraindicated in prolapse, hernia, stenosis, and intestinal damage by radiation.
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In the first phase of inhalation due to the sedimentation of droplets against the walls of the atomizer arises a high loss of fluid in the apparatus. When the air flow was regular a high scattering volume of the consumed fluid quantity from the remedy store container was obtained. In the short-time inhalation this method cannot be used for the estimation of the quantity of medicaments applied to the patient. An exact dosage is possible only by measuring the fog flow and when the exact density of fog is known. When the presuppositions mentioned are not given, the informations about the virtual density of fog which was calculated by means of the analysis of regression, may be obtained.
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