Isikhathi sokusebenza: 163 imiz
UTamako wezwa ukuqina esiswini ngesikhathi seklasi ngoba wayengazange abe nokunyakaza kwamathumbu cishe izinsuku ezintathu, wavakashela esibhedlela. UDkt Kagami, udokotela wesifazane we-rookie, uqala ukuhlola uMako ngaphansi kokuqondisa koMqondisi uHigashimoto. Ngemuva kokukhipha isiketi sikaMako, wamlalisa emhlane embhedeni wokuhlola bese uqala ukumphulula isisu sakhe esingaphansi. Ngokucindezela amathumbu amakhulu ngamandla, amathumbu asebenza, futhi umsindo wesihlalo osuka esiswini se-mako ungazwakala. - Ake athathe isimo kuzo zonke ezine embhedeni wokuhlola njengoba kunjalo, kanye ne-anal massage nguDkt Kagami. Lapho uMako ephumula futhi eshaya ngokucophelela imibimbi ye-anus yakhe ngeminwe yakhe efakwe inani elikhulu le-petroleum jelly, ukuphefumula okumnandi kuphunyuka ezindebeni zikaMako. - Lapho umunwe ofakwe ku-anus uhanjiswa kancane kancane emuva naphambili, ukuphefumula kukaMako kuba nolaka. Iminwe kaDkt Kagami icindezela ngaphakathi kwe-rectum futhi isinyi sivuselelwa, okuholela ekungakwazini ukuchama. Manje njengoba usuqinisekisile umsebenzi we-rectum, vumela ukuphefumula ngenkathi kuzo zonke ezine. - I-anus evuvukala futhi igoqe njalo uma uMako ebeka amandla amaningi. Ngokufaka ingcindezi esiswini esingaphansi, uMako uba ukungakwazi ukuchama futhi. Kusukela ku-anus, ephindaphinda ukunyakaza kokwandisa nokwenza inkontileka, into ensundu kancane kancane ibonakala. Izigaxa ezincane, ezinzima zesihlalo ziwela ephepheni lokumunca elibekwe embhedeni wokuhlola ngamaqoqo amaningi. Ukungakwazi ukuchama ngesikhathi se-anal massage kusetshenziselwa ukuhlola ukungahambi kahle esinyeni sikaMako kusetshenziswa i-catheter yomchamo. Ichopho le-catheter lifinyelela esinyeni, futhi umchamo wombala omnyama nephunga liconsa esitsheni sengilazi. I-Palpation ye-rectum ngumqondisi, oyi-veteran yokuhlolwa kwe-anal. Lapho uMako elele ngomhlane futhi embamba ngamadolo, waphoqeleka ukuba athathe isikhundla sokuchoboza amatshe, eveza i-anus yakhe njenge-bud encane. Ngokuthola iminwe yendoda eqinile ku-anus, ubumnandi bobulili kwenzeka eMako, futhi ibhulukwe elimnandi liqala ukuvuza. Iphinde isebenze inhloso yokwandiswa kwe-anal, ngakho-ke uma ukwandisa inani leminwe ezimbili, i-panting kaMako izoqinisa, futhi i-anal sphincter izoqinisa iminwe yakho ngamandla. Njengoba ukusabela kocansi kukaMako kwanda, ukuhamba kweminwe kaHigashimoto kuba ngokushesha. Ngokushesha lapho i-panting ifinyelela ekupheleni kwayo, ifafaza umchamo njengomthombo. Ngaphezu kwalokho, i-mucus emhlophe echichima esithweni sangasese exutshwe nomchamo iqoqa entendeni yesandla somqondisi. Okulandelayo, nganquma ukusebenzisa i-anal expansion bougie ukwandisa i-anus futhi ngihlole umuzwa we-anal. Kusukela ku-bougie encane kunomunwe omncane, kuya ku-bougie enkulu isinyathelo ngesinyathelo, futhi ekugcineni i-bougie eqinile kunesithupha ivuselela i-anus kaMakoto. Ukuze uhlole isihlalo esisele emathunjini, kwafakwa i-anoscope futhi i-anus yandiswa kakhulu, futhi kwaqinisekiswa ukuthi i-stool mass yahlala ngemuva kwe-rectum. UDkt Kagami uncoma ukuhlanzwa kwamathumbu nge-enema kuMako, okhala ngokuthi isisu sakhe asivuselelwe. Imbobo e-nozzle efakwe ku-anus iqine, futhi ngokulungisa ukuphakama kwe-ilrigator, kusetshenziswa i-enema ekhethekile lapho amanzi afudumele kancane ehamba emuva naphambili phakathi kwe-ilrigator ne-rectum. I-500cc yamanzi afudumele kancane ageleza ku-rectum ye-mako ibuyela ku-ilrigator ngokwehlisa isikhundla se-ilrigator. Ngokuphindaphinda inqubo, amanzi afudumele kancane, ayesobala, kancane kancane aphenduka ansundu. Benze bagqoke imishanguzo elahlwayo ukuze babekezelele ukukhishwa. UMako wazama ukubekezelela ihlazo lokuhlanza i-diaper, kodwa ngokushesha wenza umsindo omkhulu we-squeaking futhi wakhishwa uketshezi olunamafu. Uketshezi olunsundu lwe-oozes ku-diaper emhlophe. Njengesigaba sokugcina sokuhlanzwa kwamathumbu, amathumbu ahlanzwa ngokunikeza i-enema ye-1000 cc yamanzi afudumele kancane futhi ayikhiphe ngokuphindaphindiwe izikhathi eziningana. Kubonakala sengathi le mali idlule imingcele yomzimba kaMakoto, futhi uketshezi olunsundu nolunamafu lugeleza lubuyele emuva ku-Irrigator. Ukubekezela kukaMakoto kwakubonakala sengathi kudlule umkhawulo, futhi ngesikhathi ekhipha umlomo wombhobho we-anus, i-anus yaqhekeka futhi uketshezi lwe-turbid lwakhipha ngamandla.