【Contraindications】

1) rashin hankalin mutum ko na jiki don tiyata a yanayin gaba ɗaya

2) Mai tsananin zub da jini da rikice-rikice.

3) farin sel na farin jini ya ƙi kasa da 3 × 109 / l

4) rashin lafiyar da ya bambanta da kafofin watsa labarai

5) A haɗe tare da matsanancin damuwa na cututtukan cututtukan cututtukan cututtukan cututtukan fata.

6) Marasa lafiya da aka sani ko ake zargi da rashin lafiyan ga kayan a cikin kunshin na'urar ..

7) Kasancewa ko tuhuma game da kamuwa da cuta mai mahimmanci, bactereraemia ko sepsus.

8) Radiotherapy a shafin Inspion.

9) Hoto ko allura na magungunan Ormoval.

 

【Kereedate】 duba samfurin samfuri

 

【Fadakarwa】 Dubi alamar samfurin

 

Hanyar aikace-aikace】

1. Shirya na'urar tashar jiragen ruwa mai zurfi kuma bincika idan an gama karewa; Cire kunshin ciki kuma duba idan kunshin ya lalace.
2. Yakamata amfani da dabarun cutar don yanke bude kunshin ciki kuma cire samfurin don shirya don amfani.
3. Ana amfani da amfani da na'urorin tashar tashar Port mai amfani daban don kowane irin samfuri kamar haka.

 

Rubutaⅰ

1. Flushing, vening, gwajin leak

Yi amfani da sirinji (allura don na'urar tashar jiragen ruwa) don tsara na'urar tashar jiragen ruwa da kuma allon ruwa mai narkewa da lumen fata da catheter da ware. Idan babu ko jinkirin ruwa, karkatar da ƙarshen isar da miyagun ƙwayoyi na catheter (ƙare ƙarshen) ta hannu don buɗe tashar isar da magunguna; Sa'an nan kuma ninka rufe ƙarshen rashin magani na catheter, ci gaba da tura siline (matsi ba fiye da 200kpa), lura da wani yanki na allurar, bayan duk al'ada bayan komai na al'ada ne, ana iya amfani da shi.

1. Cannulation da ligation

Dangane da binciken da ke faruwa, saka catheter (ƙarshen isar da miyagun jini) a cikin jini isasshen iska mai wadatarwa bisa ga wurin da kumburin da ya dace. Ya kamata ya zama catheter na da kyau (asi biyu ko fiye) kuma gyarawa.

1. chemotherapy da hatimin

Za'a iya allurar ƙwayoyin cuta masu kimantawa sau ɗaya bisa ga shirin magani; An ba da shawarar cewa kujerar allura da catheter lumen tare da 6-8 ~ 5 ml da catheter da 3ml zuwa 5ml na heparin saline a 100ml zuwa 200ml na Heparin saline a 100MU / ml.

1. Gyara wurin zama

A subcutous rorg kogle rengility an kirkiresa a wurin tallafi, wanda shine 0.5 cm zuwa saman fata, kuma an sanya kujerun allura a cikin kogon da gyarawa, kuma an makara, kuma an kore shi a cikin rami bayan tsayayyun hemostasis. Idan catheter ya yi tsayi da yawa, ana iya yin amfani da shi cikin da'irar a ƙarshen ƙarshen kuma a gyara yadda yakamata.

 

Rubutaⅱ

1.Flushing da iska

Yi amfani da sirinji (allura don amfani da tashar tashar jiragen ruwa) don yin allurar saline a cikin wurin zama da ciyawa bi da iska a cikin lpen, kuma lura da ruwa mai santsi.

2. Cannulation da ligation

4. Gwajin leak

4. Bayan an kammala haɗin, ninka kuma rufe catheter a bayan na'urar bayar da magani tare da na'urar bayar da magani (allura don na'urar bayar da magani) (matsa lamba kan 200kpa). (Matsin lamba ba fiye da 200kpa), lura ko an yi lalata daga toshe allura da catheter

Haɗin, da amfani kawai bayan komai na al'ada ne.

5. Magana, Chemothera, See

Za'a iya allurar ƙwayoyin cuta masu kimantawa sau ɗaya bisa ga shirin magani; An ba da shawarar ɗaukar tushe na allurar rigakafi da 6 ~ 8ml na silalin ilimin jiki na ƙwaƙwalwa, sannan kuma yi amfani da 3ML ~ 5ml na saline.

Daga nan sai aka rufe catheter tare da 3ml zuwa 5ml na heparin saline a 100U / ml zuwa 200U / ml.

6.

A subcutoous rengility kogon da aka kirkira a wani wuri na tallafi, 0.5 cm zuwa 1 cm daga cikin fata, kuma an sanya kujerar allura a cikin rami kuma an gyara shi, kuma an makara, fata kuma an makale shi bayan da tsayayyun hemostasis.

 

Nau'in ⅲ

Single (allura na musamman don na'urar tashar jiragen ruwa ta ciki) an yi amfani da shi don yin allurar ciyarwa da rami na lalacewa, kuma a tsaya ko ruwan ba shi da tabbas.

2. Cannulation da ligation

Dangane da binciken da ke tattare da shi, saka catheter tare da bangon ciki na ciki, da kuma bude ƙarshen isar da miyagun ƙwayoyi ya shiga cikin ƙwayar ciki ya zama kusa da kumburin ƙwayar cuta kamar yadda zai yiwu. Zabi maki 2-3 don latsa kuma gyara catheter.

3. Maganin Chemothera, Chemotherapy, See

Za'a iya allurar ƙwayoyin cuta na chemothera sau ɗaya bisa ga shirin magani, sannan sai an rufe bututun tare da 3ml ~ 5ml na 100U / ml Heparin gishiri.

4. Allurar kafa wurin zama

A subcutoous rengility kogon da aka kirkira a wani wuri na tallafi, 0.5 cm zuwa 1 cm daga cikin fata, kuma an sanya kujerar allura a cikin rami kuma an gyara shi, kuma an makara, fata kuma an makale shi bayan da tsayayyun hemostasis.

Jiko na Magunguna da Kulawa

A.A hankali Aseeptic, daidai zabi na wurin zama na allurar kafin allura, da kuma daftismar allurar allon allon.B. Lokacin da ake amfani da shi, yi amfani da allura don na'urar tashar ruwa, da sirinji na ƙirar allura, da kuma kawar da suturar allura, da kuma kawar da suturar allura, da kuma kawar da suturar allura, da kuma kawar da suturar allura, da kuma a hankali allon da allurar a tsaye a cikin allura ya taɓa ƙasan wurin zama, da kuma bincika ko tsarin isar da miyagun ƙwayoyin cuta yana da santsi (idan ba ta santsi ba, ya kamata ku fara bincika ko an katange allon). Lura ko akwai wani hauhawar fata ta fata yayin turawa.

C. Tura da maganin chemotherapa bayan tabbatar da cewa babu kuskure. A lokacin turawa, kula don lura da abin da ke kewaye yana daure ko kodadde, kuma ko akwai zafin gida. Bayan an tura miyagun ƙwayoyi, ya kamata a kiyaye shi don 15s ~ 30s.

D. Bayan kowane alluna, ana bada shawarar jefa kujerar allura da catheter na 2ml na heparin da 3ml na Heparine, don an rufe shi da kwastomomi a lokacin da aka yiwa Heparin saline don hana magunguna da jijiyoyin jini a cikin catheter. Ya kamata a fatsa catheter tare da Heparin saline sau ɗaya kowane sati 2 a lokacin Chemotherapy.

E. Bayan allura, ta lalata allura idanun tare da maganin hana haifuwa na asali, kuma suna kula da hana kamuwa da cuta a wurin yanar gizo.

F. Kula da amsawar mai haƙuri bayan aikin miyagun ƙwayoyi da kuma lura da shi a hankali yayin allurar magunguna.

 

A hankali, gargadi da abun da ake bukata】

1. Wannan samfurin ana haifuwa ta hanyar Ethylene oxide kuma yana da inganci ga shekaru uku.
2. Da fatan za a karanta littafin koyarwa kafin amfani don tabbatar da amincin amfani.
3. Amfani da wannan samfurin dole ne ya cika buƙatun lambobin da suka dace na ayyukan likita da kuma shigarwar da aka ƙuntata ga masu ilimin likitoci, ya kamata a cire waɗannan na'urori don tabbatar da likitoci, kuma ya kamata a ƙuntata aiki zuwa abokan aikin likita.
4. Dole ne a yi duk aikin da aka yi a karkashin yanayin tsinkaye.
5. Duba ranar karewa na samfurin da kuma kunshin ciki don lalacewa kafin tsarin.
6. Bayan amfani, samfurin na iya haifar da haɗari na asali. Da fatan za a bi aikin likita da duk dokokin da suka dace da ƙa'idodi don kulawa da magani.
7. Karka yi amfani da karfi sosai a lokacin bugawa da saka aryery daidai da sauri don guje wa vasospasm. Idan bugawa yana da wuya, yi amfani da yatsunsu su juya karar daga gefe zuwa gefe.
8. Tsawon lokacin da aka sanya a cikin jiki ya kamata ya zama ya dace, yana da sauƙin curl cikin wani kwana, yana haifar da samun iska mara kyau, gajere ne lokacin da masu haƙuri ke yin rashin jituwa daga cikin jirgin. Idan catheter ya yi gajarta, zai iya rarrabe daga jirgin ruwa lokacin da mai haƙuri ya motsa da ƙarfi.
9. Ya kamata a saka catheter a cikin jirgin ruwa tare da fiye da jijiyoyinya biyu da kuma girman da ya dace don tabbatar da ingantaccen magani da kuma hana catheter daga zamewa daga zamewa daga zamewa daga zamewa daga zamewa daga zamewa daga zamewa daga zamewa daga sltherter kashe.
10. Idan na'urar tashar jiragen ruwa ta Wurin da ke cikin II, haɗin tsakanin catheter da wurin allura dole ne ya zama tabbaci. Idan ba a buƙatar yin allurar ƙwayoyin cuta miyagun ƙwayoyi, allurar gwajin saline ta al'ada don tabbatarwa kafin ya kashe fata.
11. Lokacin da raba yankin subcutaneous, rufe hemostasis ya guje wa samuwar hematoma na gida, hadarin ruwa ko cutar sakandare bayan tiyata; Haɗin Vesicular ya kamata a guji wurin zama.
12. Addinin likitanci na iya haifar da lalacewar kayan gina jiki; Karka yi amfani da α- cynoachryling likitan likitanci lokacin da ke lura da inchion a kusa da allurar allura. Karka yi amfani da α-cynoachryling Addinin likita lokacin da ma'amala tare da m pacnips a kan gindin allura.
13. Yi amfani da taka tsantsan don guje wa lebe na catheter saboda rauni mai rauni daga kayan aikin.
14. When puncturing, the needle should be inserted vertically, a syringe with a capacity of 10mL or more should be used, the drug should be injected slowly, and the needle should be withdrawn after a short pause. Haramcin turawa bai wuce 200kpa ba.
15. Yi amfani da allura na musamman kawai don na'urorin isar da miyagun ƙwayoyi.
16. Lokacin da ake buƙatar jiko na dogon jiko ko sauyawa don yin amfani da na'urar bayar da magani guda ɗaya tare da tiyo na musamman da kuma rage yawan abubuwan da ke cikin haƙuri.
17. Rage yawan adadin huda, rage lalacewar tsoka mai haƙuri da kuma rufewar roba na roba. A lokacin lokacin dakatar da allurar ƙwayoyi, ana buƙatar maganin rigakafi sau ɗaya a kowace sati biyu.
18. Wannan samfurin shine amfani guda ɗaya, bakararre, wanda ba pyrogenic samfurin, ya lalata bayan amfani, an haramta shi sosai.
19. Idan kunshin ciki ya lalace ko kuma ranar karewar samfurin ya wuce, don Allah mayar da shi zuwa masana'anta don zubar.
20. Yawan alamu ga kowane allurar allura kada ta wuce 2000 (22G). 21.
21. Mafi ƙarancin faɗuwar ruwa shine 6ml