Bayanan kula don amfani da ƙwayar hemodialysis catheter mai zubar da ciki da na'urorin haɗi na dogon lokaci na hemodialysis catheter

Bakararrewar jini mai zubarwahemodialysis catheterda na'urorin haɗi da ba za a iya zubar da su bahemodialysis cathetertsarin aikin samfurin da abun da ke ciki wannan samfurin ya ƙunshi tukwici mai laushi, wurin zama mai haɗawa, bututu mai tsawo da soket na mazugi; An yi catheter daga polyurethane na likita da polycarbonate. Kogo guda ne, rami biyu da catheter catheter uku. Ana amfani da wannan samfurin a asibiti don maganin hemodialysis da jiko. Ƙayyadaddun ƙayyadaddun ƙirar rami biyu, rami uku
Ramin rami tare da jaket dacron

Tare da tsufa na al'umma, cutar hawan jini, ciwon sukari, cututtukan zuciya na zuciya (CHD) tare da gazawar koda marasa lafiya sun karu, yanayin jijiyoyin jini ba shi da kyau, autogenous arteriovenous na ciki fistula yana da mahimmancin abin da ya faru na rikice-rikice, yana tasiri sosai ga tasirin maganin dialysis da ingancin rayuwa. , don haka dauki polyester bel tunnel catheter ko catheter na dogon lokaci, an yi amfani da shi sosai a duniya, amfaninsa shine: catheter yana da kyau mai kyau, kuma ana iya gyara catheter tare da fata. Hannun sa na polyester na iya samar da shingen ƙwayar cuta mai rufaffiyar a cikin rami na ƙasa, yana rage faruwar kamuwa da cuta kuma yana tsawaita lokacin amfani sosai.
Amfani da kuma kula da hemodialysis catheters

1. Nursing da kimantawa na catheters

1. Catheter fata kanti

Kafin da bayan kowane amfani, ya kamata a yi la'akari da bayyanar fatar fata a wurin intubation don ja, ɓoyewa, taushi, zubar da jini da exudation, da dai sauransu. Idan catheter na wucin gadi ne, duba gyaran gyare-gyaren allurar suture. Idan catheter ne na dogon lokaci, duba ko CAFF ta ja ko ta fito.

2. Haɗin waje na catheter

Ko akwai tsagewa ko karya, matakin patency na lumen, idan ba a sami isasshen jini ba, ya kamata a ba da rahoto ga likita a cikin lokaci, kuma a tantance samuwar thrombus da fibrin a cikin catheter ta hanyar duban dan tayi, hoto da hoto. sauran hanyoyin.

3. Alamomin marasa lafiya

Ko alamun da zazzabi, sanyi, zafi da sauran gunaguni na rashin jin daɗi.

2. Haɗin aiki tsari

1. Shiri

(1) Injin dialysis ya wuce gwajin kansa, an riga an zubar da bututun dialysis kuma yana cikin yanayin jiran aiki.

(2) Shirye-shirye: keken magani ko tiren magani, abubuwan lalata (iodophor ko chlorhexidine), abubuwan bakararre (tawul ɗin magani, gauze, sirinji, safofin hannu masu tsabta, da sauransu).

(3) Ya kamata a sanya majiyyaci a cikin kwanciyar hankali mai kyau, kuma mai haƙuri da wuyan wuyansa ya kamata ya sa abin rufe fuska don fallasa yanayin intubation.

2. Tsari

(1) Bude suturar waje na catheter na tsakiya.

(2) Sanya safar hannu.

(3) Bude gefen 1/4 na tawul ɗin bakararre kuma sanya shi ƙarƙashin catheter mai lumen biyu na tsakiyar jijiya.

(4) Cire maganin kafet ɗin kariya na catheter, bakin catheter da matse catheter sau 2 bi da bi.

(5) A duba cewa catheter clamp din yana manne, cire goro, sannan a jefar da shi. Sanya catheter da aka haifuwa a gefen 1/2 bakararre na tawul ɗin magani.

(6) Sake kashe bututun ƙarfe kafin a fara aiki.

(7) 2mL intracatheter sealing heparin maganin an sake juye shi tare da sirinji 2-5ml kuma an tura shi kan gauze.

(8) Duba ko akwai gudan jini akan gauze. Idan akwai gudan jini, sake cire 1ml kuma a tura allurar. Nisa tsakanin allura da gauze ya fi 10cm.

(9) Bayan yanke hukunci cewa catheter ba shi da toshewa, haɗa bututun jijiya da jijiya na kewayawa na waje don tabbatar da zagayawa na extracorporeal.

3. Ƙarshen aikin rufe bututu bayan dialysis

(1) Bayan jiyya da dawowar jini, danna matsin catheter, kashe haɗin haɗin catheter arteriovenous, sannan cire haɗin haɗin gwiwa tare da bututun wurare dabam dabam.

(2) Kashe mashigan jijiya da jijiyar catheter bi da bi, sannan a tura saline na al'ada 10ml don kurkura catheter ta hanyar bugun jini. Bayan kallon ido tsirara, babu ragowar jini a cikin fallewar sashin catheter, tura ruwan maganin hana jini ta hanyar pellet kamar yadda likita ya umarta. (3) Yi amfani da hular heparin maras kyau don rufe buɗaɗɗen bututun arteriovenous da nau'i biyu na gauze mara kyau don nannade shi. Kafaffen

3. Canjin sutura na catheter na tsakiya

1. Bincika ko rigar ta bushe, jini da tabo.

2. Sanya safar hannu.

3. Bude rigar a duba ko akwai zubar jini, fitar ruwa, jajaye da kumburi, lalacewar fata da zubar da suture a wurin da aka sanya catheter na tsakiya.

4. Ɗauki audugar iodophor a juya ta agogon hannu don lalata wurin da aka saka bututun. Tsawon disinfecting shine 8-10 cm.

5. Manna rigar rauni akan fata a wurin da aka sanya bututu, kuma nuna lokacin canza suturar. Amfani da kuma kula da catheters

1. Nursing da kimantawa na catheters

1. Catheter fata kanti

Kafin da bayan kowane amfani, ya kamata a yi la'akari da bayyanar fatar fata a wurin intubation don ja, ɓoyewa, taushi, zubar da jini da exudation, da dai sauransu. Idan catheter na wucin gadi ne, duba gyaran gyare-gyaren allurar suture. Idan catheter ne na dogon lokaci, duba ko CAFF ta ja ko ta fito.

2. Haɗin waje na catheter

Ko akwai tsagewa ko karya, matakin patency na lumen, idan ba a sami isasshen jini ba, ya kamata a ba da rahoto ga likita a cikin lokaci, kuma a tantance samuwar thrombus da fibrin a cikin catheter ta hanyar duban dan tayi, hoto da hoto. sauran hanyoyin.

3. Alamomin marasa lafiya

Ko alamun da zazzabi, sanyi, zafi da sauran gunaguni na rashin jin daɗi.

2. Haɗin aiki tsari

1. Shiri

(1) Injin dialysis ya wuce gwajin kansa, an riga an zubar da bututun dialysis kuma yana cikin yanayin jiran aiki.

(2) Shirye-shirye: keken magani ko tiren magani, abubuwan lalata (iodophor ko chlorhexidine), abubuwan bakararre (tawul ɗin magani, gauze, sirinji, safofin hannu masu tsabta, da sauransu).

(3) Ya kamata a sanya majiyyaci a cikin kwanciyar hankali mai kyau, kuma mai haƙuri da wuyan wuyansa ya kamata ya sa abin rufe fuska don fallasa yanayin intubation.

2. Tsari

(1) Bude suturar waje na catheter na tsakiya.

(2) Sanya safar hannu.

(3) Bude gefen 1/4 na tawul ɗin bakararre kuma sanya shi ƙarƙashin catheter mai lumen biyu na tsakiyar jijiya.

(4) Cire maganin kafet ɗin kariya na catheter, bakin catheter da matse catheter sau 2 bi da bi.

(5) A duba cewa catheter clamp din yana manne, cire goro, sannan a jefar da shi. Sanya catheter da aka haifuwa a gefen 1/2 bakararre na tawul ɗin magani.

(6) Sake kashe bututun ƙarfe kafin a fara aiki.

(7) 2mL intracatheter sealing heparin maganin an sake juye shi tare da sirinji 2-5ml kuma an tura shi kan gauze.

(8) Duba ko akwai gudan jini akan gauze. Idan akwai gudan jini, sake cire 1ml kuma a tura allurar. Nisa tsakanin allura da gauze ya fi 10cm.

(9) Bayan yanke hukunci cewa catheter ba shi da toshewa, haɗa bututun jijiya da jijiya na kewayawa na waje don tabbatar da zagayawa na extracorporeal.

3. Ƙarshen aikin rufe bututu bayan dialysis

(1) Bayan jiyya da dawowar jini, danna matsin catheter, kashe haɗin haɗin catheter arteriovenous, sannan cire haɗin haɗin gwiwa tare da bututun wurare dabam dabam.

(2) Kashe mashigan jijiya da jijiyar catheter bi da bi, sannan a tura saline na al'ada 10ml don kurkura catheter ta hanyar bugun jini. Bayan kallon ido tsirara, babu ragowar jini a cikin fallewar sashin catheter, tura ruwan maganin hana jini ta hanyar pellet kamar yadda likita ya umarta. (3) Yi amfani da hular heparin maras kyau don rufe buɗaɗɗen bututun arteriovenous da nau'i biyu na gauze mara kyau don nannade shi. Kafaffen

3. Canjin sutura na catheter na tsakiya

1. Bincika ko rigar ta bushe, jini da tabo.

2. Sanya safar hannu.

3. Bude rigar a duba ko akwai zubar jini, fitar ruwa, jajaye da kumburi, lalacewar fata da zubar da suture a wurin da aka sanya catheter na tsakiya.

4. Ɗauki audugar iodophor a juya ta agogon hannu don lalata wurin da aka saka bututun. Tsawon disinfecting shine 8-10 cm.

5. Manna rigar rauni akan fata a wurin da aka sanya bututu, kuma nuna lokacin canza suturar.