Bayani game da amfani da catheter na hemodialysis mai tsafta da kuma catheter na hemodialysis na dogon lokaci

Jini mai zubarwacatheter na hemodialysisda kayan haɗi Ana iya zubar da su bakararrecatheter na hemodialysisTsarin aikin samfur da abun da ke ciki wannan samfurin ya ƙunshi wani yanki mai laushi, wurin zama mai haɗawa, bututun faɗaɗawa da kuma soket mai mazugi; An yi catheter ɗin da polyurethane na likitanci da polycarbonate. Ramin ɗaya ne, rami biyu da catheter mai rami uku. Ana amfani da wannan samfurin a asibiti don maganin hemodialysis da jiko. Samfurin ƙayyadaddun bayanai rami biyu, rami uku
Bututun rami tare da jaket ɗin dacron

Tare da tsufar al'umma, hawan jini, ciwon suga, cututtukan zuciya (CHD) tare da marasa lafiya da ke fama da gazawar koda sun ƙaru, yanayin jijiyoyin jini yana da rauni, fistula na ciki na autogenous arteriovenous yana ƙaruwa sosai, yana shafar tasirin maganin dialysis na majiyyaci da ingancin rayuwa, don haka a ɗauki catheter ko catheter na tunnel na polyester na dogon lokaci, an yi amfani da shi sosai a duniya, fa'idarsa ita ce: Catheter ɗin yana da kyakkyawan jituwa da halittu, kuma catheter ɗin za a iya ɗaure shi da kyau tare da fata. Hannun sa na polyester na iya samar da shingen ƙwayoyin cuta a cikin ramin subcutaneous, yana rage faruwar kamuwa da cuta da tsawaita lokacin amfani sosai.
Amfani da kuma kula da catheters na hemodialysis

1. Kulawa da kimantawa na catheters

1. Maganin fitar da catheter na fata

Kafin da kuma bayan kowace amfani, ya kamata a tantance bayyanar hanyar fitar fata a wurin da aka yi amfani da shi wajen shigar da fata, don ganin ko akwai ja, fitar da ruwa, taushi, zubar jini da fitar da shi, da sauransu. Idan catheter ne na ɗan lokaci, a duba wurin da aka sanya allurar dinki. Idan catheter ne na dogon lokaci, a lura ko an ja CAFF ko kuma ya fito.

2. Haɗin waje na catheter

Ko akwai fashewa ko karyewa, matakin ƙarfin lumen, idan aka sami isasshen kwararar jini, ya kamata a sanar da likita akan lokaci, kuma a tantance samuwar thrombus da fibrin sheath a cikin catheter ta hanyar amfani da na'urar daukar hoto ta ultrasound, hoto da sauran hanyoyi.

3. Alamomin marasa lafiya

Ko alamun da matakin zazzabi, sanyi, zafi da sauran korafe-korafen rashin jin daɗi.

2. Tsarin aikin haɗi

1. Shiri

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

(2) Shiri: keken magani ko tiren magani, kayan kashe ƙwayoyin cuta (iodophor ko chlorhexidine), kayan da aka tsaftace (tawul ɗin magani, gauze, sirinji, safar hannu na tsaftacewa, da sauransu).

(3) Ya kamata a sanya majiyyaci a cikin kwanciyar hankali, kuma majiyyacin da ke da ƙugiya ya kamata ya sanya abin rufe fuska don fallasa yanayin ƙugiya.

2. Tsarin aiki

(1) Buɗe maganin waje na babban bututun jijiya.

(2) Sanya safar hannu.

(3) Buɗe 1/4 na tawul ɗin magani mai tsafta sannan a sanya shi a ƙarƙashin catheter mai lumen biyu na jijiyar tsakiya.

(4) Rufe murfin kariya na catheter, bakin catheter da maƙallin catheter sau biyu bi da bi.

(5) A duba cewa an manne maƙallin catheter ɗin, a cire goro ɗin, sannan a jefar da shi. A sanya catheter ɗin da aka yi wa wanka a kan 1/2 na gefen tawul ɗin magani.

(6) A sake kashe bututun feshi kafin a yi aiki.

(7) An mayar da maganin heparin mai rufewa na 2mL da sirinji na 2-5ml sannan aka tura shi a kan gauze.

(8) A duba ko akwai gudawa a kan gauze. Idan akwai gudawa, a sake cire 1ml sannan a tura allurar. Nisa tsakanin allurar da gauze ya fi 10cm.

(9) Bayan an tabbatar da cewa catheter ɗin ba shi da wani toshewa, a haɗa bututun jijiyoyin jini da jijiyoyin jini na zagayawar jini ta waje don tabbatar da zagayawar jini ta waje.

3. Kawo ƙarshen aikin rufe bututun bayan dialysis

(1) Bayan an yi magani kuma jini ya dawo, a daure maƙallin catheter, a kashe haɗin jijiyoyin jini, sannan a cire haɗin da bututun zagayawar jini.

(2) A wanke bakin jijiyar da kuma jijiyar catheter ɗin, sannan a tura ruwan saline na yau da kullun 10ml don wanke catheter ɗin ta hanyar bugun zuciya. Bayan an duba ido tsirara, babu sauran jini a ɓangaren catheter ɗin da aka fallasa, a tura ruwan rufewar anticoagulant ta hanyar pellet kamar yadda likita ya umarta. (3) A yi amfani da murfin heparin mai tsafta don rufe buɗewar bututun jijiyoyin jini da kuma layuka biyu na gauze mai tsafta don naɗe shi. An gyara.

3. Canza wurin da aka yi amfani da catheter na tsakiyar jijiyoyin jini

1. A duba ko rigar ta bushe, jini kuma tabo ne.

2. Sanya safar hannu.

3. Buɗe mayafin ka duba ko akwai zubar jini, fitar da ruwa, ja da kumburi, lalacewar fata da zubar dinki a wurin da aka sanya babban katifar jijiyoyin jini.

4. A ɗauki audugar iodophor a juya ta a hannun agogo don a kashe ƙwayoyin cuta a wurin da aka saka bututun. Tsawon maganin shine 8-10cm.

5. Manna mannewar rauni a fata a wurin da aka sanya bututun, sannan a nuna lokacin da za a canza mannewar. Amfani da kula da catheters

1. Kulawa da kimantawa na catheters

1. Maganin fitar da catheter na fata

Kafin da kuma bayan kowace amfani, ya kamata a tantance bayyanar hanyar fitar fata a wurin da aka yi amfani da shi wajen shigar da fata, don ganin ko akwai ja, fitar da ruwa, taushi, zubar jini da fitar da shi, da sauransu. Idan catheter ne na ɗan lokaci, a duba wurin da aka sanya allurar dinki. Idan catheter ne na dogon lokaci, a lura ko an ja CAFF ko kuma ya fito.

2. Haɗin waje na catheter

Ko akwai fashewa ko karyewa, matakin ƙarfin lumen, idan aka sami isasshen kwararar jini, ya kamata a sanar da likita akan lokaci, kuma a tantance samuwar thrombus da fibrin sheath a cikin catheter ta hanyar amfani da na'urar daukar hoto ta ultrasound, hoto da sauran hanyoyi.

3. Alamomin marasa lafiya

Ko alamun da matakin zazzabi, sanyi, zafi da sauran korafe-korafen rashin jin daɗi.

2. Tsarin aikin haɗi

1. Shiri

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

(2) Shiri: keken magani ko tiren magani, kayan kashe ƙwayoyin cuta (iodophor ko chlorhexidine), kayan da aka tsaftace (tawul ɗin magani, gauze, sirinji, safar hannu na tsaftacewa, da sauransu).

(3) Ya kamata a sanya majiyyaci a cikin kwanciyar hankali, kuma majiyyacin da ke da ƙugiya ya kamata ya sanya abin rufe fuska don fallasa yanayin ƙugiya.

2. Tsarin aiki

(1) Buɗe maganin waje na babban bututun jijiya.

(2) Sanya safar hannu.

(3) Buɗe 1/4 na tawul ɗin magani mai tsafta sannan a sanya shi a ƙarƙashin catheter mai lumen biyu na jijiyar tsakiya.

(4) Rufe murfin kariya na catheter, bakin catheter da maƙallin catheter sau biyu bi da bi.

(5) A duba cewa an manne maƙallin catheter ɗin, a cire goro ɗin, sannan a jefar da shi. A sanya catheter ɗin da aka yi wa wanka a kan 1/2 na gefen tawul ɗin magani.

(6) A sake kashe bututun feshi kafin a yi aiki.

(7) An mayar da maganin heparin mai rufewa na 2mL da sirinji na 2-5ml sannan aka tura shi a kan gauze.

(8) A duba ko akwai gudawa a kan gauze. Idan akwai gudawa, a sake cire 1ml sannan a tura allurar. Nisa tsakanin allurar da gauze ya fi 10cm.

(9) Bayan an tabbatar da cewa catheter ɗin ba shi da wani toshewa, a haɗa bututun jijiyoyin jini da jijiyoyin jini na zagayawar jini ta waje don tabbatar da zagayawar jini ta waje.

3. Kawo ƙarshen aikin rufe bututun bayan dialysis

(1) Bayan an yi magani kuma jini ya dawo, a daure maƙallin catheter, a kashe haɗin jijiyoyin jini, sannan a cire haɗin da bututun zagayawar jini.

(2) A wanke bakin jijiyar da kuma jijiyar catheter ɗin, sannan a tura ruwan saline na yau da kullun 10ml don wanke catheter ɗin ta hanyar bugun zuciya. Bayan an duba ido tsirara, babu sauran jini a ɓangaren catheter ɗin da aka fallasa, a tura ruwan rufewar anticoagulant ta hanyar pellet kamar yadda likita ya umarta. (3) A yi amfani da murfin heparin mai tsafta don rufe buɗewar bututun jijiyoyin jini da kuma layuka biyu na gauze mai tsafta don naɗe shi. An gyara.

3. Canza wurin da aka yi amfani da catheter na tsakiyar jijiyoyin jini

1. A duba ko rigar ta bushe, jini kuma tabo ne.

2. Sanya safar hannu.

3. Buɗe mayafin ka duba ko akwai zubar jini, fitar da ruwa, ja da kumburi, lalacewar fata da zubar dinki a wurin da aka sanya babban katifar jijiyoyin jini.

4. A ɗauki audugar iodophor a juya ta a hannun agogo don a kashe ƙwayoyin cuta a wurin da aka saka bututun. Tsawon maganin shine 8-10cm.

5. Manna mannewar rauni a fata a wurin da aka sanya bututun, sannan a nuna lokacin da aka canza mannewar.