Igazi elahliwehemodialysis catheterkanye nezesekeli ezilahlwayo ezilambilehemodialysis catheterUkwakhiwa kokusebenza komkhiqizo nokwakhiwa kwalo mkhiqizo kwakhiwa ithiphu ethambile, isihlalo esixhumayo, ishubhu lesengezo kanye nesokhethi lesigaxa; I-catheter yenziwa nge-polyurethane ne-polycarbonate. Kungumthambo ongashadile, kabili umgodi ophindwe kabili kanye ne-catheter emithathu ye-catheter. Lo mkhiqizo usetshenziselwa ngokomzimba kwe-hemodialysis nokufakwa. Imininingwane yemodeli yokuphindwa kabili, umthambo amathathu
Umhubhe Duct neDacron Jacket
Ngokuguga komphakathi, umfutho wegazi ophakeme, isifo sikashukela, isifo senhliziyo ye-coronary (CHD) esineziguli ze-realysis eziphakeme, ngakho-ke i-polterester belten tunitul cather noma ikhwalithi yempilo, isetshenziswe kabanzi emhlabeni, inzuzo yayo yile: I-catheter ihle I-BioCOMPITHATI ID, futhi i-catheter ingalungiswa ngokuqinile nesikhumba. Umkhono wayo we-polyeer angakha isithiyo esivaliwe samabhaktheri emhubheni ongaphansi, ukunciphisa ukwenzeka kokutheleleka futhi kuqhubeke isikhathi eside.
Sebenzisa kanye nokunakekelwa kwama-catheters we-hemodialysis
1. Ukuhlengikazi nokuhlaziywa kwama-catheters
1. Isikhumba se-catheter
Ngaphambi nangemva kokusetshenziswa ngakunye, ukuvela kwesikhumba endaweni yesayithi ye-Intubation kufanele kuhlolwe ukubomvu, ukucaca, ubumnene, ukopha nokukhishwa, njll. Uma kungukukhishwa kwesikhashana, hlola ukulungiswa kwenaliti yokusungula. Uma kungumgwaqo wesikhathi eside, bheka ukuthi i-CAFF iyadonswa noma ikhishwe.
2. Ukuhlanganiswa Kwangaphandle kwe-catheter
Noma ngabe kukhona ukuqhekeka noma ikhefu, izinga lokupheqeka kwe-leathercy ye-lumen, uma kutholakala ukugeleza kwegazi okunganele, kufanele kubikwe kudokotela ngesikhathi, futhi ukwakheka kwe-thrombus kanye ne-fibrin sheath ku-ultrasound kufanele kunqunywe yi-ultrasound, ukucabanga nezinye izindlela.
3. Izimpawu zeziguli
Ukuthi izimpawu nezinga lemfiva, amakhaza, izinhlungu nezinye izikhalazo zokungakhululeki.
2. Inqubo yokusebenza kokuxhumeka
1. Ukulungiselela
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2. Inqubo
(1) Vula ukugqoka kwangaphandle kwe-catheter ephakathi ne-venous.
(2) Gqoka amagilavu.
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(5) Bheka ukuthi i-catheter clamp iboshwe, susa i-nati, bese uyilahla. Faka i-catheter efakwe inzalo ohlangothini olungu-1/2 oyinyumba lwethawula lokwelashwa.
(6) Diats the nozzle futhi ngaphambi kokusebenza.
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(8) Bheka ukuthi ngabe kukhona ama-cloots ku-gauze. Uma kukhona ama-cloots, akhiphe i-1ml futhi futhi acindezele umjovo. Ibanga phakathi komjovo kanye ne-gauze likhulu kune-10cm.
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3. Qeda ukusebenza kokubekwa uphawu kweshubhu ngemuva kwe-dialysis
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. Ngemuva kokubhekwa kwamehlo okunqunu, kwakungekho okusasele kwegazi engxenyeni evezwe ye-catheter, hlikihla uketshezi lokubopha uphawu lwe-anticon nge-pellet njengoba kufundiswa udokotela. . Ilungisiwe.
3. Ukugqoka Ukushintshwa Kwe-Central Sous Catheter
1. Bheka ukuthi ukugqoka komile, igazi namabala.
2. Gqoka amagilavu.
I-3. Vula ukugqoka bese ubheka ukuthi ngabe kukhona ukopha, ukukhishwa, ukubomvu nokuvuvukala, ukulimala kwesikhumba kanye nokuthululwa kwe-cather ephakathi nendawo lapho kufakwa khona i-cather ephakathi nendawo.
4. Thatha i-ioodophor ukotini bese ujikeleza ngewashi ukuze uvimbele indawo lapho kufakwe khona ishubhu. Uhla lokubulala amagciwane lungu-8-10cm.
5. Namathisela isilonda esikhunjeni endaweni lapho kufakwa khona ishubhu, futhi kukhombise isikhathi sokushintsha sokugqoka. Sebenzisa kanye nokunakekela ama-catheters
1. Ukuhlengikazi nokuhlaziywa kwama-catheters
1. Isikhumba se-catheter
Ngaphambi nangemva kokusetshenziswa ngakunye, ukuvela kwesikhumba endaweni yesayithi ye-Intubation kufanele kuhlolwe ukubomvu, ukucaca, ubumnene, ukopha nokukhishwa, njll. Uma kungukukhishwa kwesikhashana, hlola ukulungiswa kwenaliti yokusungula. Uma kungumgwaqo wesikhathi eside, bheka ukuthi i-CAFF iyadonswa noma ikhishwe.
2. Ukuhlanganiswa Kwangaphandle kwe-catheter
Noma ngabe kukhona ukuqhekeka noma ikhefu, izinga lokupheqeka kwe-leathercy ye-lumen, uma kutholakala ukugeleza kwegazi okunganele, kufanele kubikwe kudokotela ngesikhathi, futhi ukwakheka kwe-thrombus kanye ne-fibrin sheath ku-ultrasound kufanele kunqunywe yi-ultrasound, ukucabanga nezinye izindlela.
3. Izimpawu zeziguli
Ukuthi izimpawu nezinga lemfiva, amakhaza, izinhlungu nezinye izikhalazo zokungakhululeki.
2. Inqubo yokusebenza kokuxhumeka
1. Ukulungiselela
.
.
.
2. Inqubo
(1) Vula ukugqoka kwangaphandle kwe-catheter ephakathi ne-venous.
(2) Gqoka amagilavu.
.
.
(5) Bheka ukuthi i-catheter clamp iboshwe, susa i-nati, bese uyilahla. Faka i-catheter efakwe inzalo ohlangothini olungu-1/2 oyinyumba lwethawula lokwelashwa.
(6) Diats the nozzle futhi ngaphambi kokusebenza.
.
(8) Bheka ukuthi ngabe kukhona ama-cloots ku-gauze. Uma kukhona ama-cloots, akhiphe i-1ml futhi futhi acindezele umjovo. Ibanga phakathi komjovo kanye ne-gauze likhulu kune-10cm.
.
3. Qeda ukusebenza kokubekwa uphawu kweshubhu ngemuva kwe-dialysis
.
. Ngemuva kokubhekwa kwamehlo okunqunu, kwakungekho okusasele kwegazi engxenyeni evezwe ye-catheter, hlikihla uketshezi lokubopha uphawu lwe-anticon nge-pellet njengoba kufundiswa udokotela. . Ilungisiwe.
3. Ukugqoka Ukushintshwa Kwe-Central Sous Catheter
1. Bheka ukuthi ukugqoka komile, igazi namabala.
2. Gqoka amagilavu.
I-3. Vula ukugqoka bese ubheka ukuthi ngabe kukhona ukopha, ukukhishwa, ukubomvu nokuvuvukala, ukulimala kwesikhumba kanye nokuthululwa kwe-cather ephakathi nendawo lapho kufakwa khona i-cather ephakathi nendawo.
4. Thatha i-ioodophor ukotini bese ujikeleza ngewashi ukuze uvimbele indawo lapho kufakwe khona ishubhu. Uhla lokubulala amagciwane lungu-8-10cm.
5. Namathisela isilonda esikhunjeni endaweni lapho kufakwa khona ishubhu, futhi kukhombise isikhathi sokushintsha sokugqoka.
Isikhathi sePosi: Feb-25-2022