Iindaba

Igazi elilahlwayo elingenazintsholongwanei-catheter ye-hemodialysiskunye nezixhobo ezilahlwayo ezicocekileyoi-catheter ye-hemodialysisulwakhiwo kunye nokwakheka kwemveliso le mveliso yenziwe ngencam ethambileyo, isihlalo esidibanisayo, ityhubhu yolwandiso kunye nesokhethi yekhowuni; I-catheter yenziwe nge-polyurethane yezonyango kunye ne-polycarbonate. Yi-single cavity, i-double cavity kunye ne-catheter ye-cavity ezintathu. Le mveliso isetyenziselwa ngokwezonyango i-hemodialysis kunye ne-infusion. Iinkcukacha imodeli i-double cavity, i-three cavity
Umjelo womjelo onejakethi yedacron

Njengoko uluntu lukhula, uxinzelelo lwegazi oluphezulu, isifo seswekile, isifo sentliziyo (CHD) kunye nezigulane ezingasebenzi kakuhle kwezintso zikhula, imeko yemithambo yegazi imbi, i-autogenous arteriovenous internal fistula iphezulu kakhulu, ichaphazela kakhulu isiphumo sonyango lwe-dialysis yesigulane kunye nomgangatho wobomi, ngoko ke thatha i-polyester belt tunnel catheter okanye i-catheter ixesha elide, isetyenziswa kakhulu kwihlabathi liphela, inzuzo yayo yile: I-catheter ine-biocompatibility elungileyo, kwaye i-catheter inokuqiniswa ngokuqinileyo nolusu. I-polyester sleeve yayo inokwenza umqobo webhaktheriya ovaliweyo kwi-subcutaneous tunnel, ukunciphisa ukwenzeka kosulelo kunye nokwandisa ixesha lokusetyenziswa.
Ukusetyenziswa nokugcinwa kwee-catheters ze-hemodialysis

1. Ukunyamekela nokuvavanya ii-catheters

1. Indawo yokukhupha ulusu lwe-catheter

Ngaphambi nasemva kokusetyenziswa ngakunye, ukubonakala kolusu kwindawo yokufaka ulwelo kufuneka kuhlolwe ukuba lubomvu, lukhupha ulwelo, luthambile, luphuma igazi kwaye luphuma, njl. Ukuba yi-catheter yexeshana, jonga ukuba inaliti yomthungo iqinile na. Ukuba yi-catheter yexesha elide, jonga ukuba i-CAFF itsaliwe okanye iphumile na.

2. Ilungu elingaphandle le-catheter

Nokuba kukho ukuqhekeka okanye ukuqhekeka, ubungakanani be-lumen, ukuba akukho mfumba wegazi owaneleyo, kufuneka kubikwe kugqirha ngexesha, kwaye ukwakheka kwe-thrombus kunye ne-fibrin sheath kwi-catheter kufuneka kumiselwe nge-ultrasound, i-imaging kunye nezinye iindlela.

3. Iimpawu zesigulana

Nokuba iimpawu kunye nobungakanani bomkhuhlane, ukubanda, iintlungu kunye nezinye izikhalazo zokungonwabi.

2. Inkqubo yokusebenza koqhagamshelo

1. Ukulungiselela

(1) Umatshini we-dialysis uphumelele uvavanyo lwawo, umbhobho we-dialysis uhlanjiwe kwangaphambili kwaye ukwimeko yokulinda.

(2) Ukulungiselela: inqwelo yonyango okanye itreyi yonyango, izinto zokubulala iintsholongwane (iodophor okanye i-chlorhexidine), izinto ezingenokubulala iintsholongwane (itawuli yonyango, i-gauze, isirinji, iiglavu zokucoca, njl.njl.).

(3) Isigulana masibekwe kwindawo ekhululekileyo yokulala phantsi, kwaye isigulana esine-intubation entanyeni sifanele sinxibe imaski ukuze siveze indawo ye-intubation.

2. Inkqubo

(1) Vula i-dressing yangaphandle ye-catheter esembindini wemithambo yegazi.

(2) Nxiba iiglavu.

(3) Vula i-1/4 yecala letawuli yonyango engenazintsholongwane uze uyibeke phantsi kwe-catheter ene-lumen ephindwe kabini yomthambo ophakathi.

(4) Ukubulala iintsholongwane kwisikrufu sokukhusela i-catheter, umlomo we-catheter kunye ne-catheter clamp amaxesha amabini ngokulandelelana.

(5) Jonga ukuba i-catheter clamp ibotshiwe, susa i-nut, uze uyilahle. Beka i-catheter ebotshiweyo kwicala elingange-1/2 letawuli yonyango.

(6) Hlambulula i-nozzle kwakhona ngaphambi kokuba isebenze.

(7) Isisombululo se-heparin esitywinwayo se-intracatheter esingu-2mL sipompelwe umva ngesirinji ye-2-5ml saza satyhalelwa kwi-gauze.

(8) Jonga ukuba kukho amahlwili kwi-gauze. Ukuba kukho amahlwili, khupha i-1ml kwakhona uze uyityhale inaliti. Umgama phakathi kwenaliti ne-gauze mkhulu kune-10cm.

(9) Emva kokugqiba ukuba i-catheter ayithintelwanga, qhagamshela umthambo kunye nemibhobho yemithambo yegazi yokujikeleza kwegazi ngaphandle komzimba ukuze umisele ukujikeleza kwegazi ngaphandle komzimba.

3. Phelisa umsebenzi wokuvala ityhubhu emva kokucoca nge-dialysis

(1) Emva konyango kunye nokubuya kwegazi, qinisa i-catheter clamp, bulala iintsholongwane kwi-arteriovenous catheter joint, kwaye ukhuphe i-joint nombhobho wokujikeleza kwegazi.

(2) Hlambulula intsholongwane kwindawo yokungena kwemithambo yegazi kunye nomthambo we-catheter ngokulandelelana, uze utyhale i-10ml ye-saline eqhelekileyo ukuze uhlambe i-catheter ngendlela ye-pulse. Emva kokujonga ngamehlo angaboniyo, bekungekho ntsalela yegazi kwindawo eveziweyo ye-catheter, tyhala ulwelo lokutywina i-anticoagulant nge-pellet njengoko kuyalelwe ngugqirha. (3) Sebenzisa isiciko se-heparin esingenazintsholongwane ukuvala ukuvulwa kwetyhubhu ye-arteriovenous kunye neengqimba ezimbini ze-gauze engenanto ukuyisonga. Ilungisiwe.

3. Ukutshintsha i-dressing ye-catheter yemithambo ephakathi

1. Jonga ukuba i-dressing yomile na, igazi kunye namabala.

2. Nxiba iiglavu.

3. Vula ibhandeji uze ujonge ukuba kukho ukopha, ukuphuma kwegazi, ukubomvu nokudumba, umonakalo wolusu kunye nokuphuma komthungo kwindawo apho kufakwa khona i-catheter yemithambo ephakathi.

4. Thatha i-iodophor cotton swab uze uyijikelezise ngokwewotshi ukuze ubulale iintsholongwane kwindawo apho ityhubhu ifakwe khona. Uluhlu lokubulala iintsholongwane yi-8-10cm.

5. Ncamathisela i-closure yenxeba eluswini kwindawo apho ityhubhu ibekwe khona, kwaye ubonise ixesha lokutshintsha i-closure. Ukusetyenziswa nokugcinwa kwee-catheters