Karekau toto karekaucatheter hemodialysisme nga taputapu Whakangao parakorecatheter hemodialysiste hanganga mahi hua me te hanganga o tenei hua he pito ngohengohe, he nohoanga hono, he ngongo toronga me te turanga kokoo;Ko te catheter he mea hanga ki te polyurethane hauora me te polycarbonate.He kōhao kotahi, rua kōhao me toru kōhao catheter.Ka whakamahia tenei hua mo te hemodialysis me te whaowhia.Tauira tauira rua rua, toru rua
Kohanga kauhanga me te koti dacron
Na te koroheketanga o te hapori, te toto toto tiketike, te mate huka, te mate ngakau coronary (CHD) me nga turoro ngoikore o te renal kua piki ake, he rawakore te ahua o te ngakau, he tino pai ake te mate o te mate o roto, he tino nui ake te mate o te mate o te manawanui, me te pai o te oranga. , No reira, tangohia te polyester belt tunnel catheter, catheter ranei mo te wa roa, kua whakamahia nuitia i te ao, ko tona painga ko: He pai te pai o te catheter, a ka taea te whakarite i te catheter ki te kiri.Ka taea e tana ringaringa polyester te hanga i te arai huakita kati i roto i te kauhanga subcutaneous, ka whakaiti i te puta o te mate me te whakaroa i te wa whakamahi.
Te whakamahi me te tiaki i nga catheters hemodialysis
1. Te mahi nēhi me te aro mātai o ngā catheters
1. Puta kiri catheter
I mua, i muri i ia whakamahinga, me arotake te ahua o te putanga kiri i te waahi whakauru mo te whero, te huna, te ngawari, te toto me te pupuhi, me etahi atu.Mena he catheter mo te wa roa, tirohia mehemea kua toia te CAFF, kua puta mai ranei.
2. Te hononga o waho o te catheter
Ahakoa he pakaru, he pakaru ranei, ko te tohu o te patency o te lumen, ki te kore e kitea te rere o te toto, me whakaatu ki te taote i te wa, me te hanganga o te thrombus me te fibrin sheath i roto i te catheter me whakatau e te ultrasound, imaging me etahi atu tikanga.
3. Tohu manawanui
Ahakoa nga tohu me te tohu o te kirikaa, te makariri, te mamae me etahi atu amuamu o te mamae.
2. Te tukanga mahi hononga
1. Whakaritenga
(1) Kua paahitia e te miihini whakaheke toto te tirotiro-whaiaro, kua horoia te paipa whakaheke toto i mua, kei te noho tatari.
(2) Te Whakaritenga: te kaata maimoatanga, te paepae maimoatanga ranei, nga tuhinga whakakino (iodophor, chlorhexidine ranei), nga taonga parakore (te tauera maimoatanga, te kakano, te syringe, nga karapu horoi, me etahi atu).
(3) Me whakanoho te manawanui ki roto i te noho pai, me te manawanui ki te whakauru i te kaki me mau he kanohi hei whakaatu i te tuunga whakauru.
2. Tikanga
(1) Whakatuwheratia te whakakakahu o waho o te catheter venous pokapū.
(2) Mau karapu karapu.
(3) Whakatuwherahia te taha 1/4 o te tauera maimoatanga parakore ka tuu ki raro i te catheter rua-lumen o te uaua o waenganui.
(4) Whakawetohia te potae whakamarumaru ngongo, te waha ngongo me te rawhi mo nga wa e 2.
(5) Tirohia kei te rawhi te rawhi catheter, tangohia te nati, ka maka atu.Whakanohoia te catheter kua whakahoroa ki te taha 1/2 o te tauera maimoatanga.
(6) Disinfect ano te pupuha i mua i te mahi.
(7) 2mL intracatheter sealing solution heparin i maemaa whakamuri ki te syringe 2-5ml ka panaia ki runga i te whariki.
(8) Tirohia mehemea he kowhatu kei runga i te kaima.Mena he toka, tangohia ano te 1ml ka pana te werohanga.He nui ake i te 10cm te tawhiti i waenga i te werohanga me te kakano.
(9) I muri i te whakatau karekau e arai te catheter, honoa nga paipa aa me nga uaua o te tohanga o waho ki te whakau i te tohanga extracorporeal.
3. Whakamutua te mahi hiri ngongo i muri i te whakaheke toto
(1) I muri i te maimoatanga me te hokinga mai o te toto, rawhi i te rawhi catheter, whakakino i te hononga catheter arteriovenous, ka momotuhia te hononga ki te paipa tohanga.
(2) Whakakorehia te kokoru o te uaua me te uaua o te ngongo, ka panaia te 10ml tote tote hei horoi i te ngongo na roto i te tikanga pupuhi.I muri i te tirohanga kanohi tahanga, karekau he toenga toto i roto i te wahanga kitea o te catheter, panaia te wai hiri anticoagulant ma te pire pera i te whakahau a te taote.(3) Whakamahia he potae heparin parakore hei hiri i te whakatuwheratanga o te ngongo arteriovenous me nga paparua o te kakano parakore hei takai.Kua whakatika.
3. Huringa kakahu o te ngongo ngongo uaua
1. Tirohia mehemea he maroke, he toto, he poke te kakahu.
2. Mau karapu karapu.
3. Whakatuwheratia te whakakakahu ka tirohia mena he toto, he pupuhi, he whero me te pupuhi, he kino te kiri me te whakaheke tui ki te waahi ka tuuhia te catheter venous pokapū.
4. Tangohia he ūkui miro iodophor ka huri i te taha karaka ki te whakakore i te waahi kua kuhua te ngongo.Ko te 8-10cm te awhe whakakino.
5. Whakapirihia te whakakakahu patunga ki runga i te kiri ki te waahi e tuu ai te ngongo, me te tohu i te wa whakarereke.Te whakamahi me te tiaki i nga catheters
1. Te mahi nēhi me te aro mātai o ngā catheters
1. Puta kiri catheter
I mua, i muri i ia whakamahinga, me arotake te ahua o te putanga kiri i te waahi whakauru mo te whero, te huna, te ngawari, te toto me te pupuhi, me etahi atu.Mena he catheter mo te wa roa, tirohia mehemea kua toia te CAFF, kua puta mai ranei.
2. Te hononga o waho o te catheter
Ahakoa he pakaru, he pakaru ranei, ko te tohu o te patency o te lumen, ki te kore e kitea te rere o te toto, me whakaatu ki te taote i te wa, me te hanganga o te thrombus me te fibrin sheath i roto i te catheter me whakatau e te ultrasound, imaging me etahi atu tikanga.
3. Tohu manawanui
Ahakoa nga tohu me te tohu o te kirikaa, te makariri, te mamae me etahi atu amuamu o te mamae.
2. Te tukanga mahi hononga
1. Whakaritenga
(1) Kua paahitia e te miihini whakaheke toto te tirotiro-whaiaro, kua horoia te paipa whakaheke toto i mua, kei te noho tatari.
(2) Te Whakaritenga: te kaata maimoatanga, te paepae maimoatanga ranei, nga tuhinga whakakino (iodophor, chlorhexidine ranei), nga taonga parakore (te tauera maimoatanga, te kakano, te syringe, nga karapu horoi, me etahi atu).
(3) Me whakanoho te manawanui ki roto i te noho pai, me te manawanui ki te whakauru i te kaki me mau he kanohi hei whakaatu i te tuunga whakauru.
2. Tikanga
(1) Whakatuwheratia te whakakakahu o waho o te catheter venous pokapū.
(2) Mau karapu karapu.
(3) Whakatuwherahia te taha 1/4 o te tauera maimoatanga parakore ka tuu ki raro i te catheter rua-lumen o te uaua o waenganui.
(4) Whakawetohia te potae whakamarumaru ngongo, te waha ngongo me te rawhi mo nga wa e 2.
(5) Tirohia kei te rawhi te rawhi catheter, tangohia te nati, ka maka atu.Whakanohoia te catheter kua whakahoroa ki te taha 1/2 o te tauera maimoatanga.
(6) Disinfect ano te pupuha i mua i te mahi.
(7) 2mL intracatheter sealing solution heparin i maemaa whakamuri ki te syringe 2-5ml ka panaia ki runga i te whariki.
(8) Tirohia mehemea he kowhatu kei runga i te kaima.Mena he toka, tangohia ano te 1ml ka pana te werohanga.He nui ake i te 10cm te tawhiti i waenga i te werohanga me te kakano.
(9) I muri i te whakatau karekau e arai te catheter, honoa nga paipa aa me nga uaua o te tohanga o waho ki te whakau i te tohanga extracorporeal.
3. Whakamutua te mahi hiri ngongo i muri i te whakaheke toto
(1) I muri i te maimoatanga me te hokinga mai o te toto, rawhi i te rawhi catheter, whakakino i te hononga catheter arteriovenous, ka momotuhia te hononga ki te paipa tohanga.
(2) Whakakorehia te kokoru o te uaua me te uaua o te ngongo, ka panaia te 10ml tote tote hei horoi i te ngongo na roto i te tikanga pupuhi.I muri i te tirohanga kanohi tahanga, karekau he toenga toto i roto i te wahanga kitea o te catheter, panaia te wai hiri anticoagulant ma te pire pera i te whakahau a te taote.(3) Whakamahia he potae heparin parakore hei hiri i te whakatuwheratanga o te ngongo arteriovenous me nga paparua o te kakano parakore hei takai.Kua whakatika.
3. Huringa kakahu o te ngongo ngongo uaua
1. Tirohia mehemea he maroke, he toto, he poke te kakahu.
2. Mau karapu karapu.
3. Whakatuwheratia te whakakakahu ka tirohia mena he toto, he pupuhi, he whero me te pupuhi, he kino te kiri me te whakaheke tui ki te waahi ka tuuhia te catheter venous pokapū.
4. Tangohia he ūkui miro iodophor ka huri i te taha karaka ki te whakakore i te waahi kua kuhua te ngongo.Ko te 8-10cm te awhe whakakino.
5. Whakapirihia te whakakakahu patunga ki runga i te kiri ki te waahi e tuu ai te ngongo, me te tohu i te wa whakarereke.
Wā tuku: Feb-25-2022