Kumenyekanisha】

1) imitekerereze cyangwa idakwiriye kubagwa mubihe rusange

2) Indwara ziva amaraso.

3) selile yera ibara munsi ya 3 × 109 / l

4) allergic kugirango ishishikarire itangazamakuru

5) ihujwe n'indwara zidakira zidakira.

6) Abarwayi bafite allergie bazwi cyangwa bakekwaho kuba ibikoresho mubikoresho ..

7) Kubaho cyangwa gukeka kwandura ibikoresho bijyanye nibikoresho, bacteraemia cyangwa sepsis.

8) Radiotherapi kuri pasiporo yo gushiramo.

9) Gutekereza cyangwa inshinge yibiyobyabwenge.

 

Gukora Inganda】 Reba ikirango cyibicuruzwa

 

Iherezo】 Reba ikirango cyibicuruzwa

 

【Uburyo bwo gusaba】

1. Tegura igikoresho cya Port Stricle hanyuma urebe niba itariki izarangiriraho irenze; Kuraho pake yimbere hanyuma urebe niba paki yangiritse.
2. Ugomba gukoresha tekinike yingeriti kugirango ugabanye gukingura paki yimbere hanyuma ukureho ibicuruzwa kugirango witegure gukoresha.
3. Gukoresha ibikoresho bya Port Strices byasobanuwe ukundi kuri buri cyitegererezo kuburyo bukurikira.

 

Ubwokoⅰ

1. Guswera, guhumeka, gupima

Koresha syringe (urushinge kubikoresho bya Port Striction) kugirango ucukure ibikoresho byateganijwe hanyuma uhagarike umunyu wa physiologiya kugirango uzunguruze iminyururu ya physiologiya hamwe na catheter lumer hanyuma ukureho. Niba nta mazi cyangwa buhoro habonetse amazi, agahindagurika kumpera yibiyobyabwenge ya catheter (iherezo rya kure) nukuboko gufungura icyambu cyo gutanga ibiyobyabwenge; Noneho uzimye ifunze ibiyobyabwenge impera ya catheter, komeza usunike saline (igitutu kitarenze 200kpa), nkuko bisanzwe, Catheter irashobora gukoreshwa.

1. Kumurongo no kumeneka

Ukurikije iperereza rihamye, shyiramo catheter (iherezo ryibiyobyabwenge) mumato yamaraso ahuye ukurikije aho ikibyimba kivuga, kandi ukoreshe ibibyimba bitari byoroshye kugirango ushireho catheter ku cyato. Catheter igomba kumeneka neza (inshuro ebyiri cyangwa nyinshi) kandi ikosowe.

1. chimiotherapie na kashe

Ibiyobyabwenge bya chimiotherapy birashobora guterwa rimwe na gahunda yo kuvura; Birasabwa ko icyicaro na catheter lumer lumer birukana na ml 6-8 ya saline ya phyisiologiya, bikurikirwa na 3 ~ 5 ml catheter kuri 3ml ya 5ml ya 5m kugeza 5m kugeza 200 & ml.

1. Intengction Intebe

Ubwato bwo mu bubiko bwa cystic bwakozwe ahantu hashyigikiwe, ariho 0.5 cm kuri cm 1 uhereye ku ruhu Niba catheter ari ndende cyane, irashobora gutondekwa muruziga kumurongo wa paraxima kandi ukosorwa neza.

 

Ubwokoⅱ

1.Guhiza no gushira

Koresha syringe (urushinge kubikoresho bya Port) kugirango ushireho umunyu wintebe ya inshinge na catheter uhuza no gukuramo umwuka muri lumen, kandi witegereze niba gukora amazi meza.

2. Kanseri no kumeneka

4. Ikizamini

4. Nyuma yo guhuza birangiye, funga hanyuma ufunge catheter inyuma ya cliple ifunzwe hanyuma ukomeze kwinjiza umunyutsi wicara hamwe nigikoresho cyo gutanga ibiyobyabwenge). .

guhuza, no gukoresha gusa nyuma ya byose ni ibisanzwe.

5. Umuyoboro wa chimiotherapie

Ibiyobyabwenge bya chimiotherapy birashobora guterwa rimwe na gahunda yo kuvura; Birasabwa gusohora inshinge na catheter lumer hamwe na 6 ~ 8ml yinyungu za physiologiya, hanyuma ukoreshe 3ml ~ 5ml yinzira ya physiologiya.

Catheter noneho igashyirwaho kashe kuri 3ml kugeza 5ml ya saparin saline kuri 100u / ml kugeza 200 & ml.

6. Intemera yintebe

Ubuvumo bw'Ubukorikori bwa Cystic bwakozwe ahantu hashyigikiwe, cm 0.5 kuri cm 1 uvuye ku ruhu, kandi intebe iteye inshinge yashyizwe mu cyuho kandi igashyirwaho, kandi uruhu rwarashizweho, kandi uruhu rwashutswe nyuma yo kuba hestasis.

 

Ubwoko ⅲ

Syringe (urushinge rwihariye kubikoresho bya Port) byakoreshejwe mugutera inshinge 10ml ~ 20ml umunyu wa catheter, hanyuma ukureho umwuka wo gutabara, hanyuma ukureho niba amazi atari yo atabishaka.

2. Kanseri no kumeneka

Ukurikije ubushakashatsi buhira, shyiramo catheter kurukuta rwinda, kandi igice gifunguye cyimpera yibiyobyabwenge igomba kwinjira mu cyuho cyinda kandi ikaba hafi yicyifuzo gishoboka. Hitamo amanota 2-3 yo kumenyekanisha no gukosora catheter.

3.. Umuyoboro wa chimiotherapie

Ibiyobyabwenge bya chimiotheracy birashobora guterwa igihe ukurikije gahunda yo kuvura, hanyuma umuyoboro ufunze hamwe na 3ml ~ 5ml wa 100u / ml ~ 200u / ml heparin saline.

4. Intemera yintebe

Ubuvumo bw'Ubukorikori bwa Cystic bwakozwe ahantu hashyigikiwe, cm 0.5 kuri cm 1 uvuye ku ruhu, kandi intebe iteye inshinge yashyizwe mu cyuho kandi igashyirwaho, kandi uruhu rwarashizweho, kandi uruhu rwashutswe nyuma yo kuba hestasis.

Kuvutira no kwitaho

A.Igikorwa gikomeye, guhitamo neza intebe yicara mbere yo gutera inshinge, no kwanduza cyane kurubuga.B. Iyo inshinge, koresha urushinge rwa Port Igikoresho cya Port Nyuma yicaye munsi yintebe ya inshinge, hanyuma urebe niba sisitemu yo gutanga ibiyobyabwenge yoroshye (niba idakwiye, ugomba kubanza kugenzura niba urushinge ruhagarikwa). Itegereze niba hari ubutumburuke bwuruhu buzengurutse mugihe usunika.

C. Shyira ibiyobyabwenge bya chemotherapeutic buhoro nyuma yo kwemeza ko nta kosa. Mugihe cyo gusunika, witondere kwitegereza niba uruhu ruzengurutse rwazamutse cyangwa ruhwanye, kandi niba hari ububabare bwaho. Ibiyobyabwenge bimaze gusunikwa, bigomba kubikwa kuri 15s ~ 30s.

D. Nyuma ya buri guhungabana, birasabwa gukuramo intebe ya inshinge na catheter lumer hamwe na saline ya metero ya heparin Heparin Saline kugirango wirinde ibiyobyabwenge na coagulation yamaraso muri catheter. Catheter igomba guhuzwa na heparin inshuro imwe buri byumweru 2 mugihe cyigihe cya chimiotherapie.

E. Nyuma yo gutera inshinge, kwanduza ijisho ryubuvuzi hamwe nubuvuzi, uyipfuke hamwe no kwambara nabi, kandi witondere gukomeza akarere kamwe kandi wuma kugirango wirinde kwandura kurubuga.

F. Witondere uko umurwayi abyakiriye nyuma yubuyobozi bwibiyobyabwenge no kubahiriza hafi mugihe cyo gutera inshinge.

 

Icyitonderwa, Kuburira no gutanga ibitekerezo】

1. Iki gicuruzwa kigandumirwa na Ethylene okide kandi gifite agaciro imyaka itatu.
2. Nyamuneka soma igitabo cyigisha mbere yo gukoresha kugirango umutekano ukoreshe.
3. Gukoresha iki gicuruzwa bigomba kubahiriza ibisabwa byimikorere n'amabwiriza yubuvuzi, hamwe no kwinjiza ibi bikoresho bigomba kugarukira kubaganga bemewe, kandi yo gukuraho ibi bikoresho bigomba kugarukira ku baganga bemewe, kandi koherezwa muri ibi bikoresho bigomba kugarukira ku baganga bemewe, kandi koherezwa mu bikoresho bigomba gukorwa ku baganga bemewe.
4. Inzira zose zigomba gukorwa mubihe bimwe.
5. Reba itariki izarangiriraho yibicuruzwa nibipfunyika imbere kubyo wangirika mbere yuburyo.
6. Nyuma yo kuyikoresha, ibicuruzwa birashobora gutera ingaruka zibinyabuzima. Nyamuneka gukurikiza imyitozo yemewe n'amategeko n'amabwiriza agenga gufata no kuvura.
7. Ntukoreshe imbaraga zikabije mugihe cyizuba hanyuma ushiremo imiyoboro neza kandi byihuse kugirango wirinde Vasospasm. Niba inkuba igoye, koresha intoki zawe kugirango uhindure catheter kuruhande kuruhande mugihe ushiramo umuyoboro.
8. Uburebure bwa catheter yashyizwe mumubiri bigomba kuba bikwiye, igihe kirekire biroroshye guturika ahantu habi, bikaba bigufi cyane, mugihe ibikorwa byubugizi bwa nabi bifite aho bishoboka kwimura ubwato. Niba catheter ari mugufi cyane, birashobora guhunga ubwato mugihe umurwayi agenda cyane.
9. Catheter igomba kwinjizwa mu cyombo gifite ligature zirenga ebyiri no gukomera bikwiye kugirango hakemure ibiyobyabwenge byoroshye no gukumira catheter mu kunyerera.
10. Niba igikoresho cya Port Niba inzitizi zifatika zidakenewe, inshinge zisanzwe za saline zigomba gukoreshwa mugushimangira mbere yo gusuka uruhu.
11. Mugihe utandukanya agace ka subane, hafi henasis yirinda kugirango wirinde gushiraho simama yaho, kwiyubaka mumazi cyangwa kwandura izina ryisumbuye nyuma yo kubagwa; suture ya Vesticure igomba kwirinda intebe iteye inshinge.
12. α - Cyanoacrylate w'ubuvuzi irashobora kwangiza ibikoresho byibanga; Ntukoreshe α- cyanoacrylate yubuvuzi mugihe uvura ibishishwa birimo kuba inshinge. Ntukoreshe α-cyanoacrylate yubuvuzi mugihe cyo gukemura ibibazo byo kubaga hafi ya bashing inshinge.
13. Koresha ubwitonzi bukabije kugirango wirinde gutwarwa kwa catheter kubera gukomeretsa kubwimpanuka mubikoresho byo kubaga.
14. Iyo utuje, urushinge rugomba kwinjizwa mu buryo buhagaritse, syringe ifite ubushobozi bwa 10ml cyangwa ibindi bigomba gukoreshwa, ibiyobyabwenge bigomba guterwa buhoro, kandi urushinge rugomba gukurwaho buhoro, kandi urushinge rugomba gukurwaho buhoro buhoro, kandi urushinge rugomba gukurwaho nyuma yo kuruhuka gato. Umuvuduko ukabije ntugomba kurenga 200kpa.
15. Koresha gusa inshinge zidasanzwe ibikoresho byo gutanga ibiyobyabwenge.
16. Iyo kwinjiza igihe kirekire cyangwa gusimburwa ibiyobyabwenge bisabwa, birakwiye gukoresha gukoresha kimwe ibikoresho byo gutanga ibiyobyabwenge hamwe nigishishwa cyihariye cyo gutanyagura cyangwa tee, kugirango ugabanye umubare wo gutobora no kugabanya ingaruka kumurwayi.
17. Mugabanye umubare wacuramwo, gabanya ibyangiritse mumitsi yumurwayi no kwizirika ku bice bya elastike. Mu gihe cyo guhagarika inshinge ziterwa n'ibiyobyabwenge, inshinge zidasanzwe zisabwa rimwe mu byumweru bibiri.
18. Iki gicuruzwa ni imikoreshereze imwe, sterile, idahwitse, yasenyutse nyuma yo gukoreshwa, kongera gukoresha irabujijwe rwose.
19. Niba paki yimbere yangiritse cyangwa itariki izarangirwa ryarenze, nyamuneka subiza uwagufashe kugirango ajugunywe.
20. Umubare wacuranya kuri buri guhagarika inshinge ntigomba kurenga 2000 (22ga). 21.
21. Ijwi ntarengwa rihindagurika ni 6ml