Icyitonderwa cyo gukoresha sterile hemodialysis catheter ikoreshwa hamwe nibikoresho byigihe kirekire bya hemodialyse catheter

Amaraso adashobora gukoreshwahemodialysis catheterhamwe nibindi bikoresho Byakoreshejwe sterilehemodialysis catheterimiterere yimikorere nibigize ibicuruzwa bigizwe ninama yoroshye, intebe ihuza, umuyoboro mugari hamwe na cone sock;Catheter ikozwe mubuvuzi polyurethane na polyakarubone.Ni cavity imwe, cavity ebyiri na catheter eshatu.Iki gicuruzwa gikoreshwa mubuvuzi bwa hemodialyse no gushiramo.Ibisobanuro byerekana icyitegererezo kabiri, cavit eshatu
Umuyoboro wa tunnel hamwe na jacket ya dacron

Hamwe no gusaza kwa societe, umuvuduko ukabije wamaraso, diyabete, indwara yumutima (CHD) hamwe nabarwayi bananirwa nimpyiko byiyongereye, imiterere yimitsi irakennye, fistula y'imbere ya autogenous arteriovenous fistula yimbere cyane yibibazo byingaruka, bigira ingaruka zikomeye kubikorwa byo kuvura dialyse yumurwayi nubuzima bwiza. , fata rero polyester umukandara wa tuneli catheter cyangwa catheter igihe kirekire, wakoreshejwe henshi kwisi, ibyiza byayo ni: Catheter ifite biocompatibilité nziza, kandi catheter irashobora gukosorwa neza hamwe nuruhu.Amaboko ya polyester arashobora gukora inzitizi ya bagiteri ifunze mumurongo wubutaka bwisi, bikagabanya kwandura kandi bikongerera igihe cyo gukoresha.
Koresha no kubungabunga catoderi ya hemodialyse

1. Ubuforomo no gusuzuma catheters

1. Catheter isohoka

Mbere na nyuma yo gukoreshwa, isura yuruhu kurubuga rwa intubation igomba gusuzumwa kugirango itukura, ururenda, ubwuzu, kuva amaraso no gusohoka, nibindi. Niba ari catheter yigihe gito, reba neza urushinge rwa suture.Niba ari catheter ndende, reba niba CAFF ikururwa cyangwa yasohotse.

2. Igice cyo hanze cya catheter

Haba guturika cyangwa kuvunika, urugero rwa patenti ya lumen, niba habonetse amaraso adahagije, bigomba kumenyeshwa muganga mugihe, kandi imiterere ya trombus na fibrin sheath muri catheter igomba kugenwa na ultrasound, amashusho na ubundi buryo.

3. Ibimenyetso by'abarwayi

Niba ibimenyetso nurwego rwumuriro, gukonja, kubabara nibindi bitotombera.

2. Igikorwa cyo guhuza

1. Kwitegura

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2. Inzira

(1) Fungura imyambarire yo hanze ya catheter yo hagati.

(2) Kwambara uturindantoki.

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.Shira catheteri sterisile kuruhande rwa 1/2 sterile yigitambaro cyo kuvura.

(6) Kongera kwanduza nozzle mbere yo gukora.

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(8) Reba niba hari utwuma kuri gaze.Niba hari ibibyimba, ongera ukuremo 1ml hanyuma usunike inshinge.Intera iri hagati yo guterwa na gaze irenze 10cm.

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3. Kurangiza ibikorwa byo gufunga igituba nyuma ya dialyse

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.Nyuma yo kwitegereza amaso gusa, nta bisigazwa by'amaraso byari mu gice cyagaragaye cya catheter, gusunika anticoagulant bifunga amazi na pellet nkuko byateganijwe na muganga..Bimaze gukosorwa.

3. Kwambara impinduka ya catheter yo hagati

1. Reba niba imyambarire yumye, amaraso n'ibara.

2. Kwambara uturindantoki.

3. Fungura imyambarire hanyuma urebe niba hari amaraso, exudation, umutuku no kubyimba, kwangirika kwuruhu no kumena suture ahantu hashyizwe catheteri yo hagati.

4. Fata ipamba ya iyode hanyuma uyizenguruke ku isaha kugirango wanduze aho umuyoboro winjijwe.Ikigereranyo cyo kwanduza ni 8-10cm.

5. Shira igikomere cyambaye kuruhu ahashyizwe umuyoboro, hanyuma werekane igihe cyo kwambara.Koresha no gufata neza catheters

1. Ubuforomo no gusuzuma catheters

1. Catheter isohoka

Mbere na nyuma yo gukoreshwa, isura yuruhu kurubuga rwa intubation igomba gusuzumwa kugirango itukura, ururenda, ubwuzu, kuva amaraso no gusohoka, nibindi. Niba ari catheter yigihe gito, reba neza urushinge rwa suture.Niba ari catheter ndende, reba niba CAFF ikururwa cyangwa yasohotse.

2. Igice cyo hanze cya catheter

Haba guturika cyangwa kuvunika, urugero rwa patenti ya lumen, niba habonetse amaraso adahagije, bigomba kumenyeshwa muganga mugihe, kandi imiterere ya trombus na fibrin sheath muri catheter igomba kugenwa na ultrasound, amashusho na ubundi buryo.

3. Ibimenyetso by'abarwayi

Niba ibimenyetso nurwego rwumuriro, gukonja, kubabara nibindi bitotombera.

2. Igikorwa cyo guhuza

1. Kwitegura

.

.

.

2. Inzira

(1) Fungura imyambarire yo hanze ya catheter yo hagati.

(2) Kwambara uturindantoki.

.

.

.Shira catheteri sterisile kuruhande rwa 1/2 sterile yigitambaro cyo kuvura.

(6) Kongera kwanduza nozzle mbere yo gukora.

.

(8) Reba niba hari utwuma kuri gaze.Niba hari ibibyimba, ongera ukuremo 1ml hanyuma usunike inshinge.Intera iri hagati yo guterwa na gaze irenze 10cm.

.

3. Kurangiza ibikorwa byo gufunga igituba nyuma ya dialyse

.

.Nyuma yo kwitegereza amaso gusa, nta bisigazwa by'amaraso byari mu gice cyagaragaye cya catheter, gusunika anticoagulant bifunga amazi na pellet nkuko byateganijwe na muganga..Bimaze gukosorwa.

3. Kwambara impinduka ya catheter yo hagati

1. Reba niba imyambarire yumye, amaraso n'ibara.

2. Kwambara uturindantoki.

3. Fungura imyambarire hanyuma urebe niba hari amaraso, exudation, umutuku no kubyimba, kwangirika kwuruhu no kumena suture ahantu hashyizwe catheteri yo hagati.

4. Fata ipamba ya iyode hanyuma uyizenguruke ku isaha kugirango wanduze aho umuyoboro winjijwe.Ikigereranyo cyo kwanduza ni 8-10cm.

5. Shira igikomere cyambaye kuruhu ahashyizwe umuyoboro, hanyuma werekane igihe cyo kwambara.