Manufactur standard China Single Triple Lumen Antimicrobial Peripherally Anaika Catheter Central Venous

Timatengera "zokonda makasitomala, zokonda kwambiri, zophatikizana, zatsopano" monga zolinga. "Choonadi ndi kuona mtima" ndi kayendetsedwe kathu koyenera kwa Manufactur standard China Single Triple Lumen Antimicrobial Peripherally Inserted Catheter Central Venous, Ndipo palinso mabwenzi abwino akunja ambiri omwe anabwera kudzawona, kapena kutiikiza kuti tigule zinthu zina. Mwalandiridwa kwambiri kubwera ku China, mumzinda wathu komanso kugawo lathu lopanga zinthu!
Timatengera "zokonda makasitomala, zokonda kwambiri, zophatikizana, zatsopano" monga zolinga. "Choonadi ndi kuwona mtima" ndi kayendetsedwe kathu kabwinoChina Single Lumen Central Venous Catheter, Single Lumen CVC, Katundu onsewa amapangidwa mufakitale yathu yomwe ili ku China. Kotero ife tikhoza kutsimikizira khalidwe lathu mozama komanso likupezeka. M'zaka zinayi izi sitigulitsa zinthu zathu zokha komanso ntchito yathu kwa makasitomala padziko lonse lapansi.

Kanema

Tsatanetsatane wa Zamalonda

ZOCHITIKA
Catheter ya CATHTONG ™ II PICC idapangidwa kuti ikhale yolumikizana kwakanthawi kochepa kapena kwanthawi yayitali kumkati mwa venous system kuti infusions, chithandizo chamtsempha, sampuli zamagazi, jakisoni wamagetsi osiyanitsa media, kasamalidwe kamadzi, mankhwala ndi michere, ndikuloleza kuwunika kwapakati kwa venous. Catheter ya CATHTONG ™ II PICC imasonyezedwa kuti ikhale nthawi yayifupi kapena yoposa masiku 30.

JEKELO LA MPHAMVU
Catheter ya CATHTONG™ II idapangidwa ndi mphamvu ya Injection ya Mphamvu. Jekeseni wa Mphamvu amalola kubayidwa kwa media media pamlingo wa 5.0 mL/sec. Izi zimathandiza kuti mzere wa PICC ugwiritsidwe ntchito pa Kujambula kwa Contrast-Enhanced CT (CECT).

DUAL LUmen DESIGN
Mapangidwe amtundu wa lumen wapawiri amalola kugwiritsa ntchito mitundu iwiri yamankhwala nthawi imodzi popanda kuyika ma catheter angapo. Kuphatikiza apo, CATHTONG ™ II ili ndi ma diameter osiyanasiyana a lumen kuti apereke mitundu yosiyanasiyana yamayendedwe.

Mawonekedwe

Parameter

PICC KIT IKUPHATIKIRA

• Mzere wa PICC
• Catheter Stabilization Chipangizo
• Information for Use (IFU)
• IV Catheter w/ Singano
• Scalpel, chitetezo
• Singano yoyambira
• Kufikira kwa Micro ndi Dilatator
• Guidewire
• MicroClave®

Za PICC

Ngati mumagwiritsa ntchito PICC, muyenera kusamala kuti musasunthe manja anu kwambiri kapena mwamphamvu kwambiri pamene mukugwiritsa ntchito kuti catheter isagwe kapena kusweka; kuwonjezera apo, tsitsani chubu ndikusintha nembanemba kamodzi pa sabata (ndi namwino), ndipo yesani kugwiritsa ntchito shawa posamba. Nembanemba yotayirira iyenera kusinthidwa munthawi yake kuti catheter isatsekeke kapena matenda a pakhungu ndi mitsempha yamagazi pamalo pomwe catheter imayikidwa. Ngati PICC imasamalidwa bwino, imatha kugwiritsidwa ntchito kwazaka zopitilira 1, zomwe ndizokwanira kusunga mpaka kumapeto kwa chemotherapy.

1. Kusankha kwa mitsempha

Ma catheter a PICC nthawi zambiri amaikidwa m'mitsempha yamtengo wapatali ya cubital fossa, mtsempha wapakati wa cubital, ndi mitsempha ya cephalic. Catheter imayikidwa mwachindunji mu vena cava yapamwamba. Muyenera kusankha chotengera chamagazi ndi kusinthasintha kwabwino komanso mawonekedwe.

2. Zizindikiro za PICC intubation

(1) Amene amafunikira nthawi yaitali mtsempha kulowetsedwa, koma mkhalidwe wa zotumphukira pamwamba mtsempha ndi osauka ndipo si kophweka bwino puncture;
(2) M`pofunika mobwerezabwereza athandizira stimulant mankhwala, monga mankhwala amphamvu mankhwala;
(3) Kulowetsedwa kwa nthawi yayitali kwa mankhwala omwe ali ndi mphamvu zambiri kapena kukhuthala kwambiri, monga shuga wambiri, emulsion yamafuta, ma amino acid, etc.;
(4) Amene akufunika kugwiritsa ntchito kupanikizika kapena mapampu oponderezedwa kuti alowetsedwe mofulumira, monga mapampu a kulowetsedwa;
(5) Kuthiridwa mwazi mobwerezabwereza, monga mwazi wathunthu, madzi a m’magazi, mapulateleti, ndi zina zotero;
(6) Amene amafunika kuyezetsa magazi m’mitsempha kangapo patsiku.

3. The contraindications wa PICC catheterization

(1) Matenda a thupi la wodwalayo sangathe kupirira opaleshoni, monga chotchinga magazi coagulation, ndi amene immunosuppressed ayenera kugwiritsa ntchito mosamala;
(2) Omwe amadziwika kapena akuwakayikira kuti ndi osagwirizana ndi zigawo zomwe zili mu catheter;
(3) Mbiri ya radiotherapy pamalo opangira intubation m'mbuyomu;
(4) Mbiri yakale ya phlebitis ndi venous thrombosis, mbiri ya kupwetekedwa mtima, ndi mbiri ya opaleshoni ya mitsempha pa malo opangira intubation;
(5) Zinthu zamtundu wamtundu zomwe zimakhudza kukhazikika kapena patency ya catheter.

4. Njira yogwiritsira ntchito

Wodwalayo amatenga malo omwe ali pamwamba ndikuyesa kutalika kwa wodwalayo kuchokera pamalo oponyera nkhonya kupita ku vena cava yapamwamba ndi tepi yoyezera. Nthawi zambiri ndi 45-48cm. Pambuyo posankha malo okhomerera, tourniquet imamangidwa ndipo nthawi zonse imatetezedwa ndi tizilombo toyambitsa matenda. The PICC catheter venous puncture imachitika molingana ndi malangizo, ndipo imasungidwa molingana ndi momwe wodwalayo alili. Kutalika kwa catheter, filimu ya X-ray pambuyo pa puncture, ingagwiritsidwe ntchito pambuyo potsimikizira kuti ili mu vena cava yapamwamba.

Ubwino wa PICC

(1) Chifukwa chakuti chobowolacho chili mumtsempha wapakatikati pomwe PICC imayikidwa, sipadzakhala zovuta zowopsa monga magazi pneumothorax, kuphulika kwakukulu kwa mitsempha ya magazi, matenda, mpweya wa mpweya, etc. Kusuntha kwa miyendo pamalo okhomerera sikuletsedwa.
(2) Ikhoza kuchepetsa kupweteka kwa odwala chifukwa cha venipuncture mobwerezabwereza, njira ya opaleshoni ndi yosavuta komanso yosavuta, ndipo sikuletsedwa ndi nthawi ndi malo, ndipo imatha kuyendetsedwa mwachindunji mu ward.
(3) Catheter ya PICC imapangidwa ndi polyurethane yapadera, yomwe ili ndi histocompatibility yabwino komanso kutsata. Catheter ndi yofewa kwambiri ndipo sayenera kuthyoledwa. Ikhoza kusiyidwa m'thupi kwa miyezi 6 mpaka chaka chimodzi. Zizolowezi za moyo wa odwala pambuyo pa catheterization kwenikweni sizidzakhudzidwa.
(4) Chifukwa catheter ikhoza kulowa mwachindunji mu vena cava yapamwamba, kumene kutuluka kwa magazi kuli kwakukulu, imatha kuchepetsa kuthamanga kwa madzi osmotic kapena kupweteka kwa minofu, necrosis, ndi phlebitis chifukwa cha mankhwala a chemotherapy.
Odwala omwe amamwa intubation yoyambirira sangawononge kuwonongeka kwa venous panthawi ya chemotherapy, kuwonetsetsa kuti pali njira yabwino yolowera m'mitsempha panthawi ya mankhwala a chemotherapy ndipo chithandizo chamankhwala chikhoza kutha bwino. Yakhala njira yabwino, yotetezeka, yachangu komanso yothandiza m'mitsempha yothandizira kwanthawi yayitali yopatsa thanzi komanso mankhwala kwa odwala kwambiri komanso odwala chemotherapy.

Tayani blockage

Ngati payipi ya PICC yatsekedwa mosadziwa, njira yopondereza yoyipa ingagwiritsidwe ntchito kubaya urokinase wosungunuka 5000u/ml, 0.5ml mu lumen ya PICC, khalani kwa mphindi 15-20 ndikutuluka ndi syringe. Ngati magazi atulutsidwa, zikutanthauza kuti thrombosis yapambana. Ngati palibe magazi omwe atulutsidwa, opareshoni yomwe ili pamwambapa imatha kubwerezedwa mobwerezabwereza kuti urokinase ikhale mu catheter kwa nthawi inayake mpaka magazi atatulutsidwa. Ndikoyenera kudziwa kuti kuchuluka kwa urokinase kuyenera kupitilira 15000u. Catheter ikasatsekeka, chotsani 5ml yamagazi kuti muwonetsetse kuti mankhwala onse ndi zotupa zachotsedwa.

Kukonza zonse

Chovalacho chiyenera kusinthidwa kwa maola 24 oyambirira. Chilonda chikachira bwino ndipo palibe matenda kapena magazi, sinthani mavalidwe masiku asanu ndi awiri aliwonse. Ngati mavalidwe a chilonda ndi otayirira komanso onyowa, sinthani nthawi iliyonse. Ngati malo a puncture ali ndi redness, totupa, exudation, ziwengo ndi zina zosazolowereka, nthawi yovala ikhoza kufupikitsidwa, ndipo kusintha kwaderalo kuyenera kuwonedwa mosalekeza. Chitani maopaleshoni aaseptic nthawi zonse pamene chovalacho chisinthidwa. Filimuyo iyenera kuchotsedwa kuchokera pansi kupita pamwamba, ndipo chisamaliro chiyenera kuperekedwa kukonza catheter kuti isagwe. Lembani tsiku mutalowa m'malo. Ana akamasamba, kulungani pobowolapo ndi pulasitiki, ndikusintha chovala akamaliza kusamba.

Musanagwiritse ntchito kulowetsedwa kwa PICC, gwiritsani ntchito swab ya thonje ya iodophor kupukuta kapu ya heparin kwa masekondi 30. Musanayambe kapena mutatha kulandira mankhwala, gwiritsani ntchito syringe yosachepera 10ml kuti mutenge saline wamba kuti mutsegule lumen. Pambuyo pa kuikidwa kwa zakumwa zoledzeretsa kwambiri monga mankhwala a magazi ndi michere, kugunda kwa chubu ndi 20ml ya saline yachibadwa. Ngati kulowetsedwako kukuchedwa kapena kwa nthawi yayitali, chubucho chiyenera kutsukidwa ndi saline wamba pakugwiritsa ntchito kuti chubu lisatseke.

Timatengera "zokonda makasitomala, zokonda kwambiri, zophatikizana, zatsopano" monga zolinga. "Choonadi ndi kuona mtima" ndi kayendetsedwe kathu koyenera kwa Manufactur standard China Single Triple Lumen Antimicrobial Peripherally Inserted Catheter Central Venous, Ndipo palinso mabwenzi abwino akunja ambiri omwe anabwera kudzawona, kapena kutiikiza kuti tigule zinthu zina. Mwalandiridwa kwambiri kubwera ku China, mumzinda wathu komanso kugawo lathu lopanga zinthu!
Manufactur standardChina Single Lumen Central Venous Catheter, Single Lumen CVC, Katundu onsewa amapangidwa mufakitale yathu yomwe ili ku China. Kotero ife tikhoza kutsimikizira khalidwe lathu mozama komanso likupezeka. M'zaka zinayi izi sitigulitsa zinthu zathu zokha komanso ntchito yathu kwa makasitomala padziko lonse lapansi.