Maonekedwe owonekera, kuonjezera chitetezo cha kulowetsedwa, ndikuthandizira kuwonetsetsa kwa utsi;
Ndiosavuta kugwiritsa ntchito, imatha kuzunguliridwa madigiri a 360, ndipo muvi ukuwonetsa komwe kukuyenda;
Kuthamanga kwamadzimadzi sikusokonezedwa panthawi ya kutembenuka, ndipo palibe vortex yomwe imapangidwa, yomwe imachepetsa thrombosis.
Kapangidwe:
Zachipatala3 njira stopcock chubu chimapangidwa ndi 3 njira chubu, valavu njira imodzi ndi pulagi zotanuka. Mapeto apamwamba ndi amtundu wa chubu cha njira zitatu amagwirizanitsidwa ndi valavu ya njira imodzi, ndipo kumapeto kwa chubu cha njira zitatu kumapangidwa ndi valavu imodzi. Malekezero a mbali ya chivundikiro cha pansi pa valve ndi chubu cha njira zitatu amaperekedwa ndi chivundikiro chapamwamba cha valavu imodzi, ndipo pulagi yotanuka imagwirizanitsidwa ndi mapeto apansi.
Pantchito yachipatala, nthawi zambiri ndikofunikira kutsegula njira ziwiri za venous kwa odwala kuti athe kupeza chithandizo mwachangu. Pamene anakumana ndi okalamba odwala ndi odwala amene mobwerezabwereza m'chipatala kuntchito, ndi mitsempha ya wodwalayo si zabwino, angapo venipuncture mu nthawi yochepa osati kumawonjezera ululu wa wodwalayo, komanso zimayambitsa chisokonezo pa puncture malo. Odwala ambiri okalamba, singano yapamtunda yolowera singano sikophweka, ndipo catheterization yakuya sikutheka. Poganizira izi, chubu chanjira zitatu chimagwiritsidwa ntchito kuchipatala.
Njira:
Isanafike venipuncture, kusiyanitsa chubu kulowetsedwa ndi scalp singano, kulumikiza tee chubu, kulumikiza scalp singano ndi chachikulu tee chubu, ndi kulumikiza madoko ena awiri a tee chubu ndi ** ya ma seti awiri kulowetsedwa. Pambuyo potopetsa mpweya, chitani puncture, Konzani, ndikusintha mlingo wodontha ngati mukufunikira.
Ubwino:
Kugwiritsiridwa ntchito kwa chitoliro cha njira zitatu kuli ndi ubwino wa ntchito yosavuta, yotetezeka, yofulumira komanso yosavuta, munthu mmodzi akhoza kugwira ntchito, palibe kutayikira kwamadzimadzi, kutsekedwa kotsekedwa, ndi kuipitsa kochepa.
Ntchito zina:
Kugwiritsa ntchito kwa nthawi yayitali m'mimba chubu—-
1. Njira: Lumikizani chubu cha tee kumapeto kwa chubu chapamimba, ndikuchikulunga ndi gauze ndikuchikonza. Ikagwiritsidwa ntchito, syringe kapena seti yothira imalumikizidwa ndi dzenje lambali la chubu lanjira zitatu ndiyeno jekeseni wa michere.
2. Njira zogwirira ntchito zophweka: pa nthawi yodyetsera machubu, pofuna kupewa kutuluka kwa chubu ndikuletsa mpweya kulowa m'mimba mwa wodwalayo, pamene aspiring chubu kudya, chubu cham'mimba chiyenera kupindika ndi dzanja limodzi ndipo dzanja lina likuyamwa chubu. Kapena, mapeto a chubu chapamimba amapindika mmbuyo, atakulungidwa ndi gauze, ndiyeno amaikidwa ndi mphira kapena kopanira musanayambe kuyamwa chubu. Mukatha kugwiritsa ntchito chubu chachipatala cha njira zitatu, mumangofunika kutseka valavu yowonongeka ya chubu cha njira zitatu pamene mukuyamwa chubu, zomwe sizimangokhalira kuphweka, komanso zimapangitsa kuti ntchito ikhale yabwino.
3. Kuchepetsa kuipitsidwa: M'zakudya zachizoloŵezi zodyetsera machubu, ma syringe ambiri amalumikizidwa kumapeto kwa chubu chapamimba ndiyeno jekeseni wa chubu. Chifukwa m'mimba mwake chubu chapamimba ndi chachikulu kuposa m'mimba mwake mwa syringe **, syringe siingathe kusinthidwa ndi chubu chapamimba. , Tube feeding fluid imasefukira pafupipafupi, zomwe zimawonjezera mwayi woipitsidwa. Mukatha kugwiritsa ntchito teyi yachipatala, mabowo awiri am'mbali a tee amalumikizidwa mwamphamvu ndi kulowetsedwa ndi syringe, zomwe zimalepheretsa kutayika kwamadzi ndikuchepetsa kuipitsidwa.
Kugwiritsa ntchito thoracocentesis:
1. Njira: Pambuyo pobowola, gwirizanitsani singano kumapeto kwa chubu cha tee, gwirizanitsani syringe kapena thumba la ngalande kumbali ya dzenje la tee, posintha syringe, kutseka valavu ya tee, ndipo mukhoza kubaya mankhwala pabowo. Jekiseni kuchokera mbali ina ya dzenje, kukhetsa ndi jekeseni mankhwala akhoza alternately anachita.
2. Njira zogwiritsira ntchito zosavuta: Gwiritsani ntchito chubu cha rabara nthawi zonse kuti mulumikizane ndi singano ya thoraco-m'mimba ndikutulutsa madzi. Chifukwa chubu la rabara silophweka kukonza, opaleshoniyo iyenera kuchitidwa ndi anthu awiri. Pira chubu kuteteza mpweya kulowa thoracic ndi pamimba pamimba. Mukatha kugwiritsa ntchito tee, singano yoboola imakhala yosavuta kukonza, ndipo bola ngati valavu ya tee yatsekedwa, syringe ikhoza kusinthidwa, ndipo opaleshoniyo ikhoza kuchitidwa ndi munthu mmodzi.
3. Kuchepetsa matenda: Chubu cha rabara chomwe chimagwiritsidwa ntchito poboola m'mimba mwachisawawa chimatsekedwa ndi kugwiritsidwa ntchito mobwerezabwereza, zomwe zimakhala zosavuta kuyambitsa matenda. The Medical tee chubu ndi zinthu zotayidwa chosawilitsidwa, amene kupewa kupatsirana.
Samalani mfundo zotsatirazi mukamagwiritsa ntchito 3 way stopcocks:
1) Njira yolimba ya aseptic;
2) Kutaya mpweya;
3) Samalani ndi contraindications wa ngakhale mankhwala (makamaka musagwiritse ntchito njira zitatu chubu pa kuikidwa magazi);
4) Kuwongolera kudontha liwiro la kulowetsedwa;
5) Miyendo ya kulowetsedwa iyenera kukhazikitsidwa kuti iteteze kuwonjezereka kwa mankhwala;
6) Pali mapulani ndi makonzedwe oyenera a kulowetsedwa malinga ndi momwe zilili.
Nthawi yotumiza: Aug-02-2021