Uburyo bwo gukurikirana umuvuduko wamaraso
Ubu buhanga bupima umuvuduko wa arterial mu kwinjiza urushinge rwa kanseri mu mitsi ikwiye.Catheter igomba guhuzwa na sisitemu sterile, yuzuye amazi ihujwe na monitor ya elegitoroniki.
Kugirango bapime neza umuvuduko wamaraso ukoresheje catheteri ya arterial, abahanga batanga uburyo bwa sisitemu yintambwe 5 zifasha muri (1) guhitamo aho binjirira, (2) guhitamo ubwoko bwa catheteri ya arterial, (3) gushyira arterial catheter, (4) urwego na sensor zeru, na (5) kugenzura ubuziranenge bwa BP.
Mugihe cyo gukora, birakenewe kubuza umwuka kwinjira no gutera embolisme;Harakenewe kandi gutoranya neza imiyoboro ikwiye hamwe na penture sheath / radial artera sheath.Ubuforomo bwiza nyuma yuburwayi kugirango hirindwe ko habaho ingorane ningirakamaro cyane, izi ngorane zirimo: (1) hematoma, (2) Kwanduza ahantu hacumita, (3) Kwandura sisitemu (4) trombose ya arterial, (5) Ischemia ya kure, (6) Uruhu rwaho nekrosis, (7) Kurekura ingingo ya arterial byateje gutakaza amaraso, nibindi.
Nubuhe buryo bwakoreshwa mugutezimbere ubuvuzi
1.Nyuma ya catheterisation igenda neza, shyira uruhu ahantu hacucitse humye, hasukuye kandi utarinze kumena amaraso.Simbuza inshuro 1 burimunsi ushyireho, habaho kuva amaraso mugihe icyo aricyo cyose cyo gusimbuza disinfection igihe icyo aricyo cyose.
2.Shimangira gukurikirana ivuriro no gukurikirana ubushyuhe bwumubiri inshuro 4 kumunsi.Niba umurwayi afite umuriro mwinshi, akonje, agomba gushakira igihe inkomoko yanduye.Niba bikenewe, umuco wa tube cyangwa umuco wamaraso bifatwa kugirango bifashe kwisuzumisha, kandi antibiotike igomba gukoreshwa neza.
3.Catheter ntigomba gushyirwa igihe kinini, kandi catheter igomba guhita ikurwaho mugihe hari ibimenyetso byanduye.Mubihe bisanzwe, sensor yumuvuduko wamaraso igomba kubikwa mugihe kitarenze amasaha 72 nicyumweru kirekire.Niba ari ngombwa gukomeza.ikibanza cyo gupima igitutu kigomba gusimburwa.
4.Simbuza heparin diluent ihuza imiyoboro buri munsi.Irinde trombose.
5. Witegereze neza niba ibara nubushyuhe bwuruhu rwa kure rwa arterial puncture site idasanzwe.Niba habonetse ibicuruzwa biva mu mazi, ikibanza cyo gutobora kigomba guhita gikururwa, kandi sulfate ya magnesium 50% igomba guhanagurwa ahantu hatukura kandi habyimbye, kandi nubuvuzi bwa infragre nabwo bushobora kuraswa.
6. Amaraso yaho hamwe na hematoma: (1) mugihe gucumita byananiranye no gukuramo urushinge, agace kaho gashobora gutwikirwa umupira wa gauze hamwe na kaseti yagutse ifashe igitutu.ikigo cyo kwambara igitutu kigomba gushyirwa kumurongo wurushinge rwamaraso. icyombo, kandi agace kaho kagomba gukurwaho nyuma yiminota 30 yo kwambara igitutu nibiba ngombwa.(2) Nyuma yo kubagwa.umurwayi yasabwe kugumya gucumbagira neza kuruhande rwibikorwa.kandi witondere kwitegereza kwaho niba umurwayi afite ibikorwa mugihe gito cyo kwirinda kuva amaraso.Hematoma irashobora kuba 50% ya magnesium sulfate itose cyangwa igikoresho cyogukoresha urushinge rwa irrasiyo yaho hamwe nigituba cyipimisha bigomba gukosorwa neza, cyane cyane mugihe umurwayi ahangayitse, bigomba gukumira byimazeyo ubwiyongere bwabo. (3) Guhuza umuyoboro wumuvuduko wamaraso ugomba kuba hafi. bihujwe kugirango wirinde kuva amaraso nyuma yo gutandukana.
7. Indwara ya ischemia itandukanye:
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(2) Hitamo inshinge zikwiye, mubisanzwe 14-20g catheter kubantu bakuru na 22-24g catheter kubana.Ntukabyibushye cyane kandi ubikoreshe inshuro nyinshi.
(3) Komeza imikorere myiza yicyayi kugirango umenye neza ko saline ya heparin itonyanga;Muri rusange, igihe cyose amaraso ya arterial akuwe mumiyoboro yumuvuduko, igomba guhita yozwa na saline ya heparin kugirango wirinde kwifata.Muburyo bwo gupima igitutu.gukusanya icyitegererezo cyamaraso cyangwa guhindura zeru, birakenewe gukumira byimazeyo embolism yo mu kirere.
(4) Iyo igitutu cyumuvuduko kuri monite kidasanzwe, hagomba kuboneka impamvu.Niba hari umuvuduko wamaraso wafunzwe mumuyoboro, ugomba kuvaho mugihe.Ntugasunike amaraso kugirango wirinde arterial embolism.
.Kwiyongera bigomba kuba mugihe mugihe habaye impinduka zidasanzwe zerekana ibimenyetso bya ischemia nkuruhu rwera, kugabanuka kwubushyuhe, kunanirwa nububabare.
(6) Niba ingingo zimaze gukosorwa, ntuzizizingire mu mpeta cyangwa kuzizinga cyane.
(7) Igihe cya arterial catheterisation gifitanye isano neza na trombose.Nyuma yimikorere yumurwayi ihagaze neza, catheter igomba gukurwaho mugihe, mubisanzwe bitarenze iminsi 7.
Umuvuduko ukabije wa transducer
Iriburiro:
Tanga ibisobanuro bihamye kandi byukuri byo gupima umuvuduko wamaraso
Ibiranga:
●Amahitamo y'ibikoresho (3cc cyangwa 30cc) kubarwayi bakuze / b'abana.
●Hamwe na rimwe, kabiri na gatatu.
●Iraboneka hamwe na sisitemu yo gufunga amaraso.
●Ihuza 6 ninsinga zitandukanye bihuza na monitor nyinshi kwisi
●ISO, CE & FDA 510K.
Igihe cyo kohereza: Kanama-03-2022