Hanyoyin sa ido kan cutar hawan jini
Wannan dabara tana auna matsa lamba ta kai tsaye ta hanyar shigar da allurar cannula a cikin jijiyar da ta dace.Dole ne a haɗa catheter zuwa tsarin da bakararre, mai cike da ruwa wanda aka haɗa da na'urar duba marasa lafiya ta lantarki.
Domin auna hawan jini daidai ta hanyar amfani da catheter na arterial, masana sun ba da shawarar tsarin tsari mai matakai 5 wanda zai taimaka wajen (1) zabar wurin da ake sakawa, (2) zabar nau'in catheter na jijiya, (3) sanya catheter arterial, (4) matakin da na'urori masu auna sifili, da (5) duba ingancin yanayin motsin BP.
A lokacin aiki, wajibi ne don hana iska daga shiga da haifar da embolism;Hakanan ana buƙatar zaɓin tsayayyen zaɓi na tasoshin da suka dace da kullin huda/kussan jijiya na radial.Yin aikin jinya mai tasiri bayan tiyata don hana faruwar rikice-rikice yana da matukar mahimmanci, waɗannan matsalolin sun haɗa da: (1) hematoma, (2) Kamuwa da cuta daga wurin huda, (3) kamuwa da cuta (4) thrombosis arterial, (5) ischemia distal, (6) Necrosis na fata na gida, (7) Sakewar haɗin gwiwa na arterial ya haifar da asarar jini, da dai sauransu.
Waɗanne hanyoyin za a iya amfani da su don haɓaka kulawa
1.Bayan nasarar catheterization, kiyaye fata a wurin da ake hudawa a bushe, tsabta kuma ba ta da jini.Sauya sau 1 a kullum ana shafa, akwai zubar jini a kowane lokaci maye gurbin maganin kashe kwayoyin cuta a kowane lokaci.
2.Ƙarfafa kulawar asibiti da kula da zafin jiki sau 4 a rana.Idan majiyyaci yana da zazzabi mai zafi, sanyi, yakamata a nemi tushen kamuwa da cuta akan lokaci.Idan ya cancanta, ana ɗaukar al'adar bututu ko al'adun jini don taimakawa ganewar asali, kuma yakamata a yi amfani da maganin rigakafi da kyau.
3.Kada a sanya catheter na dogon lokaci, kuma a cire catheter nan da nan da zarar an sami alamun kamuwa da cuta.A ƙarƙashin yanayi na al'ada, yakamata a ajiye firikwensin hawan jini ba fiye da sa'o'i 72 ba kuma mafi tsayi mako guda.Idan ya zama dole a ci gaba.ya kamata a maye gurbin wurin auna matsi.
4.Sauya diluent heparin da ke haɗa bututu kowace rana.Hana intraductal thrombosis.
5. Duba a hankali ko launi da zazzabi na fatar nesa na wurin huda jijiyoyin jini ba su da kyau.Idan an sami karin ruwa, to sai a ciro wurin da aka huda nan da nan, sannan a jika kashi 50% na magnesium sulfate a wurin ja da kumbura, sannan kuma za a iya fitar da maganin infrared.
6. Zubar da jini na gida da hematoma: (1) lokacin da huda ta kasa kuma aka ciro allura, ana iya rufe yankin da ƙwallon gauze da faffadan tef ɗin manne a ƙarƙashin matsin lamba.Ya kamata a sanya tsakiyar suturar matsa lamba a wurin allurar jini jirgin ruwa, kuma ya kamata a cire yankin bayan minti 30 na suturar matsa lamba idan ya cancanta.(2) Bayan tiyata.An tambayi majiyyaci don kiyaye lemun tsami a gefen aiki.kuma kula da kallon gida idan mai haƙuri yana da ayyuka a cikin gajeren lokaci don hana zubar jini.Hematoma na iya zama 50% magnesium sulfate rigar damfara ko kayan aiki na gida da allurar iska mai iska da gwajin bututu yakamata a gyara su da ƙarfi, musamman lokacin da mai haƙuri ya fusata, ya kamata ya hana nasu extubation. an haɗa shi don guje wa zubar jini bayan cire haɗin.
7. Distal limb ischemia:
(1) Ya kamata a tabbatar da zagayawa na ɗimbin jijiyoyi kafin a yi aiki, kuma a guji huda idan jijiya ta sami raunuka.
(2) Zaɓi alluran huda da suka dace, yawanci 14-20g catheter ga manya da 22-24g catheter ga yara.Kada ku yi kauri da yawa kuma ku yi amfani da su akai-akai.
(3) Kula da kyakkyawan aikin tee don tabbatar da dripping na heparin al'ada saline;Gabaɗaya, duk lokacin da aka fitar da jinin jijiya ta hanyar bututun matsa lamba, nan da nan a wanke shi da saline na heparin don hana zubar jini.A cikin aiwatar da ma'aunin matsa lamba.tarin samfurin jini ko daidaita sifili, ya zama dole don hana hana kumburin iska na intravascular.
(4) Lokacin da matsa lamba akan na'urar ba ta da kyau, yakamata a gano dalilin.Idan akwai toshewar jini a cikin bututun, yakamata a cire shi cikin lokaci.Kada a tura gudan jini a ciki don hana kumburin jijiya.
(5) Kula da launi da zafin jiki na nesa mai nisa na gefen aiki, kuma a hankali saka idanu da kwararar jini na hannun ta cikin jinin oxygen jikewa na yatsan ipsilateral.Extubation ya kamata ya zama daidai lokacin da aka sami canje-canje mara kyau na alamun ischemia kamar launin fata, faɗuwar zafin jiki, tausasawa da zafi.
(6) Idan gaɓoɓin sun gyaru, kar a kuɗe su da zobe ko kunsa su da ƙarfi.
(7) Tsawon lokacin catheterization na jijiya yana da alaƙa da alaƙa da thrombosis.Bayan aikin zagayawa na majiyyaci ya tabbata, yakamata a cire catheter a cikin lokaci, gabaɗaya bai wuce kwanaki 7 ba.
Mai sauya matsa lamba mai yuwuwa
Gabatarwa:
Bayar da daidaitattun ma'aunin ma'aunin bugun jini na jijiya da venous
Siffofin:
●Zaɓuɓɓukan kayan aiki (3cc ko 30cc) don duka manya/majiyyatan yara.
●Tare da lumen guda, biyu da sau uku.
●Akwai tare da rufaffiyar tsarin samfurin jini.
●6 masu haɗawa da igiyoyi daban-daban sun dace da yawancin na'urori a duniya
●ISO, CE & FDA 510K.
Lokacin aikawa: Agusta-03-2022