Ọdịdị na-egbuke egbuke, na-amụba nchekwa nke infusion, na ịkwado nleba anya nke iyuzucha;
Ọ dị mfe iji rụọ ọrụ, enwere ike ịtụgharị ogo 360, na akụ na-egosi ụzọ mgbaba;
A naghị egbochi mmiri mmiri n'oge ntụgharị, ọ dịghịkwa vortex na-emepụta, nke na-ebelata thrombosis.
Nhazi:
The ọgwụ3 ụzọ stopcock tube mejupụtara tube ụzọ atọ, valvụ otu ụzọ na plọg na-agbanwe. A na-ejikọta akụkụ elu na akụkụ nke tube ụzọ atọ nke ọ bụla na-ejikọta ya na valvụ otu ụzọ, na njedebe elu nke eriri ụzọ atọ bụ nke otu ụzọ. A na-enye akụkụ dị n'akụkụ nke mkpuchi mkpuchi n'okpuru-valvụ na tube ụzọ atọ na-ekpuchi elu nke otu ụzọ, na nkwụnye na-agbanwe agbanwe na-ejikọta na njedebe ala.
Na ọrụ ụlọ ọgwụ, ọ na-adịkarị mkpa imeghe ọwa abụọ nke venous maka ndị ọrịa iji nweta ọgwụgwọ ngwa ngwa. Mgbe ndị agadi na-arịa ọrịa na ndị ọrịa na-aga n'ụlọ ọgwụ ugboro ugboro na-arụ ọrụ, na arịa ọbara nke onye ọrịa adịghị mma, ọtụtụ venipuncture n'ime oge dị mkpirikpi ọ bụghị nanị na-eme ka ihe mgbu nke onye ọrịa dịkwuo elu, kamakwa na-akpata nkwụsịtụ na saịtị nkwụsị. N'ọtụtụ ndị ọrịa meworo agadi, agịga nke na-ebi n'elu akwara adịghị mfe ịbanye, na catheterization vein miri emi agaghị ekwe omume. N'ihi nke a, a na-eji tube ụzọ atọ eme ihe na ụlọ ọgwụ.
Usoro:
Tupu venipuncture, kewaa tube infusion na agịga akpụkpọ isi, jikọọ tube tee, jikọọ agịga isi na isi tube tee, ma jikọọ ọdụ ụgbọ mmiri abụọ ndị ọzọ nke tee tube na ** nke ntinye infusion abụọ ahụ. Mgbe ike gwụrụ ikuku, mee ntụmadị, dozie ya, ma dozie ọnụego ntapu dị ka ọ dị mkpa.
Uru:
Ojiji nke ọkpọkọ ụzọ atọ nwere uru nke ọrụ dị mfe, iji nchekwa dị mfe, ngwa ngwa ma dị mfe, otu onye nwere ike ịrụ ọrụ, ọ dịghị mmiri mmiri na-agbapụta, ọrụ mechiri emechi, na obere mmetọ.
Ojiji ndị ọzọ:
Ngwa na tube gastric na-adị ogologo oge——
1. Usoro: Jikọọ tee tube na njedebe nke tube gastric, wee kechie ya na gauze ma dozie ya. Mgbe a na-eji ya eme ihe, a na-ejikọta sirinji ma ọ bụ ntinye infusion n'akụkụ oghere nke tube ụzọ atọ wee gbanye ihe ngwọta na-edozi ahụ.
2. Usoro arụ ọrụ dị mfe: n'oge nri tube a na-ahụkarị, iji gbochie reflux nke nri tube ma gbochie ikuku ịbanye n'ime afọ onye ọrịa, mgbe ọ na-achọ nri tube, a ga-eji otu aka na-apịaji tube afo na aka nke ọzọ na-aṅụ nri tube. Ma ọ bụ, a na-apịaji njedebe nke tube gastric azụ, kechie ya na gauze, wee dozie ya na eriri roba ma ọ bụ clip tupu e nwee ike ịmịnye nri tube. Mgbe ị na-eji ọgwụ ahụ eme ihe atọ, naanị ị ga-emechi valvụ na-apụ apụ nke tube ụzọ atọ mgbe ị na-aṅụ nri tube, nke ọ bụghị nanị na-eme ka usoro ọrụ ahụ dị mfe, kamakwa na-eme ka ọrụ ahụ dịkwuo mma.
3. Mbelata mmetọ: Na nri nri tube a na-emekarị, ọtụtụ n'ime sirinji na-ejikọta na njedebe nke tube gastric na mgbe ahụ, a na-agbanye nri tube. N'ihi na dayameta nke tube gastric buru ibu karịa dayameta nke sirinji **, a pụghị iji tube gastric mee ka sirinji ahụ guzozie. , Mmiri na-enye nri Tube na-ejupụta ugboro ugboro, nke na-eme ka ohere nke mmetọ dịkwuo elu. Mgbe ị na-eji tee ahụike, oghere abụọ dị n'akụkụ tee na-ejikọta ya na ntinye infusion na sirinji, nke na-egbochi nsị mmiri ma belata mmetọ.
Ngwa na thoracocentesis:
1. Usoro: Mgbe nkwụsị nke ọma, jikọọ agịga nkwụsị na otu njedebe nke tee tube, jikọọ sirinji ma ọ bụ akpa mmiri drainage n'akụkụ oghere nke tee tube, mgbe ị na-edochi sirinji, mechie tee tube on-off valve, ma ị nwere ike ịgbanye ọgwụ n'ime oghere. Ịgbanye site n'akụkụ nke ọzọ nke oghere ahụ, ịmịpụ na ịgbanye ọgwụ nwere ike ịmegharị ọzọ.
2. Usoro ọrụ dị mfe: Na-eji tube rọba eme ihe mgbe niile iji jikọọ agịga ntụpọ maka mgbapu thoraco-abdominal na igbapu. N'ihi na tube roba adịghị mfe idozi, mmadụ abụọ ga-arụ ọrụ ahụ. Ọkpụkpụ rọba iji gbochie ikuku ịbanye n'ime oghere thoracic na abdominal. Mgbe ị na-eji tee eme ihe, agịga nkwụsị ahụ dị mfe idozi, ma ọ bụrụhaala na emechi valvụ tee, a ga-eji dochie sirinji ahụ, otu onye nwere ike ịrụ ọrụ ahụ.
3. Mbelata ọrịa: A na-eme ka tube rubber na-eme ka ọkpụkpụ thoraco-abdominal na-agba ume ma jiri ya mee ihe ugboro ugboro, nke dị mfe iji mee ka ọ bụrụ ọrịa na-efe efe. Ọkpụkpụ tei ahụike bụ ihe a na-atụfu ya, nke na-ezere ọrịa obe.
Lezienụ anya na isi ihe ndị a mgbe ị na-eji 3 ụzọ stopcocks:
1) Usoro aseptic siri ike;
2) Wepu ikuku;
3) Lezienụ anya na contraindications nke ndakọrịta ọgwụ (karịsịa adịghị eji tube ụzọ atọ n'oge mmịnye ọbara);
4) Jikwaa ọsọ ọsọ nke infusion;
5) Akwụsị ụkwụ nke infusion kwesịrị idozi iji gbochie mpụ nke ọgwụ ahụ;
6) Enwere atụmatụ na ndokwa ezi uche dị na ya maka infusion dị ka ọnọdụ dị adị.
Oge nzipu: Ọgọst-02-2021