Igurishwa rishyushye Ubushinwa Banda Yambara Sterilisation Igikoresho Igikoresho cya Picc Catheter Ikosora

Uruganda rwacu rurashimangira muri politiki yubuziranenge y "ibicuruzwa bifite ireme ni ishingiro ry’imibereho y’umuryango; kuzuza abaguzi bishobora kuba intandaro y’isosiyete kandi bikarangira; iterambere rihoraho ni ugukurikirana abakozi iteka ryose" hamwe nintego ihamye yo "kumenyekanisha icya 1, umuguzi ubanza" kugurisha ibicuruzwa bishyushye byo mu Bushinwa Banda Kwambara Sterilisation Fixation Device Picc Catheter Fixing Holder, Twiteguye gufatanya n'inzu nziza hamwe no gutangiza urugo rwiza kandi dukorana urugo rwiza kandi dukorana urugo rwiza kandi twiteguye gufatanya n'inzu nziza hamwe no gutangiza urugo rwiza kandi twiteguye gufatanya n'inzu nziza.
Uruganda rwacu rurashimangira muri politiki yubuziranenge y "ibicuruzwa bifite ireme ni ishingiro ry’imibereho yo kubaho; kuzuza abaguzi bishobora kuba intandaro y’isosiyete;Catheter Ikosora, Ubushinwa bufite gahunda yo gukosora Catheter, Twamenyekanye nkimwe mubikura bitanga ibicuruzwa no kohereza ibicuruzwa byacu hanze. Ubu dufite itsinda ryabakozi batojwe bafite ubunararibonye bitaye kubitangwa neza kandi mugihe gikwiye. Niba ushaka ubuziranenge bwiza kubiciro byiza no gutanga mugihe gikwiye. Twandikire.

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Ibicuruzwa birambuye

GUKURIKIRA
CATHTONG ™ II PICC Catheter igenewe uburyo bwigihe gito cyangwa kirekire bwo kugera kuri sisitemu yo hagati yimitsi yo hagati yo kwinjiza, kuvura imitsi, gufata amaraso, gutera inshinge zamakuru atandukanye, gucunga amazi, imiti nintungamubiri, kandi ikemerera kugenzura umuvuduko wamaraso hagati. CATHTONG ™ II PICC Catheter yerekanwa mugihe cyo gutura kigufi cyangwa kirenze iminsi 30.

INGINGO Z'UBUBASHA
CATHTONG ™ II Catheter yateguwe hamwe nubushobozi bwo gutera inshinge. Imbaraga zamashanyarazi zemerera gutera inshusho itandukanye kubipimo bya 5.0 mL / sek. Iyi mikorere yemerera umurongo wa PICC gukoreshwa mugutandukanya-Kuzamura CT (CECT) Kwerekana.

DUAL LUMEN DESIGN
Igishushanyo mbonera cya lumen cyemerera gukoresha ubwoko bubiri bwubuvuzi icyarimwe utiriwe winjizamo catheters nyinshi. Byongeye kandi, CATHTONG ™ II igaragaramo ibipimo bitandukanye bya lumen kugirango itange intera nini yikigereranyo.

Ibiranga

Parameter

PICC KIT IRIMO

• Umurongo wa PICC
• Igikoresho cyo Gutuza Catheter
• Amakuru yo gukoresha (IFU)
• IV Catheter w / Urushinge
• Scalpel, umutekano
• Urushinge rwinjiza
• Micro-Access hamwe na Dilatator
• Guidewire
MicroClave®

Ibyerekeye PICC

Niba ukoresha PICC, ugomba kwitonda kugirango utimura amaboko cyane cyangwa cyane mugihe ukoresha kugirango wirinde catheter kugwa cyangwa kumeneka; wongeyeho, oza umuyoboro hanyuma uhindure membrane rimwe mubyumweru (numuforomo), hanyuma ugerageze gukoresha ubwogero bwo kwiyuhagira. Ibibyimba bidakwiriye bigomba gusimburwa mugihe kugirango birinde catheter guhagarikwa cyangwa kwanduza uruhu nimiyoboro yamaraso aho catheteri yashyizwe. Niba PICC ibungabunzwe neza, irashobora gukoreshwa mugihe kirenze umwaka 1, irahagije kubungabunga kugeza chimiotherapie irangiye.

1. Guhitamo imitsi

Catheters ya PICC mubusanzwe ishyirwa mumitsi ihenze ya cubital fossa, umutsi wo hagati, hamwe na cephalic. Catheter yinjizwa neza muri vena cava isumba izindi. Ukeneye guhitamo imiyoboro yamaraso ihindagurika kandi igaragara.

2. Ibyerekana PICC intubation

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(2) Birakenewe kwinjiza inshuro nyinshi imiti ikangura, nk'imiti ya chimiotherapie;
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(4) Abakeneye gukoresha igitutu cyangwa pompe zotswa igitutu kugirango binjire vuba, nka pompe zo gushiramo;
(5) Gutera inshuro nyinshi ibikomoka kumaraso, nkamaraso yose, plasma, platine, nibindi.;
(6) Abakeneye kwipimisha amaraso menshi kumunsi.

3. Ibinyuranyo bya catheterisation ya PICC

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(2) Abazwi cyangwa bakekwaho kuba allergique kubice bikubiye muri catheter;
(3) Amateka ya radiotherapi kurubuga rwateganijwe muri intubation kera;
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4. Uburyo bwo gukora

Umurwayi afata umwanya wa supine kandi apima uburebure bwumurwayi kuva aho atobora kugera kuri vena cava isumba byose hamwe na kaseti yo gupima. Muri rusange ni 45 ~ 48cm. Urubuga rwa puncture rumaze gutoranywa, tourniquet irahambiriwe kandi isanzwe yanduza. PICC catheter catheter de poncure ikorwa hakurikijwe amabwiriza, kandi ikagumana ukurikije uko umurwayi ameze. Uburebure bwa catheter, firime X-ray nyuma yo gutobora, irashobora gukoreshwa nyuma yo kwemeza ko iri muri vena cava isumba izindi.

Ibyiza bya PICC

. Kugenda kwingingo zingingo zacumuwe ntibibujijwe.
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(3) Ibikoresho bya PICC catheter bikozwe muri polyurethane idasanzwe, ifite amateka meza kandi yubahirizwa. Catheter iroroshye cyane kandi ntigomba gucika. Irashobora gusigara mumubiri amezi 6 kugeza kumwaka 1. Ingeso yubuzima bwabarwayi nyuma ya catheterisation ntabwo ahanini izagira ingaruka.
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Abarwayi batewe intubation hakiri kare ntibashobora kwangirika kwamaraso mugihe cya chimiotherapie, bakemeza ko hari inzira nziza yimitsi mugihe cya chimiotherapie kandi chimiotherapie irashobora kurangira neza. Byahindutse uburyo bworoshye, butekanye, bwihuse kandi bunoze bwo kwinjiza imitsi kuburwayi bwigihe kirekire bwimirire yimirire nimiti kubarwayi barwaye cyane na chimiotherapie.

Kuraho inzitizi

Niba umuyoboro wa PICC uhagaritswe utabishaka, tekinike mbi yumuvuduko irashobora gukoreshwa mugutera urokinase ivanze 5000u / ml, 0.5ml mumashanyarazi ya PICC, guma muminota 15-20 hanyuma ukuremo siringi. Niba amaraso akuweho, bivuze ko trombose igenda neza. Niba nta maraso yakuweho, ibikorwa byavuzwe haruguru birashobora gusubirwamo inshuro nyinshi kugirango urokinase igume muri catheter mugihe runaka kugeza igihe amaraso aviriye. Twabibutsa ko igiteranyo cya urokinase kitagomba kurenga 15000u. Nyuma ya catheteri itabujijwe, kura 5ml yamaraso kugirango umenye neza ko imiti yose hamwe nibitereko byakuweho.

Kubungabunga rusange

Imyambarire igomba guhinduka mumasaha 24 yambere. Nyuma yuko igikomere gikize neza kandi nta kwandura cyangwa kuva amaraso, hindura imyambarire buri minsi 7. Niba kwambara igikomere bidakabije kandi bitose, bihindure igihe icyo aricyo cyose. Niba ikibanza cyacitse gifite umutuku, guhubuka, gusohora, allergie nibindi bihe bidasanzwe, igihe cyo kwambara kirashobora kugabanywa, kandi impinduka zaho zigomba gukomeza kubahirizwa. Kora cyane ibikorwa bya aseptic igihe cyose imyambarire ihinduwe. Filime igomba gukurwa hasi ikajya hejuru, kandi hagomba kwitonderwa gukosora catheter kugirango birinde kugwa. Andika itariki nyuma yo gusimburwa. Iyo abana biyuhagira, uzenguruke ahantu hacuramye ukoresheje plastike, hanyuma uhindure imyambarire nyuma yo kwiyuhagira.

Mbere yo gukoresha infashanyo ya PICC, koresha ipode ya iyode kugirango uhanagure capar ya heparin amasegonda 30. Mbere na nyuma yo kuvura imitsi, koresha seringe itarenze 10ml kugirango ushushanye umunyu usanzwe kugirango usukure lumen. Nyuma yo guterwa ibintu byinshi byamazi nkibicuruzwa byamaraso nibisubizo byintungamubiri, pulse yoza umuyoboro hamwe na 20ml ya saline isanzwe. Niba igipimo cyo kwinjiza gitinze cyangwa igihe kirekire, umuyoboro ugomba guhanagurwa na saline isanzwe mugihe cyo gukoresha kugirango wirinde ko umuyoboro uhagarara.

Uruganda rwacu rurashimangira muri politiki yubuziranenge y "ibicuruzwa bifite ireme ni ishingiro ry’imibereho y’umuryango; kuzuza abaguzi bishobora kuba intandaro y’isosiyete kandi bikarangira; iterambere rihoraho ni ugukurikirana abakozi iteka ryose" hamwe nintego ihamye yo "kumenyekanisha icya 1, umuguzi ubanza" kugurisha ibicuruzwa bishyushye byo mu Bushinwa Banda Kwambara Sterilisation Fixation Device Picc Catheter Fixing Holder, Twiteguye gufatanya n'inzu nziza hamwe no gutangiza urugo rwiza kandi dukorana urugo rwiza kandi dukorana urugo rwiza kandi twiteguye gufatanya n'inzu nziza hamwe no gutangiza urugo rwiza kandi twiteguye gufatanya n'inzu nziza.
Kugurisha bishyushyeUbushinwa bufite gahunda yo gukosora Catheter, Catheter Ikosora, Twamenyekanye nkimwe mubikura bitanga ibicuruzwa no kohereza ibicuruzwa byacu hanze. Ubu dufite itsinda ryabakozi batojwe bafite ubunararibonye bitaye kubitangwa neza kandi mugihe gikwiye. Niba ushaka ubuziranenge bwiza kubiciro byiza no gutanga mugihe gikwiye. Twandikire.