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Inalithi ye-Fistula Elahlwayo yekhwalithi ephezulu
Izinkomba:
I-ABLE fistula inaliti isetshenziswa ohlelweni
hemodialysis.Impahla yalo mkhiqizo
I-PVC yezinga lezokwelapha.Amashubhu alo mkhiqizo athambile
futhi isobala, futhi ilula futhi ithembekile kuyo
xhuma nezinye izisetshenziswa zezokwelapha.
Ukusetshenziswa okuhlosiwe:
Umkhiqizo uhloselwe ukubhoboza i-fistula evuthiwe,
futhi ixhume nemigqa yegazi ukuze kutholakale igazi
indlela ejikelezayo ngaphandle komzimba womuntu ohlelweni
hemodialysis.
Isakhi:
Inaliti ye-fistula ikakhulukazi yakha ishubhu yenaliti,
ihabhu, i-catheter, i-luer connector yesifazane, i-clamp, i-sheath
futhi uvikele cap. -
izinga eliphezulu lokuhlinza umthambo we-venous catheter
Izinkomba: I-catheter ye-venous emaphakathi iboniswa ukuqapha umfutho we-venous ophakathi, ukuqoqa isampula yegazi kanye nokujova umuthi noma isisombululo.Umklamo we-muticavity ungaqhubeka nenqubo engenhla ngesikhathi esifanayo.Isikhathi sokusetshenziswa singaphansi kwezinsuku ezingu-30. -
Imigqa yegazi elilahlwayo yegazi Elisezingeni Elihle Lezokwelapha
Umkhiqizo uqukethe ulayini obomvu we-Arterial kanye nolayini we-Venous oluhlaza okwesibhakabhaka. Imigqa ngokuyinhloko iqukethe Isixhumi se-Dialyzer, Isixhumi Sesiguli Esizikhiphayo, Amalokhi Wesifazane We-Luer, Igumbi Lokudonsa, Indawo Yomjovo Wegazi, I-On-off Clamp, Isixhumi Esizungezayo, Ishubhu lephampu, Ishubhu eliyinhloko, ishubhu le-Monitor kanye neshubhu le-Heparin.Izingxenye ozikhethela zona i-Transducer Protector, I-Infusion Set kanye ne-Drainage Bag. -
Ukuqinisekiswa Kwekhwalithi Nomkhawulo Wesibopho Esilahlwayo I-Haemodialyser
I-Dialyzer iklanyelwe ukwelapha i-hemodialysis yokwehluleka kwe-renal acute futhi okungamahlalakhona futhi isetshenziswe kanye.Ngokwesimiso solwelwesi olungena-permeable, ingakwazi ukwethula igazi lesiguli kanye ne-dialysate ngesikhathi esifanayo, kokubili kugeleze kubheke kolunye uhlangothi kuzo zombili izinhlangothi. Ngosizo lwe-gradient ye-solute, i-osmotic pressure kanye ne-hydraulic pressure, i-Disposable Haemodialyser ingasusa ubuthi namanzi engeziwe emzimbeni, ngesikhathi esifanayo, ihlinzeke ngezinto ezidingekayo ezivela ku-dialyzate futhi igcine i-electrolyte ne-asidi. -base balanced egazini. -
Ikhwalithi ephezulu lahla i-catheter yokuxilongwa kwe-hemodialysis yezokwelapha
1. I-catheter kufanele ifakwe futhi ikhishwe kuphela ngumuntu oqeqeshiwe,
udokotela noma umhlengikazi onelayisensi;amasu nezinqubo zezokwelapha
okuchazwe kule miyalo akumele konke ngokwezempilo
izivumelwano ezamukelekayo, futhi azihloselwe ukuthatha indawo ye
isipiliyoni sikadokotela nokwahlulela ekwelapheni noma yisiphi isiguli esithile.
2. Ngaphambi kokumhlinza, udokotela udinga ukuvuma
mayelana nezinkinga ezingaba khona ekwelapheni noma yisiphi isiguli esithile, kanye
kulungele ukuthatha izinyathelo ezanele zokuvikela uma kwenzeka noma yisiphi isimo esiphuthumayo.
3. Ungasebenzisi i-catheter uma iphakheji yonakele noma ngaphambilini
kuvulwe.Ungasebenzisi i-catheter uma ichotshoziwe, iphukile, isikwe, noma ngenye indlela
elimele, noma iyiphi ingxenye ye-catheter ilahlekile noma ilimele.
4. Ukusetshenziswa kabusha kwenqatshelwe ngokuphelele.Ukusetshenziswa kabusha kungadala ukutheleleka, uma kubi kakhulu,
kungase kuphumele ekufeni.
5. Sebenzisa indlela ye-aseptic eqinile.
6. Bopha ngokuphephile i-catheter.
7. Hlola indawo yokubhoboza nsuku zonke ukuze uthole noma yiziphi izimpawu zokutheleleka noma ezinye
ukunqanyulwa/ukukhishwa kwe-catheter
8. Faka esikhundleni isilonda ngezikhathi ezithile, hlambulula i-catheter ngayo
i-heparinized saline.
9. Qinisekisa ukuthi kuxhumeke okuphephile ku-catheter.Kunconywa ukuthi
izixhumanisi ze-luer-lock kuphela ezingasetshenziswa ne-catheter ekufakweni koketshezi
noma amasampula egazi ukugwema ingozi ye-air embolism.Zama ukuqeda
umoya ekusebenzeni.
10. Ungasebenzisi i-acetone noma isisombululo se-ethanol kunoma iyiphi ingxenye ye-catheter
amashubhu njengoba lokhu kungase kubangele ukulimala kwe-catheter. -
Inalithi Yokuqoqwa Kwegazi Le-Venous Yesibhedlela I-Daily Butterfly
Ukusebenzisa imiyalelo:
1. Ukukhetha i-lancet yegazi yokucaciswa okufanele ngokwezidingo zamakhasimende.
2. Vula iphakheji bese uhlola ukuthi inaliti ikhululekile noma cha futhi uma isivalo senaliti sicishiwe noma sonakalisiwe.
3. Ukwehlisa ikepisi yenaliti ngaphambi kokusebenzisa.
4. Faka i-lancet yegazi esetshenzisiwe emgqonyeni kadoti. -
izinga okusezingeni eliphezulu Ukuphepha kwezokwelapha vacutainer igazi iqoqo butterfly inaliti
Izici
1. Non-toxic, non-pyrogenic, latex free
I-2.I-PVC tube ethambile futhi esobala ingabona ukugeleza kwegazi komthambo ngokucacile
3. Amaphiko amabili enza ukubhoboza kuphephe kakhudlwana
4.Izinaliti ezibukhali nezibushelelezi zenza ukungena kungabi buhlungu
5.Inaliti ehoshelekayo ikhiywe ngemva kokusetshenziswa, ukuvimbela ukusetshenziswa kabusha nokulimala kwezingodo yenaliti kanye nokutheleleka kochwepheshe
6.Inaliti ifakwe ngaphambili kusibambi, kulula ukuyisebenzisa.
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Inalithi Yokuqoqwa Kwegazi Le-Butterfly Esezingeni eliphezulu
Incazelo Yomkhiqizo:
1.Ubuchwepheshe be-abrading enaliti ethuthukisiwe ukuze kuqinisekiswe ukuthi inaliti phezulu ibukhali ngokwanele ukunciphisa ubuhlungu.
2. Umshini wokubumba umjovo wokuhlanza ngokuzenzakalelayo, oqinisekisa ukuzinza komkhiqizo kanye nezindleko.
3. Ishabhu yokucwenga imithi yekilasi le-100, 000 igcina umkhiqizo uhlanzekile futhi uhlanzekile futhi igcina abasebenzisi benempilo.
4. Ukuvala inzalo ngemisebe ye-25KGY kuqinisekisa ukuphepha komkhiqizo -
Ishubhu Lokuhlola Iqoqo Legazi Lokuqoqwa Kwe-Glucose Okulahlwa Kwezokwelapha
Isicelo:
I-PT tube ilungele ukuhlolwa kwe-coagulation.Ishubhu yevacuum yaklanywa ngokwesilinganiso se-anticoagulant nesampula yegazi esingu-1:9.Ingaqinisekisa umthamo wegazi onembile kanye nenani le-anticoagulant kanye nokunemba okuphezulu.Ngenxa yobuthi bayo obuphansi, i-sodium citrate nayo ingasetshenziselwa ukugcinwa kwegazi
