Upangiri Wathunthu Wogwiritsa Ntchito Chubu Iliyonse Yoyamwa Ndi Catheter Yoyamwa Posamalira Pakhosi - ZhongXing

Pamene munthu sangathe kuchotsa njira yakeyake yodutsa mpweya, pulasitiki wamba yachipatala imakhala yothandiza kwambiri. Nkhaniyi ikufotokoza mmene chipangizo choyamwa chimachotsera madzi oipa m’thupi, kuonetsetsa kuti wodwala aliyense azipuma bwinobwino. Ndikoyenera kuwerenga chifukwa kumvetsetsa mtundu, cholinga, ndi kugwiritsa ntchito moyenera zidazi sikumangopulumutsa miyoyo komanso kumathandiza oyang'anira zogula kuti apange zisankho zanzeru, zotsatizana, komanso zogulira zipatala zawo mopanda chiwopsezo.

Kaya mumagula zinthu pagulu lalikulu lachipatala kapena kuyang'anira chipatala chaching'ono, kudziwa zowona za zida zopumira kumawongolera njira yanu yoperekera ndikuteteza anthu omwe amadalira inu kwambiri.

Kodi chubu choyamwa zamankhwala ndi chiyani ndipo chifukwa chiyani kuligwiritsa ntchito ndikofunikira?

Suction chubu ndi chingwe chapulasitiki chopanda kanthu chomwe chimagwiritsidwa ntchito potulutsa zamadzimadzi m'thupi. M'chipatala, madokotala ndi anamwino amadalira chida ichi tsiku lililonse. Amagwiritsira ntchito panthawi ya opaleshoni. Amachigwiritsa ntchito m'chipinda chothandizira. Munthu akafooka kwambiri moti sangathe kutsokomola madzimadzi, chubucho chimalowera kuti chinyamule katundu wolemera. Zimagwira ntchito ngati vacuum yamakina. Chochita chophwekachi chimayimitsa zotchinga zoopsa kuti zisapangike.

Mwina mungadabwe kuti n’chifukwa chiyani timafunikira zida zimenezi. Yankho limabwera ku chitetezo. Chubu choyamwa chapamwamba kwambiri chimapangidwa kuchokera ku PVC yachipatala. Nkhaniyi ndi yamphamvu koma yofatsa. Sichidzagwa pansi pa kupanikizika. Mukagula zambiri, muyenera kudziwa kuti chinthu chilichonse chimagwira ntchito bwino kuchokera pa phukusi. Mzere wogwa ungayambitse vuto lalikulu.

Kwa ogula azipatala, kupeza zinthu zodalirika ndikofunikira. Simungakwanitse kugula zinthu izi. Chipatala chikatha, maopaleshoni amasiya. Kusamalira kuyima. Chifukwa chake, kufunafuna kuchokera kwa wopanga yemwe akutsata mosamalitsa kwa CE ndi FDA kumawonetsetsa kuti mayendedwe operekera amakhalabe okhazikika. Mumapeza zinthu zotetezeka, ndipo wodwalayo amakhala otetezeka.

Kodi catheter yoyamwa imasiyana bwanji ndi chubu choyamwa chokhazikika?

Nthawi zambiri anthu amasakaniza mawu awiriwa. Katheta woyamwa kwenikweni ndi mtundu wapadera wa chubu choyamwa. Kusiyana kwakukulu kuli mu kapangidwe kake ka thupi. Mzere wolumikizira wokhazikika nthawi zambiri umakhala wokhuthala komanso wokhazikika. Imatsekereza kusiyana pakati pa vacuum ya khoma ndi chida chamanja. Mosiyana ndi zimenezi, catheter yoyamwa imakhala yosinthika kwambiri. Zimenezi zimathandiza kuti ipinde ndi kutsetsereka bwino m’malo osalimba monga mphuno kapena pakamwa.

Madokotala akamapanga njira zovuta, amafunikira chida chomwe chimasinthasintha. Mzere wosinthika umadutsa minofu popanda kuvulaza. Imafika pansi kwambiri munjira ya mpweya. Nthawi zambiri mudzawona namwino akugwira chogwirira cha Yankauer cholumikizidwa ndi mzere waukulu. Yankauer ndi nsonga yolimba ya pulasitiki. Imalunjika kumbuyo kwa mkamwa mosavuta. Mutha kuyang'ana gulu lapamwamba cholumikizira chubu kuti muwone momwe nsonga yolimba ndi mzere wofewa zimagwirira ntchito limodzi mwangwiro.

Chifukwa chiyani kuyamwa ndikofunikira kuti mukhalebe ndi thanzi la kupuma?

Kukhala ndi thanzi labwino la kupuma kumatanthauza kuti mpweya umayenda momasuka mkati ndi kunja kwa mapapo. Munthu akadwala, thupi lake limatulutsa mamina owonjezera. Nthawi zina, sputum iyi imakhazikika. Ngati sputum satsekeka, mabakiteriya amakula msanga. Izi zimabweretsa matenda oopsa ngati chibayo. Mwa kuyamwa njira ya mpweya, osamalira amachotsa msampha wowopsawu. Amatulutsa mamina wokhuthala kuti munthuyo apumenso mosavuta.

Kuti mapapu akhale athanzi, anamwino amachita ntchitoyi pafupipafupi kwa omwe ali ndi makina opangira mpweya. Makinawa amawapumira, koma sangathe kutsokomola. Namwino amalowa ndi catheter. Amachitsitsa, kuyatsa vacuum, ndi kukonza njira. Zimagwira ntchito mwachangu kwambiri. M’mphindi zochepa chabe, mpweya wa okosijeni m’mwazi umayamba kukwera.

Ubwino ndiwofunika pano. Ngati pulasitiki ndi yovuta, imakanda mkati mwake. Mzere wokanda umatulutsa magazi ndipo umayambitsa matenda ambiri. Ichi ndichifukwa chake magulu ogula zinthu amafuna zinthu zotsimikizika za ISO 13485. Amadziwa kuti ziboda zosalala, zopukutidwa pansonga ya catheter zimateteza kuvulala kosafunika. Kupanga kwabwino kumathandizira mwachindunji thanzi lamapapu.

Ndi njira ziti zazikulu zogwiritsira ntchito makina oyamwa mosamala?

Kugwiritsa ntchito makina oyamwa kumafuna chisamaliro ndi chidwi. Choyamba, wowasamalira amasamba m’manja ndi kuvala zida zodzitetezera. Iwo akhoza kuvala wosabala chigoba cha nkhope ya opaleshoni yachipatala kuti atseke splashes. Kenako, amatsegula zoikamo zosabala za catheter. Ayenera kusunga nsonga yaukhondo. Ikakhudza bedi kapena chovala, amachitaya ndi kutenga china chatsopano.

Akakonzeka, amangiriza mzere ku chitini chosonkhanitsira. Kukwanira kuyenera kukhala kolimba. Kulumikizana kotayirira kumatulutsa mpweya ndikuwononga mphamvu ya vacuum. Akachilumikiza, amayatsa makinawo. Amayang'ana makina osindikizira mosamala. Dokotala kapena namwino amaika chitsenderezo chenichenicho.

• Sambani m'manja bwinobwino.
• Valani chigoba ndi magolovesi.
• Tsegulani phukusi mosamala.
• Lumikizani mzere mwamphamvu.
• Yesani mphamvu ya vacuum.

Chitetezo nthawi zonse chimakhala choyamba. Ngati kupanikizika kuli kolakwika, kungayambitse ululu. Othandizira amatsata ndondomeko zokhwima zachipatala kuonetsetsa kuti sitepe iliyonse imateteza munthu amene wagona pabedi.

Kodi kuyeretsa pakhosi kumalepheretsa bwanji wodwala kuyamba kutsamwitsidwa?

Tangoganizani kuyesa kumeza madzi ambiri, koma akutsika paipi yolakwika. Mukutsokomola nthawi yomweyo. Ndiyeno taganizirani za wodwala amene ali wofooka kwambiri moti sangathe kutsokomola. Maiwe amadzimadzi kuseri kwa mkamwa mwawo. Akasiyidwa okha, amayamba kutsamwitsidwa. Osamalira amakonza njira yodutsa mpweya kuti apewe ngoziyi. Pochotsa madzi owonjezera, amatsegula chitseko kuti mpweya uziyenda.

Kutsamwitsidwa ndi ngozi yopanda phokoso m'zipatala zambiri. Pambuyo pa opaleshoni, anesthesia imapangitsa minofu kugona. Thupi limayiwala kumeza moyenera. Malovu amamanga msanga. Namwino amagwiritsa ntchito vacuum kusesa malo. Amayamwa madziwo asanagwere mumphepo yamkuntho.

Kuchita kosavuta kumeneku kumayimitsa tsoka. Mukachotsa njira yodutsa mpweya, mumachotseratu chiopsezo chotsamwitsa. Kumabweretsa mtendere wamumtima ku banja lomwe likukhala pafupi ndi bedi. Kwa wogula kuchipatala, podziwa kuti chipinda chawo choperekera zinthu chili ndi zida zofunika izi zikutanthauza kuti akuthandiza mwachindunji kupulumutsa miyoyo usiku uliwonse.

Chifukwa chiyani mapangidwe achubu amafunikira pakusamalira ana ndi akulu?

Ana si akuluakulu ang’onoang’ono chabe. Matupi awo ndi osalimba kwambiri. Njira ya ana ndi yopapatiza komanso yofewa. Ngati namwino agwiritsa ntchito chida cha munthu wamkulu pa mwana, zimapweteka kwambiri komanso kuwonongeka. Ichi ndichifukwa chake opanga amapanga zida zapadera za ana. Zida zing'onozing'onozi ndizochepa, zofewa, komanso zosinthika kwambiri. Amayendetsa tinjira tating'onoting'ono toyenda bwino.

Pofuna kuchepetsa kuvulaza, catheter yoyamwa kwa mwana imakhala ndi zizindikiro zapadera. Manambalawa amauza namwinoyo momwe nsongayo yalowera. Kuzama kwambiri kumakhudza zingwe za mawu. Cholinga ndikuchotsa malo osakhudza malo ovuta. Kukonzekera koyenera kumalepheretsa vutoli kwathunthu. Zimapangitsa mwanayo kukhala wotetezeka komanso wodekha panthawi yowopsya.

"Kusankha kukula koyenera ndilo lamulo loyamba la chisamaliro cha ana. Chida chomwe chili chachikulu chidzangowonjezera mavuto." - Medical Safety Protocol

Povala chipinda cha ana, ogula amayang'ana zida zapadera. Amagulanso zinthu ngati mankhwala ana kupuma kuwonetsetsa kuti akuphatikiza mbali zonse za chithandizo cha kupuma kwa makanda. Kugula kuchokera kwa ogulitsa omwe amapereka makulidwe osiyanasiyana kumapangitsa kuti kasamalidwe kazinthu kakhale kosavuta.

Pakakhala ngozi, kuyamwa kumapulumutsa bwanji miyoyo?

Pamene ma siren akulira ndipo zitseko za ambulansi zimatseguka, nthawi imayima. Muzochitika zadzidzidzi, madokotala amayenda pa liwiro la mphezi. Wovulalayo atha kukhala ndi njira yotsekeka yotuluka magazi kapena masanzi. Adokotala asanapope mpweya, ayenera kuchotsa njirayo. Zowopsa ndizokwera kwambiri. Amagwira chubu choyamwa nthawi yomweyo.

Makinawa amakhala ndi moyo. Namwino akuponya nsonga ya Yankauer mkamwa. M'masekondi pang'ono, madzi okhuthala amatha. Njirayo ndi yomveka. Tsopano, adokotala amatsitsa chubu chopumira pansi pa mpopepo. Mpweya umayenda. Oyang'anira mtima amaliranso pang'onopang'ono. Popanda chida chofunika kwambiri chopulumutsira mpweya, mpweya sungafike m'mapapo.

Magulu a zangozi sangakwanitse kugula zida zosalimba. Amafunikira zida zolimba, zosabala, komanso zodalirika. Ngati phukusi likung'ambika panthawi yaulendo ndipo chida chitaya mphamvu, gulu silingathe kuchigwiritsa ntchito. Izi zikuwonetsa kufunikira kokwanira kwapaketi yolimba, yotetezeka. Ogula amafuna kuchita bwino chifukwa chida chosweka pakagwa mwadzidzidzi chimawononga moyo.

Kodi njira yoyenera ingachepetse bwanji ngozi ya kuvulala kwa mapapo?

Ngakhale ndi zida zabwino kwambiri, zolakwika zaumunthu zimatha kuchitika. Kuyamwa ndi ntchito yovuta. Mukakankhira nsongayo mwamphamvu kwambiri, imavulaza minofu yofewa. Mukasiya vacuumyo ikutalika kwambiri, imaba mpweya m'mapapo. Njira yabwino ndiye chishango chomaliza pakuvulala. Anamwino amaphunzitsa kwa maola ambiri kuti azitha kuvina bwino kwambiri.

Amatsatira "lamulo lachiwiri la 10." Samakoka chopukutira kwa masekondi opitilira khumi panthawi imodzi. Amalowetsa mzere popanda kukakamiza. Kenako, amapaka kachidutswa kakang’ono kokha pamene akuchikoka pang’onopang’ono. Amazunguliza mzere pang'onopang'ono pakati pa zala zawo. Kusuntha uku kumagwira chilichonse popanda kugwira makoma a minofu yofewa.

Pofuna kuchepetsa chiopsezo cha zoopsa, zipatala zimagwiritsa ntchito zida zozungulira, zosalala. Kumbali zakuthwa kumayambitsa magazi. Mphepete zosalala zimangoyenda bwino. Oyang'anira zogula akamawunika mafakitale, amawona mtundu wa nkhungu. Amafuna kuonetsetsa kuti palibe kung'anima kwa pulasitiki komwe kumasiyidwa pamalangizo. Kupanga bwino kumatanthauzira mwachindunji kuvulala kochepa kwa odwala.

Ndi mitundu yanji yamadzimadzi ndi zotsekemera zomwe nthawi zambiri zimachotsedwa?

Thupi la munthu limapanga zamadzimadzi zambiri. Panthawi ya matenda kapena opaleshoni, zakumwazi zimathera m'malo olakwika. Katulutsidwe kofala kwambiri kamene kamachotsedwa ndi ntchofu. Pamene chimfine kapena matenda ayamba, ntchofu amakula ndi kumata. Chotsekeracho chimakoka matope amakani awa, ndikusiya njira yowonekera bwino.

Kupatula ntchofu, anamwino nthawi zambiri amachotsa malovu. Munthu ali chikomokere sangathe kumeza malovu ake. Imasambira mwakachetechete. Ngati itadontha pansi, imayambitsa kutsamwitsa. Vacuum imasesa bwino. Zikachitika zoopsa, chida chimakoka magazi kapena masanzi. Magazi amatha kuundana ndi kutsekereza okosijeni mwachangu. Masanzi amanyamula asidi wa m’mimba, amene amawotcha kwambiri mapapo akakokedwa.

• Mphuno Yakuda: Amachotsa zotchinga zomwe zimayambitsa matenda.
• Malovu: Zimalepheretsa kusakanikirana ndi kutsamwitsa.
• Magazi: Imasunga malo owonekera bwino panthawi ya opaleshoni.
• Masanzi: Amaletsa asidi kuwotcha minofu ya m'mapapo.

Mwa kutenga madziwa mofulumira, osamalira amateteza thupi kuti lisawonongeke. Kuti bedi likhale loyera panthawi yachisokonezo ichi, nthawi zambiri amaika mapepala achipatala pansi pa munthu. Izi zimagwira madontho aliwonse osokera ndikusunga chilengedwe chaukhondo.

Momwe mungasamalire ndi kuyeretsa zida pogwiritsa ntchito madzi osabala?

Ntchito ikatha, zida zimafunikira chisamaliro. Mukasiya madzi okhuthala atakhala mkati mwa pulasitiki, amauma ngati simenti. Mzere wotsekeka ndi wopanda pake. Kuti dongosololi lisamayende bwino, namwino ayenera kuchotsa chubu nthawi yomweyo. Amachita izi pogwiritsa ntchito madzi osabala.

Amaviika nsonga ya Yankauer kapena catheter yofewa m'kapu yamadzi osabala. Amayatsa vacuum. Madzi amathamanga pamwamba pa mzere. Zimagwira ntchito ngati makina ochapira, kuchapa mkati mwa makoma oyera. Madzi amakankhira zinyalala zonse zomwe zatsekeredwa mumtsuko wosonkhanitsira. Kuthamanga kosavuta kumeneku kumatsimikizira kuti mzerewo ndi wotseguka kwathunthu ndikukonzekera ntchito yotsatira.

Chifukwa chiyani mugwiritse ntchito madzi osabala? Chifukwa madzi apampopi amanyamula mabakiteriya obisika. Mukatsuka chida chachipatala ndi madzi apampopi, mumasiya majeremusi. Majeremusi amenewo amachulukana. Mukagwiritsanso ntchito chidacho, mumakankhira majeremusiwo mwachindunji m’thupi la munthu wodwala. Malamulo okhwima a ukhondo wamankhwala amaletsa izi. Kusamalidwa bwino kumatanthauza kugwiritsa ntchito mankhwala osabala panjira iliyonse.

Zinthu Zofunika Kwambiri Kuzikumbukira

• Ntchito: Chubu choyamwa ndi chingwe chofunikira chomwe chimachotsa madzimadzi ndikutsegula njira yolowera mpweya.
• Kusinthasintha: Catheter yoyamwa imakhala yosinthika kwambiri, yomwe imalola kuti ilowe m'malo osalimba popanda kuwononga minofu.
• Chitetezo Choyamba: Njira yoyenera, monga kuchepetsa nthawi yopuma, imateteza mapapo kuti asapweteke kwambiri ndi kuvulala.
• Target Fluids: Olera amagwiritsa ntchito zidazi kuchotsa makoswe oopsa, malovu, magazi, ndi masanzi oopsa.
• Zakonzeka Zadzidzidzi: M'mikhalidwe yamoyo kapena imfa, kuyeretsa pakhosi kumateteza kutsamwitsidwa ndikutsegula njira ya okosijeni wofunikira.
• Nkhani Zaukhondo: Nthawi zonse muzitsuka zida ndi madzi osabala kuti mabakiteriya asakule komanso kukhala aukhondo m'chipatala.
• Kugula Kwabwino: Kugula zinthu zogwirizana ndi CE ndi FDA mochulukira kumatsimikizira kudalirika kwa chain chain ndikutsimikizira kuyika kotetezedwa, kosabala.