Kukhoza aligorivimu ku zitsanzo zosankhidwazi mtsempha magazi

Pakali pano, n'zosatheka kulingalira mankhwala popanda maphunziro amuzolengedwa wa seramu kapena plasma, ngati mayesero ankachititsa ndi Mungaphunzire zambiri kwa madokotala kuposa madandaulo ndi mtima wabwino. Nthawi yomweyo pambuyo kuitana thandizo ku chipatala kapena chikuonetseratu kuchipatala dokotala n'kukulemberani kafukufuku amenewa. Komabe, kupeza deta odalirika pankhani ya thanzi wodwalayo zachokera osati pa zida zamakono ndi apamwamba mankhwala zasayansi reagents. chofunika kwambiri ndi yolondola magazi chitsanzo kwa mtsempha wa. The aligorivimu mpheto ndi yokonza wodwalayo kwa madzi mpanda thupi ndi zofunika koposa matenda ndiponso kudziwa chithandizo choyenera kwambiri.

Kukonzekera Survey

Musati atangotha kulankhula ndi dokotala n'kuthawira ku amuzolengedwa kapena choyezera mpheto malo chopereka magazi. Ambiri mwina, mu chipinda mpheto sinditenga kalikonse, chifukwa m'pofunika pochitika masewera yaing'ono kuchita magazi zitsanzo zosankhidwazi ku mtsempha zotumphukira. Izi aligorivimu masewero motere. Pa madzulo pamaso mpheto sayenera zolimba kwambiri chakudya.

Chakudya ayenera kukhala kuwala, ndipo chakudya - palibe pasanafike 19 kapena 20 koloko usiku. Kwambiri lolemera, mafuta, zakudya zokometsera angathe kusintha magawo amuzolengedwa magazi, zomwe zingabweretse zotsatira pachithunzichi. Komanso, m'mawa, pamaso pa kafukufuku enieni, si koyenera kuti kadzutsa, chifukwa magazi amapereka pa chopanda kanthu m'mimba.

Zipangizo zofunika deta magazi kuchokera mu mtsempha wa

Malinga ndi mmene, pogwiritsa ntchito zida idzachitike magazi zitsanzo zosankhidwazi, mndandanda wa katundu chofunika siyana monga yosiyaniranapo njira kutenga magazi kuchokera mu mtsempha wa. momwe mpheto aligorivimu amakhalabe zayamba chimodzimodzi. Pamene mpanda ndi wabwinobwino syringe kufunika:

• tourniquet;
• nkhosa kapena thonje swabs;
• antiseptic (70% mowa);
• disposable wosabala syringe;
• wosabala zachipatala thireyi;
• zopukutira m'manja zimapezeka;
• Medical ovololo;
• machubu.

Ngati aligorivimu ndi amachitidwa pa zitsanzo zosankhidwazi mtsempha magazi kudzera dongosolo yosesa, kufunika machubu mayesero disposable wosabala syringe likuchotsedwa. Komanso, mpheto chipinda ayenera kukhala pano: mpando wodwalayo, poyimitsa firiji kwa machubu unsembe.

malamulo General ntchito yokonza ndondomeko magazi zochepa chabe pamalangizo

Asanayambe kugwira venipuncture kwa anthu ogwira ntchito zachipatala ayenera kuuzidwa aligorivimu amakoka magazi kuchokera mu mtsempha wa. Pamaso zikugwira gawo yeniyeni ya muyenera muzisamba m'manja, ndi kuvomerezedwa kutsatira malamulo a ukhondo. Pambuyo kuti kuvala bathrobe ndi, komanso zina zodzitetezera zovala zachipatala. Pambuyo madokotala adzakhale okonzeka ndondomeko, mu chipinda mpheto akuitanidwa wodwala. Akaundula malangizo a zochepa chabe pamalangizo magazi, komanso anapanga kudziwa makhalidwe a wodwalayo. Pambuyo malongosoledwe a ndondomeko, mtima uli pansi mu mpando, zida zina zofunika zakonzedwa ndi kunditumiza ku ndondomeko venipuncture.

Kukonzekera kudzachita venipuncture

Kamodzi zida zonse zakonzedwa, namwino atuluka kwa mpheto za zitsanzo zosankhidwazi magazi. Chifukwa chaichi zambiri ntchito ulnar Vienna (chifukwa malo ake ndi kugula padziko). Muyenera kusankha malo akufuna kuti puncture, kuyendera ndi palpated chotengera. Pambuyo pake, ntchito tourniquet pamwamba malo anafuna wa puncture. chingwe chabwazi ayenera kuponyedwa m'njira kuti si anasamutsidwa ndi ziwiya wolumikizira magazi ndi magazi mu misempha amasiya. Ndime zotsatirazi ndi kufunsa wodwala kangapo Finyani burashi mu nkhonya, kuti kumapangitsanso magazi. Ngati pa zifukwa zina wodwalayo amalephera Finyani dzanja lake mu nkhonya ku malo akufuna wa venipuncture akhoza kupanga ofunda Kutentha PAD. Kutentha idzalimbikitsa vasodilation ndi nthenda yotaya magazi kuwonjezeka.

Pambuyo mankhwala a puncture malo. Kuti tichite zimenezi ndi gauze wosabala kapena swab thonje kuyenda zozungulira, kuchokera pakati kwa periphery, ndi processing ikuchitika a padziko khungu. Processing imagwiridwa kawiri, ndipo dikirani wathunthu kuyanika antiseptic njira. Pambuyo mankhwala, palpation ya chotengera venous sanapangidwe.

Aligorivimu magazi zitsanzo zosankhidwazi ku mtsempha ndi ntchito syringe disposable

Kwa ndondomeko, kukonzekera zida zina zofunika ndipo anatsegula syringe. Pa phukusi chimodzimodzi ndi syringe unachitikira ku mbali ya kudzanja lamanzere kwa mphuno mandala pansi yekha. autopsy An ikuchitika ndi chotupa munthawi yomweyo mbali pepala ya syringe plunger kayendedwe ka dzanja lamanja lake. Kenako, popanda kuchotsa syringe zonse kwa bokosi, kuika singano jekeseni. Kuti tichite zimenezi, muyenera kutenga mankhwala kwa pisitoni ndi totsegulira mbali ndi kumanga singano. Pambuyo singano jekeseni ndi zokuzira pa nsonga ya syringe ndi, ma CD akhoza kwathunthu kuchotsedwa.

Ndi singano akubwera kuchokera chivundikirocho zoteteza ndi kunyongedwa mtsempha puncture. Pa nthawi malowedwe a singano chiwiya ndi kumenya kumverera amapezeka opanda, ndi pang'ono magazi mu syringe mphuno. Control za malo singano ikuchitika ndi kukoka plunger, mmene venous magazi syringe ayenera ikuyenda. Kenako, flowchart wa nyemba magazi kuchokera mu mtsempha wa motere. Ngati magazi akulowa malo a syringe ndi singano ndi kuliika wachibale chotengeracho, ndipo pang'onopang'ono akupitiriza kukoka plunger mpaka kuchuluka Napempha kwa magazi. Kenako oyang'anira atachotsedwa ndi syringe ndi singano ndi kuchotsedwa chotengeracho. Malo mbamuikha puncture wosabala thonje kapena gauze PAD ankawaviika njira antiseptic.

Wodwala Pankhaniyi amafunsidwa kukhotetsa mkono pa chigongono. Singano kuchokera syringe mu chidebe amachoka, ndipo mwazi pa khoma udzathiridwa mu mayeso chubu. Pambuyo magazi onse adzakhala mu mayeso chubu, syringe amatayidwa mu chidebe ndi tizilombo toyambitsa matenda. Polongosola mwachidule pamwamba, ziyenera kuti, ngati ikuchitika magazi zitsanzo zosankhidwazi ku mtsempha, ndi aligorivimu zochita ndi luso kukhala zinkayenda mu chiphunzitso ndi kuchita.

Aligorivimu kwa zitsanzo zosankhidwazi magazi m'mitsempha ndi mwa dongosolo zingalowe ndi

Pakali pano, patsogolo luso, kuphatikizapo mankhwala, kodi chilili. M'malo mwa syringe wamba akhoza kuchitika kwa m'mitsempha magazi dongosolo zitsanzo zosankhidwazi kuyamwa. The aligorivimu si wosiyana kwambiri kuchokera mu mpanda magazi kudzera syringe. Pa deta magazi pogwiritsa ntchito dongosolo zingalowe ndi kukonzekera puncture singano ndi kumanga mu chofukizira lapansi. Kumvetsa mkono wa wodwalayo ndi dzanja lake lamanzere pa masentimita 3-5 m'munsimu malo akufuna la singano jekeseni, othandiza khungu ndi kutulutsa venipuncture. Pamene singano ndi anaikapo pamodzi ndi chofukizira pa ngodya oyerekeza kuti madigiri 15.

Mu nkhani ya kukhudzana ndi magazi m'mitsempha amapezeka mu chipinda chizindikiro singano. Ndiye pangani unsembe chubu mu chotengera ndi venous magazi zitsanzo zosankhidwazi ku dongosolo yosesa. Aligorivimu ndi motere: kukonza malo a mwini singano ndi chotengera, ndipo dzanja lamanja ndi kukanikiza pansi pa chubu ikuchitika kukhazikitsa mu chofukizira lapansi. Ngati chubu akugwira ntchito, pambuyo unsembe mu magazi ake ayamba kuyenda.

Mutayankha chubu atachotsedwa chofukizira lapansi. Pamene mwazi kujambula machubu angapo muyenera kusunga kudzazidwa olondola a dongosolo. Akamaliza magazi zitsanzo zosankhidwazi ndondomeko singano chikutha pamodzi ndi mwini wa, umagwiritsidwa ntchito pa puncture wosabala chopukutira wasambitsa antiseptic kapena glued pulasitala bactericidal.

Mayeso machubu a kusonkhanitsa kwa magazi amalembedwa mogwirizana: kutitsogolera dzina la ndi dzina la wodwalayo, m'badwo wake ndi chiwerengero chizindikiritso. Pankhani ya dongosolo makina kwa amuzolengedwa kusanthula chubu glued akudzizindikiritsa barcode. Choncho aligorivimu amayang'ana ku mtsempha magazi zitsanzo zosankhidwazi vakutaynerom.

Tikumbukenso kuti, monga pa nkhani ya kutenga magazi ndi syringe, mwamsanga Vienna atabayidwa ndi magazi umayamba kuyenda mu syringe kapena mayeso chubu, mavuto a oyang'anira ndi momasuka. Yaitali clamping kungayambitse kusintha osati zomanga thupi ndi electrolyte zikuchokera magazi, koma magawo coagulation ndi mpweya zikuchokera. Mu nthawi yoyamba, zingalowe m'malo magazi chopereka kuchokera mu mtsempha, ndi ndondomeko ya zochita zofunika bwino nyimbo kamangidwe maphunziro, osati kulakwitsa mu ndondomeko ya kukhazikitsa enieni.

Magazi zitsanzo zosankhidwazi ana

venous magazi zitsanzo zosankhidwazi aligorivimu ana si wosiyana kuti akuluakulu. Chinthu chokha chimene tiyenera kuziganizira pamene tikugwira mtundu uwu mpheto - kuti ana amaopa njira zimenezi m'njira iliyonse. Choncho, ngati mwazi asonkha ana nthawi zonse, m'pofunika kusamalira pamaso pa zododometsa kwa mwana (mwachitsanzo, zidole yowala ndi zokongola kapena TV mapanelo). Pamene inu kusinthana kuganizira anawo ziperekedwe kwa zochitika pano.

Zovuta wapatsidwa kutenga magazi kuchokera mu mtsempha wa

chidwi pa venipuncture ziperekedwe mavuto n'zotheka pambuyo ndondomeko. Kuzipewa, muyenera amatsatira malamulo a aseptic ndi antiseptic, ndi mosamalitsa kutsatira aligorivimu venipuncture. Only potsatira kwambiri aligorivimu kudzatithandiza kupewa hematomas yatsoka ndi matenda pa malo jekeseni.

Pomaliza

Compliance ndi chitsanzo aligorivimu magazi m'mitsempha ndi chinsinsi osati pakalibe zosokonezeka pambuyo venipuncture ndondomeko wokha, komanso kupeza maphunziro odalirika amuzolengedwa.