Rairira algorithm kubva tsinga ropa zvakabudiswa

To musi, hazvibviri kufungidzira mushonga pasina nokukanganisika zveBhaibheri pamusoro serum kana plasma, sezvo yaiitisa miedzo zvavataura kuti vanachiremba kupfuura zvichemo kushivirira zvakanaka. Pakarepo mushure chikumbiro rubatsiro pakiriniki kana kubvuma kuti kuchipatara chiremba prescribes maitiro tsvakurudzo kwakadaro. Zvisinei, kuwana yakavimbika umboo pamusoro utano murwere hunobva kwete chete pane midziyo ano uye yepamusoro zvokurapa rabhoritari reagents. Great kukosha ndicho chakarurama ropa mharidzo kubva tsinga. The algorithm bata uye kugadzirira murwere kuti fenzi muviri zvinwiwa vari Chinonyanya kukosha mune chirwere uye zvakare kuona kupfuura zvakakodzera kurapwa.

Survey Preparation

Rega pakarepo pashure kukurukura nachiremba kutizira nokukanganisika kana rabhoritari evanhu mukana ropa kuzozvidzorerwa. Ungangove, ari kuchinja nzvimbo anozviramba zvose, nekuti zvakakodzera zvakaitika kudzidzirwa duku kuitisa ropa zvakabudiswa kubva peripheral tsinga. Kudzidziswa uku algorithm ndeiyi. Pausiku pamberi kuchinja hakufaniri zvakasimba chaizvo chisvusvuro.

Food inofanira chiedza, uye kwemanheru - hapana paya pane 19 kana 20 o'clock usiku. Kumuremera, mafuta, Spicy zvokudya zvinogona kuchinja nokukanganisika parameters ropa, izvo zvingaita kuti kururama kunoguma. Mukuwedzera, mangwanani, pamberi mukutsvakurudza chaiyo, hazvina zvakakodzera kuva kwamangwanani, nokuti ropa anopa kumusoro usina chawadya.

The midziyo inodiwa kuti ropa muunganidzwa kubva tsinga

Zvichienderana sei, achibatsirwa midziyo chichaitwa ropa zvakabudiswa, ndandanda zvaida zvinhu zvinogona siyana sezvo siyanei unyanzvi richiswedera ropa kubva tsinga. sezvamakaropafadzwa kumonyanisa algorithm inoramba substantially chete. Kana fenzi ane hwandaiva sirinji vanofanira:

• tourniquet;
• shinda kana donje swabs;
• akambozvishandisa kuuraya utachiona (70% alcohol);
• kuraswa chena sirinji;
• chena zvokurapa tireyi;
• napkins;
• Medical overalls;
• sepombi.

Kana algorithm rinoitwa kubva tsinga ropa zvakabudiswa nomukombiyuta Vacuum hurongwa, kudiwa bvunzo sepombi uye kuraswa chena sirinji panobviswa. Uyezve, kuchinja nzvimbo anofanira kuvapo: nechigaro murwere, firiji Racks kuti kugadzwa sepombi.

General mitemo achigadzirira ropa zvakabudiswa nzira

Asati achiita venipuncture kuti pfungwa yezvokurapa mudonzvo inofanira kuziviswa algorithm wokucheresa ropa kubva tsinga. Asati tichiita hunoshanda chikamu unofanira maoko enyu, zviri madikanwa zvinoenderana nemitemo utsanana. Pashure paizvozvo unofanira kupfeka bathrobe, uyewo dzimwe mbatya unodzivirira zvokurapa. Mushure vanachiremba vachave vagadzirira nzira, ari kuchinja kamuri anokokwa murwere. Kunonyora pokutungamirira ropa zvakabudiswa, uyewo akaita kuziva murwere unhu. Pashure tsanangudzo nzira, murwere agere pachigaro, anodiwa midziyo rinogadzirirwa uye hwakatamisirwa venipuncture zvichiitwa.

Kugadzirira vakatozodzokera venipuncture

Kamwe zvose midziyo rinogadzirirwa, mukoti anoenderera kuti zvitinakire ropa zvakabudiswa. Nokuti ichi chinangwa zvinowanzoshandiswa ulnar Vienna (nokuda kwayo nzvimbo uye Accessibility pamusoro pemvura). Unofanira kusarudza aronga nzvimbo ponji, ongorora uye palpated mudziyo. Pashure paizvozvo, kushandisa tourniquet pamusoro inozoshandisirwa nzvimbo ponji. The kweva anofanira kukandwa nenzira kuti hazvina hwakatamisirwa nokuda midziyo arterial ropa uye ropa riyerere ari mutsinga chemabhazi. Zvinotevera kubvunza murwere kanoverengeka nepavaigona mumakwenzi kuva chibhakera, kuwedzera ropa riyerere. Kana paine chikonzero chinoita murwere anokundikana nepavaigona rwake vakapinda chibhakera kuti yaida nzvimbo venipuncture anogona inodziya kudziyisa ikanyanya. Heat achasimudzira vasodilation uye ropa riyerere kuwedzera.

Pashure disinfect ari ponji nzvimbo. Kuti aite izvi chena gauze kana donje swab ari dzeraundi makavharidzira, ri- kubva pakati kurutivi arikunze, kubudiswa rinoitwa padebwe pamusoro. Processing rinoitwa kaviri, uye kumirira wakakwana nokuomesa akambozvishandisa kuuraya utachiona mhinduro. Mushure kurapwa, palpation pamusoro venous mudziyo hauna.

Algorithm nokuti zvakabudiswa ropa kubva tsinga achishandisa kuraswa sirinji

Nokuti nzira, gadzirai zvakafanira michina uye akavhura sirinji. Nenguva pasuru pamwe sirinji rakaitirwa kuruboshwe divi läpinäkyvä mumhino pasi pachake. An kuvhuya chitunha ari kuitwa mawa atsamwira pamusoro bepa chikamu sirinji plunger kwebasa rworudyi yake. Next, pasina kubvisa sirinji azere bhokisi, akaisa tsono kuti jekiseni. Kuti aite izvi, unofanira kutora zvibereko pisitoni uye parutivi Tabs uye dzinoisa tsono. Mushure tsono jekiseni angafanirwa pamusoro muromo sirinji, kavha anogona kubviswa zvachose.

With tsono rinouya kubva unodzivirira butiro uye akaurayiwa tsinga ponji. Panguva iyoyo pakati kupinda pakati tsono kupinda mudziyo kurova kunzwa rikaitika maturo, uye shoma ropa iri sirinji mhino. Kudzora tsono nzvimbo iri kuitwa kudhonza ari plunger, sezvamakaropafadzwa sirinji venous ropa anofanira ndokuyerera. Zvadaro, flowchart ane ropa yokuenzanisira kubva tsinga sezvinotevera. Kana ropa anopinda nzvimbo sirinji uye tsono vari ngadzirambe hama kuti mudziyo, uye zvishoma nezvishoma anoramba kudhonza plunger kusvikira zvinodiwa huwandu ropa. Zvadaro dzokurwa nadzo yabviswa uye sirinji uye tsono vanobviswa kubva mudziyo. Vakatozodzokera chakatsindirwa ponji chena donje kana gauze ikanyanya zvakakangwa mu akambozvishandisa kuuraya utachiona mhinduro.

Murwere uyu nyaya akakumbirwa kuti atsaudzire ruoko panguva kugokora. Tsono kubva sirinji kupinda mugaba riri pauri, uye neropa parusvingo yakadururirwa nemuedzo chubhu. Handiti ropa zvichava bvunzo chubhu, kuti sirinji inobviswa iri mugaba ine disinfectant. Akapedzisa pamusoro, zvinofanira kutaurwa kuti, kana akaita ropa zvakabudiswa kubva tsinga, ari algorithm zvinoitwa uye unyanzvi kuti zviitwe wakanaka dzidziso uye tsika.

Algorithm nokuti zvakabudiswa ropa kubva tsinga achishandisa Vacuum hurongwa

To musi, zvekushandisa mberi, kusanganisira mukurapa, hazvirevi mira. Panzvimbo zvake sirinji kunogona kuitwa kubva tsinga ropa zvakabudiswa Vacuum hurongwa. The algorithm haasi akasiyana zvikuru kubva muropa noruzhowa Via sirinji. Panguva ropa kuunganidzwa nekushandisa Vacuum hurongwa yakagadzirira kuti tsono ponji uye dzinoisa payo anaro. Kunzwisisa murwere honokono noruoko rwake rworuboshwe pa 3-5 masendimita pazasi yaida nzvimbo jekiseni netsono, it ganda uye kubereka venipuncture. Kana tsono akaiswa pamwe anaro pa necheparutivi anofungidzirwa kuti madhigirii 15.

Kana navo tsinga ropa iri chinoratidza tsono yomukati. Uitewo kugadzwa chubhu kupinda anaro uye venous ropa zvakabudiswa kubva Vacuum hurongwa. Algorithm ari sezvinotevera: kugadzira nzvimbo tsono anaro uye mudziyo, uye rworudyi nokutsikirira pasi pasi chubhu rinoitwa yokugadza nayo anaro. Kana chubhu iri kushanda, pashure kuisa muropa rake hunotanga kuyerera.

Mushure rokuzadza chubhu rinobviswa anaro. Kana ropa richiswedera sepombi dzakawanda vanofanira kuchengeta zvakarurama zvinodiwa nomurayiro. Panopera ropa zvakabudiswa nzira tsono yabviswa pamwe anaro, rinoshandisirwa pamusoro ponji chena napkin wetted akambozvishandisa kuuraya utachiona kana glued bactericidal purasita.

Test sepombi ropa muunganidzwa anozivikanwa maererano: ivo inoratidza unonzi uye zita murwere, zera rake uye kuziva nhamba. In nyaya zvoga marongedzero nokukanganisika pachisara chubhu glued chinozivisa Barcode. Saka algorithm anotarira kubva tsinga ropa zvakabudiswa vakutaynerom.

Zvinofanira kucherechedzwa kuti, sezvakaitwa pavanoteka ropa nokuda sirinji, sezvo nokukurumidza Vienna punctured uye ropa anotanga iyerere kupinda sirinji kana bvunzo chubhu, makakatanwa dzokurwa nadzo kuti ndagadzikana. Refu clamping kungaita kuti kuchinja kwete chete mapuroteni uye electrolyte Zvinoumba ropa, asi coagulation parameters uye gasi sezvamunoita. Kuburikidza kekutanga, iyo Vacuum ropa kuunganidzwa kubva tsinga, kutevedzana zvinoitwa zvakakodzera kuti yakanaka-chuna iri marongerwo kudzidzisa, kwete kuti zvikanganiso zviri nedanho chaiwo Implementation.

Blood zvakabudiswa muvana

venous ropa zvakabudiswa algorithm mune vana hakusi rakasiyana nedzevakuru. Chinhu bedzi zvinofanira kufungwa kana akatakura kubva evanhu mhando ichi - kuti vana vanotya nzira dzakadaro munzira dzose. Naizvozvo, kana ropa inounganidzwa kubva kuvana maitiro, zvakakodzera kutarisira kuvapo zvinotsausa nokuda mwana (semuenzaniso, inopenya uye mavara matoyi kana nhepfenyuro ukomba). Kana iwe ufambe pfungwa mwana kwete kubhadharwa kuti kuitika.

Matambudziko angamuka kana kutora ropa kubva tsinga

Cherechedzai panguva venipuncture inofanira kubhadharwa kune zvichibvira matambudziko mushure nzira. Kuti tidzivise navo, unofanira nokungwarira kutevera mitemo aseptic uye akambozvishandisa kuuraya utachiona, uye zvakasimba kutevera algorithm venipuncture. Chete kunyatsotevedza kuti algorithm kuchabatsira kudzivisa hematomas uye panowanikwa zvirwere panguva jekiseni nzvimbo.

mhedziso

Zvaidiwa algorithm ropa mharidzo kubva tsinga ndiyo kiyi kwete bedzi kusavapo yematambudziko pashure venipuncture nzira pacharo, asiwo kuti vawane yakavimbika nokukanganisika zvidzidzo.