Njira zowunika kuthamanga kwa magazi

1.Pambuyo pa catheterization bwino, sungani khungu pamalo obowola kuti likhale louma, loyera komanso lopanda magazi.M'malo 1 kamodzi tsiku ntchito, pali magazi nthawi iliyonse disinfection m'malo nthawi iliyonse.

2.Limbikitsani kuwunika kwachipatala ndikuwunika kutentha kwa thupi kanayi pa tsiku.Ngati wodwalayo ali ndi malungo, kuzizira, ayenera nthawi yake kufufuza gwero la matenda.Ngati kuli kofunikira, chikhalidwe cha chubu kapena chikhalidwe chamagazi chimatengedwa kuti chithandizire kuzindikira, ndipo maantibayotiki ayenera kugwiritsidwa ntchito moyenera.

3.Kathetayo sayenera kuikidwa kwa nthawi yayitali, ndipo catheter iyenera kuchotsedwa mwamsanga pamene zizindikiro za matenda.Nthawi zonse, sensa ya kuthamanga kwa magazi iyenera kusungidwa kwa maola osapitilira 72 komanso sabata yayitali kwambiri.Ngati kuli koyenera kupitiriza.malo oyezera kuthamanga ayenera kusinthidwa.

4.M'malo mwa heparin diluent yolumikiza machubu tsiku lililonse.Kuletsa intraductal thrombosis.

5. Yang'anani mosamala ngati mtundu ndi kutentha kwa khungu lakutali la malo obowola mtsempha si zachilendo.Ngati madzi owonjezera apezeka, malo obowola amayenera kutulutsidwa nthawi yomweyo, ndipo 50% ya magnesium sulphate iyenera kunyowa pamalo ofiira ndi otupa, ndipo chithandizo cha infrared chitha kuyatsidwanso.

6. Kutuluka magazi m'deralo ndi hematoma : (1) pamene puncture ikulephera ndipo singano ikutulutsidwa, dera lapafupi likhoza kuphimbidwa ndi mpira wa gauze ndi tepi yomatira yotakata pansi pa pressure. chotengera, ndipo dera lanulo lichotsedwe pakatha mphindi 30 za kukakamiza kuvala ngati kuli kofunikira.(2) Pambuyo pa opaleshoni.wodwalayo anafunsidwa kusunga miyendo molunjika pa opareshoni mbali.ndipo samalani ndi kuyang'ana kwanuko ngati wodwalayo ali ndi ntchito mu nthawi yochepa kuti asatuluke magazi.Hematoma ikhoza kukhala 50% magnesium sulphate yonyowa compress kapena spectral chida m`deralo walitsa singano ndi mayeso chubu ayenera kukhazikika mwamphamvu, makamaka pamene wodwala kukwiya, ayenera mosamalitsa kuteteza extubation awo. olumikizidwa kuti asakhetse magazi pambuyo pa kulumikizidwa.

7. Matenda a ischemia:

(1) Kuzungulira kwa chiwongoladzanja kwa mtsempha wopangidwa ndi intuba kuyenera kutsimikiziridwa musanachite opaleshoni, ndipo puncture iyenera kupewedwa ngati mtsempha wamagazi uli ndi zotupa.

(2) Sankhani singano zoyenera zoboola, nthawi zambiri 14-20g catheter ya akulu ndi 22-24g catheter ya ana.Musakhale wonenepa kwambiri ndipo muzigwiritsa ntchito mobwerezabwereza.

(3) Pitirizani kugwira ntchito bwino kwa tee kuti muwonetsetse kuti kudontha kwa heparin saline wamba;Nthawi zonse, magazi amtundu uliwonse akatulutsidwa kudzera mu chubu chokakamiza, ayenera kutsukidwa nthawi yomweyo ndi saline ya heparin kuti asatseke.Mu ndondomeko ya kuthamanga muyeso.Kutolere magazi zitsanzo kapena ziro kusintha, m`pofunika mosamalitsa kuteteza intravascular mpweya embolism.

(4) Pamene kuthamanga kwapakati pa polojekitiyo sikunali kwachilendo, chifukwa chake chiyenera kupezeka.Ngati magazi atsekeka mu payipi, ayenera kuchotsedwa panthawi yake.Osakankhira magazi kuundana kuti mupewe arterial embolism.

(5) Yang'anani mosamala mtundu ndi kutentha kwa distal khungu la mbali opaleshoni, ndi dynamically kuwunika magazi a dzanja kudzera magazi mpweya machulukitsidwe wa chala ipsilateral.Kutulutsa kuyenera kuchitika panthawi yake pamene kusintha kwachilendo kwa zizindikiro za ischemia monga khungu lotumbululuka, kutsika kwa kutentha, dzanzi ndi ululu.

(6) Ngati ziwalozo zili zokhazikika, musazikulunga ndi mphete kapena kuzikulunga molimba kwambiri.

(7) Kutalika kwa catheterization yamagazi kumalumikizidwa bwino ndi thrombosis.Pambuyo pa kufalikira kwa wodwala kukhazikika, catheter iyenera kuchotsedwa nthawi, nthawi zambiri osapitilira masiku 7.