Izinqubo zokuqapha umfutho wegazi ongenayo

1.Ngemuva kokufakwa kwe-catheterization ngempumelelo, gcina isikhumba endaweni yokubhoboza somile, sihlanzekile futhi singenagazi eliphumayo.Faka esikhundleni izikhathi ezi-1 nsuku zonke, kunokopha nganoma yisiphi isikhathi esikhundleni sokukhipha amagciwane nganoma yisiphi isikhathi.

2.Qinisa ukuqapha komtholampilo futhi uqaphe izinga lokushisa lomzimba izikhathi ezi-4 ngosuku.Uma isiguli sinomkhuhlane omkhulu, ukugodola, kufanele kuseshwe ngesikhathi esifanele umthombo wokutheleleka.Uma kunesidingo, isiko le-tube noma isiko legazi liyathathwa ukusiza ukuxilongwa, futhi ama-antibiotics kufanele asetshenziswe ngendlela efanele.

3.I-catheter akufanele ibekwe isikhathi eside, futhi i-catheter kufanele ikhishwe ngokushesha uma kunezimpawu zokutheleleka.Ngaphansi kwezimo ezijwayelekile, inzwa yomfutho wegazi kufanele igcinwe amahora angekho ngaphezu kwama-72 kanye nesonto elide kunawo wonke.Uma kudingekile ukuqhubeka.indawo yokulinganisa ingcindezi kufanele ishintshwe.

4.Shintshanisa i-heparin diluent exhuma amashubhu nsuku zonke.Vimbela i-intraductal thrombosis.

5. Bhekisisa ukuthi ingabe umbala nezinga lokushisa lesikhumba esikude sendawo yokubhoboza umthambo akujwayelekile.Uma i-extravasation ye-liquid itholakala, indawo yokubhoboza kufanele ikhishwe ngokushesha, futhi i-50% ye-magnesium sulfate kufanele ifakwe endaweni ebomvu nevuvukele, futhi ukwelashwa kwe-infrared nakho kungafakwa ngemisebe.

6. Ukopha kwendawo kanye ne-hematoma : (1) lapho ukubhoboza kwehluleka futhi inaliti ikhishwa, indawo yendawo ingambozwa ngebhola le-gauze kanye ne-tape yokunamathisela ebanzi ngaphansi kwengcindezi. isitsha, futhi indawo yendawo kufanele isuswe ngemuva kwemizuzu engama-30 yokugqoka ingcindezi uma kunesidingo.(2) Ngemva kokuhlinzwa.isiguli sacelwa ukuthi sigcine izinyonga ziqonde ohlangothini lokuhlinza.futhi unake ukubhekwa kwendawo uma isiguli sinemisebenzi esikhathini esifushane ukuvimbela ukopha.I-hematoma ingaba u-50% we-magnesium sulfate ukucindezela okumanzi noma ithuluzi le-spectral inaliti yendawo yokukhipha imisebe kanye neshubhu lokuhlola kufanele kumiswe kuqine, ikakhulukazi lapho isiguli sinyakaza, kufanele kuvimbele ngokuqinile ukukhishwa kwaso.(3) Ukuxhuma kweshubhu lomfutho wegazi kufanele kusondele exhunywe ukugwema ukopha ngemva kokunqanyulwa.

7. I-ischemia ye-Distal Limb:

(1) Ukujikeleza okuyisibambiso komthambo ofakiwe kufanele kuqinisekiswe ngaphambi kokuhlinzwa, futhi ukubhoboza kufanele kugwenywe uma umthambo unezilonda.

(2) Khetha izinaliti zokubhoboza ezifanele, ngokuvamile i-catheter engu-14-20g yabantu abadala kanye ne-22-24g catheter yezingane.Ungabi mkhulu kakhulu futhi uwasebenzise ngokuphindaphindiwe.

(3) Gcina ukusebenza kahle kwe-tee ukuze uqinisekise ukuconsa kwe-heparin saline evamile;Ngokuvamile, njalo lapho igazi le-arterial likhishwa ngeshubhu lokucindezela, kufanele lihlanjululwe ngokushesha nge-heparin saline ukuze kuvinjelwe ukujiya.Ngenqubo yokulinganisa ingcindezi.ukuqoqwa kwesampula yegazi noma ukulungiswa kwe-zero, kuyadingeka ukuvimbela ngokuqinile i-intravascular air embolism.

(4) Uma ijika lokucindezela kumonitha lingavamile, imbangela kufanele itholakale.Uma kunehlule legazi elivalekile epayipini, kufanele likhishwe ngesikhathi.Ungaliphusheli ihlule legazi ukuze uvimbele i-arterial embolism.

(5) Bhekisisa eduze umbala nezinga lokushisa lesikhumba esikude sohlangothi oluhlinzayo, futhi uqaphe ngamandla ukugeleza kwegazi kwesandla ngokugcwala komoyampilo wegazi womunwe ohlangene.Ukukhipha isisu kufanele kufike ngesikhathi lapho kutholakala izinguquko ezingavamile zezimpawu ze-ischemia njengesikhumba esiphaphathekile, ukwehla kwezinga lokushisa, ukuba ndikindiki nobuhlungu.

(6) Uma izitho ziqinile, ungazisongi ngendandatho noma uzibophe kakhulu.

(7) Ubude besikhathi se-arterial catheterization buhlotshaniswa kahle ne-thrombosis.Ngemuva kokuthi umsebenzi wokujikeleza kwesiguli uzinzile, i-catheter kufanele ikhishwe ngesikhathi, ngokuvamile kungabi ngaphezu kwezinsuku ezingu-7.