Qonda iindlela ezi-3 ze-stopcock kwinqaku elinye

Ukubonakala okucacileyo, ukwandisa ukhuseleko lokuxiliswa, kunye nokuququzelela ukubonwa kokukhupha;

Kulula ukuyisebenzisa, inokujikelezwa ngamadigri angama-360, kwaye utolo lubonisa indlela yokuhamba;

Ukuhamba kwamanzi akuphazamiseki ngexesha lokuguqulwa, kwaye akukho vortex eyenziwayo, eyanciphisa i-thrombosis.

Ulwakhiwo:

Ezonyango3 way stopcock ityhubhu yenziwe ityhubhu yeendlela ezi-3, ivalve yendlela enye kunye neplagi elastiki. Iziphelo eziphezulu kunye necala lombhobho weendlela ezintathu zidibene nganye kunye ne-valve yendlela enye, kwaye isiphelo esiphezulu sombhobho wendlela-ntathu senziwe nge-valve yendlela enye. Iziphelo zecala le-valve engaphantsi kwe-valve kunye ne-tube yeendlela ezintathu zibonelelwa nge-valve yendlela enye, kwaye iplagi ye-elastic ixhunyiwe kwisiphelo esisezantsi.

Kumsebenzi weklinikhi, kudla ngokuba yimfuneko ukuvula iziteshi ezimbini ze-venous kwizigulane ukuze kuphunyezwe unyango olukhawulezayo. Xa ujongene nezigulane ezisebekhulile kunye nezigulane eziye zahlala esibhedlele ngokuphindaphindiweyo emsebenzini, kwaye imithambo yegazi yesigulane ayilungile, i-venipuncture eninzi ngexesha elifutshane ayigcini nje ukwandisa intlungu yesigulane, kodwa ibangela ukuxinana kwindawo yokubhoboza. Kwizigulana ezininzi ezisele zikhulile, umthambo ongaphezulu wokuhlala inaliti akulula ukuhlala ngaphakathi, kwaye i-catheterization ye-vein enzulu ayinakwenzeka. Ngenxa yoku, ityhubhu yeendlela ezintathu isetyenziswa kwiklinikhi.

Indlela:

Phambi kwe-venipuncture, yahlula ityhubhu yokufakwa kunye nenaliti ye-scalp, qhagamshela ityhubhu ye-tee, udibanise inaliti ye-scalp kumbhobho we-tee oyintloko, kwaye udibanise amanye amazibuko amabini etyhubhu ye-tee kwi- ** yeeseti ezimbini zokufakela. Emva kokugqiba umoya, yenza i-puncture, Yilungise, kwaye ulungelelanise izinga lokuthontsiza njengoko kufuneka.

I-advanteji:

Ukusetyenziswa kombhobho weendlela ezintathu kuneenzuzo zokusebenza okulula, ukusetyenziswa okukhuselekileyo, ngokukhawuleza kwaye kulula, umntu omnye unokusebenza, akukho ukuvuza kwamanzi, ukusebenza okuvaliweyo, kunye nokungcola okuncinci.

Olunye usetyenziso:

Ukusetyenziswa kwi-tube yesisu ehlala ixesha elide—-

1. Indlela: Xhuma ityhubhu ye-tee ekupheleni kombhobho wesisu, uze uyibophe nge-gauze kwaye uyilungise. Xa isetyenziswa, i-syringe okanye i-infusion set ixhunywe kumngxuma wecala lombhobho weendlela ezintathu kwaye emva koko isisombululo sezondlo sifakwe.

2. Iinkqubo zokusebenza ezilula: ngexesha lokutya ityhubhu eqhelekileyo, ukuze kuthintelwe i-reflux yokutya ityhubhu kunye nokuthintela umoya ukuba ungangeni kwisisu sesigulane, xa unqwenela ukutya ityhubhu, ityhubhu yesisu kufuneka isongwe ngesandla esinye kwaye esinye isandla sifunxa i-tube. Okanye, isiphelo sombhobho wesisu sisongelwe ngasemva, sisongelwe kwi-gauze, kwaye emva koko silungiswe ngebhande lerabha okanye ikliphu ngaphambi kokuba i-tube yokutya ifunxe. Emva kokusebenzisa i-tube yeendlela ezintathu zonyango, kufuneka uvale kuphela i-valve yokuvala i-valve yendlela emithathu xa ufunxa i-tube yokutya, engenzi nje lula inkqubo yokusebenza, kodwa iphucula ukusebenza kakuhle.

3. Ungcoliseko oluncitshisiweyo: Kukutya okuqhelekileyo kwetyhubhu yokutya, ininzi yeesirinji idityaniswe ekupheleni kombhobho wesisu kwaye emva koko i-tube feeding ifakwe. Ngenxa yokuba i-diameter ye-tube yesisu inkulu kunobubanzi besirinji **, isirinji ayikwazi ukufakwa kwi-anastomosed kunye ne-gastric tube. , I-Tube feeding fluid iphuphuma rhoqo, okwandisa ithuba lokungcoliseka. Emva kokusebenzisa i-tee yonyango, imingxuma emibini yecala le tee idityaniswe ngokuqinileyo kunye neseti yokufaka kunye nesirinji, ethintela ukuchitheka kolwelo kunye nokunciphisa ungcoliseko.

Ukusetyenziswa kwi-thoracocentesis:

1. Indlela: Emva kokuhlatywa kwesiqhelo, qhagamshela inaliti yokuhlatywa kwisiphelo esinye setyhubhu ye-tee, qhagamshela i-syringe okanye ingxowa yokukhupha amanzi kumngxuma osecaleni wetyhubhu ye-tee, xa utshintsha i-syringe, vala ityhubhu ye-tee kwi-valve, kwaye unako ukutofa iziyobisi kwi-cavity. Ukutofa kwelinye icala lomngxuma, ukukhupha kunye nokutofa iziyobisi kunokwenziwa ngokuhlukileyo.

2. Iinkqubo zokusebenza ezilula: Ngokuqhelekileyo sebenzisa ityhubhu yerabha ukudibanisa inaliti yokubhoboza kwi-thoraco-abdominal puncture kunye ne-drainage. Ngenxa yokuba ityhubhu yerabha ayilula ukuyilungisa, utyando kufuneka lwenziwe ngabantu ababini. I-tube ye-rubber yokukhusela umoya ukuba ungangeni kwi-thoracic kunye nesisu esiswini. Emva kokusebenzisa i-tee, inaliti yokubhoboza kulula ukuyilungisa, kwaye nje ukuba ivalve yokutshintsha ivaliwe, isirinji inokutshintshwa, kwaye umsebenzi unokwenziwa ngumntu omnye.

3. Usulelo oluncitshisiweyo: I-tube ye-rubber esetyenziselwa ukuhlatywa kwe-thoraco-abdominal yesiqhelo ifakwe inzalo kwaye isetyenziswe ngokuphindaphindiweyo, okulula ukubangela ukusuleleka kwintsholongwane. Ityhubhu ye-tee yonyango yinto elahlayo ehlambulukileyo, ethintela ukusuleleka kwintsholongwane.

Nika ingqalelo kula manqaku alandelayo xa usebenzisa iindlela ezi-3 zokumisa ii-topcocks:

1) Ubuchule obungqongqo be-aseptic;

2) Gcoba umoya;

3) Nika ingqalelo ukuchasana nokuhambelana kweziyobisi (ngokukodwa ungasebenzisi ityhubhu yeendlela ezintathu ngexesha lokutofelwa igazi);

4) Lawula isantya sokuthontsiza sokufakwa;

I-5) Amalungu e-infusion kufuneka alungiswe ukukhusela ukukhutshwa kweyeza;

6) Kukho izicwangciso kunye namalungiselelo afanelekileyo okufakelwa ngokwemeko yangempela.