Injector babban matsa lamba na zamani yana ɗaukar yanayin sarrafa tsarin kwamfuta.An sanye shi da nau'ikan shirye-shiryen allura masu yawa waɗanda za a iya haddace su.Dukkanin alluran alluran sirinji “siringe masu matsa lamba ne da za a iya zubarwa”, kuma suna sanye da bututu masu haɗa matsi, waɗanda za su iya dubawa da allurar magani a lokaci guda.Yana da abũbuwan amfãni daga babban aiki da kai da kuma high daidaito.Yana iya daidaita yawan allura a yadda yake so bisa ga sassa daban-daban da kaddarorin cututtukan cututtuka daban-daban.Yana iya sauri shigar da wakili mai bambanci a cikin arteries da veins, waɗanda aka rarraba a cikin tasoshin jini daban-daban.A lokaci guda na allura, yana iya yin sikanin CTA don inganta ƙimar cututtukan cututtuka.
1. Hanyar aiki
A cikin dakin jiyya na CT, yi amfani da sirinji 2ml don tsotse 2ml na 0.9% NaCl bayani, sannan ku haɗa catheter na ciki, amfani da G18-22 IV catheter don venipuncture, zaɓi tasoshin kauri, madaidaiciya da na roba na radial vein na babba. , Jijiyoyin Basilika, da tsakiyar cubital vein a matsayin IV catheter don huda, da kyau gyara su bayan nasara.Sannan a yi amfani da sirinji na 2ml don tsotse 1ml na 0.1% meglumine diatrizoate contrast agent ta hanyar allurar cikin jijiya.Kula da sakamakon gwajin bayan mintuna 20, Ragewar da ba ta dace ba: ba za a sanya kumburin ƙirji na wucin gadi, tashin zuciya, urticaria, rhinitis, da launin al'ada da alamun mahimmanci a cikin dakin gwajin CT.Dakin gwajin CT shine Philips 16 jere spiral CT, wani babban injin CT na Shenzhen Antmed Co., Ltd., wanda ke allurar Ossurol.(1) Kafin aiki, kunna wutar lantarki kuma shigar da sirinji mai matsa lamba mai yuwuwa (sirinji biyu).Syringe A yana shakar 200ml na kafofin watsa labarai na iodofol, kuma sirinji B yana shakar 200ml na maganin 0.9% sodium chloride.Haɗa alluran allura guda biyu tare da bututu mai haɗawa ta hanyoyi uku, shayar da iska a cikin sirinji da bututu, sa'an nan kuma haɗa tare da catheter na ciki na majiyyaci.Bayan an dawo da jinin da kyau, sai a sa mai allurar kan ƙasa don jiran aiki.(2) Dangane da nauyin nau'i daban-daban na mai haƙuri da wurare daban-daban da aka inganta, ana aiwatar da shirye-shiryen taɓawa akan allon LCD don saita jimlar adadin da adadin kwararar maganin allura da allurar saline na sirinji mai ƙarfi.Jimlar allurar iodoform shine 60-200 ml, adadin 0.9% sodium chloride bayani shine 80-200 ml, kuma adadin allurar shine 3 - 3.5 ml/s.Bayan kammala shirye-shiryen, ma'aikacin binciken zai ba da umarni don fara allurar.Da farko, ana allurar kafofin watsa labarai na iodoform, a sake wankewa tare da 0.9% sodium chloride bayani har sai an gama dubawa.
Layin samfurin Shenzhen Antmed Co., Ltd High Matsi Injector samfurin:
2. Shiri kafin CTA scanning
Tambayi majiyyaci idan yana da tarihin rashin lafiyar wasu magunguna, hyperthyroidism, hauhawar jini, cututtukan zuciya, ciwon sukari nephropathy, gazawar koda, rashin isasshen jini, hypoalbuminemia da sauran abubuwan haɗari masu haɗari na angiography, da kuma bayyana maƙasudi da rawar da aka inganta. ga maras lafiya da iyalansa.Majiyyaci yana bukatar ya kasance babu komai a ciki na tsawon sa'o'i 4 kafin ingantacciyar jarrabawar tantancewa, kuma wadanda aka yi wa barium abinci fluoroscopy na tsawon kwanaki 3 zuwa 7 amma ba su fitar da barium ba a ba su damar yin duban ciki da pelvic.Lokacin yin sikanin CTA na ƙirji da ciki, wajibi ne a riƙe numfashin ku don ragewa ko guje wa ɓangarorin ƙirƙira da kayan tarihi.Ya kamata a gudanar da horon numfashi a gaba kuma a nemi riƙe numfashi a ƙarshen wahayi.
3. Yi aiki mai kyau na kulawa da hankali, da kuma gabatar wa marasa lafiya cewa matsa lamba na allurar matsa lamba ya fi karfin tura hannu, kuma gudun yana da sauri.Tasoshin jini a wurin allurar na iya rugujewa, yana haifar da zubar da maganin ruwa, kumburin ciki, raɗaɗi, zafi, wasu kuma na iya haɓaka zuwa gyambo da nama.Na biyu, a lokacin da ake yi wa allurar matsa lamba, akwai yuwuwar haɗarin cewa catheter na allurar zai faɗi, wanda zai haifar da zubar da maganin ruwa da asarar adadinsa.An kuma sanar da ma'aikatan jinya na majiyyaci cewa za su iya zaɓar jijiya mai dacewa a hankali, yin aiki a hankali, kuma zabar nau'in catheter na IV wanda ya dace daidai da yanayin jijiyoyin bugun jini.Lokacin amfani da allurar matsa lamba mai ƙarfi, jujjuyawar da ke tsakanin ganga sirinji da kullin piston sun tabbata, bututu mai haɗawa ta hanyoyi uku an haɗa ta sosai tare da sirinji da duk musaya na catheter IV, kuma an gyara kan allura yadda yakamata.Kawar da jin tsoro na majiyyaci, samun haɗin kai, kuma a ƙarshe ka nemi dangin majiyyaci su sa hannu kan takardar izini da aka sanar don bincikar CTA.
4. Tsare-tsare yayin binciken CTA
1).Rigakafin zubar maganin ruwa: lokacin da na'urar daukar hoto ke motsi, ba za a matse ko ja da bututun da ke haɗawa ba, kuma ba za a yi karo da ɓangaren huda ba don guje wa zubar da ruwa.Bayan tantance cibiyar dubawa, ma'aikacin jinya ya kamata ya sake duba wurin sanya allurar catheter a cikin jijiya, allurar 10 ~ 15ml na 0.9% sodium chloride bayani a ƙarƙashin matsakaicin matsa lamba da hannu don ganin ko yana da santsi, sake tambayar majiyyaci ga kowane abu. rashin jin daɗi kamar kumburin zafi da bugun zuciya, da ba da shawarwari na tunani don ta'azantar da majiyyaci cewa ma'aikatan kiwon lafiya za su kula da ku tun daga farkon zuwa ƙarshen binciken, ta yadda za su iya jure wa gwajin cikin sauƙi kuma su kawar da tashin hankali da tsoro.A lokacin allurar miyagun ƙwayoyi, ma'aikacin jinya ya kamata ya kula da yanayin fuskar majiyyaci a hankali, zubar da magani, rashin lafiyar jiki, da dai sauransu. Idan akwai haɗari, ya kamata a dakatar da allura da dubawa a kowane lokaci.
2) Hana allurar iska: Rashin shayewar da ba ta dace ba zai haifar da kumburin iska.Ciwon iska yana da wahala mai tsanani yayin binciken CTA, wanda zai iya haifar da mutuwar marasa lafiya.Yi hankali yayin aiki.Dole ne a ƙara ƙarfafa duk musanyawa don hana su daga rarrabuwa a ƙarƙashin babban matsin lamba.Kafin allura, dole ne a zubar da iskar da ke cikin sirinji biyu, bututu masu haɗawa ta hanyoyi uku da alluran catheter.Yayin allura, kan allurar yana ƙasa, ta yadda wasu ƙananan kumfa suna yawo zuwa jelar sirinji.Adadin allurar bai kai adadin maganin da aka shaka ba da kuma maganin 0.9% sodium chloride.1 ~ 2ml na maganin ruwa yakamata ya kasance a cikin sirinji don hana iska daga matse shi cikin tasoshin jini a lokacin allurar hawan jini.
3) Rigakafin kamuwa da cutar giciye a asibiti: majiyyaci ɗaya, allura ɗaya da sirinji guda biyu dole ne a samu nasara yayin yin sikanin CTA, kuma dole ne a bi ƙa'idar aiki mara kyau.
4) Sanarwa bayan dubawa
a.Bayan dubawa, tambayi mara lafiya ya huta a cikin dakin kallo, ajiye catheter na ciki na 15 ~ 30minti, kuma cire shi bayan wani mummunan hali.Dole ne a shirya dakin jiyya na CT tare da magungunan gaggawa da kayan aikin gaggawa.Idan kun ji rashin lafiya, je wurin likita nan da nan don hana faruwar jinkirin anaphylaxis da sakamako mara kyau.An kuma umurci majiyyaci ya sha ruwa mai yawa don inganta fitar da ma'anar bambanci da wuri-wuri kuma ya rage mummunan tasiri ga koda.
b.A cikin sikanin CTA, kodayake aikace-aikacen injector mai matsa lamba yana da wasu haɗari, yana da aminci, abin dogaro kuma yana iya taka rawa na musamman na asibiti tare da matakan kariya masu dacewa don guje wa haɗari.Wajibi ne don jinya na ɗakin CT na zamani.Dole ne ma'aikatan jinya a cikin dakin CT su kasance da tsauraran hali da mahimmanci lokacin aiki.Dole ne su bi ka'idodin aiki na injectors masu matsa lamba yayin aiki.Dole ne su sake duba hanyoyin haɗin gwiwa da yawa kamar tsotsawar ƙwayoyi, shaye-shaye, huda da gyarawa don tabbatar da cewa sun yi daidai.Matsakaicin allura, adadin kwarara da ci gaba da lokacin allura dole ne ya zama daidai.Don tabbatar da cewa marasa lafiya sun sami nasarar kammala gwajin CTA.Yin amfani da injector mai matsananciyar matsa lamba a cikin dubawar hoto na iya inganta ƙwarewar ƙananan ƙananan raunuka da kuma lokuta masu rikitarwa, samar da likitoci tare da ganewar cututtuka da kuma ganewar asali, inganta daidaiton ganewar cututtuka, da kuma samar da ingantaccen tushen jiyya don ganewar asibiti da magani.
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Lokacin aikawa: Oktoba-27-2022