Injector yamakono yapamwamba kwambiri imagwiritsa ntchito njira yowongolera pulogalamu yamakompyuta.Ili ndi mapulogalamu angapo a jakisoni amitundu yambiri omwe amatha kuloweza pamtima.Ma jakisoni onse ndi “masyrinji otayira othamanga kwambiri”, ndipo amakhala ndi machubu olumikizira, omwe amatha kujambula ndi kubaya mankhwala nthawi imodzi.Ili ndi ubwino wa makina apamwamba komanso olondola kwambiri.Ikhoza kusintha mlingo wa jekeseni pa chifuniro malinga ndi mbali zosiyanasiyana ndi katundu wa pathological.Imatha kubayila mwachangu jekeseni wosiyanitsa mu mitsempha ndi mitsempha, yomwe imagawidwa m'mitsempha yosiyanasiyana yamagazi.Nthawi yomweyo jakisoni, imatha kupanga sikani ya CTA kuti athe kudziwa kuchuluka kwa matenda.
1. Njira yogwiritsira ntchito
Mchipinda chamankhwala cha CT, gwiritsani ntchito syringe ya 2ml kuyamwa 2ml ya 0.9% NaCl yankho, kenaka mulumikize catheter yolowera m'mitsempha, gwiritsani ntchito catheter ya G18-22 IV popanga venipuncture, sankhani ziwiya zokhuthala, zowongoka komanso zotanuka za mtsempha wozungulira wakumtunda. , mtsempha wa basilic, ndi mtsempha wapakati wa cubital monga IV catheter yoboola, ikonze bwino pambuyo pa kupambana.Kenako gwiritsani ntchito syringe ya 2ml kuyamwa 1ml ya 0.1% meglumine diatrizoate kusiyanitsa wothandizila kudzera m'mitsempha.Yang'anani zotsatira za mayeso patatha mphindi 20, Zolakwika: palibe kukanidwa pachifuwa kwanthawi yayitali, nseru, urticaria, rhinitis, khungu labwinobwino komanso zizindikiro zofunika zidzayikidwa mchipinda choyezera CT.Chipinda choyesera cha CT ndi Philips 16 row spiral CT, jekeseni wothamanga kwambiri wa CT wa Shenzhen Antmed Co., Ltd., yemwe amabaya mankhwala Ossurol.(1) Musanagwire ntchito, yatsani chosinthira magetsi ndikuyika ma syringe otaya mphamvu (ma syringe awiri).Syringe A imakoka 200ml ya iodofol media, ndipo syringe B imakoka 200ml ya 0.9% sodium chloride solution.Lumikizani majakisoni awiriwa ndi chubu cholumikizira chanjira zitatu, tulutsani mpweya mu syringe ndi chubu, ndiyeno kulumikizana ndi catheter ya wodwalayo.Magazi akatengedweranso bwino, ikani jekeseni mutu pansi kuti muyimire.(2) Malinga ndi kulemera kosiyanasiyana kwa wodwalayo komanso malo owongolera osiyanasiyana, kukhudza kumapangidwa pazenera la LCD kuti akhazikitse kuchuluka konse ndi kuchuluka kwa jekeseni wa jekeseni ndi jakisoni wa saline wa syringe yothamanga kwambiri.Kuchuluka kwa jakisoni wa iodoform ndi 60-200 ml, kuchuluka kwa 0.9% sodium chloride solution ndi 80-200 ml, ndipo jekeseni ndi 3 - 3.5 ml / s.Pulogalamuyo ikamalizidwa, woyendetsa sikaniyo adzapereka lamulo kuti ayambe jekeseni.Choyamba, jekeseni wa iodoform media, muzimutsukanso ndi 0.9% sodium chloride solution mpaka kusanthula kumalize.
Shenzhen Antmed Co., Ltd Mzere wa mankhwala a High Pressure Injector:
2. Kukonzekera pamaso pa CTA kupanga sikani
Funsani wodwala ngati ali ndi mbiri ya ziwengo mankhwala ena, hyperthyroidism, matenda oopsa, matenda a mtima, shuga nephropathy, aimpso insufficiency, kuchuluka kwa magazi, hypoalbuminemia ndi zina chiopsezo chachikulu zinthu angiography, ndi kufotokoza cholinga ndi ntchito ya kumatheka kupanga sikani. kwa wodwalayo ndi banja lake.Wodwalayo ayenera kukhala ndi m'mimba yopanda kanthu kwa maola 4 asanafufuze kachipangizo kowonjezereka, ndipo omwe adakhala ndi barium meal fluoroscopy kwa masiku 3 mpaka 7 koma sanatulutse barium saloledwa kuwunika m'mimba ndi m'chiuno.Mukamayesa CTA pachifuwa ndi pamimba, ndikofunikira kuti mupume pang'ono kuti muchepetse kapena kupewa zinthu zopanda stratification.Kupumula maphunziro ayenera kuchitikira pasadakhale ndipo anapempha kugwira mpweya wanu kumapeto kwa kudzoza.
3. Chitani ntchito yabwino ya chisamaliro chamaganizo, ndipo dziwitsani odwala kuti kupanikizika kwa jekeseni wa jekeseni wothamanga kwambiri ndi waukulu kuposa kukakamiza kwa dzanja kukankhira, ndipo liwiro liri mofulumira.Mitsempha yamagazi pamalo opangira jakisoni imatha kugwa, zomwe zimapangitsa kuti mankhwala amadzimadzi azituluka, edema, dzanzi, kupweteka, ndipo ena amatha kukhala zilonda zam'mimba ndi minofu necrosis.Kachiwiri, pobaya jekeseni wothamanga kwambiri, pamakhala ngozi yoti catheter ya jakisoni imagwa, zomwe zimapangitsa kuti mankhwala amadzimadzi atayike komanso kutayika kwa mlingo.Ogwira ntchito ya unamwino wodwala adadziwitsidwanso kuti akhoza kusankha mosamala mitsempha yoyenera, kugwira ntchito mosamala, ndikusankha mtundu woyenera wa catheter ya IV malinga ndi mitsempha ya wodwalayo.Pogwiritsa ntchito jekeseni wothamanga kwambiri, ma turnbuckles pakati pa mbiya ya syringe ndi piston bolt anali olimba, chubu cholumikizira njira zitatu chinali cholumikizidwa mwamphamvu ndi syringe ndi mawonekedwe onse a catheter ya IV, ndipo mutu wa singano unakhazikitsidwa bwino.Pewani mantha a wodwalayo, pezani mgwirizano, ndipo pamapeto pake funsani achibale a wodwalayo kuti asayine fomu yololeza kuti ayesedwe ndi CTA.
4. Zodzitetezera panthawi yoyendera CTA
1).Kupewa kutayikira kwa mankhwala amadzimadzi: scanner ikasuntha, chubu cholumikizira sichidzafinyidwa kapena kukoka, ndipo gawo loboola liyenera kugundana kuti mankhwala amadzimadzi asatayike.Pambuyo pa kutsimikiza kwa malo ojambulira, namwino ayang'anenso kuyika kwa singano ya catheter mumtsempha kachiwiri, jekeseni 10 ~ 15ml ya 0.9% sodium chloride solution pansi pa kupanikizika pang'ono pamanja kuti awone ngati ili yosalala, funsani wodwalayo kachiwiri. kusapeza monga kutupa ululu ndi palpitations, ndi kupereka uphungu maganizo kutonthoza wodwalayo kuti ogwira ntchito zachipatala kulabadira kwa inu kuyambira pachiyambi mpaka kumapeto kwa sikani, kuti athe kupirira mosavuta ndi kufufuza ndi kuthetsa mavuto ndi mantha.Pa jekeseni wa mankhwala, namwino ayenera kuyang'anitsitsa nkhope ya wodwalayo, kutuluka kwa mankhwala, thupi lawo siligwirizana, ndi zina zotero. Ngati pachitika ngozi, jekeseni ndi kupanga sikani ziyenera kusokonezedwa nthawi iliyonse.
2) Pewani jekeseni wa mpweya: Kutopa kosayenera kudzatsogolera ku embolism ya mpweya.Air embolism ndizovuta kwambiri pakuwunika kwa CTA, zomwe zimatha kupha odwala.Samalani panthawi ya ntchito.Ma interfaces onse ayenera kumangika kuti asagawanikane ndi kuthamanga kwambiri.Asanabayidwe jekeseni, mpweya wa ma syringe awiri, machubu olumikiza njira zitatu ndi singano za catheter ziyenera kuchotsedwa.Pa jakisoni, mutu wa jakisoni umakhala pansi, kotero kuti tinthu ting'onoting'ono tomwe timayandama mpaka kumchira wa syringe.Kuchuluka kwa jakisoni ndikocheperako kuposa kuchuluka kwa mankhwala okomedwa ndi 0,9% sodium kolorayidi.1 ~ 2ml ya mankhwala amadzimadzi ayenera kukhala mu syringe kuti mpweya usalowe m'mitsempha yamagazi ya wodwalayo panthawi ya jekeseni wothamanga kwambiri.
3) Kupewa matenda opatsirana m'chipatala: wodwala m'modzi, singano imodzi ndi syringe imodzi iwiri ziyenera kukwaniritsidwa popanga sikani ya CTA, ndipo mfundo yogwira ntchito yosabala iyenera kutsatiridwa mosamalitsa.
4) Chidziwitso pambuyo pa kupanga sikani
a.Mukapanga sikani, funsani wodwalayo kuti apume m'chipinda chowonera, sungani katheta m'mitsempha kwa 15 ~ 30min, ndikuchikoka ngati palibe vuto lililonse.Chipinda chachipatala cha CT chiyenera kukonzedwa ndi mankhwala oyambirira ndi zipangizo zothandizira.Ngati simukumva bwino, pitani kwa dokotala mwamsanga kuti mupewe kuchedwa kwa anaphylaxis ndi zotsatira zake.Wodwalayo adalangizidwanso kuti amwe madzi ambiri kuti apititse patsogolo kutuluka kwa wothandizila wosiyana mwamsanga ndi kuchepetsa vuto la impso.
b.Pakupanga sikani ya CTA, ngakhale kugwiritsa ntchito jekeseni wothamanga kwambiri kuli ndi zoopsa zina, ndikotetezeka, kodalirika ndipo kumatha kugwira ntchito yapadera yachipatala ndi njira zodzitetezera kuti mupewe ngozi.Ndikofunikira kwa unamwino wamakono wa CT chipinda.Ogwira ntchito m'chipinda cha CT ayenera kukhala okhwima komanso okhwima pamene akugwira ntchito.Ayenera kutsata njira zogwiritsira ntchito majekeseni othamanga kwambiri panthawi ya ntchito.Ayenera kuyang'ana mobwerezabwereza maulalo ambiri monga kuyamwa mankhwala, kutulutsa mpweya, kubowola ndi kukonza kuti atsimikizire kuti ndizolondola.Mlingo wa jakisoni, kuthamanga kwa magazi ndi nthawi yopitilira jekeseni ziyenera kukhala zolondola.Pofuna kuwonetsetsa kuti odwala amamaliza mayeso a CTA.Kugwiritsiridwa ntchito kwa jekeseni wothamanga kwambiri poyang'ana kujambula kungapangitse luso lapamwamba la zotupa zazing'ono ndi milandu yovuta, kupereka madokotala ndi matenda a matenda ndi kusiyanitsa matenda maziko, kuwongolera kulondola kwa matenda a matenda, ndi kupereka chithandizo cholondola kwambiri cha matenda ndi chithandizo chamankhwala.
Kuti mudziwe zambiri za malonda ndi ntchito zathu, chonde titumizireni painfo@antmed.com.
Nthawi yotumiza: Oct-27-2022