【Kukanganisa】

1) Psychological kana yemuviri isina kukodzera kuvhiya mumamiriro ezvinhu

2) Yakanyanya kubuda ropa uye kusawirirana.

3) chena yeropa cell kuverenga isingasviki 3 × 109 / l

4) Allergic kusiyanisa nyaya

5) yakasanganiswa neyakanyanya kusingaperi inokanganisa pulmonary chirwere.

6) varwere vane vanozivikanwa kana kufungidzirwa kuti allergy kune zvigadzirwa zviri mumudziyo wepakeji ..

7) kuvapo kana kufungidzira kwehutachiona hwechishandiso, bacteeraemia kana sepsis.

8) Radiotherapy panzvimbo yeiyo yakagadzirirwa kuiswa.

9) kufungidzira kana jekiseni remishonga yemitambo.

 

【Vagadziri】 Ona chigadzirwa chechigadzirwa

 

【Expriydate】 Ona chigadzirwa chechigadzirwa

 

【Nzira yekushandisa】

1. Gadzirira chishandiso chechiteshi chechiteshi uye cheki kana zuva rekupera racho rakapfuura; Bvisa iyo yemukati package uye tarisa kana iyo package iri kukuvara.
2. Inofanirwa kushandisa maActic maitiro ekucheka kuvhura iyo yemukati package uye bvisa chigadzirwa kuti ugadzirire kushandisa.
3. Iko kushandiswa kwemidziyo yechibvumirano inotsanangurwa inotsanangurwa zvakasiyana kune imwe neimwe muenzaniso seinotevera.

 

Typeⅰ

1. Kupenya, kusvetuka, kusvetuka kuyedza

Shandisa syringe (tsono yeiyo isingabati chidimbu chechidimbu) kuti utore iyo isingabati chidimbu chechidimbu uye jekiseni 5ml-10ml yemizheni yemuviri kuti ibvise chigaro chejekiseni uye catheter lumen uye kusabvisa. Kana pasina kana chinononoka mvura inowanikwa, twist iyo yekuvhara zvinodhaka mugumo weCatheter (Distal Gumbo) neruoko kuti vhura chiteshi chezvinodhaka; Wobva wapukuta wakavhara mushonga wekuswera mugumo, ramba uchisundira saline (kumanikidzwa kwete kupfuura 200kpa chigaro uye chengetedzo yekubatanidza, mushure mezvose zvakajairika mushure mezvinhu zvese, iyo catheter inogona kushandiswa.

1. Cannulation uye ligation

Sekureva kweiyo intraoperative yekuferefetwa, isa catheter (kuendesa zvinodhaka mugumo) mumidziyo inoenderana yeropa zvichienderana nenzvimbo yebundo, uye shandisa chisinga tsanangurike kusagadzikana kunyatsocheka chombo. Iyo catheter inofanira kunyatsonongedzerwa zvakanaka (maviri kana anopfuura anopfuura) uye akagadziriswa.

1. chemotherapy uye chisimbiso

Intraoperative chokotherapy zvinodhaka inogona kuiswa kamwechete maererano nehurongwa hwekurapa; Zvinokurudzirwa kuti chigaro che jekiseni uye chikwata chinoratidzwa ne6-8 ml yemuviri munyama, ichiteverwa ne3 ml ~ 5 ml iyo catheter inosungwa ne 3ML yeHeparin Saline pa 100u / ml to 200u / ml.

1. Injection Seat Fixation

Iyo subcutaneous cytic cytics yakagadzirwa panzvimbo yekutsigirwa, iyo ndeye 0.5 cm kusvika 1 cm kubva paganda pamusoro peganda, uye chigaro chejekiseni chakaiswa mumativi uye chakagadziriswa, uye ganda rakatsvuka mushure meiyo yakasimba. Kana iyo catheter yakanyanyisa kureba, inogona kubatanidzwa mune denderedzwa pakupedzisira uye yakagadziriswa nemazvo.

 

Typeⅱ

1.Flushing uye kuendesa

Shandisa syringe (tsono yeiyo isingabvumirwe port mudziyo mune iyo jekiseni chigaro uye catheter zvine musoro kuti ubvise uye bvisa mhepo mune iyo lumen, uye tarisa kana iyo contid fluid yakatsvedza.

2. Cannation uye Kucheka

4. Kuongororwa kweBluak

4 .

kubatana, uye kushandisa chete mushure mezvinhu zvese zvakajairika.

5. Chemotherapy, kushevedzera tube

Intraoperative chokotherapy zvinodhaka inogona kuiswa kamwechete maererano nehurongwa hwekurapa; Inokurudzirwa kuburitsa iyo jekiseni base uye catheter luemen ine 6 ~ 8ml yehupombwe saline zvakare, uye wobva washandisa 3ML ~ 5ml yehurumende yemuviri.

Iyo Catheter inobva yasungwa ne 3ML to 5ML yeHeparin Saline pa100u / ml to 200u / ml.

6. Jekiseni chigaro chekugadzirisa

A subcutaneous cytic cytic patenti yakagadzirwa panzvimbo yechitsigiro, 0.5 cm kusvika ku1 cm kubva kune ganda pamusoro peganda, uye chigaro chejekiseni chakaiswa mumativi uye akagadziriswa, uye ganda rakatsvuka mushure mekunyanyisa.

 

Type ⅲ

Syringe (Special Stele yeImplantile Port mudziyo) yakashandiswa kujekesa 10ML yakanga isingaonekwe.

2. Cannation uye Kucheka

Maererano nekunopindirana kuongorora, isa tatheter mumadziro emudumbu, uye chikamu chakavhurika chekusvika kwemishonga yekupera kwegatheter inofanira kupinda mudumbu remarara uye uve pedyo neTumor chinangwa sezvinobvira. Sarudza 2-3 mapoinzi ekunyorera uye gadzirisa iyo catheter.

3. Chemotherapy, kushevedzera tube

Intraoperarapy mushonga unogona kuiswa kamwechete maererano nehurongwa hwekurapa, uyezve tube yakaiswa chisimbiso ne3ml ~ 5ml of 100u / ml ~ 200u / ml heparin saline.

4. Jekiseni chigaro chekugadzirisa

A subcutaneous cytic cytic patenti yakagadzirwa panzvimbo yechitsigiro, 0.5 cm kusvika ku1 cm kubva kune ganda pamusoro peganda, uye chigaro chejekiseni chakaiswa mumativi uye akagadziriswa, uye ganda rakatsvuka mushure mekunyanyisa.

Kunwa zvinodhaka uye kutarisirwa

A.Zvakanyatsoita Asseptic kushanda, kusarudzwa kwakakodzera kweiyo jection chigaro nzvimbo pamberi pejekiseni, uye nekusagadzikana kweiyo jekiseni rejekiti.B. Kana kuiswa, shandisa tsono yechibvumirano chechigaro chegumi, neyakaenzana, neruoko rweruboshwe rune chigunwe chichiisa chigaro chejekiseni, neruoko rworudyi rwakabata syringe yakatwasuka muvheneketi, ichidzivirira kudedera kana kutenderera, uye zvishoma nezvishoma kuiswa saline 5 ml jekiseni yakazotevera yakabata pasi pechigaro chejekiseni (Kana isina kunyorova, iwe unofanirwa kutanga watarisa kuti tsono yakavharwa). Cherekedza kana paine chero kukwirira kweganda rakatenderedza kana richisundira.

C. Pusha iyo chomothapeutic mushonga zvishoma nezvishoma mushure mekusimbisa kuti hapana kukanganisa. Munguva yekushambadzira, teerera kutarisa kuti ganda rakatenderedza rakakwirisa kana kuti rakachenuruka, uye kana paine kurwadziwa kwenzvimbo. Mushure mekunge mushonga uchisundirwa, hunofanirwa kuchengetwa kwe15s ~ 30s.

D. Mushure mejekiseni rega rega, rinokurudzirwa kuburitsa chigaro chezvirevo uye chikwata chechipfuva chine 6 ~ 8ml yekateri ine 3ml of 100u / ml ~ 200u / ml ye heparin saline, uye kana yekupedzisira 0.5ml yeHeparin Saline inoiswa pasi, mushonga unofanirwa kusundirwa uchidzora, kuti mushonga wezvinodhaka unozadzwa neHeparin Saltine kuti udzivise kuchema kwedhorobha uye kuwanda kweropa mu catheter. Iyo catheter inofanira kubhinywa neHeparin Saline kamwe chete mavhiki maviri panguva yekupindirana kwemakemotherapy.

E. Pashure pejekiseni, kupokana neziso rekurapa nekuvhara nekupfeka zvisina kufanira, uye teerera kuchengeta nzvimbo yemuno yakachena uye yakaoma kudzivirira hutachiona.

F. Teerera kune maitiro emurwere mushure mekutonga kwezvinodhaka uye tarisa zvakanyanya panguva yekukura kwezvinodhaka.

 

【Kuchenjerera, yambiro uye inopa zano】

1. Ichi chigadzirwa chinosemeswa neEngelyne oxide uye inoshanda kwemakore matatu.
2. Ndokumbirawo kuti uverenge bhuku rekuraira usati washandiswa kuti uve nechokwadi chekuchengetedza.
3. Iko kushandiswa kwechigadzirwa ichi kunofanira kutevedzera zvinodiwa nemakodhi ezvekuita uye nemirairo yekurapa, uye kuiswa kwemidziyo iyi kunofanirwa kurambidzwa kurapwa kweripi. Kudzikiswa kurapwa kwevarapi, uye post-tube chenjera kunofanirwa kuitwa nevashandi vekurapa vanokwanisa.
4. Maitiro ese anofanirwa kuitwa pasi pemamiriro ezvinhu ezvigadzirwa.
5. Tarisa zuva rekupedzerwa kwechigadzirwa uye kurongedza kwemukati kwekukuvara pamberi penzira yacho.
6. Mushure mekushandiswa, chigadzirwa chinogona kukonzera njodzi dzezvakaipa. Ndokumbirawo uteedzere zvakagamuchirwa pakurapa maitiro uye mimwe mitemo yakakodzera uye mirau yekubata uye kurapwa.
7. Usashandise yakanyanyisa simba panguva yekubuda uye isa artery nenzira kwayo uye nekukurumidza kuti udzivise vasospasm. Kana intubation yakaoma, shandisa zvigunwe zvako kuti utendeke katereri kubva kune rumwe rutivi rwechirume uchiisa tube.
8. Kureba kweiyo Catheter kwakaiswa mumuviri kunofanirwa kuve kwakakodzera, kwakareba kuri nyore kupeta mukona, zvichikonzera mumhepo murombo, ipfupi ndipo pane zviitiko zvechisimba zvichinge zvisina mwero kubva pakurasa kubva mumudziyo. Kana iyo catheter ipfupi, inogona kubvarura kubva mumidziyo kana murwere anofamba nesimba nesimba.
9. Iyo catheter inofanira kuiswa mumudziyo neanopfuura miviri inodarika maviri uye yakagadzirirwa kusimba kuti ive nechokwadi chekupusa jekiseni uye kudzivirira catheter kuti asatsvedza.
10. Kana iyo isingabati chidimbu chishandiso chive mhando II, kubatana pakati pe catheter uye chigaro chejekiseni chinofanira kusimba. Kana intraoperative inodhaka jekiseni isingadikanwe, yakajairika saline bvunzo jekiseni inofanira kushandiswa kusimbiswa usati waisa ganda.
11. Paunenge uchipatsanuka nzvimbo subcutaneous, vhara himptasis vanofanirwa kuitwa kuti vadzivise kuumbwa kwenzvimbo yemunharaunda, kuunganidzwa kwemvura kana kwechipiri mushure mekuvhiyiwa; Iyo vesicular yetsvina inofanira kudzivirira iyo jekiseni chigaro.
12. α-cyanoaccrylatlating yekuzvisheni inokonzeresa kukuvadza kune jekiseni rejekiseni; Usashandise gadziriso gadziriso yekurapa kana ichirapa yekuvhiya yekuvhiya kutenderedza jekiseni. Usashandise α-cyanoacrylate zvekurapa zvinonamatira paunenge uchibata neunical incivation kutenderedza jekiseni base.
13. Shandisa yakanyanya kungwarira kuti udzivise kubhururuka kweiyo catheter nekuda kwekukuvara netsaona kubva kune zviridzwa zvekuvhiya.
14. Kana kurohwa, tsono inofanira kuiswa mumutsara, syringe ine mukana we10ML kana anopfuura inofanira kushandiswa, mushonga unofanirwa kuiswa zvishoma, uye tsono inofanira kubviswa mushure mekumbomira. Dzvinyiriro yekusundira haifanirwe kupfuura 200kupa.
15. Ingoshandisa zvinangwa zvakakosha zvekusarudzika zvinodhaka zvinodhaka.
16. Kana kutsiva kwenguva refu kana kutsiva zvinodikanwa zvinodikanwa, zvakakodzera kushandisa imwe-yekushandisa kusarudzika mushonga mushonga mudziyo une hosipi ficha kana tee, kuitira kuti uderedze huwandu hwekunyepedzera uye kuderedza kukanganisa kwemurwere.
17. Deredza huwandu hwezvinoratidzwa, kuderedza kukuvadzwa kwemutsipa wemurwere uye kuzvisimbisa zvikamu zvezvikamu zvezvikamu. Munguva yekuregererwa kwekuregererwa kwezvirevo zvinodhaka, jekiseni reAntiCoGulant rinodiwa kamwe mavhiki maviri.
18. Ichi chigadzirwa chishandiswe chimwe, chisina kusimba, chisina-pyrogenic chigadzirwa, chakaparadzwa mushure mekushandiswa, kushandisa zvakare zvinongorambidzwa zvakanyanyisa.
19. Kana iyo yemukati package yakakuvadzwa kana kuti chigadzirwa chechigadzirwa chakapfuura, tapota dzosera iyo kumugadziri wekurasa.
20. Nhamba yezvinangwa zveimwe jekiseni jekiseni haifanire kupfuura 2000 (22ga). 21.
21. Iyo shoma yekubhururuka vhoriyamu ndeye 6ML