Qonda 3 way stopcock esihlokweni esisodwa

Ukubukeka okusobala, ukwandisa ukuphepha kokumnika, futhi kube lula ukubhekwa kokukhipha umoya;

Kulula ukusebenza, ingashintshwa ngamadigri angu-360, futhi umcibisholo ubonisa isiqondiso sokugeleza;

Ukugeleza kwe-liquid akuphazamiseki ngesikhathi sokuguqulwa, futhi akukho vortex ekhiqizwayo, okunciphisa i-thrombosis.

Isakhiwo:

Ezokwelapha3 way stopcock ithubhu lakhiwe ngeshubhu yezindlela ezi-3, i-valve yendlela eyodwa kanye nepulaki elinwebekayo. Iziphetho ezingenhla nezinhlangothi ze-tube yendlela-ntathu ngayinye ixhunywe nge-valve yendlela eyodwa, futhi ingxenye engenhla ye-tube yendlela-ntathu yenziwe nge-valve yendlela eyodwa. Iziphetho eziseceleni zekhava engaphansi kwe-valve kanye neshubhu lezindlela ezintathu zihlinzekwa ngekhava ye-valve yendlela eyodwa ephezulu, futhi ipulaki enwebekayo ixhunywe ekugcineni okuphansi.

Emsebenzini womtholampilo, ngokuvamile kuyadingeka ukuvula imigudu emibili ye-venous ezigulini ukuze kuzuzwe ukwelashwa ngokushesha. Lapho ubhekene neziguli esezikhulile kanye neziguli eziye zalaliswa esibhedlela ngokuphindaphindiwe emsebenzini, futhi imithambo yegazi yesiguli ayilungile, i-venipuncture eminingi ngesikhathi esifushane ayigcini nje ukwandisa ubuhlungu besiguli, kodwa futhi kubangela ukuminyana endaweni yokubhoboza. Ezigulini eziningi esezikhulile, inaliti ehlala phezu komthambo ongaphezulu akulula ukuhlala ngaphakathi, futhi ukucwiliswa kwe-vein ejulile akunakwenzeka. Ngenxa yalokhu, ithubhu yezindlela ezintathu isetshenziswa emtholampilo.

Indlela:

Ngaphambi kokuphonswa kwenyama, hlukanisa ishubhu yokufaka nenaliti yesikhumba, xhuma ishubhu le-tee, xhuma inaliti yesikhumba eshubhuni elikhulu, bese uxhuma amanye amachweba amabili eshubhu le-tee ku-** yamasethi amabili okufakwa. Ngemva kokuqeda umoya, yenza ukubhoboza, Yilungise, futhi ulungise izinga lokuconsa njengoba kudingeka.

Inzuzo:

Ukusetshenziswa kwepayipi lezindlela ezintathu kunezinzuzo zokusebenza okulula, ukusetshenziswa okuphephile, okusheshayo nokulula, umuntu oyedwa angasebenza, akukho ukuvuza kwe-liquid, ukusebenza okuvaliwe, nokungcola okuncane.

Okunye ukusetshenziswa:

Ukufaka isicelo ku-tube ye-gastric ehlala isikhathi eside—-

1. Indlela: Xhuma ithubhu ye-tee ekupheleni kwethubhu yesisu, bese uyisonga nge-gauze bese uyilungisa. Uma isetshenziswa, isipetu noma isethi yokumnika ixhunywa embotsheni eseceleni yeshubhu lezindlela ezintathu bese kujovwa isixazululo sezakhi.

2. Izinqubo zokusebenza ezenziwe lula: ngesikhathi sokuphakelwa kwamashubhu okuvamile, ukuze kuvinjwe ukugeleza kwepayipi lokudla nokuvimbela umoya ukuba ungangeni esiswini sesiguli, lapho ufunza ishubhu lokufunza, ishubhu lesisu kufanele lisongwe ngesandla esisodwa kanti esinye isandla simunca ishubhu. Noma, isiphetho seshubhu lesisu sigoqwe emuva, sigoqwe nge-gauze, bese silungiswa ngebhande lerabha noma isiqeshana ngaphambi kokumuncwa kweshubhu. Ngemuva kokusebenzisa ithubhu yezindlela ezintathu zezokwelapha, udinga kuphela ukuvala i-valve yokuvala ye-tube yendlela emithathu lapho uncelisa i-tube feed, engenzi nje lula inqubo yokusebenza, kodwa futhi ithuthukise ukusebenza kahle komsebenzi.

3. Ukungcola okwehlisiwe: Ekudleni okujwayelekile kwamashubhu, imijovo eminingi ixhunywa ekugcineni kweshubhu lesisu bese kujovwa ishubhu. Ngenxa yokuthi ububanzi beshubhu lesisu bukhulu kunobubanzi besirinji **, isirinji ayikwazi ukufakwa ngeshubhu lesisu. , Uketshezi lokuphakela amashubhu luchichima njalo, okwandisa amathuba okungcola. Ngemuva kokusebenzisa i-tee yezokwelapha, izimbobo ezimbili eziseceleni ze-tee zixhunywe ngokuqinile nesethi yokumnika kanye nesirinji, okuvimbela ukuchitheka koketshezi futhi kunciphise ukungcoliswa.

Ukusetshenziswa kwe-thoracocentesis:

1. Indlela: Ngemva kokubhoboza okujwayelekile, xhuma inaliti yokubhoboza ekugcineni kweshubhu le-tee, xhuma isirinji noma isikhwama sokudonsa amanzi emgodini oseceleni weshubhu le-tee, lapho ushintsha isirinji, vala i-tee tube on-off valve, futhi ungakwazi ukujova izidakamizwa emgodini. Jova ngakolunye uhlangothi lwembobo, ukudonsa kanye nezidakamizwa zokujova kungenziwa ngokushintshana.

2. Izinqubo zokusebenza ezenziwe lula: Sebenzisa njalo ithubhu yerabha ukuxhuma inaliti yokubhoboza yokubhoboza ithoraco-besisu kanye nokukhipha amanzi. Ngenxa yokuthi ishubhu lenjoloba akulula ukulilungisa, ukuhlinzwa kufanele kwenziwe abantu ababili. I-Rubber tube yokuvimbela umoya ukuthi ungangeni emgodini wesifuba nesisu. Ngemuva kokusebenzisa i-tee, inaliti yokubhoboza kulula ukuyilungisa, futhi inqobo nje uma i-valve yokushintsha ivaliwe, isipetu singashintshwa, futhi ukusebenza kungenziwa ngumuntu oyedwa.

3. Ukutheleleka okuncishisiwe: Ishubhu lerabha elisetshenziselwa ukubhoboza ithoraco-abdominal okuvamile livalwa inzalo futhi lisetshenziswe ngokuphindaphindiwe, okulula ukubangela ukuthelelana ngezifo. Ishubhu le-medical tee liyinto esetshenziswayo esetshenziswa inzalo, egwema ukuthelelana ngezifo.

Naka amaphuzu alandelayo uma usebenzisa izindlela ezi-3 zokumisa izitobha:

1) Indlela ye-aseptic eqinile;

2) Khipha umoya;

I-3) Nakani ukungqubuzana kokuhambisana kwezidakamizwa (ikakhulukazi ungasebenzisi ithubhu yezindlela ezintathu ngesikhathi sokumpontshelwa igazi);

4) Lawula ijubane eliconsayo lokumnika;

I-5) Imilenze ye-infusion kufanele ilungiswe ukuvimbela ukukhishwa kwezidakamizwa;

I-6) Kunezinhlelo namalungiselelo anengqondo okufakwa ngokwesimo sangempela.