Catheter Yotsekedwa Yotsekedwa kuti mugwiritse ntchito kamodzi
Zogulitsa Zamalonda
1. Ikhoza kukwaniritsa mpweya wokhazikika mosalekeza popanda kupatukana kwa mabwalo opangira.
2. Kugwiritsa ntchito kangapo pulasitiki kunyamula catheter yoyamwa kumatha kupewa matenda omwe amayamba chifukwa cha tizilombo takunja.
3. Pamene chubu choyamwa sputum chasiya njira yopangira mpweya, kutuluka kwa mpweya wa mpweya wopumira sikudzakhudzidwa.
4. Katheta woyamwa wotsekedwa amatha kuchepetsa zovuta komanso kuchepetsa kupanikizika pang'ono kwa okosijeni komwe kumadza chifukwa cha kuyamwa, komwe kumapewa kupewa matenda opatsirana.
Zoyipa za catheter yoyamwa yotseguka
M’njira iliyonse yoyamwa sputum, njira yopangira mpweya yopangira mpweya idzasiyanitsidwa ndi mpweya wokwanira, mpweya wokwanira wa makina udzasokonezedwa, ndipo chubu cha sputum chidzawonekera kumlengalenga kuti chigwire ntchito.Kuyamwa kotsegula kungayambitse zovuta zotsatirazi:
1. Kusokonezeka kwa Arrhythmia ndi kuchepa kwa mpweya wa magazi;
2. Kuchepetsa kwambiri kuthamanga kwa mpweya, voliyumu ya m'mapapo ndi kudzaza kwa oxygen m'magazi;
3. Kuipitsa ndege ndi kuwononga chilengedwe;
4. Kukula kwa chibayo chogwirizana ndi mpweya wabwino (VAP).
Ubwino wa Closed Suction Catheter
Ikhoza kuthetsa mavuto otsatirawa monga kusokonezedwa kwa chithandizo cha mpweya wabwino, matenda opatsirana komanso kuwononga chilengedwe:
1. Sichiyenera kupatulidwa ndi dera lopangira kupuma kuti likhale lokhazikika.
2. Chubu choyamwa sputum chomwe chimagwiritsidwa ntchito mobwerezabwereza chimakutidwa ndi manja apulasitiki kuti zisakhudze dziko lakunja.
3. Pambuyo poyamwa sputum, chubu choyamwa sputum chimachoka munjira yopangira mpweya ndipo sichidzasokoneza mpweya wotuluka mu mpweya wabwino.
4. Kutsekeka kwa sputum chubu kungachepetse kwambiri zovuta zomwe zimayambitsidwa ndi kukokera, kupeŵa kuchepa kwa mpweya wabwino wa okosijeni chifukwa cha kuyamwa kwa sputum mobwerezabwereza, ndikupewa bwino matenda opatsirana.
5. Kupititsa patsogolo luso la anamwino.Poyerekeza ndi kuyamwa kotseguka kwa sputum, mtundu wotsekedwa umachepetsa ntchito yotsegula chubu choyamwitsa sputum ndi kutulutsa mpweya wabwino, imathandizira kuyamwa sputum, imapulumutsa nthawi ndi antchito poyerekeza ndi kuyamwa kwa sputum, kumapangitsa kuti anamwino azigwira bwino ntchito, komanso amatha kuyankha zosowa za odwala munthawi yake.Ataphunzira 149 chatsekedwa kuyamwa ndi 127 lotseguka kuyamwa 35 odwala okhala ICU pambuyo zoopsa, akuti pafupifupi nthawi chatsekedwa kuyamwa mu ndondomeko ya ntchito iliyonse ndi 93s, pamene lotseguka kuyamwa ndi 153S.
