Laryngeal Mask Airway Yogwiritsa Ntchito Imodzi
Kulongedza:5 ma PC / bokosi. 50 ma PC / katoni
Kukula kwa katoni:60x40x28cm
Mankhwalawa ndi oyenera kugwiritsidwa ntchito kwa odwala omwe amafunikira opaleshoni yanthawi zonse ndi kutsitsimutsidwa mwadzidzidzi, kapena kukhazikitsa njira yanthawi yochepa yopanda deterministic yopangira mpweya kwa odwala omwe akufunika kupuma.
Chogulitsachi molingana ndi kapangidwe kake kakhoza kugawidwa kukhala mtundu wamba, mtundu wolimbikitsidwa kawiri, mtundu wamba, wolimbitsa kawiri mitundu inayi. The wamba mtundu mpweya chubu, chivundikiro thumba zovekera, inflatable chubu, kusonyeza airbag, olowa ndi inflatable valavu; kulimbikitsidwa ndi chubu cholowera mpweya, cholumikizira thumba, chitoliro cha mpweya. Chizindikiro cha ndodo yowongolera mpweya, (sangathe), ndi valavu yolumikizira olowa; mitundu iwiri wamba ndi chubu mpweya wabwino, chubu ngalande, chivundikiro thumba zovekera, inflatable chubu, kusonyeza airbag, valavu olowa ndi inflatable; chitoliro chapawiri cholimbikitsidwa ndi chitoliro cha mpweya wabwino, chitoliro cha ngalande, zoyikira thumba, chubu chopumira, chosonyeza chikwama cha mpweya, cholumikizira cha manja, ndodo yolondolera (ayi), cholumikizira ndi valavu. Limbikitsani ndi kulimbitsa kawiri chigoba cha laryngeal pakhoma lamkati la trachea ndi mankhwala osapanga dzimbiri opanda waya. Kulimbitsa chubu cholowera mpweya wabwino, chubu la ngalande, chikwama cholumikizira cholumikizira, cholumikizira manja, chubu chopumira, chikwama cha mpweya chimatengera malangizo opangidwa ndi mphira wa silicon. Ngati mankhwala ndi wosabala; mphete Kutsekereza kwa oxygen ethane, zotsalira za ethylene oxide ziyenera kukhala zosakwana 10μg/g.
Chitsanzo | Mtundu wamba, Mtundu wolimbikitsidwa, | |||||||
Zofotokozera(#) | 1 | 1.5 | 2 | 2.5 | 3 | 4 | 5 | 6 |
Kutsika kwakukulu (Ml) | 4 | 6 | 8 | 12 | 20 | 30 | 40 | 50 |
Wodwala / kulemera kwa thupi (kg) | Neonatus <6 | Mwana 6-10 | Ana 10-20 | Ana 20-30 | Akuluakulu 30-50 | Akuluakulu 50-70 | Akuluakulu 70-100 | Wamkulu >100 |
1. LMA, ikuyenera kuyang'ana zomwe zalembedwapo.
2. Kutulutsa mpweya mu mpweya wa laryngeal mask airway kuti hood ikhale yosalala.
3. Pakani pang'ono mchere wabwinobwino kapena gel osakaniza m'madzi popaka mafuta kumbuyo kwa chivundikiro cha mmero.
4. Mutu wa wodwalayo unali kumbuyo pang'ono, ndi chala chake chakumanzere m'kamwa mwa wodwalayo ndikugwedeza nsagwada za wodwalayo, kuti akulitse kusiyana pakati pa pakamwa.
5. Kugwiritsa ntchito dzanja lamanja kugwira cholembera chogwira chigoba cha laryngeal, kuti chikhalepo, chala cholozera ndi chala chapakati chala chala chotsutsana ndi chivundikiro cholumikizira thupi ndi chigoba cha mpweya wabwino wa laryngeal, kuphimba pakamwa polowera komwe kuli pakati pa nsagwada zapakatikati. , lilime kumamatira pansi pharyngeal LMA, mpaka sipanapitenso patsogolo mpaka pano. Komanso angagwiritse ntchito n'zosiyana njira kuyika laryngeal chigoba, basi kuphimba pakamwa kwa m'kamwa, adzaikidwa m'kamwa mpaka pakhosi pansi pa laryngeal chigoba, ndi 180O pambuyo kasinthasintha, ndiyeno kupitiriza kukankhira pansi pa laryngeal chigoba. , mpaka sindingathe kukankha mpaka pano. Mukamagwiritsa ntchito chigoba chowonjezera kapena ProSeal laryngeal ndi ndodo yowongolera,ndodo yowongolera imatha kulowetsedwa mumlengalenga kuti ifike pomwe idasankhidwa, ndikuyika khosi.chigoba chikhoza kutulutsidwa pambuyo poyika chigoba cha laryngeal.
6. Mukuyenda patsogolo pa dzanja lina mofatsa ndi kukanikiza chala kuteteza laryngeal chigoba airway catheter kusamutsidwa.
7. Malinga ndi mtengo wadzidzidzi kuphimba thumba lodzazidwa ndi mpweya (kuchuluka kwa mpweya sikungadutse chizindikiro chodzaza kwambiri), kulumikiza dera lopumira ndikuwunika ngati mpweya wabwino, monga mpweya wabwino kapena kutsekeka, uyenera kutengera masitepe oyikanso. chigoba cha laryngeal.
8. Kuti mutsimikizire malo a chigoba cha laryngeal ndi cholondola, kuphimba mano, malo okhazikika, kusunga mpweya wabwino.
9. Chophimba chapakhosi chimatulutsidwa: mpweya kuseri kwa valavu ya mpweya wa syringe ndi syringe popanda singano umatulutsidwa kuchokera pakhosi.
1. Odwala omwe amatha kukhala ndi mimba yodzaza kapena m'mimba, kapena omwe anali ndi chizolowezi chakusanza ndi odwala ena omwe amavutika ndi reflux.
2. Kukula kwachilendo kwa wodwala yemwe ali ndi magazi m'njira yopuma.
3. Kuthekera kwa odwala omwe ali ndi vuto la kupuma, monga zilonda zapakhosi, abscess, hematoma etc.,
4. Wodwalayo sali woyenera kugwiritsa ntchito mankhwalawa.
1. Musanagwiritse ntchito kuyenera kutengera zaka, kulemera kwa thupi kwa kusankha kolondola kwatsatanetsatane ndikuzindikira ngati thumba likutha.
2. Chonde yang'anani musanagwiritse ntchito, monga zopezeka muzogulitsa zamtundu umodzi (zonyamula) zili ndi izi, kuletsa kugwiritsa ntchito:
a) Nthawi yabwino yotsekera;
b) Mankhwalawa awonongeka kapena ali ndi thupi lachilendo.
3. Ntchito ayenera kuona wodwalayo thoracic ntchito ndi auscultation wa mayiko awiri mpweya phokoso kudziwa mpweya zotsatira ndi mapeto expiratory carbon dioxide kuwunika. Monga kutulukira kwa thoracic kapena osauka kapena osasinthasintha matalikidwe kusinthasintha kumva kutayikira phokoso, ayenera nthawi yomweyo kukokera laryngeal chigoba, pambuyo wathunthu mpweya kachiwiri pambuyo implantation.
4. Kuthamanga kwabwino kwa mpweya wabwino, kuthamanga kwa mpweya sikuyenera kupitirira 25cmH2O, kapena sachedwa kutayikira kapena mpweya m'mimba.
5 Odwala omwe ali ndi chigoba cha laryngeal ayenera kusala kudya asanagwiritse ntchito, kuti apewe mwayi wotsutsana ndi kutuluka kwa m'mimba chifukwa cha mpweya wabwino.
6. Mankhwalawa ndi ethylene oxide sterilization, kutseketsa kumakhala kovomerezeka kwa zaka zitatu.
7. Pamene baluni yatenthedwa, kuchuluka kwa ndalama kuyenera kupitirira malire ovomerezeka.
8. Izi mankhwala ntchito zachipatala, ntchito ndi ntchito ndi ogwira ntchito zachipatala, pambuyo chiwonongeko.
[Kusungira]
Zamgululi ziyenera kusungidwa mu chinyezi wachibale osapitirira 80%, kutentha si oposa 40 digiri Celsius, palibe mpweya zikuwononga ndi mpweya wabwino chipinda choyera.
[Tsiku lopanga] Onani cholembera chamkati
[tsiku lotha ntchito] Onani cholembera chamkati
[Tsiku lofalitsidwa kapena tsiku losinthidwa]
Tsiku losindikiza: Seputembara 30, 2016
[Munthu wolembedwa]
Wopanga: HAIYAN KANGYUAN MEDICAL Instrument CO., LTD