Subcutaneous mankhwala algorithm

I. Kukonzekera njirayi.

1. Dziwonetseni kwa wodwala, fotokozerani zomwe zikuchitika ndi zomwe akuchita. Onetsetsani kuti wodwalayo akudziwitsa za njira zomwe zikubwera pakubwera kwa mankhwalawo komanso kuti palibe zovuta zilizonse zomwe zingachitike.

Yesani / thandizani wodwala kuti azikhala momasuka: kukhala pansi kapena kugona. Kusankhidwa kwa udindo kumatengera wodwala, mankhwala omwe amaperekedwa.
Gwirani manja anu mwaukhondo, kukhetsa.
Konzani syringe.

Onani tsiku lotha ntchito ndi kulimba kwake.

Sungani mankhwalawo mu syringe.

Seti ya mankhwala mu syringe kuchokera ku ampoule.

- Werengani pa okwera dzina la mankhwalawo, mlingo, tsiku lotha ntchito, ndikuwonetsetsa kuti mankhwalawa ndi oyenera: palibe sediment.

- Gwiranani ndi ampoule kuti mankhwala onse akhale mbali yake yonse.

- Ikani mawonekedwe ndi fayilo ya msomali. Mpira wa thonje wothira mowa, gwiritsirani ntchito zokwanira, thawani kumapeto kwa phokoso.

- Tengani zochulukirapo pakati pa mendulo ndi zala zapakati, kutembenuzira pansi mmwamba. Ikani singano mkati mwake ndikusonkhanitsa kuchuluka kwa mankhwalawo. Ampoules okhala ndi kutsegulira kambiri - osatembenuza. Onetsetsani kuti munthawi yopereka mankhwalawa singano inali yankho nthawi zonse: motere, mpweya sulowa syringe.

- Onetsetsani kuti mulibe mpweya mu syringe.

Ngati pali thovu pamakoma osindikizira, syringe yolumirayo iyenera kuchotsedwamo pang'ono ndipo syringe "itasinthidwa" kangapo mu ndege yopingasa. Kenako, mpweya uyenera kukakamizidwa kunja, ukugwira syringe pamwamba pa kumira kapena kulowa. Osakankhira mankhwalawo m'mwamba mchipinda; izi ndizowopsa ku thanzi.

Mukamagwiritsa ntchito syringe yogwiritsa ntchito imodzi, ikani chophimba pa singano, ikani syringe ndi singano m'mipira ya thonje kuchokera pa syringe phukusi kapena mu thireyi.

Sankhani ndikusanthula gawo la jekeseni yomwe mukufuna kuti mupewe zovuta.
Valani magolovesi.

II. Ndondomeko kuphedwa

Chitani jakisoni wambiri ndi zopukutira / mipira iwiri kapena 2 yothira ndi antiseptic.
Sungani khungu ndi dzanja limodzi mu khola lalikulu patali ndi maziko pansi.
Tengani syringe ndi dzanja lanu lina, mukugwira singano ndi chala chanu cholozera.
Ikani singano ndi syringe ndikuyenda mwachangu pamlingo wa 45 ° mpaka 2/3 wa kutalika.
Kokani piston kwa inu kuti muwonetsetse kuti singano mulibe kanthu.
Pang'onopang'ono jekesani mankhwalawa mu mafuta ochepetsa.

III. Mapeto a njirayi.

1. Chotsani singano, ndikanikizeni mpira wa antiseptic kuti mupeze jakisoni, osang'amba manja ndi mpirawo, pang'onopang'ono mupeze jakisoni.

2. Tizilombo toyambitsa matenda.

3. Chotsani magolovesi, ayikeni mu chidebe cha zoteteza ku matenda.

4. Samalani manja poyeretsa.

5. Lembani zoyenera pazotsatira zakuchipatala.

6. Asanalowe, jakisoni wa munthu, mankhwala, khungu ndi mafuta amtundu uliwonse pamalowo

7. Pambuyo pakatha mphindi 15-30 jakisoni, ndikofunikira kudziwa kuchokera kwa wodwalayo za thanzi lake komanso momwe angalandire mankhwalawo.

8. Malo a SC makonzedwe - kunja kwa phewa, kunja ndi kunja kwa ntchafu kumtunda kwachitatu komanso pakati, dera lothandizira, khoma lakunja lam'mimba

Sanapeze zomwe mukuyang'ana? Gwiritsani ntchito kusaka:

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amafunikira

Kodi jakisoni wa subcutaneous ndi chiyani?

Chithunzithunzi chikufotokozedwa pansipa, koma poyambira ndiyenera kunena chifukwa chake izi zimachitika. Chowonadi ndi chakuti mu gawo lopendekera lamafuta mumakhala mitsempha yamagazi. Kamodzi kudera ili, mankhwalawo amalowetsedwa mwachangu ndikuyamba kuchitapo kanthu. Intramuscular kapena mtsempha wa mtsempha wa mayankho umathandizanso. Komabe, mankhwala ena, monga mankhwala amafuta, saloledwa kugwiritsidwa ntchito mwanjira iyi.

Kupereka mankhwala?

Njira ya subcutaneous jakisoni (algorithm) imaphatikizanso kukhazikitsa kwa khola. Pankhaniyi, malo amapewa, mimbayo, matako, m'chiuno kapena madipatimenti ena amasankhidwa. Nthawi zambiri jakisoni imayikidwa m'dera la scapular. Makamaka njirayi imagwiritsidwa ntchito popereka katemera wa ana ndi akulu.

Ngati tiwerengera ziwonetserozi, titha kunena kuti jekeseni wofikira (algorithm wofotokozedwera pambuyo pake) nthawi zambiri imachitika m'mbali. Njira imeneyi imagwiritsidwa ntchito ndi anamwino ambiri.

Subcutaneous jakisoni algorithm ili ndi mfundo zingapo. Asanayambe mankhwalawa, ndikofunikira kudziwa bwino aliyense wa iwo. Osamamwa konse mankhwala omwe atha. Gwiritsani ntchito mankhwala okhawo omwe amayesedwa kapena kutumizidwa ndi dokotala.

Subcutaneous jakisoni algorithm akuwonetsa kukhalapo kwa othandizira ena. Muyenera kukhala ndi syringe wosabala, mankhwala, mipira ingapo ya thonje, yankho la mowa, kapena antiseptic. Onetsetsani kuti mukupanga mankhwala. Maankho a insulin ndi mafuta amayendetsedwa mosiyanasiyana mosiyanasiyana monga momwe amachitira amadzimadzi amadzimadzi. Chifukwa chake, tiyeni tiwone momwe jakisoni wothanirana amachitikira (algorithm).

Choyamba:

Choyamba muyenera kutsegula ma ampoule ndi syringe. Koma zisanachitike muyenera kusamba m'manja mokwanira. Kuti muchite izi, ndibwino kugwiritsa ntchito sopo wa antibacterial kapena gelisi yapadera ya mankhwala ophera tizilombo. Kupanda kutero, mutha kuyika majeremusi pa singano ya syringe kapena yankho la jakisoni.

Manja akatsukidwa, muyenera kupukuta mokwanira. Kuti muchite izi, nyowetsani mpira wa thonje ndi mowa kapena njira yapadera ndikufafaniza kumapeto kwa chidebe chagalasi. Ngati kusakaniza nyimbo kumafunikira, ndikofunikira kuti muthe kusindikiza mbali iliyonse yomwe syringe ikhudza.

Gawo lachiwiri: kutsegula syringe ndikukonza yankho

Manja onse ndi manja anu atakhala osabala, muyenera kutsegula syringe. Kuti muchite izi, ing'ambani pepalalo ndikulichotsa ndi chida chilichonse. Tsegulani mankhwalawa mosamala momwe mungathere. Kumbukirani kuti galasi lotere limasweka.

Tsegulani singano ya syringe ndikuyiyika mu ampoule. Kokani piston ndikudzaza yankho. Sakanizani zinthuzo ngati pakufunika kutero. Kumbukirani kuti mankhwala osiyanasiyana sangasakanizidwe, ayenera kuperekedwa padera. Ndikwabwino kusankha magawo osiyanasiyana pathupi.

Njira yothetsera vutoli ikakhala mu syringe, muyenera kumasula mpweya kuchokera pamenepo. Kuti muchite izi, ikani chidacho ndi chala chanu ndikukutola thovu lonse pamwamba pamankhwala. Pambuyo pake, kanikizani pisitoni pang'onopang'ono kuti mpweya upulumuke ku syringe. Tsopano tsekani singano ndikupitilira gawo lina lokonzekera.

Gawo lachitatu: kukonzekera ndalama zowonjezera

Minyemba ziwiri za thonje mu njira yothetsera mowa. Muwafuna mankhwalawa. Ndikofunikanso kukonzekeretsa mpira wosalala pasadakhale kuti mumalize jakisoni. Ikani zida zonse pa mbale ndikuziyika pafupi ndi inu.

Thirani zakumwa zomwe zidasankhidwa ndikudikirira mpaka nthaka itafota.

Njira yachinayi: kukonzekera mankhwala

The subcutaneous jakisoni algorithm kwa mwana kapena wamkulu zimaphatikizapo kukhazikitsa mankhwala akuya masentimita ndi theka. Kuti muchite izi, muyenera kuyika singano pafupifupi magawo awiri mwa atatu.

Sonkhanitsani khungu ndi zala ziwiri za dzanja lanu lamanja. Tengani syringe kumanzere. Chala chololeza chimakhala chokwanira mozungulira kumunsi kwa singano. Ikani syringe pansi pakhungu. Pankhaniyi, tsamba la jekeseni liyenera kukhala m'munsi mwa khola. Chotsatira, muyenera kusunthira dzanja lamanja mwachangu kuchokera pakhungu kupita ku piston. Lowani mankhwalawo osachotsa dzanja lamanzere kuchokera kunsi la singano. Mankhwalawo atatha, gwirizanitsani ndi mpira wa thonje pamalopo ndikuphera matendawa. Kumbukirani kuti simungathe kuphwanya ndi kupukuta tsamba la jakisoni.

Chotsani mpira wa thonje wothira mowa ku malo a jekeseni. Kenako ikani chovala chosalala kapena chosalala. Izi ndizofunikira pofuna kupewa kuyaka. Ndikofunikira makamaka kuchita izi pamankhwala a ana osakhwima komanso ozindikira.

Zomwe zimayambitsa mayankho amafuta

Zomwe zimapangitsa kuti jakisoni wothandizirana ndi jakisoni wothandizidwa ndi mafuta akhale mosiyana ndi zomwe tafotokozazi. Komabe, musanayambitse yankho, muyenera kuonetsetsa kuti simulowa m'ngalawa mwangozi. Kupanda kutero, kutsekeka kwa njira kungachitike. Woopsa milandu, kukokoloka kumachitika, kenako kufa.

Mukakonza yankho ndikuyika singano pansi pakhungu, kokerani piston kwa inu. Osatinso mwachangu. Yesani kugwira ntchito pang'onopang'ono komanso mosamala. Ngati magazi sanalowe mu syringe, ndiye kuti zonse zimachitika molondola ndipo mutha kubayitsa mankhwalawo mosamala. Mukawona madontho a magazi pamunsi pa singano, muyenera kusintha malo opumira. Kumbukirani kuti mafuta othandizira amapezeka bwino kwambiri kuchipatala. Ndipokhapo pokhapokha mutapatsidwa chithandizo choyenera mukakumana ndi zovuta.

Zokhudza insulin

Nthawi zambiri, majakisoni oterewa amachitika m'mimba. Komabe, sizoletsedwa kuyikapo jakisoni m'chiuno, m'manja ndi madera ena. Mutha kulowa mankhwalawa osaposa mamililita awiri. Mwanjira iyi, jekeseni iliyonse yotsatira iyenera kukhala pafupi main sentimita atatu kuchokera pambuyomu. Ndikwabwino kusankha gawo lina. Kupanda kutero, wodwalayo atha kupanga zipsera ndi mikwingwirima thupi.

Ma insulin omwe ali ndi singano yayifupi. Ndiye chifukwa chake kugwiritsa ntchito chipangizochi ndikofunikira kuyambitsa singano yake kwathunthu. Chifukwa chake, gwiritsani maziko ake ndi chala chanu ndikusunthira njira yonse. Zipangizo za insulin nthawi zambiri zimakhala ndi mphamvu yokwanira millilita imodzi. Ngati mukufuna mankhwala ochulukirapo, gwiritsani ntchito njira zina zochiritsira.

Zinthu za ochiritsira wothandizirana subcutaneous

Kwa jakisoni wotere, muyenera kusankha syringe ndi singano yopyapyala. Kumbukirani kuti, laling'onoting'ono limakhala lalikulu, mowonjezerapo machitidwewo amapita. Simungathe kulowa nthawi yochulukirapo kuposa ma millilitere awiri a mankhwalawo. Izi zimatha kudumphira m'mapazi komanso kuphulika. Ngati izi zidachitika, ndiye kuti ndiyofunika kuchitapo kanthu kuti tiletse matenda. Nthawi zambiri amagwiritsa ntchito compress ochokera ku magnesia kapena ma ayodini a ayodini.

Chidule ndi chidule

Mukudziwa kale kuti jakisoni wotsekemera ndi chiyani. Njira zochitira njirayi ziyenera kutsatiridwa nthawi zonse. Pokhapokha pokhapokha, zotsatira za mankhwalawa zimabwera, ndipo mutha kupewa zovuta. Ngati simunakumaneko ndikumayambiriro kwa mankhwalawa, muyenera kudalira katswiri. Kumbukirani kuti ngati mulandila mosayenera, sikuti chithandizo chokha sichingachitike, koma pali mwayi wazotsatira. Ikani majekeseniwo bwino ndipo mukhale athanzi nthawi zonse!

Kodi jakisoni wotseka umachitika bwanji?

Ndi dzanja limodzi, wodwala matenda ashuga amapanga jakisoni, ndipo chachiwiri chimagwira malo ofunikira khungu. Algorithm yoyendetsera yoyenera ya mankhwalawa makamaka imakhala yolanda khungu.

Ndi zala zoyera muyenera kutenga gawo la khungu lomwe jekeseni adzalowetsedwe.

Nthawi yomweyo, sikofunikira kufinya khungu, chifukwa izi zimapangitsa kuti pakhale mabala.

Ndikofunikira kusankha malo oyenera pomwe pali tinthu tambiri tosinjirira. Ndi kupyapyala, malo oterewa amatha kukhala dera loti gluteal. Kuti mupeze jakisoni, simufunikanso kupanga mafuta, mumangofunika kupaka mafuta pansi pa khungu ndikupanga jakisoni.
Syringe ya insulini imayenera kugwiridwa ngati mbawala - ndi chala ndi zala zina zitatu. Njira ya insulin yoyendetsera ili ndi lamulo loyambirira - kotero kuti jakisoni sayambitsa kupweteka kwa wodwala, muyenera kuchita mwachangu.
Algorithm ya jakisoni yochitira zinthu ikufanana ndi kuponyera dart, njira yochezera madontho ingakhale malangizo abwino. Chachikulu ndikugwiritsitsa sindirayo kuti isatuluke m'manja mwanu. Ngati dokotala wakuphunzitsani kupanga jakisoni wansinga pakukhudza nsonga ya singano yapakhungu ndikuyikankhira pang'ono, njirayi ndi yolakwika.
Khola la khungu limapangidwa kutengera kutalika kwa singano. Pazifukwa zoonekeratu, ma insulin omwe ali ndi singano zazifupi ndizothandiza kwambiri ndipo sangayambitse kupweteka kwa matenda a shuga.
Syringe imakhazikika kuthamanga komwe ikufuna pamene ili pa mtunda wa masentimita khumi kuchokera patsamba la jakisoni wamtsogolo. Izi zimathandiza kuti singano ilowe pansi pakhungu. Kupititsa patsogolo kumaperekedwa ndikuyenda kwa mkono wonse, kutsogolo kumathandizidwanso. Chingwe chikakhala pafupi ndi dera la khungu, dzanja limatsogolera nsonga ya singano makamaka pamalo pomwe.
Pambuyo kuti singano ilowe pansi pakhungu, muyenera kukanikizira piston mpaka kumapeto, ndikumwaza magazi onse a insulin. Pambuyo pa jekeseni, simungathe kutulutsa singano yomweyo, muyenera kudikirira masekondi asanu, kenako ndikuchotsa ndikuyenda mwachangu.

Osagwiritsa ntchito malalanje kapena zipatso zina ngati zolimbitsa thupi.

Kuti mudziwe momwe mungakhalire bwino momwe mukufuna, njira yoponyera imakonzedwa ndi syringe, pa singano yomwe chivindikiro cha pulasitiki chimayikidwa.

Momwe mungadzazire syringe

Ndikofunikira kuti musangodziwa jakisoni wa jekeseni, komanso kuti muzitha kudzaza syringe molondola ndikudziwa kuchuluka kwa ml ya insulini.

Mukachotsa kapu yapulasitiki, muyenera kukoka mpweya wambiri mu syringe yofanana ndi kuchuluka kwa insulin.
Pogwiritsa ntchito syringe, chigoba cha mphira chimabowoleka pamtengo, kenako mpweya wonse womwe umasonkhanitsidwa umamasulidwa ku syringe.
Pambuyo pake, syringe ndi botolo imatembenuzidwa ndikuwongoka.
Syringe iyenera kukanikizidwa mwamphamvu pachikhatho cha dzanja lako ndi zala zazing'ono, pambuyo pake pisitoni ndikuyang'ana pansi.
M'pofunika kujambula syringe mulingo wa insulin, womwe ndiwopamwamba ndi magawo khumi.
Piston imakanikizidwa pang'ono mpaka mlingo womwe umafunikira wa mankhwalawo uli mu syringe.
Mukachotsa mu botolo, syringe imachitika.

Munthawi yomweyo makonzedwe a insulin osiyanasiyana

Anthu odwala matenda ashuga nthawi zambiri amagwiritsa ntchito mitundu yambiri ya insulini kuti achulukitse matenda a shuga. Nthawi zambiri, jekeseni yotere imachitika m'mawa.

Algorithm ili ndi mitundu yodziwika bwino ya jakisoni:

Poyamba, muyenera kubaya insulin yoonda kwambiri.
Kenako, insulin yochepa imayendetsedwa.
Pambuyo pake, insulin yowonjezera imagwiritsidwa ntchito.

Ngati Lantus amakhala ngati mahomoni a nthawi yayitali, jakisoniyo amachitidwa pogwiritsa ntchito syringe ina. Chowonadi ndi chakuti ngati mlingo wina wa mahomoni ena alowa vial wa Lantus, acidity ya insulin imasintha, zomwe zimabweretsa zotsatira zosatsimikizika.

Palibe chifukwa chomwe mungasakanizire mitundu yamahomoni osiyanasiyana mu botolo limodzi kapena syringe yomweyo. Kupatula kumatha kukhala insulini yokhala ndi protamine yosaloledwa, Hagedorn, yomwe imachepetsa zochitika za insulin yochepa musanadye.

Ngati insulin itadumphira pamalo a jakisoni

Pambuyo pa jekeseni, muyenera kukhudza tsamba la jakisoni ndikubweretsa chala chanu pamphuno. Ngati fungo la mankhwala osungunuka akumva, izi zikuwonetsa kuti insulin yatuluka m'dera lopumira.

Poterepa, kuchuluka kwa mahomoni sayenera kuwonjezeredwa. Kuyenera kudziwika mu diary kuti panali kutayika kwa mankhwalawa. Ngati wodwala matenda ashuga akukhala ndi shuga, chifukwa chazomwe izi zikuonekera ndizowonekera. Ndikofunikira kusintha ma glucose ngati magazi awonjezereka.

Subcutaneous jakisoni njira ndi mawonekedwe ake

Jakisoni wothandizirana ndi njira yofunika kwambiri yofunsa mankhwala. Njira ya kukhazikitsidwa kwake imasiyana ndi njira yoyendetsera mankhwala intramuscularly, ngakhale kukonzekera kwa algorithm ndikofanana.

Jekeseni wotsekemera uyenera kuchitika mozama: kungoika singano mkati mwa 15 mm ndikokwanira. Minofu ya subcutaneous imakhala ndi magazi abwino, omwe amachititsa kuti azigwira kwambiri ndipo, mogwirizana, machitidwe a mankhwala. Mphindi 30 pambuyo pokhazikitsa njira yothetsera mankhwalawa, mphamvu pazomwe zimachitika zimawonedwa.

Malo osavuta kwambiri oyendetsera mankhwala mosokoneza:

phewa (dera lakunja kapena lachitatu pakati),
kunja kwa ntchafu,
khoma lam'mimba,
subscapular dera pamaso pa kutchulidwa subcutaneous mafuta.

Algorithm yochita chinyengo chilichonse chamankhwala, chifukwa chomwe kuphwanyidwa kwa minofu ya wodwala imaphwanyidwa, kumayamba ndi kukonzekera. Musanapange jakisoni, muyenera kupha tizilombo toyambitsa matenda: asambitseni ndi sopo wa antibacterial kapena kuchitira ndi antiseptic.

Chofunikira: Kuti muteteze thanzi lanu, mtundu wa algorithm wothandizira pantchito zamankhwala amitundu yonse yolumikizana ndi odwala umaphatikizapo kuvala magolovesi osalala.

Zida zophikira ndi kukonzekera:

thireyi yosasenda (yotsuka ndi yopopera utoto popukuta mbale yodula) ndi thireyi yazinyalala,
syringe yokhala ndi voliyumu 1 kapena 2 ml ndi singano yotalika 2 mpaka 3 cm ndi mainchesi osaposa 0.5 mm,
kupukuta wosabala (swabs thonje) - 4 ma PC.,
mankhwala
mowa 70%.

Chilichonse chomwe chidzagwiritsidwe ntchito munjirayi chimayenera kukhala pamatayala osalala. Muyenera kuyang'ana tsiku lotha ntchito komanso kulimba kwa mapaketi a mankhwalawo ndi syringe.

Malo omwe akukonzekera kupanga jakisoni amayenera kupimidwa:

kuwonongeka kwamakina
kutupa
Zizindikiro zamatenda oyamba,
mawonetseredwe a ziwengo.

Ngati malo omwe asankhidwa ali ndi mavuto omwe ali pamwambapa, muyenera kusintha malo omwe mwasowererapo.

Algorithm yotenga mankhwala osungidwa mu syringe ndi muyezo:

kuwunika kutsatira kwa mankhwala omwe ali mu zakumwa zolemba zomwe adokotala adalembera,
kusintha kwa mlingo
kuperewera kwa khosi pamalo omwe amasinthidwa kuchokera mbali yayikulu mpaka yopapatiza komanso ulusi wokhala ndi fayilo ya msomali wapadera yomwe imaperekedwa m'bokosi lomwelo ndi mankhwalawo. Nthawi zina ma ampoules amatha kufooketsa makamaka mapangidwe a mafakitale. Kenako pa chotengera pamalo omwe akuwonetsedwa padzakhala chizindikiro - chingwe chakuda. Msonga wakutali wa phokosoli waikidwa mu thireyi,
phokoso limatsegulidwa ndikugwira khosi ndi swaberi wosabala ndikulithyola kutali ndi inu,
syringe idatsegulidwa, cannula yake imaphatikizika ndi singano, mlandu utachotsedwa,
singano imayikidwapo
piston ya syringe imachotsedwa ndi chala, madzimadzi amakokedwa,
syringe imakwera ndi singano kumtunda; pang'ono pompo silinda ndi chala kuti mulowetse mpweya. Finyani mankhwalawo ndi piston mpaka dontho litawonekera pamphepete mwa singano,
kuvala singano.

Musanapange jakisoni wotsekemera, ndikofunikira kupanga mankhwala opangira opaleshoni (mbali, phewa): imodzi (yayikulu) yosenda muvi imakhala ndi malo akulu, malo achiwiri (apakati) komwe jekeseni amayenera kuyikidwa mwachindunji. Njira yolumikizira malo ogwirira ntchito: kusuntha pakati pakatikati kapena kuchokera pamwamba kupita pansi. Tsamba la jakisoni liyenera kupukuta kuchokera ku mowa.

Zomwe zimapangitsa kuti pakhale chinyengo:

syringe imatengedwa kudzanja lamanja. Chala cholozera chimayikidwa pa cannula, chala chaching'ono chimayikidwa pa pistoni, chotsaliracho chidzakhala pamiyala.
ndi dzanja lanu lamanzere - ndi chala chachikulu ndi chofukula - gwira khungu. Ikhale khola lakhanda
kupanga jakisoni, singano imayikidwa ndi kagawo kumtunda kwa 40-45º ndi 2/3 kutalika kwake m'munsi mwa khungu
chala chakumanja cha dzanja lamanja chimakhazikika pa cannula, ndipo dzanja lamanzere limasunthidwa kupita kwa pisitoni ndikuyamba kufinya, ndikupangitsa pang'onopang'ono mankhwalawo.
swab yoviikidwa mu mowa imakanikizidwa mosavuta pamalonda a jekeseni, omwe tsopano amatha kuchotsedwa. Malangizo mosamala amateteza kuti mukachotsa nsonga, muyenera kusunga malo omwe angagwirizanidwe ndi singano ku syringe,
akamaliza kupaka jakisoni, wodwalayo ayenera kumenya mpira wa thonje kwa mphindi zisanu, syringe yomwe imagwiritsidwa ntchito imasiyanitsidwa ndi singano. Syringe imatulutsidwa, cannula ndi singano yopuma.

Chofunika: Musanapange jekeseni, muyenera kuyika wodwalayo mosavuta. Pokonza jakisoni, ndikofunikira kuyang'anitsitsa momwe munthu aliri, momwe amachitira ndi kulowererapo. Nthawi zina ndibwino kupereka jakisoni pamene wodwala wagona.

Mukamaliza kupaka jakisoni, chotsani magolovu ngati muvale, ndikusulanso manja anu: kuchapa kapena kupukuta ndi antiseptic.

Mukatsatira mokwanira ma algorithm pochita izi, ndiye kuti chiwopsezo cha matenda, kulowetsedwa ndi zina zina zoipa zimachepetsedwa kwambiri.

Sizoletsedwa kupanga jakisoni wamadzi ndi mayankho amafuta: zinthu zoterezi zimatseka, kusokoneza thanzi la zimakhala zoyandikana, ndikupangitsa kuti azikhala ndi necrosis. Mafuta a emboli amathanso kukhala m'matumbo am'mapapu, kuwatsekeka, zomwe zimapangitsa kuti azidwala kwambiri pambuyo pake.

Kukonzekera kwamafuta sikungatengeke bwino, chifukwa chake, obisala nthawi zambiri amapezeka pamalo a jekeseni.

Langizo: Kuti mupewe kuwonongeka, mutha kuyika malo otenthetsera malo jakisoni (pangani compressary).

Algorithm yothandizira kuyambitsa yankho la mafuta imapereka kuyambiranso kwamankhwala kwa 38 ° C. Musanapake jakisoni ndikupereka mankhwalawo, singano iyenera kuyikiridwa pansi pa khungu la wodwalayo, ndikukoka chingwe choyeserera nanu ndikuonetsetsa kuti mtsempha wamagazi sunawonongeke. Ngati magazi alowa mu silinda, pofinyani jakisoni ndi swaberi wosabala, chotsani singano, ndikuyesanso kumalo ena. Pankhaniyi, njira zopewera chitetezo zimafunanso kusintha singano, monga chogwiritsidwa ntchito kale sichikhala chosabala.

Zina zitha kupakidwa transdermally, ndiye kuti, kugwiritsa ntchito pakhungu. Koma mankhwala omwe amapangidwa mwa jakisoni ndi othandiza kwambiri.

Jekeseni amatha kutumikiridwa kudzera m'mitsempha kapena m'mitsempha. Koma ena mwa mankhwalawa amalimbikitsidwa kuti aperekedwe mosagwirizana. Izi ndichifukwa choti mafuta ochepetsa thupi amadzazidwa ndi mitsempha yamagazi. Chifukwa chake, achire zotsatira zimatheka mkati mwa theka la ola pambuyo popereka mankhwala. Komabe, ndikofunikira kutsatira mosamala ma algorithm pochita jakisoni wongoganiza, zomwe zingapewe mavuto paumoyo wa anthu.

Kusankha kwa malo a jakisoni
Kukonzekera kwa chida
Kukonzekera jakisoni
Malangizo a kumwa mankhwala mu syringe
Kupanga Mankhwala Osokoneza
Zomwe zimayambitsa mayankho amafuta
Momwe mungabayitsire insulin
Pomaliza

Kukhazikitsidwa kwa jakisoni kuyenera kupangidwa pokhapokha podzikundikira mafuta onunkhira. Izi zikuphatikiza:

kumtunda kwa phewa kapena ntchafu,
patsogolo pamimba
dera pansi pa scapula.

Dziwani kuti pansi pa scapula, jakisoni nthawi zambiri amachitidwa kuzipatala nthawi ya katemera. Komanso, njirayi imawonetsedwa kwa anthu omwe malo otsalawo adakutidwa ndi gawo lalikulu la adipose minofu.

Kunyumba, jakisoni nthawi zambiri amaperekedwa paphewa, ntchafu kapena m'mimba. M'malo awa munthu amatha kudzipangira yekha osatembenukira kwa akunja.

Popewa kutenga matenda, kufufuza kuyenera kukonzekereratu musanalowe. Pazifukwa izi, izi ndizofunikira:

matrakiti awiri, imodzi yopanga zida zosapangira, ndi ina ya zida zotayidwa,
syringe ndi singano
zokwanira ndi mankhwala
thonje wosabala - 3 ma PC.,
mowa 70%.

Matchera amatha kukhala mbale wamba, zomwe ziyenera kupetedwa ndi njira yothira mowa. Kusungika kwakukulu kwa ma syringe otayika kumathetsa kufunika kwa zida zowira.

Zovala za thonje ziyenera kugulidwa zopangidwa zokonzekera ku pharmacy. Nthawi yomweyo, maswiti awiri ayenera kukhala osungunuka ndi mowa, ndipo lachitatu liyenera kukhala louma. Ngati ndi kotheka, magolovesi osabala angagwiritsidwe ntchito. Ngati palibe, muyenera kukonzanso sopo wa antibacterial kapena antiseptic.

Kumbukirani kuti panthawi ya jakisoni, kuponyedwa pakhungu kumaperekedwa, chifukwa chomwe kuphwanyidwa kwa minofu kumaphwanyidwa. Matenda omwe amalowa m'magazi angayambitse matenda, kapena minofu necrosis. Chifukwa chake, kukonzekera mosamala ndikofunikira.

Choyamba, sambitsani manja anu ndi sopo ndikuwathandiza ndi yankho la antiseptic. Ndipo zonse zomwe zimapangidwira jakisoni wachindunji ziyenera kuvalidwa thirayi.

Ndikofunika kuonetsetsa kuti mankhwalawo ndi syringe ndi oyenera kugwiritsidwa ntchito. Chifukwa chake, ndikofunikira kuti awone tsiku lawo lotha ntchito ndikuwonetsetsa kuti ma CD ndi syringe siwonongeka.

Kenako, tsamba la jekeseni liyenera kuwululidwa, ndikuwonetsetsa kuti ndi lokhulupirika. Khungu liyenera kuyesedwa pazotsatira zotsatirazi:

kuwonongeka kwamakina m'njira yamabala ndi mikwingwirima,
kudzikuza,
zotupa ndi zizindikiro zina zamatenda a dermatological.

Ngati zosintha zina zikapezeka, malo ena ayenera kusankhidwa kuti ajekeseni.

Musanagwiritse mankhwala mu syringe, muyenera kuonetsetsa kuti zikugwirizana ndi zomwe dokotala wakupatsani, ndikuzindikiranso. Chotsatira ayenera kuthandizidwa ndi thonje lomwe limamizidwa mu mowa, botolo la zakumaso. Zitatha izi, pangani cholembera kuti mutsegule zowonjezera ndi fayilo ya msomali yapadera yomwe imabwera ndi mankhwala onse omwe amafunikira jakisoni. Nthawi yomweyo, kumtunda kwake kuyenera kuyikidwa mu thireyi yopangira zinyalala.

Tiyenera kukumbukira kuti kuthyolako kumtunda kwa gawo lokwanira kuyenera kukhala kutali ndi inu. Ndipo khosi siligwidwa ndi manja, koma ndi thonje. Zotsatira zotsatirazi ziyenera kutsatiridwa:

tsegulani syringe
chotsani singano
ikani singano pa nsonga ya syringe,
Chotsani thumba lakelo
miza singano mu okwanira,
jambulani mankhwala mu syringe pokoka pisitoni yake ndi chala chake,
amasula mpweya ku syringe pomumenya pang'ono ndi chala, kenako ndikulimbira pa piston mpaka madontho woyamba a mankhwala awonekere kumapeto kwa singano,
ikani singano,
ikani syringe mumtundu wosawoneka wazida zogwiritsidwa ntchito.

Malo omwe anafunikira jakisoni atadziwikiratu, amathandizidwa ndi mowa. Kuphatikiza apo, choyamba, thonje lomwe limamizidwa m'mowa ndi mafuta ndi malo akulu, kenako, ndikatenga swab ina, limapukusa jakisoniyo mwachindunji. Swab imatha kusunthidwa kuchokera kumtunda kupita pansi, kapena chapakati. Pambuyo pa izi, muyenera kudikirira mpaka nthaka itawuma.

Subcutaneous jakisoni algorithm imakhala ndi izi:

dzanja lamanzere lizitenga khungu pamalo opukutira jekeseni, ndikusonkha khola,
singano pansi pa khungu imayikidwa pakona yolingana ndi 45 °,
singano iyenera kulowa pakhungu ndi 1.5 cm,
Pambuyo pake, dzanja lamanzere logwira kholalo limasamutsira iye woyeserera syringe,
kukanikiza pisitoni, muyenera kufikitsa mankhwala pang'onopang'ono,
singano imachotsedwa mothandizidwa ndi malo opumira ndi thonje lothira lowira mu mowa,
swab youma ayikidwa pamalo a jakisoni:
Syringe, singano ndi swab thonje zimayikidwa mu zinyalala zonyansa.

Tiyenera kukumbukira kuti pazifukwa za chitetezo ndikofunikira kugwirira cannula yake ndi chala cholozera panthawi yokhazikitsa ndi singano, mankhwala ndikuchotsa singano. Pambuyo pamanyumba onse, ndikofunikira kuchotsa magolovu, ngati atavala, ndikusambitsanso manja anu ndi sopo.

Ngati jakisoni wachitika kwa wakunja, uyenera kuyikidwa kaye, kapena kuupatsanso malo ena omasuka.

Zokonzekera zomwe zimapangidwa pamaziko a mafuta amafuta siziloledwa kutumikiridwa. Amatha kubisa chotengera, chomwe chimatsogolera pakupanga necrosis. Kuphatikizika uku kukalowa m'magazi, mawonekedwe a emboli, omwe pamodzi ndi mtsempha wamagazi, amatha kulowa m'mitsempha yama m'mapapo. Ndi blockage ya m'mapapo mtsempha wam'mimba, kupuma kumachitika, komwe nthawi zambiri kumatha kwambiri.

Popeza mafuta akapangidwe samatenga bwino pansi pa khungu, zisindikizo zamkati zimapangika pambuyo pakukonzekera. Kuti mupewe izi, ndikofunikira kuti mupangire kukulira kwa 38 °, ndipo atabayitsa jakisoni, ikani choponderezedwa pamalo opumira.

Mwambiri, malamulo a jakisoni siosiyana ndi omwe tafotokozawa. Komabe, kupatula mapangidwe a emboli mkati mwa ziwiya, mutayika singano pansi pakhungu, kokerani chimbiracho pang'ono ndikuwonetsetsa kuti palibe magazi omwe amalowa mu syringe. Ngati magazi akuwoneka mu syringe, ndiye kuti singano yalowa mchombo. Chifukwa chake, pakuchita zanyengo muyenera kusankha malo ena. Pankhaniyi, singano, molingana ndi malamulo otetezeka, tikulimbikitsidwa kuti tisinthe kukhala osabala.

Kuti muchepetse kupezeka kwa zotsatira zosasangalatsa, kukhazikitsidwa kwa mayankho amafuta kumaperekedwa makamaka kwa akatswiri. Kutembenukira kuchipatala, mutha kukhala otsimikiza kuti ngati zingakuvuteni wodwala azithandizidwa.

Insulin nthawi zambiri imalowetsedwa kukhoma lakunja kwa peritoneum. Komabe, ngati munthu alibe mwayi wopuma, ndiye kuti mutha kumugwira phewa kapena ntchafu. Mlingo wa mankhwalawa uyenera kukhazikitsidwa ndi adokotala. Sitikulimbikitsidwa kupereka mankhwala oposa 2 ml a insulin panthawi imodzi. Ngati mulingo uposa chizindikiro ichi, chimagawika m'magawo angapo, ndikuwazindikiritsa. Komanso, jekeseni iliyonse yotsatira imalimbikitsidwa kuti ikaperekedwe kumalo ena.

Popeza ma syringes a insulini ali ndi singano yayifupi, iyenera kuyikiridwa njira yonse, ndikusunga chansalu chake ndi chala chanu.

Popewa kuthekera kwa kutenga matenda, jakisoni atatha, zinthu zonse zogwiritsidwa ntchito, kuphatikiza magolovesi a mphira, ziyenera kutayidwa. Ndikosatheka kukanikiza patsamba la jakisoni, lilinso kuti singafunike. Ndikofunikanso kukumbukira kuti ndikofunikira kuyika swab ya thonje youma pamalo a jekeseni. Kusamala kumeneku kungathandize kupewa kuyaka.

Kukhazikitsidwa kwa jekeseni wa subcutaneous sikovuta kwambiri. Koma kuti mukwaniritse bwino mankhwalawa komanso kupatula zovuta zomwe zingakhalepo, ndikofunikira kutsata ndendende ndi njira yoyambira ya algorithm. Tiyenera kukumbukira kuti manipulini aliwonse okhudzana ndi kuwonongeka kwa khungu amafunika kukonza mosamalitsa. Ngati, chidindo chikadapangidwabe pamalo opangira, chimachotsedwa ndi intaneti kapena compress ndi magnesia.

Njira Yalowererapo Subcutaneous: Flowchart

Ngati simunayambe kugwiritsa ntchito IS "PARAGRAF", ndiye khalani mmodzi.
Khalani ogwiritsa ntchito a "PARAGRAF"

Chifukwa chiyani mukusowa "Judgment Base"?
onani zambiri

Kusanthula kwa zomwe zalembedwa mu database kudzathandiza loya kuti azindikire zotsatira za zisankho zalamulo zomwe iye sanachite ndipo asabweze nkhaniyi kukhothi.

Zimathandizira kukhazikitsa njira yabwino yotsatirira kutengera kuphunzira ndi kuwunika kwa zosankha mu nkhani zofananira zomwe zilipo kale mu database.

Zimathandizira kuwona "kuyera" kwa omwe akukhala nawo ndi makontrakitala:

- Kodi mudatenga nawo mbali pamilandu yalamulo?
- mu mphamvu ya ndani? (Wodandaula, wotsutsa, wachitatu, etc.)
- pa zinthu ziti?
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Takhazikitsa mtundu wapadera wofufuza - MUZISANGALIRA, mothandizidwa ndi komwe kufufuzidwa kumapezeka m'makalata amilandu yamakhothi pa mawu omwe aperekedwa
Zolemba zonse zimakhala m'magulu a milandu iliyonsezomwe zimasunga nthawi mukamawerenga nkhani inayake
Zophatikizidwa pamlandu uliwonse khadi yachidziwitso, yomwe ili ndi chidziwitso chachidule pamlanduwo - chiwerengero, deti, khothi, woweruza, mtundu wa milandu, maphwando, mbiri ya njira, ndikuwonetsa tsiku ndi zomwe adatenga.

Ngati simunayambe kugwiritsa ntchito IS "PARAGRAF", ndiye khalani mmodzi.
Khalani ogwiritsa ntchito a "PARAGRAF"

Chifukwa chiyani mukufuna gawo la "Mayankho a mabungwe aboma"?
onani zambiri

1. Kuyankha mabungwe aboma pamafunso apadera a nzika ndi mabungwe omwe amagwira ntchito zosiyanasiyana.
2. Gwero lanu lokakamiza.
3. Udindo wa mabungwe aboma mu nthawi zovomerezeka zomwe zikufunika kusankha zochita.

Gawoli lili ndi mayankho onse a mabungwe aboma omwe aikidwa pa Open Dialog portal ya Electronic Government of the Republic of Kazakhstan.
Mafunso ndi mayankho akuphatikizidwa mu IS "PARAGRAF" mu mawonekedwe osasinthika malinga ndi oyambirirawo, omwe amakupatsani mwayi wopita nawo kukakumana ndi zinthu zomwe zimafunikira chitsimikizo ndi chitsimikiziro cha zomwe muli nazo (kuphatikiza pokambirana ndi mabungwe aboma).
Mosiyana ndi tsambali la Boma Lamagetsi, mayankho a mabungwe a boma la IS "PARAGRAF" ali ndi zida zina zowonjezera zomwe zimalola kusaka ndi:

komanso khalani ndi kusanthula kwathunthu kwamakhalidwe pamafunso ndi mayankho - onse mawu ndi ziganizo monga mawu.

Tikukhulupirira kuti zatsopano za IS "PARAGRAF" zipangitsa kuti ntchito yanu ikhale yothandiza komanso yopindulitsa kwambiri!

Subcutaneous jakisoni algorithm. Kuchepetsa Subjectaneous: Algorithm

Munthu aliyense ayenera kuthana ndi matenda ena ake. Pochiritsa matenda, nthawi zambiri mankhwala amapatsidwa mankhwala. Amatha kutenga mawonekedwe a mapiritsi, kuyimitsidwa, ma suppositories a rectal, ndi zina zotero. Komabe, njira yofulumira yakukhudzira thupi ndi jakisoni. Nkhaniyi ikufotokozerani momwe mungapangire jakisoni wa subcutaneous (algorithm). Muphunziranso zomwe mungachite panjira iyi ndi momwe mungayambitsire mankhwala.