廔管日常照護：洗腎前後都要做的檢查
Daily access care before and after dialysis
中文版
每天花一點時間看看廔管有沒有紅腫、滲液或異常出血，也用手輕輕摸一下，確認熟悉的震顫還在。廔管手臂不要量血壓、抽血，也盡量避免緊袖或長時間壓住。
1.每天花一分鐘做三件事
- 看：有沒有紅腫、滲液、傷口或異常出血。
- 摸：熟悉的震顫是否還在。
- 聽身體：手臂是否突然腫脹，手指是否冰冷或疼痛。
2.廔管手臂要避免什麼？
- 不要量血壓或抽血。
- 不要穿太緊的袖子。
- 不要提重物或讓手臂長時間受壓。
- 睡覺時不要一直壓住廔管手臂。
💡 日常照護快速表
| 情況 | 可以怎麼做 | 何時求助 |
|---|---|---|
| 平常照護 | 每天看、摸、確認震顫 | 發現和平常不同就聯絡透析單位 |
| 拔針後 | 依指示加壓止血 | 出血時間明顯變長要反映 |
| 紅腫或滲液 | 保持乾淨，不自行擠壓 | 疑似感染請儘快就醫 |
| 震顫消失 | 不要按摩或自行處理 | 立即聯絡透析單位或血管外科 |
⚠️ 溫馨提醒：如果震顫不見、手臂突然明顯腫起來、手指冰冷疼痛，或傷口看起來像感染，請盡快聯絡透析單位或血管外科醫師，不要等到下次洗腎。
ENGLISH
Spend one minute each day looking at and feeling your access. Check for redness, discharge, unusual bleeding and the familiar thrill.
Do not allow blood-pressure cuffs or blood draws on the access arm, and avoid tight sleeves or prolonged pressure.
- Look for redness, discharge or bleeding
- Feel for the familiar thrill
- Notice swelling, cold fingers or pain
1.Three daily checks
- Look: check for redness, discharge, wounds or unusual bleeding.
- Feel: confirm that the familiar thrill is still present.
- Listen to your body: notice sudden arm swelling or cold, painful fingers.
2.What should the access arm avoid?
- No blood-pressure measurements or blood draws.
- Avoid tight sleeves.
- Avoid heavy pressure or sleeping on the arm.
- Follow your dialysis unit's advice about lifting.
💡 Daily access care
| Situation | What you can do | When to ask for help |
|---|---|---|
| Every day | Look, feel and check the thrill | Report anything different |
| After needle removal | Apply pressure as instructed | Report longer bleeding |
| Redness or discharge | Keep clean; do not squeeze | Seek prompt assessment |
| No thrill | Do not massage it | Contact dialysis or vascular care immediately |
Note: An absent thrill, sudden swelling, cold painful fingers or possible infection needs prompt medical assessment.
References
本文提供一般衛教，不取代個別診斷或治療。若有急性不舒服，請先就近就醫。
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