Saizi dzeCannula dzeVakuru: Ungasarudza sei chaiyo?

Nhanganyaya

Kusarudza cannula yemutsinga wemutsinga inyanzvi yakakosha mukurapa iyo inokanganisa zvakananga mhedzisiro yemurwere, kunyaradzwa, uye kushanda zvakanaka kwekurapwa. Kune varwere vakuru, kusarudza saizi yakakodzera yecannula kunoenderana nezvinhu zvakawanda zvinosanganisira saizi yetsinga, mamiriro ekurapa, uye chinangwa checannula. Gwaro iri rinopa nyanzvi dzehutano ruzivo rwakakosha nezvehukuru hwecannula yemutsinga wemutsinga wevakuru, mwero wekuyerera kwemvura, uye zvinodiwa zvekusarudza.

Saizi dzeCannula dzakajairika uye zvirevo

Sisitimu yekuyera inoyera dhayamita ye IV cannula, nenhamba dzakaderera dzichiratidza ma cannula makuru anopa mwero wepamusoro wekuyerera kweropa. Heano saizi dzakajairika dzinoshandiswa kuvarwere vakuru:

 
Kunzwisisa Kuyerera Kwemitengo

Mwero wekuyerera kwemvura unomiririra huwandu hwemvura inogona kupfuura nemu cannula paminiti, inoyerwa muma milliliters paminiti (mL/min). Saizi yegeji inokanganisa zvakananga kugona kwekuyerera kwemvura—ma gauges makuru anopa mwero wekuyerera wakakwira zvakanyanya. Cannula ine gauge 14 inogona kupa inenge 240 mL/min, nepo 22-gauge ichipa 35 mL/min chete. Hukama uhwu hunotevera musimboti wekuti dhayamita yakakura ye catheter inotungamira mukuwedzera kwehuwandu hwekuyerera kwemvura, izvo zvakakosha pakunzwisisa mashandisirwo ekiriniki.

Mwero wekuyerera kwemvura unokanganiswawo nezvimwe zvinhu zvinopfuura saizi yegeji, zvinosanganisira kureba kwakatemwa neinfusion, rudzi rwemvura, uye BP yemurwere. Semuenzaniso, mvura yakawanda inonamira senge hetastarch inoratidza mwero wakaderera wekuyerera kwemvura zvichienzaniswa ne crystalloid solutions dzakadai se normal saline.

Maitiro Ekushandisa Kliniki uye Nhungamiro Yekusarudza

Mamiriro Enjodzi Nekukuvadzwa

Ma cannula ane gauge 14 ndiwo anonyanya kufarirwa munzvimbo dzinoitirwa emergency uye munzvimbo dzinoitirwa njodzi uko kunobatsira zvikuru kuti munhu awane mvura nekukurumidza. Ma cannula aya ane maburi makuru anoita kuti ropa ribude nekukurumidza, zvichiita kuti ropa, mishonga, uye crystalloid zviwanikwe nekukurumidza panguva dzenjodzi.

Kuvhiyiwa uye Kutarisirwa Kwakakosha

Ma cannula ane gauge 16 ne gauge 18 anokurudzirwa munzvimbo dzekuvhiyiwa nedzekutarisirwa zvakanyanya. 16-gauge inopa kugona kwekutsiva huwandu nekukurumidza ne 180 mL/min flow rate, nepo 18-gauge ichipa nzira yakaringana ine 90 mL/min flow rate, yakakodzera kuiswa kwemvura uye kuwedzerwa ropa.

Kuisirwa Ropa

Ma cannula ane magauge 18 kusvika 20 anonyanya kufarirwa pakuisirwa ropa kudzivirira kubuda kweropa mumuviri uye kuona kuti ropa rinoyerera zvakanaka. Ma gauge ane magauge 18 akakodzera kana ropa richidikanwa nekukurumidza, nepo ma gauge 20 achiramba achigamuchirwa pakuisirwa ropa nguva dzose zvichienderana nemitemo yesangano.

Kushandiswa Kwechipatara Nguva Dzose

Panyaya dzechipatara dzinoda kuenzana pakati pekutumira mvura uye kunyaradzwa kwemurwere, macannula e18-gauge kana 20-gauge ndiwo akajairika. Saizi idzi dzinogamuchira mishonga yakawanda yeIV uye mvura inoitwa nguva dzose uku dzichideredza kusagadzikana kwemurwere uye dzichideredza njodzi dzekusangana nematambudziko.

Varwere Vetsinga Dzakwegura Uye Dzisina Kusimba

Ma cannula ane magauge makumi maviri nemaviri nemana anokurudzirwa kuvarwere vakuru vane tsinga dzisina kusimba kana kuti dzakaoma kusvika. Ma gauge madiki aya anoderedza kukuvara kwetsinga nematambudziko, zvichiita kuti dzive dzakakodzera vanhu vakwegura, kunyange hazvo dzichideredza kugona kwekuyerera kweropa zvichienzaniswa nehukuru hwakakura.

Maitiro Ekusarudza Cannula Yakakodzera yeIV

Kusarudzwa kwe cannula kwakakodzera kunoda kuongororwa kwezvinhu zvakasiyana-siyana zvekurapa:

Kuongororwa kweTsitsi yeMurwere:Ongorora saizi yetsinga, mamiriro adzo, uye kugona kwayo kusvikika. Tsinga dzakakura, dzinoonekwa zvakanyanya dzinogona kugamuchira ma cannula makuru, nepo tsinga diki kana dzisina kusimba dzichida saizi diki.

Mamiriro Ekurapa:Funga nezvekuongororwa kwemurwere uye kudiwa kwekurapwa nekukurumidza. Mamiriro ekukurumidzira anoda zviyero zvakakura kuti apiwe nekukurumidza, nepo varwere vakagadzikana vanogona kushandisa saizi diki.

Chinangwa Chacho:Sarudza kana IV iri yemishonga yenguva dzose, mushonga wekudzorerazve ropa, zvigadzirwa zveropa, kana kuiswa kwe contrast. Kuwedzerwa ropa uye zvidzidzo zve contrast zvinowanzoda 18-20 gauge cannulas.

Zera reMurwere uye Hutano Hwake:Varwere vakwegura, avo vane zvirwere zvisingaperi, kana avo vanoedza kuvhiyiwa netsinga kakawanda vanobatsirwa nekusarudzwa kwemajini akakodzera kuti vaderedze kukuvara kwetsinga.

Maitiro Ekuchengetedza Vana: Gara uchiongorora saizi dzemuchina wekurapa waunoda uye nhungamiro, sezvo maitiro acho achisiyana zvichienderana nemasangano.

Kufunga Nezvekurapa

Sisitimu yekunyora mavara inoshanda sechinhu chakakosha chekuchengetedza, ichibvumira vanopa hutano kuti vaone hukuru hwecannula nekukurumidza uye vaderedze njodzi yekukanganisa munzvimbo dzekiriniki. Kugadziriswa uku kunovandudza mashandiro ebasa uye kunotsigira kuita sarudzo nekukurumidza mumamiriro ezvinhu anonetsa nenguva.

Kusarudza saizi chaiyo yemushonga weIV cannula kunoita kuti pave nemigumisiro yakanaka mukurapa, kunovandudza nyaradzo yemurwere, kunoderedza matambudziko, uye kunotsigira kupa kwekurapa kwakanaka. Kungave mumabasa enguva dzose kana emergency, kunzwisisa kwakakodzera uye kushandiswa kwemitemo yekusarudza mushonga weIV cannula kunoita basa rakakosha mukubudirira kwekutarisira murwere.

Nyanzvi dzezvehutano dzinofanira kugara dzichiongorora nhungamiro idzi pamwe chete nemitemo yesangano kuti dzirambe dzichigona kusarudza nekuisa murwere mushonga we IV cannula.