Nhanganyaya
Munyika yezvigadzirwa zvekurapa,Kanula yemutsinga (IV)chishandiso chakakosha chinoshandiswa muzvipatara nenzvimbo dzehutano kupa mvura nemishonga zvakananga muropa remurwere. Kusarudza chakakodzeraSaizi yemuchina we IVZvakakosha kuti murwere awane mushonga unoshanda uye anyaradzwe. Chinyorwa chino chichaongorora mhando dzakasiyana dzemasaizi e IV cannula, mashandisirwo awo, uye kuti ungasarudza sei saizi yakakodzera zvinodiwa pakurapa.Chikwata ChechikwataCorporation, mutengesi anotungamira wezvigadzirwa zvekurapa zvinoraswa, kusanganisira ma IV cannulas, yave iri pamberi mukupa mhinduro dzemhando yepamusoro kune nyanzvi dzezvehutano.
Mhando dze IV Cannula
Macannula emutsinga (IV) zvishandiso zvakakosha zvekurapa zvinoshandiswa kuendesa mvura, mishonga, kana zvinovaka muviri zvakananga muropa remurwere. Zvichienderana nemamiriro ekurapa, mhando dzakasiyana dzemacannula emutsinga dzinoshandiswa, imwe neimwe ichizadzisa chinangwa chayo. Heano marudzi makuru:
1. Cannula yePeripheral IV
Kannula yePeripheral IV ndiyo inonyanya kushandiswa muzvipatara nemakiriniki. Inopinzwa mutsinga diki dzemudumbu, kazhinji mumaoko kana mumaoko. Rudzi urwu rwakakodzera kurapwa kwenguva pfupi, senge kumutsa mvura mumuviri, mishonga inorwisa mabhakitiriya, kana kudzora marwadzo. Zviri nyore kuisa nekubvisa, zvichiita kuti ive yakakodzera kushandiswa nekukurumidza uye nguva dzose.
2. Central Line IV Cannula
Kannula yeCentral Line IV inopinzwa mutsinga huru, kazhinji mumutsipa (mukati memutsipa), pachipfuva (mutsinga wesubclavian), kana pahuro (mutsinga wefemoral). Mugumo wecatheter unogumira muvena cava yepamusoro iri pedyo nemoyo. Mitsetse yepakati inoshandiswa kurapwa kwenguva refu (mavhiki akawanda kana mwedzi), kunyanya kana mvura yakawanda, chemotherapy, kana kudya kwakakwana kweparenteral (TPN) zvichidikanwa.
3. Sisitimu yeCatheter yeIV Yakavharwa
Sisitimu yeClosed IV catheter, inozivikanwawo se safety IV cannula, yakagadzirwa nechubhu yekuwedzeredza yakasungirirwa kare uye zvisungo zvisina tsono kuti ideredze njodzi yehutachiona uye kukuvara kwetsono. Inopa sisitimu yakavharwa kubva pakuiswa kusvika pakuiswa kwemvura, zvichibatsira kuchengetedza kusabereka uye kuderedza kusvibiswa.
4. Catheter yepakati
Katheta yeMidline rudzi rwemudziyo we peripheral IV unopinzwa mutsinga iri pamusoro peruoko wobva waenderera mberi saka muromo uri pasi pefudzi (usingasvike mutsinga dzepakati). Yakakodzera kurapwa kwenguva pfupi—kazhinji kubva pavhiki imwe kusvika ina—uye inowanzoshandiswa kana paine mukana wekupinda mutsinga kakawanda asi mutsetse wepakati haudiwi.
Mavara neSaizi dzeCannula yeIV
| Kodhi yeRuvara | GAUGE | OD (mm) | HUREFU | CHIYERO CHEKUYERA KWEMHEPO (ml/min) |
| Orenji | 14G | 2.10 | 45 | 290 |
| Gireyi repakati | 16G | 1.70 | 45 | 176 |
| Chena | 17G | 1.50 | 45 | 130 |
| Girini Rakadzika | 18G | 1.30 | 45 | 76 |
| Pinki | 20G | 1.00 | 33 | 54 |
| Bhuruu Rakadzika | 22G | 0.85 | 25 | 31 |
| Yero | 24G | 0.70 | 19 | 14 |
| Violet | 26G | 0.60 | 19 | 13 |
Kushandiswa kweMasaizi eIV Cannula
1. Mushonga weEmergency:
- Mumamiriro ezvinhu enjodzi, ma IV cannula makuru (14G ne16G) anoshandiswa kuendesa mvura nemishonga nekukurumidza.
2. Kuvhiyiwa uye Kunzwa Kunzwa Kusuruvara:
- Macannula epakati nepakati (18G ne20G) anowanzo shandiswa panguva yekuvhiyiwa kuchengetedza kuenzana kwemvura uye kupa mushonga weanesthesia.
3. Vana neVakwegura:
- Macannula madiki emutsinga (22G ne24G) anoshandiswa kuvacheche, vana, nevarwere vakwegura vane tsinga dzakatetepa.
Maitiro Ekusarudza Saizi Yakakodzera yeIV Cannula
Kusarudza saizi yakakodzera yemushonga weIV kunoda kunyatsoongorora mamiriro emurwere uye zvinodiwa pakurapa:
1. Sarudza saizi ye IV Cannula uye Ruvara zvichienderana nezera
| Mapoka | Saizi dze IV Cannula dzinokurudzirwa | |
| Vacheche nevacheche (gore 0-1) | 24G (yero), 26G (pepuru) | Tsinga dzemuviri dzine tsinga diki dzevana vachangoberekwa. Ma cannula madiki ndiwo anonyanya kufarirwa. |
| Vana (makore 1-12) | 22G (bhuruu), 24G (yero) | Tsinga dzinokura padzinokura, 22G ne24G zvinowanzo shandiswa |
| Vechidiki (makore 13-18) | 20G (pingi), 22G (bhuruu) | Tsinga dzevechidiki dzakavharirwa kuvanhu vakuru, 20G ne22G zvakakodzera. |
| Vakuru (makore 19+) | 18G (girini), 20G (pingi), 22G (bhuruu) | Kune vakuru, saizi ye cannula inosarudzwa inosiyana zvichienderana nemaitiro uye saizi yetsinga. Saizi dzinonyanya kushandiswa 18G, 20G, 22G. |
| Varwere Vakwegura (makore anopfuura makumi matanhatu) | 20G (pingi), 22G (bhuruu) | Sezvo mitsipa yeropa ichigona kusimba zvakanyanya nekukura, saizi yakakodzera ye cannula inonyanya kukosha kuderedza kusagadzikana uye njodzi yematambudziko. Cannula dzinobva pa20 kusvika 22 gauge dzinoshandiswa zvakanyanya. |
Zvimwe Zvakakosha Kufunga Nezvedu
Kufunga nezvehukuru hwetsinga dzevarwere inzira inobatsira yekutanga asi pane zvimwe zvinhu zvekufunga nezvazvo pakusarudza saizi dzakakodzera dze IV cannula:
Zvirwere zvevarwere:Pane zvimwe zvinhu zvinogona kukanganisa kusarudzwa kwehukuru hwe cannula. Semuenzaniso, varwere vane tsinga dzisina kusimba vangada saizi diki.
Ruzivo rwenyanzvi yehutano:Maitiro ekuisa uye ruzivo rwenyanzvi zvine basa guruwo.
Rudzi rwekurapa neIV:Rudzi rwemvura nemishonga iri kupihwa zvinopesvedzera kusarudzwa kwehukuru
Mhando dzakakurumbira dzeIV Cannula
1. Kannula inoraswa yeIV
2. Cannula yechina yekuchengetedza
3. Kannula yemuchina ine jekiseni rekuisa jekiseni
Mhedziso
Macannula emuchina weIV zvishandiso zvakakosha muhutano hwemazuva ano, zvichibvumira vashandi vezvehutano kupa mvura nemishonga zvakananga muropa remurwere. Shanghai Team Stand Corporation, kambani ine mukurumbira wekutengesa zvigadzirwa zvekurapa zvinoraswa, kusanganisira macannula emuchina weIV, yakazvipira kupa mhinduro dzemhando yepamusoro kune vanopa hutano pasi rese. Pakusarudza saizi yakakodzera yecannula yemuchina weIV, zvakakosha kufunga nezvezera remurwere, mamiriro ake ezvinhu, uye zvinodiwa zvehutano kuti ave nechokwadi chekurapa kwakakodzera uye kunyaradzwa kwemurwere. Nekunzwisisa mhando dzakasiyana dzeSaizi dzemacannula emuchina weIVuye mashandisirwo avo, nyanzvi dzezvehutano dzinogona kuvandudza kugona kwavo kupa rubatsiro rwevarwere runoshanda uye runoshanda.
Nguva yekutumira: Nyamavhuvhu-07-2023