Nhanganyaya
Intravenous (IV) cannula cathetersdzinokoshamidziyo yekurapainoshandiswa munzvimbo dzakasiyana-siyana dzehutano kuisa mvura, mishonga, uye zvigadzirwa zveropa zvakananga muropa remurwere. Ichi chinyorwa chine chinangwa chekupa kunzwisisa kwakadzama kweIV cannula catheters, kusanganisira basa ravo, saizi, mhando, uye zvimwe zvine chekuita.
Basa reIV Cannula Catheter
An IV cannula catheter ichubhu yakatetepa, inochinjika inoiswa mutsinga yemurwere, ichipa mukana wekufamba kweropa. Basa rekutanga reIV cannula catheter ndere kuendesa mvura yakakosha, maelectrolyte, mishonga, kana kudya kunovaka muviri kumurwere, kuve nechokwadi chekuyamwa nekukurumidza muropa. Iyi nzira yekutonga inopa nzira dzakananga uye dzakavimbika dzekuchengetedza chiyero chemvura, kutsiva vhoriyamu yeropa rakarasika, uye kuendesa mishonga inobata nguva.
Saizi yeIV Cannula Catheters
IV cannula catheter inowanikwa muhukuru hwakasiyana, inowanzo zivikanwa nenhamba yegeji. Iyo geji inomiririra dhayamita yekatheter tsono; diki nhamba yegeji, iyo yakakura dhayamita. Inowanzo shandiswa saizi yeIV cannula catheters inosanganisira:
1. 14 kusvika ku24 Gauge: Makuru-makuru cannulas (14G) anoshandiswa kukurumidza kuvharwa kwemvura kana zvigadzirwa zveropa, asi zviduku zviduku (24G) zvakakodzera kutungamirira mishonga uye zvigadziriso zvisingadi kuyerera kwepamusoro.
2. 18 kusvika ku20 Gauge: Aya ndiwo mazamu anonyanya kushandiswa munzvimbo dzakawanda dzechipatara, kutarisira huwandu hwakawanda hwevarwere uye mamiriro ekliniki.
3. 22 Gauge: Inoonekwa seyakanakira varwere vevana nevakuru kana avo vane tsinga dzisina kusimba, sezvo dzichikonzera kusagadzikana kudiki panguva yekuiswa.
4. 26 Geji (kana kupfuura): Aya makanula akatetepa zvikuru anowanzo shandiswa mumamiriro ezvinhu akasiyana-siyana, akadai sekupa mimwe mishonga kana kuvarwere vane tsinga dzakatetepa zvikuru.
Mhando dzeIV Cannula Catheters
1. Peripheral IV Cannula: Rudzi runonyanyozivikanwa, runopinzwa mutsinga yeperipheral, kazhinji muruwoko kana ruoko. Izvo zvakagadzirirwa kushandiswa kwenguva pfupi uye zvakakodzerwa nevarwere vanoda nguva shoma kana yepakati pekupinda.
2. Central Venous Catheter (CVC): Aya makateta akaiswa mumitsipa huru yepakati, yakadai sepamusoro vena cava kana mukati mejugular vein. MaCVC anoshandiswa pakurapa kwenguva refu, kuongororwa ropa nguva nenguva, uye kutonga kwemishonga inogumbura.
3. Midline Catheter: Imwe yepakati sarudzo pakati peperipheral uye nechepakati catheter, midline catheter inopinzwa kumusoro kweruoko uye yakarukwa nemutsinga, kazhinji ichipera ichitenderedza axillary region. Iwo akakodzera kuvarwere vanoda kurapwa kwenguva refu asi vasingade kuwana mahombe epakati tsinga.
4. Peripherally Inserted Central Catheter (PICC): Catheter yakareba inopinzwa kuburikidza neperipheral vein (kazhinji iri paruoko) uye yakafambira mberi kusvikira muromo wazorora mutsinga huru yepakati. MaPICC anowanzo shandiswa kuvarwere vanoda kurapwa kwemutsinga wakawedzerwa kana kune avo vane shoma yeperipheral vein yekuwana.
Insertion Procedure
Kuiswa kweIV cannula catheter kunofanirwa kuitwa nenyanzvi dzehutano dzakadzidziswa kuderedza matambudziko uye kuve nechokwadi chekuiswa kwakakodzera. Nzira yacho inowanzobatanidza matanho anotevera:
1. Kuongororwa kwevarwere: Mupi wehutano anoongorora nhoroondo yehutano hwemurwere, mamiriro emutsinga, uye chero zvinhu zvingakanganisa kuiswa.
2. Sarudzo yeSiti: Iyo yakakodzera tsinga uye nzvimbo yekuisa inosarudzwa zvichienderana nemamiriro emurwere, kurapa zvinodiwa, uye kuwanikwa kwetsinga.
3. Kugadzirira: Nzvimbo yakasarudzwa inocheneswa neine antiseptic solution, uye mupi wehutano anopfeka magirovhosi asina utachiona.
4. Kupinzwa: Kuchekwa kuduku kunoitwa muganda, uye catheter inonyatsopinzwa kuburikidza nekupinzwa mutsinga.
5. Kuchengetedzwa: Kana catheter iripo, inochengetedzwa paganda uchishandisa adhesive dressings kana midziyo yekuchengetedza.
6. Flushing uye Priming: Catheter inoputirwa nesaline kana heparinized solution kuti ive nechokwadi chekudzivirira uye kudzivirira kuumbwa kwegwamba.
7. Post-insertion Care: Nzvimbo yacho inotariswa kune chero zviratidzo zvehutachiona kana matambudziko, uye kupfeka kwekatheta kunochinjwa sezvinodiwa.
Matambudziko uye Dziviriro
Nepo IV cannula catheter kazhinji yakachengeteka, pane zvinogona kunetsa izvo vashandi vehutano vanofanirwa kutarisa, kusanganisira:
1. Kupinda: Kubuda kwemvura kana mishonga mumatishu akapoteredza panzvimbo yetsinga, zvichiita kuti pave nekuzvimba, kurwadziwa, uye kukuvara kwenyama.
2. Phlebitis: Kuzvimba kwetsinga, kukonzera marwadzo, kutsvuka, uye kuzvimba munzira yetsinga.
3. Kutapukirwa: Kana nzira dzakakodzera dzeaseptic dzikasateedzerwa panguva yekuiswa kana kutarisirwa, nzvimbo yecatheter inogona kutapukirwa.
4. Kuvharika: Catheter inogona kuvharika nekuda kwekugwamba kweropa kana kudonha zvisina kunaka.
Kuti uderedze matambudziko, vatapi vehutano vanoomerera kune akasimba maprotocol ekuisirwa catheter, kuchengetedza saiti, uye kugadzirisa. Varwere vanokurudzirwa kuti vataure nokukurumidza chero zviratidzo zvekusagadzikana, kurwadziwa, kana tsvuku panzvimbo yekuisa kuti vave nechokwadi chekupindira panguva.
Mhedziso
IV cannula catheter inoita basa rakakosha muhutano hwemazuva ano, ichibvumira kuchengetedzwa uye nemazvo kuendesa zvinwiwa nemishonga muropa remurwere. Nehukuru hwakasiyana-siyana uye mhando dziripo, macatheter aya anochinjika kune zvakasiyana-siyana zvinodiwa zvekiriniki, kubva kune yenguva pfupi yeperipheral yekuwana kune yenguva refu yekurapa ine yepakati mitsetse. Nekuomerera kune akanakisa maitiro panguva yekuiswa nekugadzirisa, vashandi vehutano vanogona kukwidziridza mhedzisiro yevarwere uye kuderedza matambudziko anoenderana neIV catheter kushandiswa, kuve nechokwadi chekuchengetedza uye kunoshanda kurapwa kwevarwere vavo.
Nguva yekutumira: Jul-31-2023