Sei Uchisarudza Iyo Tsono Yakakodzera Yekuunganidza Ropa?

Kuunganidzwa kweropa ndeimwe yeakajairika nzira dzekiriniki, asi inoda kurongeka, maturusi akakodzera, uye nzira dzakaringana dzekuvimbisa kuchengetedzwa kwemurwere uye kurongeka kwekuongorora. Pakati pevazhinjimishonga inodyiwa, ivoropa rekuunganidza tsonoinoita basa repakati. Kusarudza rudzi rwakakodzera uye saizi yetsono haisi nyaya yekureruka; inogona kuona kana kuvepa kwakatsetseka uye kusingarwadzi kana kuguma nematambudziko akadai sekudonha kwetsinga, hematoma, kana sampling isina kururama.

Muchikamu chino, tichaongorora kuti sei kusarudza iyo yakakodzera yekuunganidza ropa tsono nyaya, mutsauko pakati atsono yakatwasukauye atsono yeshavishavi, uye zvinhu zvakakosha zvinotungamira nyanzvi dzekurapa mukusarudza iyo chaiyo yekurapa mudziyo wenguva dzose phlebotomy maitiro.

Ndeapi masizi etsono anogona kushandiswa panguva yeVenepuncture?

Idzo tsono dzinonyanya kushandiswa pavenepuncture range pakati pe21G ne23G. “G” inomirira gauge, gadziriro inoreva dhayamita retsono. Nhamba diki inoratidza dhayamita yakakura. Semuyenzaniso:

21G tsono - Iyo yakajairika sarudzo yevakuru. Inopa chiyero chakanaka pakati pekuyerera uye kunyaradza kwemurwere.
22G tsono - Inowanzo shandiswa kuvana vakura, vechidiki, kana vakuru vane tsinga diki.
23G tsono - Yakanakira varwere vevana, vakweguru, kana avo vane tsinga dzisina kusimba.

Kusarudza geji chaiyo inova nechokwadi chekuti ropa rakakwana rinounganidzwa pasina kukuvadza tsinga kana kukonzera kusagadzikana kusingakoshi.

Inokurudzirwa Tsono Gauge, Kureba, uye Mudziyo weMazera Akasiyana Mapoka

Pakusarudza seti yekuunganidza ropa, nyanzvi dzezvehutano dzinofunga zera remurwere, mamiriro etsinga, uye rudzi rwekuongororwa kunodiwa. Tafura 3.1 inopa gwara rakakwana:

Tafura 3.1: Inokurudzirwa Needle Gauge, Kureba, uye Chishandiso

Tafura iyi inoratidza kukosha kwekugadzirisa midziyo yekurapa zvinoenderana nezvinodiwa nemurwere wega. Kushandisa geji isiriyo kana kureba kunogona kukonzera kukuvara kwetsinga kana kukanganisa mhando yemhando.

Zvinhu Zvikuru Zvokufunga nezvazvo Paunenge Uchisarudza Needle Gauge Size muVenepuncture

Kusarudza tsono chaiyo yekuunganidza ropa haisi sarudzo imwe chete. Zvinhu zvakati wandei zvakakosha zvinofanirwa kuongororwa:

1. Client's Vein size
Mahombe tsinga anogona kugarisa magiji mahombe se21G, nepo madiki kana asina kusimba tsinga achida geji akakwenenzverwa se22G kana 23G.

2. Zera reMutengi
Vakuru vanokwanisa kushivirira tsono dzakaenzana, asi vana nevarwere vakura vangangoda midziyo midiki, yakapfava.

3. Mamiriro Okurapa Omurwere
Varwere vari kurapwa chemotherapy, dialysis, kana kurapwa kwenguva refu vanogona kunge vakakanganisa tsinga, izvo zvinotoda kuti pave nerunyoro netsono dzeshavishavi.

4. Ropa Rinodiwa Muenzaniso
Mimwe bvunzo inoda mavhoriyamu akakura, zvichiita kuti 21G yakatwasuka tsono ishande. Mavhoriyamu madiki kana ongororo yeropa yecapillary inogona kushandisa tsono dzakanaka.

5. Tsono Inopinda Zvakadzika
Hurefu hwakakodzera hunovimbisa kuti tsinga inowanikwa zvakanaka pasina kudzika zvakanyanya kana kukonzera kukuvara kwechikepe.

Chinhu chimwe nechimwe chinokanganisa zvakananga zvose kunyaradza kwevarwere uye kuvimbika kwehutano hwekuongorora.

Tsono Yakatwasuka vs. Butterfly Tsono: Ndeipi Yekushandisa?

Imwe yesarudzo yakajairika mukuunganidza ropa ndeye kushandisa tsono yakatwasuka kana tsono yeshavishavi. Ose ari maviri anoshandiswa zvakanyanya midziyo yekurapa, asi imwe neimwe ine simba rayo.

Tsono Yakatwasuka

Pros

Ideal for routine venepuncture muvakuru.
Inopa kuyerera kweropa nekukurumidza, inokodzera bvunzo dzinoda masampuli makuru.
Inodhura-inoshanda kana ichienzaniswa nemashavishavi seti.

Cons

Zvakawanda zvinonetsa kune varwere vane madiki, anokunguruka, kana asina kusimba tsinga.
Inogona kukonzera kusagadzikana kana tsinga ichinetsa kuwana.

Butterfly Tsono

Pros

Yakagadzirirwa kunyatsoita mutsinga diki kana dzakatetepa.
Inopa kutonga kukuru panguva yekuiswa nekuda kweiyo inoshanduka tubing.
Inoderedza kusagadzikana kwevarwere, kunyanya kuvana kana varwere vakura.

Cons

Inodhura kudarika tsono dzakatwasuka.
Hazvisi nguva dzose zvakakosha kune mahombe, mashizha anowanikwa nyore nyore.

Summary

Kune venepuncture yevakuru ine tsinga dzine hutano, 21G yakatwasuka tsono ndiyo chiyero chegoridhe.
Kune vana, varwere vakura, kana avo vane tsinga dzisina kusimba, tsono yeshavishavi kazhinji ndiyo sarudzo iri nani.
Nei Tsono Yakakodzera Iine Basa muClinical Practice

Kusarudzwa kwekuunganidza ropa tsono kunobata zvakananga zvose migumisiro yekliniki uye kugutsikana kwevarwere. Sarudzo isiriyo inogona kutungamirira mukukundikana kwekuedza kwevenepuncture, kurwadziwa kusingakoshi, kana kukanganiswa kweropa. Izvi zvinogona kunonoka kuongororwa uye kurapwa, zvichikonzera kuwedzera kwemitengo yehutano.

Kushandisa mudziyo wekurapa wakakodzera kunoita kuti:

Kunyaradza kwevarwere uye kuderedza kufunganya.
Kuunganidza ropa kwakanaka uye kwakaringana.
Yakaderera njodzi yematambudziko akadai sehematoma, kudonha kwetsinga, kana kukuvara kwetsono.
Kuteerera kurinani, kunyanya kuvarwere vanoda kuongororwa ropa kakawanda.

Muchidimbu, kusarudza iyo chaiyo yekuunganidza ropa seti chikamu chakakosha chemhando yepamusoro yekutarisira murwere.

Mhedziso

Kuunganidza ropa kungaita senzira iri nyore, asi kutaura zvazviri, zvinoda kunyatsosarudzwa zvokushandisa pakurapa zvakakodzera. Kusarudza tsono chaiyo yekuunganidza ropa—ingava tsono yakatwasuka kana tsono yeshavishavi—zvinoenderana nezvinhu zvakadai sekukura kwetsinga, zera remurwere, zvirwere, uye kuwanda kweropa rinodiwa.

Nekuita zvechinyakare, 21G yakatwasuka tsono inowanzoshandiswa kune vanhu vakuru, nepo geji nyoro uye butterfly seti zvinokurudzirwa kune vana, geriatric, uye varwere vane njodzi. Nekutevera nhungamiro dzakasimbiswa, dzakadai sedzakatsanangurwa muTable 3.1, vashandi vezvehutano vanogona kuve nechokwadi chakachengeteka, chinoshanda, uye nzira dzakagadzikana dzekuunganidza ropa.

Chekupedzisira, kusarudzwa kwakakodzera kwechigadzirwa chekurapa chephlebotomy hakusi kwekungotora ropa - ndezvekupa rubatsiro rwakachengetedzeka, rwakakwana, uye rwakanangana nemurwere.