yambitsani
Shanghai TeamStand Corporation ndi katswiriwopereka zida zamankhwalandi wopanga. Amapereka zinthu zosiyanasiyana zapamwamba, kuphatikizapomtsempha wamagazi cannula,scalp mtsempha anapereka singano,singano zosonkhanitsira magazi,ma syringe otaya,ndimadoko oyika. M'nkhaniyi, tiona makamaka IV Cannula. Tikambirana mitundu, mawonekedwe, ndi makulidwe osiyanasiyana omwe alipo pamsika lero.
Mitundu ya IV Cannula
IV Cannulas ndi zida zofunika zachipatala zomwe zimagwiritsidwa ntchito pochiza mtsempha, kuthiridwa magazi, komanso kuwongolera mankhwala. Amabwera m'mitundu yosiyanasiyana kuti agwirizane ndi zosowa za odwala. Chofala kwambirimitundu ya IV Cannulaszikuphatikizapo:
1. Peripheral IV Cannula
Peripheral IV cannula ndi mtundu womwe umagwiritsidwa ntchito kwambiri mzipatala ndi zipatala. Amalowetsedwa m'mitsempha yaing'ono yozungulira, nthawi zambiri m'manja kapena m'manja. Mtundu uwu ndi woyenera pa chithandizo chanthawi yochepa, monga kutsitsimula madzimadzi, maantibayotiki, kapena kuwongolera ululu. Ndiosavuta kuyiyika ndikuchotsa, ndikupangitsa kuti ikhale yabwino kwadzidzidzi komanso kugwiritsa ntchito mwachizolowezi.
Zofunika Kwambiri:
- Kutalika kwakufupi (nthawi zambiri pansi pa mainchesi atatu)
- Amagwiritsidwa ntchito pakanthawi kochepa (nthawi zosakwana sabata imodzi)
- Imapezeka mumitundu yosiyanasiyana ya geji
- Nthawi zambiri amagwiritsidwa ntchito posamalira odwala kunja ndi odwala
Central Line IV cannula imayikidwa mumtsempha waukulu, makamaka m'khosi (mtsempha wamkati wa jugular), chifuwa (subclavian vein), kapena groin (mtsempha wa femoral). Nsonga ya catheter imathera mu vena cava yapamwamba pafupi ndi mtima. Mizere yapakati imagwiritsidwa ntchito pa chithandizo cha nthawi yaitali, makamaka pamene madzi ochuluka kwambiri, chemotherapy, kapena zakudya zonse za parenteral (TPN) zimafunika.
Zofunika Kwambiri:
- Kugwiritsa ntchito nthawi yayitali (milungu mpaka miyezi)
- Amalola makonzedwe a mankhwala irritant kapena vesicant
- Amagwiritsidwa ntchito powunika kuthamanga kwa venous
- Imafunika njira yosabala komanso chiwongolero chojambula
3.Kutseka IV Catheter System
A Kutsekedwa kwa IV catheter system, yomwe imadziwikanso kuti chitetezo cha IV cannula, idapangidwa ndi chubu chowonjezera cholumikizidwa kale ndi zolumikizira zopanda singano kuti zichepetse chiopsezo cha matenda ndi kuvulala kwa singano. Amapereka dongosolo lotsekeka kuyambira pakuyika kupita kumayendedwe amadzimadzi, zomwe zimathandiza kusunga sterility ndikuchepetsa kuipitsidwa.
Zofunika Kwambiri:
- Amachepetsa kukhudzana ndi magazi komanso kutenga matenda
- Integrated singano chitetezo
- Kumalimbitsa chitetezo cha ogwira ntchito yazaumoyo
- Ndi abwino kwa malo omwe ali ndi miyezo yapamwamba yoletsa matenda
Catheter ya Midline ndi mtundu wa chipangizo cholumikizira cha IV chomwe chimayikidwa mumtsempha kumtunda kwa mkono ndikupitilira kotero kuti nsonga igone pansi pa phewa (osafika pakati pa mitsempha). Ndikoyenera kulandira chithandizo chapakati-kawirikawiri kuyambira sabata imodzi mpaka inayi-ndipo nthawi zambiri amagwiritsidwa ntchito pamene nthawi zambiri IV ikufunika koma mzere wapakati sufunika.
Zofunika Kwambiri:
- Kutalika kumayambira 3 mpaka 8 mainchesi
- Kulowetsedwa m'mitsempha yokulirapo (mwachitsanzo, basilic kapena cephalic)
- Chiwopsezo chochepa cha zovuta kuposa mizere yapakati
- Amagwiritsidwa ntchito ngati maantibayotiki, ma hydration, ndi mankhwala ena
Makhalidwe a mtsempha wa cannulas
Ma cannulas opangidwa ndi mtsempha amapangidwa ndi zinthu zingapo kuti atsimikizire kuti odwala ali ndi chitonthozo komanso chitetezo panthawi yamankhwala. Zina mwazinthu zazikulu ndi izi:
1. Zida za catheter: Ma cannula olowera m'mitsempha amapangidwa ndi zinthu monga polyurethane kapena silikoni. Zinthuzi ndi biocompatible ndipo zimachepetsa chiopsezo cha thrombosis kapena matenda.
2. Kapangidwe ka nsonga ya catheter: Nsonga ya cannula imatha kuloza kapena yozungulira. Nsonga yakuthwa imagwiritsidwa ntchito ngati kubowola khoma la chotengera kumafunika, pomwe nsonga yozungulira ndi yoyenera mitsempha yofewa kuti muchepetse chiwopsezo cha zovuta zokhudzana ndi kubowola.
3. Mapiko kapena opanda mapiko: IV cannulas akhoza kukhala ndi mapiko olumikizidwa ku khola kuti agwire mosavuta ndi kutetezedwa pamene akulowetsa.
4. Doko la jakisoni: Makanula ena olowera m'mitsempha amakhala ndi khomo la jakisoni. Madokowa amalola kuti mankhwala owonjezera abadwe popanda kuchotsa catheter.
| Khodi yamtundu | GAUGE | OD (mm) | LENGTH | MALO OGWIRITSA NTCHITO(ml/mphindi) |
| lalanje | 14G pa | 2.1 | 45 | 290 |
| Imvi Yapakati | 16G pa | 1.7 | 45 | 176 |
| Choyera | 17G pa | 1.5 | 45 | 130 |
| Deep Green | 18G pa | 1.3 | 45 | 76 |
| Pinki | 20G pa | 1 | 33 | 54 |
| Deep Blue | 22G pa | 0.85 | 25 | 31 |
| Yellow | 24G pa | 0.7 | 19 | 14 |
| Violet | 26G pa | 0.6 | 19 | 13 |
16 Gauge: Kukula uku kumagwiritsidwa ntchito kwambiri ku ICU kapena madera opangira opaleshoni. Kukula kwakukulu kumeneku kumapangitsa kuti njira zambiri zitheke, monga kuyendetsa magazi, kuyendetsa madzimadzi mofulumira, ndi zina zotero.
18 Gauge: Kukula uku kumakupatsani mwayi wochita ntchito zambiri zomwe geji 16 imatha, koma ndi yayikulu komanso yopweteka kwambiri kwa wodwalayo. Zina mwazinthu zomwe zimagwiritsidwa ntchito nthawi zambiri zimaphatikizapo kupereka magazi, kukankhira madzi mofulumira, ndi zina zotero. Mukhoza kugwiritsa ntchito izi pa CT PE Protocols kapena kuyesa kwina komwe kumafunikira ma size akuluakulu a IV.
20 Gauge: Mungathe kukankhira magazi kupyola kukula kwake ngati simungathe kugwiritsa ntchito geji 18, koma nthawi zonse fufuzani ndondomeko ya abwana anu. Kukula uku ndikwabwino kwa odwala omwe ali ndi mitsempha yaying'ono.
22 Gauge: Kakulidwe kakang'ono kameneka ndi kabwino pamene wodwala sangafunike IV yaitali komanso osadwala kwambiri. Nthawi zambiri simungapereke magazi chifukwa chakuchepa kwake, komabe, njira zina zakuchipatala zimalola kugwiritsa ntchito 22 G ngati kuli kofunikira.
24 Gauge: Kukula uku kumagwiritsidwa ntchito kwa ana ndipo nthawi zambiri amagwiritsidwa ntchito ngati njira yomaliza ngati IV mwa anthu akuluakulu.
Pomaliza
Intravenous cannula ndi chida chofunikira kwambiri pazachipatala. Shanghai TeamStand Corporation ndi akatswiri ogulitsa zida zamankhwala komanso opanga, omwe amapereka ma cannula apamwamba kwambiri olowera m'mitsempha ndi zinthu zina. Posankha IV cannula, ndikofunikira kuganizira zamitundu yosiyanasiyana, mawonekedwe, ndi makulidwe omwe alipo. Mitundu yayikulu ndi ma peripheral venous cannulae, ma catheter apakati, ndi ma catheter apakati. Zinthu monga catheter, kapangidwe ka nsonga, ndi kukhalapo kwa mapiko kapena madoko a jakisoni ziyenera kuganiziridwa. Kuonjezera apo, kukula kwa cannula yolowera m'mitsempha (yosonyezedwa ndi kuyeza kwa mita) kumasiyana malinga ndi momwe mankhwala amathandizira. Kusankha cannula yoyenera m'mitsempha kwa wodwala aliyense ndikofunikira kuti mutsimikizire kuti mankhwalawa ali otetezeka komanso ogwira mtima.
Nthawi yotumiza: Nov-01-2023