Dziwitsani
Shanghai TeamStand Corporation ndi katswiriwogulitsa zida zachipatalandi wopanga. Amapereka zinthu zosiyanasiyana zapamwamba, kuphatikizapokanula wolowetsedwa m'mitsempha,singano ya mtsempha wa mutu,singano zosonkhanitsira magazi,ma syringe otayidwa nthawi imodzindimadoko obzalidwaMunkhaniyi, tikambirana kwambiri za IV Cannula. Tikambirana mitundu yosiyanasiyana, mawonekedwe, ndi kukula komwe kulipo pamsika masiku ano.
Mitundu ya IV Cannula
Ma Cannula a IV ndi zida zofunika kwambiri zachipatala zomwe zimagwiritsidwa ntchito pochiza mtsempha, kuyika magazi, komanso kupereka mankhwala. Amabwera m'mitundu yosiyanasiyana kuti agwirizane ndi zosowa za wodwala.mitundu ya ma IV Cannulakuphatikizapo:
1. Cannula ya Peripheral IV
Katemera wa Peripheral IV ndi mtundu womwe umagwiritsidwa ntchito kwambiri m'zipatala ndi m'zipatala. Umayikidwa m'mitsempha yaying'ono ya m'mphepete, nthawi zambiri m'manja kapena m'manja. Mtundu uwu ndi woyenera kugwiritsa ntchito mankhwala afupiafupi, monga kutsitsimutsa madzi, maantibayotiki, kapena kuchepetsa ululu. Ndi wosavuta kuyika ndi kuchotsa, zomwe zimapangitsa kuti ukhale woyenera kugwiritsidwa ntchito mwadzidzidzi komanso nthawi zonse.
Zinthu Zofunika Kwambiri:
- Kutalika kochepa (nthawi zambiri pansi pa mainchesi atatu)
- Amagwiritsidwa ntchito kwa kanthawi kochepa (nthawi zambiri osakwana sabata imodzi)
- Imapezeka mu kukula kosiyanasiyana
- Amagwiritsidwa ntchito kwambiri posamalira odwala akunja ndi odwala m'chipatala
Kansalu ka Central Line IV kamalowetsedwa mu mtsempha waukulu, nthawi zambiri m'khosi (mtsempha wamkati wa jugular), pachifuwa (mtsempha wa subclavian), kapena m'mimba (mtsempha wa femoral). Nsonga ya catheter imathera mu vena cava yapamwamba pafupi ndi mtima. Mizere yapakati imagwiritsidwa ntchito pochiza kwa nthawi yayitali, makamaka ngati pakufunika madzi ambiri, chemotherapy, kapena zakudya zonse za parenteral (TPN).
Zinthu Zofunika Kwambiri:
- Kugwiritsa ntchito kwa nthawi yayitali (kuyambira milungu iwiri mpaka miyezi ingapo)
- Amalola kupereka mankhwala oletsa kuyabwa kapena oyambitsa matenda
- Amagwiritsidwa ntchito poyang'anira kuthamanga kwa magazi m'mitsempha yamagazi
- Imafuna njira yoyeretsera ndi chitsogozo cha kujambula zithunzi
3. Dongosolo la Catheter la IV Lotsekedwa
A Dongosolo la catheter la m'mitsempha yotsekedwa, yomwe imadziwikanso kuti safety IV cannula, yapangidwa ndi chubu chowonjezera chomwe chalumikizidwa kale komanso zolumikizira zopanda singano kuti zichepetse chiopsezo cha matenda ndi kuvulala kwa singano. Imapereka njira yotsekedwa kuyambira pakuyika mpaka kuperekedwa kwa madzi, kuthandiza kusunga kusabala komanso kuchepetsa kuipitsidwa.
Zinthu Zofunika Kwambiri:
- Amachepetsa kufalikira kwa magazi ndi zoopsa za matenda
- Chitetezo cha singano chophatikizidwa
- Kumawonjezera chitetezo kwa ogwira ntchito zachipatala
- Yabwino kwambiri pa malo okhala ndi miyezo yapamwamba yopewera matenda
Katheta wa Midline ndi mtundu wa chipangizo cholumikizira cha IV chomwe chimayikidwa mu mtsempha womwe uli pamwamba pa mkono ndipo chimapita patsogolo kotero kuti nsonga yake imakhala pansi pa phewa (osati kufika m'mitsempha yapakati). Ndi yoyenera chithandizo chapakati—nthawi zambiri kuyambira sabata imodzi mpaka zinayi—ndipo nthawi zambiri imagwiritsidwa ntchito ngati pakufunika kulowetsedwa m'mitsempha pafupipafupi koma mzere wapakati sukufunika.
Zinthu Zofunika Kwambiri:
- Utali umayambira pa 3 mpaka 8 mainchesi
- Amayikidwa m'mitsempha yayikulu ya m'mphepete (monga basilic kapena cephalic)
- Chiwopsezo chochepa cha mavuto poyerekeza ndi mizere yapakati
- Amagwiritsidwa ntchito ngati mankhwala opha maantibayotiki, madzi ochulukirapo, ndi mankhwala ena
Makhalidwe a ma cannula a m'mitsempha
Ma cannula olowetsedwa m'mitsempha amapangidwa ndi zinthu zosiyanasiyana kuti atsimikizire kuti wodwalayo ali bwino komanso otetezeka akalandira chithandizo cha mtsempha. Zina mwa zinthu zofunika kwambiri ndi izi:
1. Zinthu zoyezera: Ma cannula opangidwa ndi mtsempha amapangidwa ndi zinthu monga polyurethane kapena silicone. Zinthuzi zimagwirizana ndi thupi ndipo zimachepetsa chiopsezo cha thrombosis kapena matenda.
2. Kapangidwe ka nsonga ya catheter: Nsonga ya cannula ikhoza kukhala yolunjika kapena yozungulira. Nsonga yakuthwa imagwiritsidwa ntchito pamene pakufunika kuboola khoma la mtsempha wamagazi, pomwe nsonga yozungulira ndi yoyenera mitsempha yofewa kuti ichepetse chiopsezo cha zovuta zokhudzana ndi kuboola.
3. Mapiko kapena Opanda Mapiko: Ma cannula a IV amatha kukhala ndi mapiko omangiriridwa ku hub kuti azitha kugwiritsidwa ntchito mosavuta komanso kutetezedwa akamayikidwa.
4. Malo olowera jakisoni: Ma cannula ena a m'mitsempha ali ndi malo olowera jakisoni. Malo amenewa amalola kuti mankhwala ena alowedwe popanda kuchotsa catheter.
| Khodi ya Mtundu | GAUGE | OD (mm) | LENGTH | CHIWERENGERO CHA MAFUTA (ml/mphindi) |
| lalanje | 14G | 2.1 | 45 | 290 |
| Imvi Yapakatikati | 16G | 1.7 | 45 | 176 |
| Choyera | 17G | 1.5 | 45 | 130 |
| Zobiriwira Kwambiri | 18G | 1.3 | 45 | 76 |
| Pinki | 20G | 1 | 33 | 54 |
| Buluu Wakuya | 22G | 0.85 | 25 | 31 |
| Wachikasu | 24G | 0.7 | 19 | 14 |
| Violet | 26G | 0.6 | 19 | 13 |
16 Gauge: Kukula kumeneku kumagwiritsidwa ntchito kwambiri m'malo ochitira opaleshoni kapena m'malo ochitira opaleshoni. Kukula kwakukulu kumeneku kumathandiza kuti njira zosiyanasiyana zichitike, monga kupereka magazi, kupereka madzi mwachangu, ndi zina zotero.
18 Gauge: Kukula kumeneku kumakupatsani mwayi wochita ntchito zambiri zomwe 16 gauge ingathe, koma ndi yayikulu komanso yopweteka kwambiri kwa wodwalayo. Zina mwa ntchito zomwe zimagwiritsidwa ntchito nthawi zambiri zimaphatikizapo kupereka magazi, kukankhira madzi mwachangu, ndi zina zotero. Mutha kugwiritsa ntchito izi pa CT PE Protocols kapena mayeso ena omwe amafuna kukula kwakukulu kwa IV.
20 Gauge: Mutha kukankhira magazi mu kukula kumeneku ngati simungathe kugwiritsa ntchito 18 gauge, koma nthawi zonse yang'anani njira ya abwana anu. Kukula kumeneku ndi kwabwino kwa odwala omwe ali ndi mitsempha yaying'ono.
22 Gauge: Kakulidwe kakang'ono aka ndi kabwino ngati wodwala sakufuna kuikidwa IV yayitali ndipo sakudwala kwambiri. Nthawi zambiri simungathe kupereka magazi chifukwa cha kukula kwake kochepa, komabe, njira zina zachipatala zimalola kugwiritsa ntchito 22 G ngati pakufunika kutero.
24 Gauge: Kukula kumeneku kumagwiritsidwa ntchito pa ana ndipo nthawi zambiri kumagwiritsidwa ntchito ngati njira yomaliza ngati IV kwa akuluakulu.
Pomaliza
Cannula yolowetsedwa m'mitsempha ndi chipangizo chofunikira kwambiri pa ntchito zosiyanasiyana zachipatala. Shanghai TeamStand Corporation ndi kampani yopereka komanso kupanga zipangizo zachipatala, yomwe imapereka mitundu yosiyanasiyana ya cannula yolowetsedwa m'mitsempha ndi zinthu zina zabwino kwambiri. Posankha cannula ya IV, ndikofunikira kuganizira mitundu, mawonekedwe, ndi kukula komwe kulipo. Mitundu yayikulu ndi cannulae ya m'mitsempha yozungulira, ma catheter apakati a m'mitsempha, ndi ma catheter apakati. Zinthu monga catheter, kapangidwe ka nsonga, ndi kupezeka kwa mapiko kapena ma doko obayira ziyenera kuganiziridwa. Kuphatikiza apo, kukula kwa cannula yolowetsedwa m'mitsempha (yomwe ikuwonetsedwa ndi muyeso wa mita) kumasiyana kutengera chithandizo chamankhwala. Kusankha cannula yoyenera yolowetsedwa m'mitsempha kwa wodwala aliyense ndikofunikira kwambiri kuti muwonetsetse kuti chithandizo cha m'mitsempha chili bwino komanso chotetezeka.
Nthawi yotumizira: Novembala-01-2023