Mawu Oyamba
M'dziko lazida zamankhwala, aMtsempha wamagazi (IV) cannulandi chida chofunikira kwambiri chomwe chimagwiritsidwa ntchito m'zipatala ndi m'malo operekera chithandizo chamankhwala popereka madzi ndi mankhwala mwachindunji m'magazi a wodwala. Kusankha choyeneraIV cannula kukulandikofunikira kuonetsetsa chithandizo chamankhwala komanso chitonthozo cha odwala. Nkhaniyi iwunika mitundu yosiyanasiyana ya kukula kwa IV cannula, momwe angagwiritsire ntchito, komanso momwe angasankhire kukula koyenera pazofunikira zachipatala. ShanghaiTeamStandCorporation, wogulitsa wamkulu wamankhwala otayidwa, kuphatikizapo IV cannulas, wakhala patsogolo pakupereka mayankho apamwamba kwa akatswiri azachipatala.
Mitundu ya IV Cannula
Mtsempha wamagazi (IV) cannulas ndi zida zofunika zachipatala zomwe zimagwiritsidwa ntchito popereka madzi, mankhwala, kapena zakudya m'magazi a wodwala. Kutengera momwe zakhalira, mitundu ingapo ya IV cannulas imagwiritsidwa ntchito, iliyonse imagwira ntchito zake. M'munsimu muli mitundu ikuluikulu:
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.
2. Central Line IV Cannula
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 (masabata angapo kapena mwezi), makamaka pamene madzi ochuluka kwambiri, chemotherapy, kapena zakudya zonse za parenteral (TPN) zimafunika.
3. Yatsekedwa IV Catheter System
Dongosolo lotsekedwa la IV catheter, lomwe limadziwikanso kuti chitetezo cha IV cannula, limapangidwa ndi chubu chowonjezera cholumikizidwa kale ndi zolumikizira zopanda singano kuti muchepetse chiopsezo cha matenda ndi kuvulala kwa singano. Amapereka dongosolo lotsekeka kuyambira pakuyika kupita kumayendedwe amadzimadzi, zomwe zimathandiza kusunga sterility ndikuchepetsa kuipitsidwa.
4. Catheter yapakatikati
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.
IV Cannula Mitundu ndi Makulidwe
| Khodi yamtundu | GAUGE | OD (mm) | LENGTH | MALO OGWIRITSA NTCHITO(ml/mphindi) |
| lalanje | 14G pa | 2.10 | 45 | 290 |
| Imvi Yapakati | 16G pa | 1.70 | 45 | 176 |
| Choyera | 17G pa | 1.50 | 45 | 130 |
| Deep Green | 18G pa | 1.30 | 45 | 76 |
| Pinki | 20G pa | 1.00 | 33 | 54 |
| Deep Blue | 22G pa | 0.85 | 25 | 31 |
| Yellow | 24G pa | 0.70 | 19 | 14 |
| Violet | 26G pa | 0.60 | 19 | 13 |
Kugwiritsa ntchito IV Cannula Sizes
1. Mankhwala Odzidzimutsa:
- Pakachitika ngozi, ma cannula akuluakulu a IV (14G ndi 16G) amagwiritsidwa ntchito popereka madzi ndi mankhwala mwachangu.
2. Kupanga Opaleshoni ndi Kupweteka:
- Makulidwe apakatikati a IV cannulas (18G ndi 20G) amagwiritsidwa ntchito nthawi zambiri popanga opaleshoni kuti asunge madzi bwino ndikuwongolera opaleshoni.
3. Pediatrics ndi Geriatrics:
- Ma cannula ang'onoang'ono a IV (22G ndi 24G) amagwiritsidwa ntchito kwa makanda, ana, ndi odwala okalamba omwe ali ndi mitsempha yofooka.
Momwe Mungasankhire Makulidwe Oyenera IV Cannula
Kusankha kukula koyenera kwa IV cannula kumafuna kuganizira mozama za momwe wodwalayo alili komanso zofunikira zachipatala:
1. Sankhani IV Cannula Kukula ndi Mtundu malinga ndi mibadwo
| Magulu | Ndiuzeni IV Cannula Makulidwe | |
| Makanda ndi Ana Obadwa kumene (wazaka 0-1) | 24G (yellow), 26G (wofiirira) | Mitsempha ndi yaying'ono ya obadwa kumene. cannulas ang'ono-gauge amakonda. |
| Ana (zaka 1-12) | 22G (buluu), 24G (chikasu) | Mitsempha imakhala yokulirapo pamene ikukula, 22G ndi 24G amagwiritsidwa ntchito kwambiri |
| Achinyamata (zaka 13-18) | 20G (pinki), 22G (buluu) | Mitsempha ya achinyamata imatsekedwa kwa akuluakulu, 20G ndi 22G ndi yoyenera. |
| Akuluakulu (zaka 19+) | 18G (wobiriwira), 20G (pinki), 22G (buluu) | Kwa akuluakulu, kusankha kwa iv cannula kumasiyana malinga ndi njira ndi kukula kwa mitsempha. Ma size omwe amagwiritsidwa ntchito kwambiri ndi 18G, 20G, 22G. |
| Odwala Okalamba (zaka 60+) | 20G (pinki), 22G (buluu) | Popeza mitsempha imatha kufooka ndikukula, kukula koyenera kwa cannula ndikofunikira kwambiri kuti muchepetse kukhumudwa komanso chiopsezo cha zovuta. Cannulas kuyambira 20 mpaka 22 gauge amagwiritsidwa ntchito kwambiri. |
Mfundo Zina Zapadera Zofunika Kwambiri
Kuwona kukula kwa mitsempha ya odwala ndikothandiza poyambira koma pali zina zowonjezera zomwe muyenera kuziganizira posankha kukula kwa IV cannula:
Matenda a wodwala:Pali zinthu zina zomwe zingakhudze kusankha kukula kwa cannula. Mwachitsanzo, odwala omwe ali ndi mitsempha yosalimba angafunike kukula kochepa.
Zochitika za akatswiri azaumoyo:luso loyika komanso luso la akatswiri limagwiranso ntchito yofunika kwambiri.
Mtundu wa IV therapy:Mtundu wa madzimadzi ndi mankhwala omwe akuperekedwa amakhudza kusankha kukula kwake
Mitundu yotchuka ya IV Cannula
1. IV Cannula
2. chitetezo IV Cannula
3. IV Cannula yokhala ndi doko la jekeseni
Mapeto
IV cannulas ndi zida zofunika kwambiri pazachipatala zamakono, zomwe zimathandiza akatswiri azachipatala kupereka madzi ndi mankhwala mwachindunji m'magazi a wodwala. Shanghai Team Stand Corporation, yodziwika bwino yogulitsa zinthu zotayidwa zamankhwala, kuphatikiza ma cannula a IV, yadzipereka kupereka mayankho apamwamba kwambiri kwa azaumoyo padziko lonse lapansi. Posankha kukula kwa IV cannula, ndikofunikira kuganizira zaka za wodwala, momwe alili, komanso zofunikira zachipatala kuti muwonetsetse kuti chithandizo chili choyenera komanso chitonthozo cha odwala. Pomvetsetsa mitundu yosiyanasiyana yaIV cannula sizendi ntchito zawo, akatswiri azachipatala amatha kupititsa patsogolo luso lawo lopereka chisamaliro choyenera cha odwala.
Nthawi yotumiza: Aug-07-2023