Chiyambi
Mitsempha yam'maso (iv) cannulatesndizofunikiraZipangizo ZachipatalaKugwiritsa ntchito makonda osiyanasiyana azaumoyo kuti apereke madzi, mankhwala, ndi zida zamagazi mwachindunji m'magazi a wodwala. Nkhaniyi ikusonyeza kumvetsetsa kwakuya kwaCannula Canuster, kuphatikiza ntchito yawo, kukula, mitundu, ndi zina zofunika.
Ntchito ya IV Cannung Catheter
Cannula catheter ndi chubu yochepetsetsa, yosinthika yomwe imayikidwa mu mtsempha wa wodwala, kupereka mwayi wozungulira. Cholinga choyambirira cha mehether catheter cha IV ndikupereka madzi ofunikira, ma electrolyte, mankhwala, mankhwala, kapena zakudya kwa wodwalayo, kuonetsetsa kuti kuyamwa ndi magazi bwino m'magazi. Njira yoyendetsera njirayi imapereka njira mwachindunji komanso yodalirika yosungira madzi, m'malo mwake magazi otayika, ndikupereka mankhwala othandiza nthawi ndi nthawi.
Kukula kwa cannulan canthester
Misandu ya IV Canlater imapezeka mumitundu yosiyanasiyana, yomwe imadziwika ndi nambala ya gauge. Gauge ikuyimira mainchesi a singano ya Catheter; Chiwerengero chocheperako cha Gaight, m'mimba mwake. Zithunzi zogwiritsidwa ntchito kwambiri zomwe zimagwiritsidwa ntchito pa canlant canaltureza zimaphatikizapo:
1. 14 mpaka 24 mpaka 24 ma cannilas akuluakulu (14g) amagwiritsidwa ntchito polowetsedwa mwachangu zamadzi kapena zinthu ziwiri, pomwe ndi mbali zochepa (24g) ndizoyenera kuperekera mankhwala ndi mayankho omwe safuna mitengo yayikulu.
2. 18.
3. 22 Gauge: Amaganizira zabwino za odwala a preiatric ndi ma Germatric kapena omwe ali ndi mitsempha yolimba, chifukwa amachititsa kuti zikhale zovuta pang'ono.
4.
Mitundu ya IV Canlaters
1. Perekatural IV Canula: Mtundu wofala kwambiri, woikidwa mu mtsempha wotumphukira, nthawi zambiri kumanja kapena dzanja. Adapangidwa kuti azigwiritsa ntchito kwakanthawi ndipo ali oyenera odwala omwe amafunikira nthawi yochepa kapena yosanja.
2. Ma CVC amagwiritsidwa ntchito pochiritsa nthawi yayitali, zitsanzo pafupipafupi, komanso makonzedwe anzeru osakwiya.
3. Midline Catheter: Mndandanda wapakatikati pakati pa zotumphukira ndi center, minyewa ya midline amayikidwa mkono wapamwamba ndikuchotsa mtsemphawo. Ndioyenera odwala omwe amafuna nthawi yayitali koma osafunikira mitsempha yayikulu yayikulu.
4. Piccs nthawi zambiri amagwiritsidwa ntchito kwa odwala omwe amafunikira chithandizo cha mankhwala kapena kwa omwe ali ndi miyala yopendekera.
Njira yoyikika
Kuyika kwa cachare wa IV Catheter kuyenera kuchitika ndi akatswiri ophunzitsidwa bwino kuti achepetse zovuta ndikuwonetsetsa kuti akuyenera kukhazikitsidwa moyenera. Njirayi imakhala ndi izi:
1.
2. Kusankhidwa kwa tsamba: Tsamba loyenerera la mitsempha yoyenera ndi kuyikidwamo limasankhidwa malinga ndi momwe wodwalayo alili, zofunikira zamankhwala, ndi zotheka.
3. Kukonzekera: Malo osankhidwa amatsukidwa ndi njira ya antiseptic, ndipo wopereka zaumoyo wavala zovala zopanda kanthu.
4. Kuyika: Kuwoneka pang'ono kumapangidwa pakhungu, ndipo catheter imayikidwa mosamala kudzera mu mtsemphawo.
5. Kutetezedwa: Kale Catheter akakhala pamalo, kumatetezedwa pakhungu pogwiritsa ntchito mavalidwe omatira kapena zida zotetezedwa.
6. Kutulutsa ndikugonjera: Catheters amasungunuka ndi saline kapena soparin njira yowonetsetsa kuti patetcy komanso kupewa kupangira mapangidwe.
7. Kusamalira Post-Kuyika: Tsambali limayang'aniridwa pazizindikiro kapena zovuta zilizonse, ndipo kuvala kwa tchalitchi kumasinthidwa ngati pakufunika.
Mavuto ndi Kusamala
Pomwe ma canchart a IV amakhala otetezeka, pali zovuta zomwe akatswiri azachipatala ayenera kuyang'anira, kuphatikiza:
1. Kusungunuka: Kutulutsa kwamadzi kapena mankhwala m'malo ozungulira m'malo mwa mtsempha, zomwe zimapangitsa kutukwana, kupweteka, komanso kuwonongeka kwa minofu.
2. Phlebitis: Kutupa kwa mtsemphawo, kumapangitsa kupweteka, kutsekemera, ndi kutupa njira ya mtsempha.
3. Matendawa: Ngati njira zoyenera za Aseptic sizitsatiridwa pakuyiyika kapena chisamaliro, tsamba la catheter limatha kutenga kachilomboka.
4. Kuthana: Catheter ikhoza kutsekedwa chifukwa cha kuchuluka kwa magazi kapena kutulutsa kolakwika.
Kuti muchepetse mavuto, othandizira azaumoyo amatsatira ma protocol a catheter, kusamalira malo, ndi kukonza. Odwala amalimbikitsidwa kuti afotokozere za kusasangalala, zowawa, kapena redness pamalowo kuti muwonetsetse nthawi yanthawi yake.
Mapeto
Cannanula Canusters amatenga mbali yofunika kwambiri yazaumoyo wamakono, kulola kuti madzi azikhala otetezeka komanso bwino kwambiri m'magazi a wodwala. Ndi mitundu yosiyanasiyana ndi mitundu yosiyanasiyana, mabala awa amasinthasintha m'njira zosiyanasiyana, kuyambira nthawi yayitali yothandizira machiritso nthawi yayitali okhala ndi mizere yapakati. Mwa kutsatira machitidwe abwino poyambitsa ndi kukonza, akatswiri azaumoyo angakutseketse zomwe wodwala akuchita ndikuchepetsa zovuta zomwe zimakhudzana ndi kugwiritsa ntchito zovuta zomwe IV Catheter amagwiritsa ntchito, ndikuwonetsetsa kuti odwala akhale otetezeka.
Post Nthawi: Jul-31-2023