Yazisa
I-Shanghai TeamStand Corporation yingcaliumthengisi wesixhobo zonyangokunye nomvelisi. Banikezela ngeemveliso ezahlukeneyo ezikumgangatho ophezulu, kubandakanywaI-cannula emithanjeni,I-scalp vein set inaliti,iinaliti zokuqokelela igazi,iisirinji ezilahlwayo, kwayeamazibuko afakelwayo. Kweli nqaku, siya kugxininisa ngokukodwa kwi-IV Cannula. Siza kuxoxa ngeentlobo ezahlukeneyo, iimpawu, kunye nobukhulu obukhoyo kwimarike namhlanje.
Iindidi ze-IV Cannula
I-IV Cannulas zizixhobo zonyango ezibalulekileyo ezisetyenziselwa unyango lwe-intravenous, utofelo-gazi kunye nokulawulwa kweziyobisi. Ziza kwiindidi ezahlukeneyo ukuze zihambelane neemfuno ezithile zesigulana. Eyona ixhaphakileyoiintlobo ze-IV Cannulasziquka:
1. I-peripheral IV Cannula
I-Peripheral IV cannula lolona hlobo lusetyenziswa kakhulu ezibhedlele nasezikliniki. Ifakwa kwimithanjana encinci yeperipheral, ngokuqhelekileyo ezingalweni okanye ezandleni. Olu hlobo lufanelekile kunyango lwexesha elifutshane, njengokuvuselelwa kwamanzi, i-antibiotics, okanye ukulawula intlungu. Kulula ukuyifaka kwaye uyisuse, iyenze ilungele ukusetyenziswa kwexesha likaxakeka kunye nesiqhelo.
Ezona mpawu:
-Ubude obufutshane (ngokuqhelekileyo ngaphantsi kwe-intshi ezi-3)
-Isetyenziselwa ukufikelela kwexesha elifutshane (ngokwesiqhelo ngaphantsi kweveki)
- Ifumaneka ngeesayizi ezahlukeneyo zegeyiji
- Isetyenziswa ngokuqhelekileyo kwizigulane ezingaphandle kunye nokunakekelwa kwezigulane
I-Central Line IV cannula ifakwe kwi-vein enkulu, ngokuqhelekileyo entanyeni (i-jugular vein yangaphakathi), isifuba (i-subclavian vein), okanye i-groin (i-femoral vein). Incam yecatheter iphela kwi vena cava ephezulu kufutshane nentliziyo. Imigca ephakathi isetyenziselwa unyango lwexesha elide, ngakumbi xa i-high-volume fluids, i-chemotherapy, okanye i-total parenteral nutrition (TPN) iyadingeka.
Ezona mpawu:
-Ukusetyenziswa kwexesha elide (iiveki ukuya kwiinyanga)
- Ivumela ukulawulwa kweziyobisi ezicaphukisayo okanye ezibuhlungu
- Isetyenziselwa ukujonga uxinzelelo lwe-venous ephakathi
-Ifuna ubuchule obunyumba kunye nesikhokelo somfanekiso
3.Ivaliwe i-IV Catheter System
A Inkqubo ye-catheter ye-IV evaliweyo, eyaziwa ngokuba yi-cannula yokhuseleko ye-IV, yenzelwe i-tube eyongeziweyo eqhotyoshelweyo kwangaphambili kunye nezixhumi ezingenanaliti zokunciphisa umngcipheko wokusuleleka kunye nokulimala kweenaliti. Inika inkqubo evaliweyo ukusuka ekufakweni ukuya kulawulo lwe-fluid, inceda ukugcina inzala kunye nokunciphisa ukungcola.
Ezona mpawu:
- Yehlisa ukuba sesichengeni segazi kunye nemingcipheko yosulelo
- Ukhuseleko lwenaliti oludityanisiweyo
- Ukwandisa ukhuseleko kubasebenzi bezempilo
- Ilungele izibonelelo ezinemigangatho ephezulu yokulawula usulelo
I-Catheter ye-Midline luhlobo lwesixhobo se-peripheral IV esifakwe kwi-vein kwingalo engaphezulu kwaye ihambele phambili ukuze incam ibe phantsi kwegxalaba (engafikeleli kwimithambo ephakathi). Ilungele unyango lwexesha eliphakathi-ngokuqhelekileyo ukusuka kwiveki enye ukuya kwezine-kwaye isetyenziswa rhoqo xa ukufikelela rhoqo kwe-IV kuyadingeka kodwa umgca ophakathi awufuni.
Ezona mpawu:
- Ubude buqala kwi-3 ukuya kwi-intshi ezi-8
- Ifakwe kwimithambo emikhulu yeperipheral (umzekelo, i-basilic okanye i-cephalic)
- Umngcipheko omncinci weengxaki kunemigca esembindini
- Isetyenziselwa antibiotics, hydration, kunye namayeza athile
Iimpawu ze-cannulas emithanjeni
Ii-cannulas ze-intravenous zenzelwe iimpawu ezininzi zokuqinisekisa ukukhululeka kwesigulane kunye nokhuseleko ngexesha lonyango. Ezinye iimpawu eziphambili ziquka:
1. Izinto ze-Catheter: Ii-cannula ze-intravenous zenziwe ngezinto ezifana ne-polyurethane okanye i-silicone. Ezi zixhobo zi-biocompatible kwaye zinciphisa umngcipheko we-thrombosis okanye usulelo.
2. Uyilo lwencam yecatheter: Incam yecannula inokuchongwa okanye ingqukuva. Iphuzu elibukhali lisetyenziswe xa ukuhlatywa kodonga lwenqanawa kuyadingeka, ngelixa i-tip ejikeleziweyo ifanelekile kwiimvini ezinqabileyo zokunciphisa umngcipheko weengxaki ezinxulumene ne-puncture.
3. Ezinamaphiko okanye ezingenamaphiko: I-IV cannulas ingaba namaphiko afakwe kwi-hub ukuze kube lula ukuphatha kunye nokukhusela ngexesha lokufakwa.
4. Izibuko lokutofa: Ezinye iicannula ezifakwa emithanjeni zixhotyiswe ngezibuko lokutofa. Ezi zibuko zivumela amayeza ongezelelweyo ukuba atofwe ngaphandle kokususa i-catheter.
| Ikhowudi yoMbala | IGAUGE | OD (mm) | UBUDE | IXESHA LOKUHAMBA(ml/min) |
| Orenji | 14G | 2.1 | 45 | 290 |
| Grey ephakathi | 16G | 1.7 | 45 | 176 |
| Mhlophe | 17G | 1.5 | 45 | 130 |
| Ubuluhlaza obunzulu | 18G | 1.3 | 45 | 76 |
| Pinki | 20G | 1 | 33 | 54 |
| Blue Blue | 22G | 0.85 | 25 | 31 |
| Lubhelu | 24G | 0.7 | 19 | 14 |
| Violet | 26G | 0.6 | 19 | 13 |
I-16 Gauge: Lo bungakanani busetyenziswa kakhulu kwi-ICU okanye kwiindawo zotyando. Lo bukhulu bukhulu buvumela ukuba kwenziwe iinkqubo ezininzi ezahlukeneyo, ezifana nokulawulwa kwegazi, ukulawulwa ngokukhawuleza kolwelo, njalo njalo.
I-18 Gauge: Lo bukhulu bukuvumela ukuba wenze imisebenzi emininzi enokwenziwa yigeji ye-16, kodwa inkulu kwaye ibuhlungu ngakumbi kwisigulana. Ezinye zeendlela eziqhelekileyo zokusetyenziswa zibandakanya ukulawula igazi, ukutyhala ulwelo ngokukhawuleza, njl.
20 Igeyiji: Usenokukwazi ukutyhala igazi ngale sayizi ukuba akukwazi ukusebenzisa igeyiji ye-18, kodwa soloko ujonga iprothokholi yomqeshi wakho. Lo bukhulu bungcono kwizigulane ezineemithana ezincinci.
22 Igeyiji: Le sayizi incinci ilungile xa isigulana singayi kufuna i-IV ixesha elide kwaye singaguli kakhulu. Ngesiqhelo awukwazi ukukhupha igazi ngenxa yobukhulu balo, nangona kunjalo, ezinye iiprothokholi zasesibhedlele zivumela ukusetyenziswa kwe-22 G ukuba kuyimfuneko.
24 Igeyiji: Le sayizi isetyenziselwa izifo zabantwana kwaye idla ngokusetyenziswa kuphela njengendawo yokugqibela njenge-IV kubantu abadala.
Ekuqukumbeleni
I-intravenous cannula sisixhobo sonyango esiyimfuneko kwimisebenzi eyahlukeneyo yeklinikhi. I-Shanghai TeamStand Corporation ngumboneleli wesixhobo sonyango esinobuchule kunye nomvelisi, obonelela ngeendidi ze-cannula ezikumgangatho ophezulu kunye nezinye iimveliso. Xa ukhetha i-IV cannula, kubalulekile ukuqwalasela iintlobo ezahlukeneyo, iimpawu kunye nobukhulu obukhoyo. Ezona ndidi ziphambili zii-peripheral venous cannulae, ii-catheter ze-venous ezisembindini, kunye ne-midline catheters. Iimpawu ezinje ngemathiriyeli yecatheter, uyilo lwencam, kunye nobukho bamaphiko okanye izibuko zokutofa kufuneka ziqwalaselwe. Ukongezelela, ubukhulu be-cannula ye-intravenous (ebonakaliswe ngumlinganiselo wemitha) iyahluka ngokuxhomekeka kungenelelo oluthile lonyango. Ukukhetha i-cannula efanelekileyo ye-intravenous kwisigulane ngasinye kubalulekile ekuqinisekiseni unyango olukhuselekileyo nolusebenzayo.
Ixesha lokuposa: Nov-01-2023