Yazisa
I-Shanghai TeamStand Corporation yingcaliumboneleli wezixhobo zonyangokunye nomenzi. Banikezela ngeemveliso ezahlukeneyo ezikumgangatho ophezulu, kuqukai-cannula efakwa emthanjeni,inaliti yeseti yemithambo yentloko,iinaliti zokuqokelela igazi,iisirinji ezilahlwayokunyeiiports ezinokufakelwaKule nqaku, siza kugxila ngokukodwa kwi-IV Cannula. Siza kuxoxa ngeentlobo ezahlukeneyo, iimpawu kunye nobukhulu obufumanekayo kwimarike namhlanje.
Iintlobo ze-IV Cannula
IiCannula ze-IV zizixhobo ezibalulekileyo zonyango ezisetyenziselwa unyango lwe-intravenous, utofelo-gazi, kunye nokunikezelwa kwamayeza. Ziza ngeentlobo ezahlukeneyo ukuze zilungele iimfuno ezithile zesigulana. Ezona zixhaphakileyoiintlobo zeeCannula ze-IVziquka:
1. I-Peripheral IV Cannula
I-Peripheral IV cannula lolona hlobo lusetyenziswa kakhulu kwizibhedlele nakwiikliniki. Ifakwa kwimithambo emincinci engaphandle, idla ngokuba sezingalweni okanye ezandleni. Olu hlobo lufanelekile kunyango lwexesha elifutshane, olufana nokuvuselela ulwelo, amayeza okubulala iintsholongwane, okanye ulawulo lweentlungu. Kulula ukuyifaka nokuyisusa, nto leyo eyenza ukuba ilungele ukusetyenziswa ngokukhawuleza nangokungxamisekileyo.
Ezona mpawu:
- Ubude obufutshane (ngesiqhelo bungaphantsi kwee-intshi ezi-3)
- Isetyenziselwa ukufikelela kwixesha elifutshane (ngesiqhelo ingaphantsi kweveki)
- Ifumaneka ngobukhulu obahlukeneyo
- Isetyenziswa rhoqo kwizigulana ezingalaliswanga okanye ezilaliswayo
I-Central Line IV cannula ifakwa kumthambo omkhulu, oqhele ukuba sentanyeni (umthambo wangaphakathi we-jugular), esifubeni (umthambo we-subclavian), okanye emqolo (umthambo we-femoral). Incam ye-catheter iphelela kwi-vena cava ephezulu kufutshane nentliziyo. I-Central lines isetyenziselwa unyango lwexesha elide, ingakumbi xa kufuneka ulwelo oluphezulu, i-chemotherapy, okanye i-total parenteral nutrition (TPN).
Ezona mpawu:
- Ukusetyenziswa ixesha elide (ukusuka kwiiveki ukuya kwiinyanga)
- Ivumela ukulawulwa kwamayeza okucaphukisa okanye awe-vesicant
- Isetyenziselwa ukujonga uxinzelelo lwemithambo yegazi ephakathi
- Ifuna ubuchule obungenazintsholongwane kunye nesikhokelo somfanekiso
3. Inkqubo yeCatheter ye-IV evaliweyo
A Inkqubo ye-catheter ye-IV evaliweyo, ekwaziwa ngokuba yi-safety IV cannula, yenzelwe ukuba ibe netyhubhu yokwandisa eqhotyoshelweyo kunye nezihlanganisi ezingenanaliti ukunciphisa umngcipheko wosulelo kunye nokwenzakala kwenaliti. Ibonelela ngenkqubo evaliweyo ukusuka ekufakweni ukuya ekunikezelweni kolwelo, inceda ukugcina ubudlolo kunye nokunciphisa ungcoliseko.
Ezona mpawu:
- Kunciphisa ukuvezwa kwegazi kunye neengozi zosulelo
- Ukhuseleko lwenaliti oludibeneyo
- Iphucula ukhuseleko lwabasebenzi bezempilo
- Ifanelekile kwiindawo ezinemigangatho ephezulu yokulawula usulelo
I-Midline catheter luhlobo lwesixhobo se-peripheral IV esifakwe kumthambo ongakwingalo engasentla kwaye siqhubele phambili ukuze incam ilale ngaphantsi kwegxalaba (ingafikeleli kwimithambo ephakathi). Ifanelekile kunyango lwexesha eliphakathi—ngesiqhelo ukusuka kwiiveki enye ukuya kwezine—kwaye isetyenziswa rhoqo xa kufuneka ukufikelela rhoqo kwi-IV kodwa umgca ophakathi awufuneki.
Ezona mpawu:
- Ubude buqala kwi-intshi ezi-3 ukuya kwezi-8
- Ifakwe kwimithambo emikhulu engaphandle (umz., i-basilic okanye i-cephalic)
- Umngcipheko omncinci weengxaki kunemigca ephakathi
- Isetyenziselwa amayeza okubulala iintsholongwane, ukufunxwa kwamanzi, kunye namayeza athile
Iimpawu zee-cannulas ezifakwa kwi-intravenous
Ii-cannula ezifakwa emithanjeni zenzelwe izinto ezininzi ukuqinisekisa intuthuzelo kunye nokhuseleko olufanelekileyo lwesigulana ngexesha lonyango olufakwa emithanjeni. Ezinye zeempawu eziphambili ziquka:
1. Izinto ze-catheter: Ii-cannula ezifakwa emithanjeni zenziwe ngezinto ezifana ne-polyurethane okanye i-silicone. Ezi zinto ziyahambelana ne-biochemical kwaye zinciphisa umngcipheko we-thrombosis okanye usulelo.
2. Uyilo lwencam ye-catheter: Incam ye-cannula ingatsolo okanye ibe yingqukuva. Incam ebukhali isetyenziswa xa kufuneka kugqojozwe udonga lwemithambo yegazi, ngelixa incam engqukuva ifanelekile kwimithambo ethambileyo ukunciphisa umngcipheko weengxaki ezinxulumene nokugqojozwa.
3. Enephiko okanye Engenamaphiko: Ii-cannula ze-IV zinokuba namaphiko anamathele kwi-hub ukuze kube lula ukuwaphatha nokuwakhusela xa efakwa.
4. Isango lokujova: Ezinye ii-cannula ezifakwa kwimithambo zixhotyiswe ngesango lokujova. Ezi sango zivumela ukuba kujovwe amayeza ongezelelweyo ngaphandle kokususa i-catheter.
| Ikhowudi yoMbala | IGAUGE | OD (mm) | UBUDE | IZINGA LOKUGQIBELA (ml/min) |
| Orenji | 14G | 2.1 | 45 | 290 |
| Ungwevu oPhakathi | 16G | 1.7 | 45 | 176 |
| Mhlophe | 17G | 1.5 | 45 | 130 |
| Uluhlaza Obunzulu | 18G | 1.3 | 45 | 76 |
| Pinki | 20G | 1 | 33 | 54 |
| Uluhlaza Oluhlaza Okwesibhakabhaka | 22G | 0.85 | 25 | 31 |
| Lubhelu | 24G | 0.7 | 19 | 14 |
| I-Violet | 26G | 0.6 | 19 | 13 |
16 Gauge: Olu bungakanani lusetyenziswa kakhulu kwiindawo ze-ICU okanye kwiindawo zotyando. Olu bungakanani bukhulu buvumela ukuba kwenziwe iinkqubo ezininzi ezahlukeneyo, ezinje ngokufakwa kwegazi, ukufakwa kolwelo ngokukhawuleza, njalo njalo.
I-18 Gauge: Olu bukhulu lukuvumela ukuba wenze uninzi lwemisebenzi enokwenziwa yi-16 gauge, kodwa lukhulu kwaye lubuhlungu ngakumbi kwisigulana. Ezinye zeendlela eziqhelekileyo zokusetyenziswa ziquka ukuhambisa igazi, ukutyhala ulwelo ngokukhawuleza, njl. Ungalusebenzisa kwi-CT PE Protocols okanye olunye uvavanyo olufuna ubungakanani obukhulu be-IV.
I-20 Gauge: Usenokukwazi ukutyhala igazi kule sayizi ukuba awukwazi ukusebenzisa i-18 gauge, kodwa soloko ujonga indlela yomqeshi wakho. Le sayizi ingcono kwizigulane ezinemithambo emincinci.
I-22 Gauge: Le sayizi incinci ilungele xa isigulane singayidingi i-IV ende kwaye singaguli kakhulu. Ngokwesiqhelo awukwazi ukufaka igazi ngenxa yokuba lincinci, nangona kunjalo, ezinye iindlela zesibhedlele zivumela ukusetyenziswa kwe-22 G ukuba kuyimfuneko.
24 Gauge: Olu bungakanani lusetyenziselwa abantwana kwaye ludla ngokusetyenziswa kuphela njengesisombululo sokugqibela njenge-IV kubantu abadala.
Ekuqukumbeleni
I-cannula efakwa kwimithambo yegazi sisixhobo sezonyango esiyimfuneko kwimisebenzi eyahlukeneyo yezonyango. I-Shanghai TeamStand Corporation ngumthengisi kunye nomenzi wezixhobo zonyango zobungcali, ebonelela ngeentlobo ngeentlobo zee-cannula ezifakwa kwimithambo yegazi ezikumgangatho ophezulu kunye nezinye iimveliso. Xa ukhetha i-cannula ye-IV, kubalulekile ukuqwalasela iintlobo ezahlukeneyo, iimpawu, kunye nobukhulu obufumanekayo. Iintlobo eziphambili zii-cannulae zemithambo yegazi ezingaphandle, ii-catheters zemithambo yegazi ephakathi, kunye nee-catheters eziphakathi. Iimpawu ezifana nezinto ze-catheter, uyilo lwe-tip, kunye nokuba khona kwamaphiko okanye i-injection ports kufuneka ziqwalaselwe. Ukongeza, ubungakanani be-cannula efakwa kwimithambo yegazi (eboniswa yimitha yokulinganisa) buyahluka ngokuxhomekeke kungenelelo oluthile lwezonyango. Ukukhetha i-cannula efanelekileyo efakwa kwimithambo yegazi kwisigulana ngasinye kubalulekile ukuqinisekisa unyango olukhuselekileyo nolusebenzayo lwemithambo yegazi.
Ixesha lokuthumela: Novemba-01-2023