Ubungakanani beSeti yeVein yeScalp yabantu abadala: Isikhokelo esipheleleyo

Intshayelelo

Iseti yemithambo yentloko, eyaziwa ngokuba yinaliti yebhabhathane, sisixhobo sezonyango esisetyenziswa kakhulu ukufikelela kwimithambo. Yenzelwe ukufakwa kwemithambo yegazi (IV) ixesha elifutshane, ukuthatha iisampulu zegazi, okanye ukunika amayeza. Nangona ibizwa ngokuba yiseti yemithambo yentloko, ingasetyenziswa kwimithambo eyahlukeneyo yomzimba—hayi nje kuphela entlokweni.

Nangona isetyenziswa rhoqo kwizigulane zabantwana kunye nezigulana ezisandul’ ukuzalwa, iiseti zemithambo yentloko zikwasetyenziswa nakubantu abadala, ingakumbi xa kunzima ukufikelela kwimithambo engaphandle. Ukuqonda ubungakanani beeseti zemithambo yentloko kubantu abadala kubalulekile ukuqinisekisa intuthuzelo, ukhuseleko, kunye nonyango olusebenzayo lwe-IV.

Yintoni iseti yemithambo yentloko?

Iseti yemithambo yentloko inenaliti encinci yentsimbi engagqwaliyo enamathele kumaphiko eplastiki aguquguqukayo kunye nombhobho ocacileyo oqhagamshela kumgca we-IV okanye kwisirinji. Amaphiko avumela umboneleli wezempilo ukuba abambe aze afake inaliti ngolawulo olungcono kunye nokuzinza.

Iseti nganye yemithambo yentloko inemibala ngokwesayizi yayo, nto leyo echaza ububanzi benaliti kunye nesantya sokuhamba kwayo. Amanani amancinci eegeyiji abonisa ububanzi benaliti obukhulu, nto leyo evumela amazinga aphezulu okuhamba kweenaliti.

Kutheni Usebenzisa Iseti Yemithambo Yentloko Kubantu Abadala?

Nangona ii-catheter ze-peripheral IV zixhaphake kakhulu kubantu abadala, iiseti zemithambo yentloko zisetyenziswa xa:

Imithambo ibuthathaka, incinci, okanye kunzima ukuyifumana
Isigulana sifuna ukufakwa igazi ixesha elifutshane okanye ukuqokelelwa kwegazi
Isigulana asikhululeki ngee-cannulas eziqhelekileyo ze-IV
Ukubhoboza imingxunya kufuneka kwenziwe ngaphandle kokwenzakala kakhulu

Kwiimeko ezinjalo, iseti yemithambo yentloko yabantu abadala inika ukhetho oluthambileyo noluchanekileyo.

Ubungakanani beSeti yeVein yeScalp yabantu abadala

Ubungakanani beiseti yemithambo yentlokoilinganiswa ngegeyiji (G). Inombolo yegeyiji ibonisa ububanzi bangaphandle benaliti — okukhona inani legeyiji liphezulu, kokukhona inaliti incinci.

Nantsi ingcaciso emfutshane malunga nobukhulu beeseti zemithambo yentloko eqhelekileyo kubantu abadala:

Ubungakanani beSeti yeVein yeScalp ecetyiswayo kubantu abadala

Xa ukhetha iseti yemithambo yentloko yabantu abadala, kubalulekile ukulinganisela isantya sokuhamba kwegazi, intuthuzelo, kunye nemeko yemithambo.

Kwi-infusion ngokubanzi: 21G okanye 22G
Ezi zezona zibukhulu zisetyenziswa kakhulu kwizigulane ezindala, zibonelela ngokulinganisela okuhle phakathi kokuhamba kwamanzi kunye nentuthuzelo.

Ukuqokelelwa kwegazi: 21G
Iseti yemithambo yentloko ene-gauge ezingama-21 isetyenziswa kakhulu ekubhobozeni imingxunya kuba ivumela ukuhamba kwegazi ngokufanelekileyo ngaphandle kokubangela ukubola kwemingxunya.

Ukuze ufakwe okanye ufakwe igazi ngokukhawuleza: 18G okanye 20G
Kwiimeko zongxamiseko okanye kwiindawo zotyando apho kufuneka kufakwe khona ulwelo oluninzi ngokukhawuleza, kukhethwa igeyiji enkulu (inani elincinci).

Kwimithambo ebuthathaka: 23G okanye 24G
Izigulana ezikhulileyo okanye eziphelelwe ngamanzi emzimbeni zihlala zinemithambo ebuthathaka enokufuna inaliti encinci ukunciphisa ukungonwabi nokunciphisa umonakalo wemithambo.

Indlela yokukhetha iseti yemithambo yentloko efanelekileyo

Ukukhetha ubungakanani obuchanekileyo be-scalp vein set kuxhomekeke kwizinto ezininzi ezinxulumene neklinikhi kunye nezigulane:

1. Injongo Yokusetyenziswa

Qinisekisa ukuba iseti yemithambo yentloko iya kusetyenziselwa unyango lokufakwa kwe-infusion, iisampulu zegazi, okanye ukunikezelwa kwamayeza okwethutyana. Kwi-infusion ende, i-gauge enkulu kancinci (umz., 21G) inokuba luncedo.

2. Imeko yemithambo yegazi

Hlola ubungakanani, ukubonakala, kunye nobuthathaka bemithambo. Imithambo emincinci, ethambileyo ifuna i-gauge ephezulu (umz., 23G–24G), ngelixa imithambo emikhulu, esempilweni inokunyamezela i-18G–20G.

3. Iimfuneko zeNqanaba lokuhamba kwamanzi

Amanqanaba aphezulu okuhamba kwamanzi afuna ububanzi obukhulu. Umzekelo, ngexesha lokufunxwa kwe-IV ngokukhawuleza, iseti yemithambo yentloko engama-20G inika ukuhamba ngokukhawuleza xa kuthelekiswa ne-23G.

4. Intuthuzelo Yesigulane

Intuthuzelo ibaluleke kakhulu, ingakumbi kwizigulana ezifuna ukufakwa iinaliti rhoqo. Ukusebenzisa inaliti encinci (i-gauge ephezulu) kunokunciphisa iintlungu kunye nokuxhalaba.

Iingenelo zokusebenzisa iiSeti zeMithambo yeScalp

Ulawulo olungcono kunye nozinzo ngexesha lokufakwa
Ukunciphisa ukwenzakala kwemithambo ngenxa yamaphiko aguquguqukayo
Umngcipheko ophantsi wokukhubeka kwenaliti
Ilungele ukufunxwa okanye ukutsalwa igazi okwethutyana
Ukungonwabi kangako kwizigulane ezinemithambo emincinci okanye ebuthathaka

Ngenxa yezi nzuzo, iiseti zemithambo yentloko zihlala zilukhetho oluthembekileyo kwizibhedlele, kwiikliniki nakwiilabhoratri.

Amanyathelo okhuseleko xa usebenzisa iiSeti zeVein zeScalp

Nangona esi sixhobo silula, iingcali zonyango kufuneka zilandele iindlela ezifanelekileyo zokulawula usulelo kunye neendlela zokhuseleko:

1. Sebenzisa iiseti zemithambo yentloko ecocekileyo nezingasetyenziswayo rhoqo.
2. Hlola ukuthembeka kwephakheji ngaphambi kokuba uyisebenzise.
3. Kuphephe ukusebenzisa kwakhona okanye ukugoba inaliti.
4. Lahla iseti esetyenzisiweyo ngoko nangoko kwisikhongozeli se-sharps.
5. Khetha ubungakanani obufanelekileyo bokulinganisa ukuthintela umonakalo okanye ukungena kwemithambo yegazi.
6. Jonga indawo efakwe kuyo inaliti ukuze ubone ukuba ibomvu, ukudumba, okanye iintlungu.

Ukulandela la manyathelo kunceda ekunciphiseni iingxaki ezifana ne-phlebitis, usulelo, okanye ukukhupha i-extravasation.

Iiseti zemithambo yesikhumba elahlwayo vs. ephinda isetyenziswe

Uninzi lweeseti zemithambo yentloko yanamhlanje ziyalahlwa, zenzelwe ukusetyenziswa kube kanye ukugcina ubudlolo nokunciphisa umngcipheko wosulelo. Iiseti ezinokuphinda zisetyenziswe azisetyenziswa rhoqo kwiindawo zonyango namhlanje ngenxa yemithetho engqongqo yokulawula usulelo.

Iiseti zemithambo yentloko elahlwayoikwafumaneka kwiindlela zoyilo ezirhoxa ngesandla okanye ezirhoxa ngokuzenzekelayo ukuze kuphuculwe ukhuseleko lwenaliti, nto leyo enciphisa ukwenzakala ngengozi kwenaliti.

Isiphelo

Ukukhetha ubungakanani obufanelekileyo bemithambo yentloko kubantu abadala kubalulekile kunyango olukhuselekileyo nolusebenzayo lwe-IV.

Ngokubanzi, iiseti ze-21G–22G zifanelekile kwiinkqubo ezininzi zabantu abadala, ngelixa i-18G–20G isetyenziselwa ukufunxwa ngokukhawuleza kunye ne-23G–24G kwimithambo ebuthathaka.

Ngokuqonda ubungakanani beegeyiji, imeko yemithambo yegazi, kunye nokusetyenziswa okucetywayo, ababoneleli bezempilo banokuphucula intuthuzelo yesigulana kunye neziphumo zonyango.

Iseti yemithambo yentloko ekhethwe kakuhle ayiqinisekisi nje kuphela ukufikelela okuthembekileyo kwimithambo kodwa ikwaphucula ukhuseleko kunye nomgangatho wonyango lokufakwa kwe-infusion.