I-scalp Vein Seta iisayizi zoMdala: Isikhokelo esipheleleyo

Intshayelelo

Iseti ye-scalp vein, eyaziwa ngokuba yinaliti yebhabhathane, sisixhobo sonyango esisetyenziswa ngokuqhelekileyo ukufikelela kwi-venous. Yenzelwe ukufakwa kwi-intravenous (IV) yexesha elifutshane, isampuli yegazi, okanye ulawulo lwamayeza. Nangona ibizwa ngokuba yi-scalp vein set, inokusetyenziswa kwimithambo eyahlukeneyo yomzimba-kungekhona nje entloko.

Nangona isetyenziswa rhoqo kwizigulane zabantwana kunye ne-neonatal, iiseti ze-scalp vein zisetyenziselwa abantu abadala, ngakumbi xa i-peripheral veins kunzima ukufikelela kuyo. Ukuqonda i-scalp vein set sizes kubantu abadala kubalulekile ekuqinisekiseni intuthuzelo yesigulana, ukhuseleko, kunye nonyango olusebenzayo lwe-IV.

Yintoni iSeti yeVein yoNhlophe?

Iseti ye-scalp vein inenaliti ebhityileyo yentsimbi engenasici encanyatheliswe kumaphiko eplastiki athambileyo kunye netyhubhu ecacileyo edibanisa kumgca we-IV okanye isirinji. Amaphiko avumela umboneleli wezempilo ukuba abambe kwaye afake inaliti ngokulawula okungcono kunye nokuzinza.

Iseti nganye ye-scalp vein inombala-coded ngokwegeyiji yobungakanani bayo, nto leyo emisela ububanzi benaliti kunye nesantya sokuhamba kwayo. Amanani amancinci egeyiji abonisa iidamitha zeenaliti ezinkulu, ezivumela amazinga aphezulu okuhamba kwe-infusions.

Kutheni Usebenzisa Umthambo Wentloko Osetweni Kubantu Abadala?

Nangona i-peripheral IV catheters ixhaphake kakhulu kubantu abadala, iiseti ze-scalp vein zisetyenziswa xa:

Imithambo ibuthathaka, incinci, okanye kunzima ukuyibona
Isigulana sifuna ukunyuswa kwexesha elifutshane le-IV okanye ukuqokelela igazi
Isigulane siva ukungonwabi ngeecannulas eziqhelekileyo ze-IV
IVenipuncture kufuneka yenziwe ngomothuko omncinci

Kwiimeko ezinjalo, i-scalp vein isethi kubantu abadala inika ukhetho oluncinci kunye noluchanekileyo.

I-scalp Vein Seta iisayizi zabantu abadala

Ubungakanani beiseti ye-scalp veinulinganiswa ngegeyiji (G). Inombolo ye-gauge ibonisa ububanzi bangaphandle benaliti - iphezulu inombolo ye-gauge, incinci inaliti.

Nalu ujongo olukhawulezayo lweseti yemithambo yentloko eqhelekileyo kubantu abadala:

Kucetyiswa iVein ye-scalp Seti iisayizi zabantu abadala

Xa ukhetha iseti ye-scalp vein kwizigulane zabantu abadala, kubalulekile ukulinganisa izinga lokuhamba, induduzo, kunye nemeko yemithambo.

Ukufakwa ngokubanzi: 21G okanye 22G
Ezi zezona sayizi zisetyenziswa ngokuqhelekileyo kwizigulane zabantu abadala, zinika ibhalansi elungileyo phakathi kwesantya sokuhamba kunye nentuthuzelo.

Ukuqokelela igazi: 21G
Iseti ye-21-gauge ye-scalp vein isetyenziswa ngokubanzi kwi-venipuncture kuba ivumela ukuhamba kwegazi okusebenzayo ngaphandle kokubangela ukubola kwemithambo.

Ukufakwa ngokukhawuleza okanye ukufakelwa: i-18G okanye i-20G
Kwiimeko ezingxamisekileyo okanye zotyando apho umthamo omkhulu wamanzi kufuneka ulawulwe ngokukhawuleza, igeyiji enkulu (inombolo encinci) iyakhethwa.

Kwimithambo eethe-ethe: 23G okanye 24G
Izigulana ezisele zikhulile okanye eziphelelwe ngamanzi emzimbeni zihlala zinemithambo ebuthathaka enokufuna inaliti encinci ukunciphisa ukungonwabi kunye nokunciphisa umonakalo wemithambo.

Ungayikhetha njani iSeti yeVein ye-scalp yasekunene

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

1. Injongo yokusetyenziswa

Qinisekisa ukuba isethi ye-scalp vein iya kusetyenziselwa unyango lwe-infusion, isampuli yegazi, okanye ulawulo lweyeza elifutshane. Ukufakwa ixesha elide, igeyiji enkulu kancinci (umzekelo, i-21G) inokuba luncedo.

2. Imeko yeVein

Vavanya ubungakanani, ukubonakala, kunye nobuthathaka bemithambo. Imithanjana emincinci, ethambileyo ifuna i-gauge ephezulu (umzekelo, i-23G-24G), ngelixa imithambo emikhulu, enempilo inokunyamezela i-18G-20G.

3. IiMfuno zeRhafu yokuHamba

Amazinga aphezulu okuhamba afuna iidayamitha ezinkulu. Ngokomzekelo, ngexesha lokuhamba ngokukhawuleza kwe-IV, isethi ye-20G ye-scalp vein inikeza ukuhamba ngokukhawuleza xa kuthelekiswa ne-23G.

4. Ukuthuthuzela ngomonde

Ukuthuthuzela kubalulekile, ngakumbi kwizigulane ezifuna ukufakwa rhoqo inaliti. Ukusebenzisa inaliti ecikizekileyo (igeyiji ephezulu) kunokunciphisa iintlungu kunye nexhala.

Izinto eziluncedo zokuSebenzisa iiSeti ze-scalp vein

Ukulawula okungcono kunye nokuzinza ngexesha lokufaka
Ukunciphisa i-vein trauma ngenxa yamaphiko aguquguqukayo
Umngcipheko ophantsi wokukhutshwa kwenaliti
Efanelekileyo kwi-infusions yexesha elifutshane okanye ukutsalwa kwegazi
Ukungonwabi okuncinci kwizigulane ezinemithambo emincinci okanye ebuthathaka

Ngenxa yezi nzuzo, iiseti ze-scalp vein zihlala zilukhetho oluthembekileyo kwizibhedlele, iikliniki kunye neelebhu.

Izilumkiso zoKhuseleko xa usebenzisa iiSeti ze-scalp vein

Nangona isixhobo silula, abaqeqeshi bezempilo kufuneka balandele ulawulo olululo losulelo kunye neendlela zokhuseleko:

1. Ngalo lonke ixesha sebenzisa iiseti ze-scalp ezilahlwayo.
2. Hlola ukuthembeka kwephakheji ngaphambi kokusetyenziswa.
3. Kuphephe ukuphinda usebenzise okanye ukugoba inaliti.
4. Lahla iseti esetyenzisiweyo ngokukhawuleza kwisitya esibukhali.
5. Khetha ubungakanani obufanelekileyo bokulinganisa ukuthintela umonakalo okanye ukungena kwi-vein.
6. Beka iliso kwindawo yokugalela ubomvu, ukudumba, okanye iintlungu.

Ukulandela la manyathelo kunceda ukunciphisa iingxaki ezifana ne-phlebitis, usulelo, okanye ukugqithisa.

Ezilahlwayo vs

Uninzi lweeseti zangoku ze-scalp vein ziyalahlwa, ziyilelwe ukusetyenziswa kanye ukugcina ubunyumba kunye nokunciphisa umngcipheko wosulelo. Iiseti ezisebenzisekayo azifane zisetyenziswe kwizicwangciso zeklinikhi namhlanje ngenxa yemithetho engqongqo yolawulo losulelo.

Iiseti zemithambo yentloko ezilahlwayozikwaze noyilo lwezandla olunokurhoxiswa okanye olunokurhoxiswa ngokuzenzekelayo ukwenzela ukhuseleko oluphuculweyo lwenaliti, ukunciphisa ukwenzakala ngempazamo kwinaliti.

Ukuqukumbela

Ukukhetha ubungakanani obufanelekileyo be-scalp vein set kwizigulane zabantu abadala kubalulekile kunyango olukhuselekileyo nolusebenzayo lwe-IV.

Ngokuqhelekileyo, iiseti ze-21G-22G zifanelekile kwiinkqubo ezininzi zabantu abadala, ngelixa i-18G-20G isetyenziselwa ukunyuswa ngokukhawuleza kunye ne-23G-24G kwiimvini ezibuthathaka.

Ngokuqonda ubungakanani begeyiji, imeko yemithambo, kunye nokusetyenziswa okucetywayo, ababoneleli bezempilo banokwandisa intuthuzelo yesigulana kunye neziphumo zeklinikhi.

Iseti ye-scalp ekhethiweyo kakuhle ayiqinisekisi kuphela ukufikelela okuthembekileyo kwe-venous kodwa iphinda ikhulise ukhuseleko olupheleleyo kunye nomgangatho wonyango lwe-infusion.