Intshayelelo
Kwihlabathi lezixhobo zonyango, iEmithanjeni (IV) cannulasisixhobo esibalulekileyo esisetyenziswa ezibhedlele nakwiindawo zonyango ukuze kufakwe ulwelo namayeza ngqo egazini lesigulana. Ukukhetha okulungileyoIV ubungakanani be-cannulakubalulekile ukuqinisekisa unyango olusebenzayo kunye nentuthuzelo yesigulane. Eli nqaku liza kuphonononga iintlobo ezahlukeneyo ze-IV cannula ubukhulu, izicelo zabo, kunye nendlela yokukhetha ubungakanani obufanelekileyo kwiimfuno ezithile zonyango. eShanghaiTeamStandIqumrhu, umboneleli ophambili weiimveliso ezilahlwayo zonyango, kubandakanywa ne-IV cannulas, uye waba phambili ekuboneleleni ngezisombululo eziphezulu kwiingcali zonyango.
Iindidi ze-IV Cannula
I-Intravenous (IV) cannulas zizixhobo zonyango eziyimfuneko ezisetyenziselwa ukuhambisa ulwelo, amayeza, okanye izondlo ngqo kwigazi lomguli. Ngokuxhomekeke kwimeko yeklinikhi, iindidi ezininzi ze-IV cannulas zisetyenziswa, nganye isebenzela iinjongo ezithile. Ngezantsi ziintlobo eziphambili:
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.
2. Central Line IV Cannula
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 (iiveki ze-serveral okanye inyanga), ngakumbi xa i-high-volume fluids, i-chemotherapy, okanye i-total parenteral nutrition (TPN) iyadingeka.
3. I-IV Catheter System evaliweyo
Inkqubo ye-catheter ye-IV evaliweyo, eyaziwa ngokuba yi-cannula yokhuseleko ye-IV, yenzelwe ityhubhu eqhotyoshelweyo yokwandiswa kwangaphambili kunye nezihlanganisi ezingenanaliti ukunciphisa umngcipheko wosulelo kunye nokulimala kwenaliti. Inika inkqubo evaliweyo ukusuka ekufakweni ukuya kulawulo lwe-fluid, inceda ukugcina inzala kunye nokunciphisa ukungcola.
4. I-Catheter ephakathi
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.
IV Cannula Imibala kunye nobukhulu
| Ikhowudi yoMbala | IGAUGE | OD (mm) | UBUDE | IXESHA LOKUHAMBA(ml/min) |
| Orenji | 14G | 2.10 | 45 | 290 |
| Grey ephakathi | 16G | 1.70 | 45 | 176 |
| Mhlophe | 17G | 1.50 | 45 | 130 |
| Ubuluhlaza obunzulu | 18G | 1.30 | 45 | 76 |
| Pinki | 20G | 1.00 | 33 | 54 |
| Blue Blue | 22G | 0.85 | 25 | 31 |
| Lubhelu | 24G | 0.70 | 19 | 14 |
| Violet | 26G | 0.60 | 19 | 13 |
Usetyenziso lwe-IV Cannula Sizes
1. Iyeza likaNgxamiseko:
- Kwiimeko ezingxamisekileyo, ii-cannulas ezinkulu ze-IV (i-14G kunye ne-16G) zisetyenziselwa ukuhambisa amanzi kunye namayeza ngokukhawuleza.
2. Utyando kunye ne-Aneesthesia:
- I-IV cannulas ephakathi (i-18G kunye ne-20G) isetyenziswa ngokuqhelekileyo ngexesha leenkqubo zokuhlinzwa ukuze kugcinwe ukulinganisela kwamanzi kunye nokulawula i-anesthesia.
3. Unyango lwabantwana kunye neGeriatrics:
- Iicannulas ezincinci ze-IV (22G kunye ne-24G) zisetyenziselwa iintsana, abantwana, kunye nezigulane ezikhulileyo ezinemithambo ebuthathaka.
Indlela yokukhetha ubungakanani obufanelekileyo beCannula IV
Ukukhetha ubungakanani obufanelekileyo becannula ye-IV kufuna uqwalaselo ngononophelo lwemeko yesigulana kunye neemfuno zonyango:
1. Khetha ubungakanani beCannula ye-IV kunye noMbala ngokweminyaka
| Amaqela | Cebisa IV Cannula Ubungakanani | |
| Iintsana kunye neentsana ezisanda kuzalwa (0-1 unyaka ubudala) | 24G(tyheli), 26G(mfusa) | Imithambo mincinci kubantwana abasanda kuzalwa. Kukhethwa iicannulas ezincinci. |
| Abantwana (1-12 iminyaka ubudala) | 22G(bhlowu), 24G(yellow) | Imithambo iba mikhulu njengoko ikhula, i-22G kunye ne-24G isetyenziswa ngokuqhelekileyo |
| Ulutsha (iminyaka eyi-13-18 ubudala) | 20G(pinki), 22G(bhlowu) | Imithambo yolutsha ivalwe kubantu abadala, i-20G kunye ne-22G ifanelekile. |
| Abantu abadala (19+ iminyaka ubudala) | 18G(luhlaza), 20G(pinki), 22G(bhlowu) | Kubantu abadala, ukhetho lwesayizi ye-cannula luyohluka ngokusekwe kwiinkqubo kunye nobukhulu bomthambo. Uninzi lweesayizi ezisetyenziswa ngokuqhelekileyo ziyi-18G, 20G, 22G. |
| Abantu abadala (iminyaka engama-60+ ubudala) | 20G(pinki), 22G(bhlowu) | Njengoko imithambo inokuba buthathaka ngakumbi ngokukhula, ubungakanani obufanelekileyo be-cannula bubaluleke kakhulu ekunciphiseni ukungonwabi kunye nomngcipheko weengxaki. I-Cannulas ukusuka kwi-20 ukuya kwi-22 gauge isetyenziswa ngokuqhelekileyo. |
Ezinye Iingqwalasela Ezikhethekileyo Ezibalulekileyo
Ukuthathela ingqalelo ubungakanani bemithambo yezigulana sisiqalo esiluncedo kodwa kukho ezinye izinto ezongezelelweyo ekufuneka uziqwalasele ngelixa ukhetha ubungakanani becannula obufanelekileyo be-IV:
Iimeko zonyango zesigulana:Kukho iimeko ezithile ezinokuchaphazela ukhetho lobungakanani becannula. Umzekelo izigulana ezinemithambo eethe-ethe zinokufuna isayizi encinci.
Amava engcali yezempilo :ubuchule bokufaka kunye namava ochwephesha nawo adlala indima ebalulekileyo.
Uhlobo lonyango lwe-IV:Uhlobo lolwelo kunye namayeza asetyenziswayo aphembelela ukhetho lobungakanani
Iintlobo ezidumileyo ze-IV Cannula
1. I-IV Cannula elahlayo
2. ukhuseleko IV Cannula
3. I-IV Cannula enezibuko lokutofa
Ukuqukumbela
Iicannulas ze-IV zizixhobo eziyimfuneko kukhathalelo lwempilo lwangoku, zenza ukuba iingcali zonyango zilawule ulwelo kunye namayeza ngokuthe ngqo kwigazi lesigulana. I-Shanghai Team Stand Corporation, umboneleli ohloniphekileyo weemveliso ezilahlayo zonyango, kuquka i-IV cannulas, uzibophelele ekuboneleleni ngezisombululo ezikumgangatho ophezulu kubaboneleli bezempilo kwihlabathi jikelele. Xa ukhetha ubungakanani obufanelekileyo be-cannula ye-IV, kubalulekile ukuqwalasela iminyaka yesigulana, imeko, kunye neemfuno ezithile zonyango ukuze kuqinisekiswe iziphumo zonyango ezizezona kunye nokuthuthuzelwa kwesigulana. Ngokuqonda iintlobo ezahlukeneyo zeIV ubungakanani becannulakunye nezicelo zabo, iingcali zonyango zinokuphucula amandla abo okunikezela ngononophelo olusebenzayo nolusebenzayo lwesigulana.
Ixesha lokuposa: Aug-07-2023