Intshayelelo
Kwihlabathi lezixhobo zonyango,I-cannula efakwa emthanjeni (IV)sisixhobo esibalulekileyo esisetyenziswa kwizibhedlele nakwizibonelelo zempilo ukunika ulwelo kunye namayeza ngqo egazini lesigulana. Ukukhetha okulungileyoUbungakanani be-cannula ye-IVKubalulekile ukuqinisekisa unyango olusebenzayo kunye nentuthuzelo yesigulana. Eli nqaku liza kuhlola iintlobo ngeentlobo zobukhulu be-IV cannula, ukusetyenziswa kwazo, kunye nendlela yokukhetha ubungakanani obufanelekileyo kwiimfuno ezithile zonyango.I-TeamStandI-Corporation, umthengisi ophambili weiimveliso zonyango ezilahlwayo, kuquka nee-IV cannulas, ibisoloko iphambili ekunikezeni izisombululo ezisemgangathweni ophezulu kwiingcali zonyango.
Iintlobo ze-IV Cannula
Ii-cannula ze-intravenous (IV) zizixhobo ezibalulekileyo zonyango ezisetyenziselwa ukuhambisa ulwelo, amayeza, okanye izondlo ngqo egazini lomguli. Ngokuxhomekeke kwimeko yeklinikhi, kusetyenziswa iintlobo ezahlukeneyo zee-cannula ze-IV, nganye isebenzela injongo ethile. Nazi iintlobo eziphambili:
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.
2. I-Cannula yoMgca oPhakathi we-IV
I-Central Line IV cannula ifakwa kumthambo omkhulu, ngesiqhelo entanyeni (umthambo wangaphakathi we-jugular), esifubeni (umthambo we-subclavian), okanye emqolo (umthambo we-femoral). Incam ye-catheter iphelela kwi-vena cava ephezulu kufutshane nentliziyo. Imigca ephakathi isetyenziselwa unyango lwexesha elide (iiveki ezininzi okanye inyanga), ingakumbi xa kufuneka ulwelo oluphezulu, i-chemotherapy, okanye i-total parenteral nutrition (TPN).
3. Inkqubo yeCatheter ye-IV evaliweyo
Inkqubo ye-catheter ye-IV evaliweyo, eyaziwa ngokuba yi-safety IV cannula, yenzelwe ukuba 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.
4. I-Midline Catheter
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.
Imibala kunye nobukhulu beCannula ye-IV
| Ikhowudi yoMbala | IGAUGE | OD (mm) | UBUDE | IZINGA LOKUGQIBELA (ml/min) |
| Orenji | 14G | 2.10 | 45 | 290 |
| Ungwevu oPhakathi | 16G | 1.70 | 45 | 176 |
| Mhlophe | 17G | 1.50 | 45 | 130 |
| Uluhlaza Obunzulu | 18G | 1.30 | 45 | 76 |
| Pinki | 20G | 1.00 | 33 | 54 |
| Uluhlaza Oluhlaza Okwesibhakabhaka | 22G | 0.85 | 25 | 31 |
| Lubhelu | 24G | 0.70 | 19 | 14 |
| I-Violet | 26G | 0.60 | 19 | 13 |
Ukusetyenziswa kobukhulu be-IV Cannula
1. Amayeza angxamisekileyo:
- Kwiimeko ezingxamisekileyo, ii-cannula ezinkulu ze-IV (14G kunye ne-16G) zisetyenziselwa ukuhambisa ulwelo kunye namayeza ngokukhawuleza.
2. Utyando kunye ne-Anesthesia:
- Ii-cannula ze-IV eziphakathi (18G kunye ne-20G) zihlala zisetyenziswa ngexesha lotyando ukugcina ulungelelwano lolwelo kunye nokuhambisa i-anesthesia.
3. IiPediatrics kunye neGeriatrics:
- Ii-cannula ezincinci ze-IV (22G kunye ne-24G) zisetyenziselwa iintsana, abantwana, kunye nezigulane ezindala ezinemithambo ebuthathaka.
Indlela yokukhetha ubungakanani be-IV Cannula efanelekileyo
Ukukhetha ubungakanani obufanelekileyo be-IV cannula kufuna ukuqwalaselwa ngononophelo imeko yesigulana kunye neemfuno zonyango:
1. Khetha ubungakanani kunye nombala we-IV Cannula ngokweminyaka
| Amaqela | Iisayizi zeCannula ezicetyiswayo ze-IV | |
| Iintsana kunye neentsana ezisandul' ukuzalwa (unyaka o-0-1 ubudala) | 24G (tyheli), 26G (mfusa) | Umthambo mncinane kakhulu xa usandul' ukuzalwa. Iicannula ezincinci ziyathandwa. |
| Abantwana (1-12 iminyaka ubudala) | 22G (luhlaza okwesibhakabhaka), 24G (tyheli) | Imithambo iba mikhulu njengoko ikhula, i-22G kunye ne-24G zihlala zisetyenziswa |
| Ulutsha (iminyaka eli-13-18 ubudala) | 20G (pinki), 22G (luhlaza okwesibhakabhaka) | Imithambo yegazi yolutsha ivaliwe kubantu abadala, i-20G kunye ne-22G zifanelekile. |
| Abantu abadala (abaneminyaka eli-19 nangaphezulu) | 18G (luhlaza), 20G (pinki), 22G (luhlaza okwesibhakabhaka) | Kwabantu abadala, ukhetho lobungakanani be-iv cannula luyahluka ngokuxhomekeke kwiinkqubo kunye nobukhulu bemithambo. Olona bungakanani lusetyenziswa kakhulu yi-18G, 20G, 22G. |
| Izigulane zabantu abadala (ezineminyaka engama-60 nangaphezulu ubudala) | 20G (pinki), 22G (luhlaza okwesibhakabhaka) | Njengoko imithambo yegazi isenokuba buthathaka ngakumbi xa ukhula, ubungakanani obufanelekileyo be-cannula bubaluleke kakhulu ukunciphisa ukungonwabi kunye nomngcipheko weengxaki. Ii-Cannula eziqala kwi-20 ukuya kwi-22 gauge zisetyenziswa rhoqo. |
Ezinye izinto ezibalulekileyo ezibalulekileyo ekufuneka uziqwalasele
Ukuqwalasela ubungakanani bemithambo yegazi yezigulane yindawo eluncedo yokuqala kodwa kukho ezinye izinto ekufuneka ziqwalaselwe xa ukhetha ubungakanani obufanelekileyo be-IV cannula:
Iimeko zonyango zesigulana:Kukho iimeko ezithile ezinokuchaphazela ukukhethwa kobukhulu be-cannula. Umzekelo, izigulane ezinemithambo-luvo ebuthathaka zinokufuna ubungakanani obuncinci.
Amava engcali yezempilo:Indlela yokufaka kunye namava engcali nazo zidlala indima ebalulekileyo.
Uhlobo lonyango lwe-IV:Uhlobo lolwelo kunye namayeza anikwayo zichaphazela ukukhethwa kobungakanani
Iintlobo ezidumileyo ze-IV Cannula
1. iCannula ye-IV elahlwayo
2. ukhuseleko IV Cannula
3. I-IV Cannula ene-injection port
Isiphelo
Ii-cannula ze-IV zizixhobo ezibalulekileyo kunyango lwanamhlanje, ezivumela iingcali zonyango ukuba zinike ulwelo kunye namayeza ngqo egazini lesigulana. I-Shanghai Team Stand Corporation, umthengisi odumileyo weemveliso zonyango ezilahlwayo, kuquka ii-cannula ze-IV, izibophelele ekuboneleleni ngezisombululo ezisemgangathweni ophezulu kubaboneleli bezempilo kwihlabathi liphela. Xa ukhetha ubungakanani be-cannula ye-IV efanelekileyo, kubalulekile ukuqwalasela ubudala besigulana, imeko, kunye neemfuno ezithile zonyango ukuqinisekisa iziphumo zonyango ezilungileyo kunye nentuthuzelo yesigulana. Ngokuqonda iintlobo ezahlukeneyo zeUbungakanani be-cannula ye-IVkunye nezicelo zabo, iingcali zonyango zinokuphucula amandla azo okubonelela ngonyango olusebenzayo nolusebenzayo lwezigulane.
Ixesha lokuthumela: Agasti-07-2023