Intshayelelo
I-Intravenous (IV) catheters ye-cannulaziyimfunekoizixhobo zonyangoesetyenziswa kwiindawo ezahlukeneyo zokhathalelo lwempilo ukunika ulwelo, amayeza, kunye neemveliso zegazi ngokuthe ngqo kwigazi lesigulana.Eli nqaku lijolise ekunikeni ukuqonda okunzuluIV cannula catheters, kubandakanywa umsebenzi wazo, ubungakanani, iindidi, kunye neminye imiba efanelekileyo.
Umsebenzi we-IV Cannula Catheter
I-IV cannula catheter yityhubhu encinci, eguquguqukayo efakwe kwi-vein yesigulane, inika ukufikelela kwinkqubo yokujikeleza kwegazi.Umsebenzi ophambili we-IV cannula catheter kukuhambisa ulwelo oluyimfuneko, i-electrolytes, amayeza, okanye isondlo kwisigulane, ukuqinisekisa ukufakwa ngokukhawuleza nangokufanelekileyo kwigazi.Le ndlela yokulawula inikezela ngeendlela ezithe ngqo kunye nezithembekileyo zokugcina ukulinganisela kwamanzi, ukubuyisela umthamo wegazi elilahlekileyo, kunye nokuhambisa amayeza athatha ixesha.
Ubungakanani be-IV Cannula Catheters
I-IV cannula catheters zifumaneka ngokobukhulu obahlukeneyo, ngokuqhelekileyo ichongwe ngenombolo yegeyiji.Igeyiji imele ububanzi benaliti yecatheter;elincinane inani legeyiji, kokukhona ubukhulu bedayamitha.Ubungakanani obusetyenziswa ngokuqhelekileyo kwi-IV cannula catheters bubandakanya:
I-1. I-14 ukuya kwi-24 I-Gauge: I-cannulas enkulu kakhulu (i-14G) isetyenziselwa ukunyuswa ngokukhawuleza kwamanzi okanye iimveliso zegazi, ngelixa iincinci ezincinci (24G) zifanelekile ukulawula amayeza kunye nezisombululo ezingadingi amazinga aphezulu okuhamba.
2. I-18 ukuya kwi-20 Gauge: Ezi zezona sayizi zisetyenziswa ngokuqhelekileyo kwizicwangciso zesibhedlele jikelele, ukulungiselela uluhlu olubanzi lwezigulane kunye neemeko zeklinikhi.
3. 22 Igeyiji: Ithathwa njengefanelekileyo kubantwana kunye nezigulana ezigugileyo okanye ezo zinemithambo eethe-ethe, njengoko zibangela ukungonwabi kancinci ngexesha lokufakwa.
4. 26 Igeyiji (okanye ngaphezulu): Ezi cannulas ezibhityileyo kakhulu zidla ngokusetyenziselwa iimeko ezizodwa, ezinjengokunika amayeza athile okanye kwizigulana ezinemithambo eethe-ethe kakhulu.
Iindidi ze-IV Cannula Catheters
1. I-Peripheral IV Cannula: Olona hlobo luxhaphakileyo, lufakwe kwi-peripheral vein, ngokuqhelekileyo engalweni okanye esandleni.Zenzelwe ukusetyenziswa kwexesha elifutshane kwaye zifanelekile kwizigulane ezifuna ukufikelela okungaqhelekanga okanye okungapheliyo.
2. I-Central Venous Catheter (CVC): Ezi catheter zifakwe kwi-veins enkulu ephakathi, njenge-superior vena cava okanye i-jugular vein yangaphakathi.Ii-CVC zisetyenziselwa unyango lwexesha elide, isampuli yegazi rhoqo, kunye nokulawulwa kwamayeza acaphukisayo.
3. I-Midline Catheter: Ukhetho oluphakathi phakathi kwe-peripheral kunye ne-central catheter, i-midline catheter ifakwe kwi-upper ingalo kwaye ifakwe kwi-threaded nge-vein, idla ngokuyeka ukujikeleza i-axillary region.Zilungele izigulana ezifuna unyango lwexesha elide kodwa abafuni ukufikelela kwimithambo emikhulu esembindini.
4. I-Peripherally Inserted Central Catheter (PICC): I-catheter ende efakwe kwi-peripheral vein (ngokuqhelekileyo ingalo) kwaye iqhubele phambili de incam iphumle kumthambo omkhulu ophakathi.Ii-PICC zihlala zisetyenziselwa izigulana ezifuna unyango olongezelelekileyo olufakwa emithanjeni okanye kwezo zinofikelelo olulinganiselweyo lwemithambo yomsinga.
Inkqubo yoFakelo
Ukufakwa kwe-IV cannula catheter kufuneka kuqhutywe ngabasebenzi bezempilo abaqeqeshiweyo ukunciphisa iingxaki kunye nokuqinisekisa ukubekwa ngokufanelekileyo.Inkqubo ngokubanzi ibandakanya la manyathelo alandelayo:
1. Uvavanyo lwesigulane: Umboneleli wezempilo uvavanya imbali yonyango yesigulane, imeko yemithambo, kunye naziphi na izinto ezinokuchaphazela inkqubo yokufakwa.
2. Ukukhethwa kweSiza: Indawo efanelekileyo ye-vein kunye nokufakwa ikhethwa ngokusekelwe kwimeko yesigulane, iimfuno zonyango, kunye nokufikeleleka kwe-vein.
3. Ukulungiselela: Indawo ekhethiweyo ihlanjululwe ngesisombululo se-antiseptic, kwaye umboneleli wezempilo unxibe iiglavu eziyinyumba.
4. Ukufakwa: I-screen encinci yenziwa esikhumbeni, kwaye i-catheter ifakwe ngokucophelela ngokusikwa kwi-vein.
5. Ukhuseleko: Emva kokuba i-catheter isendaweni, ikhuselwe esikhumbeni ngokusebenzisa i-adhesive dressings okanye izixhobo zokukhusela.
6. Ukucoca kunye ne-Priming: I-catheter ihlanjululwa nge-saline okanye isisombululo se-heparinized ukuqinisekisa i-patency kunye nokuthintela ukubunjwa kwehlwili.
7. Ukhathalelo lwasemva kokufakwa: Isiza sijongwa ukuba kukho naziphi na iimpawu zosulelo okanye iingxaki, kwaye ukunxitywa kwecatheter kuyatshintshwa njengoko kufuneka.
Iingxaki kunye neZilumkiso
Ngelixa i-IV cannula catheters ikhuselekile ngokubanzi, kukho iingxaki ezinokuthi zijongwe ngabasebenzi bezempilo, kubandakanya:
1. Ukungeniswa: Ukuvuza kwamanzi okanye amayeza kwizicubu ezijikelezileyo endaweni yomthambo, okukhokelela ekudumbeni, kwiintlungu, kunye nomonakalo onokuthi ube khona.
2. I-Phlebitis: Ukudumba komthambo, okubangela intlungu, ububomvu, nokudumba ecaleni kwendlela yomthambo.
3. Usulelo: Ukuba iindlela ezifanelekileyo ze-aseptic azilandelwa ngexesha lokufakwa okanye ukunakekelwa, indawo ye-catheter inokosuleleka.
4. Ukuvaleka: Icatheter inokuvaleka ngenxa yamahlwili egazi okanye ukugungxulwa ngendlela engafanelekanga.
Ukunciphisa iingxaki, ababoneleli bezempilo babambelela kwiiprothokholi ezingqongqo zokufakwa kwecatheter, ukhathalelo lwesiza, kunye nokugcinwa.Izigulane zikhuthazwa ukuba zixele ngokukhawuleza naziphi na iimpawu zokuphazamiseka, intlungu, okanye ubomvu kwindawo yokufakela ukuqinisekisa ukungenelela ngexesha elifanelekileyo.
Ukuqukumbela
I-IV cannula catheters idlala indima ebalulekileyo kukhathalelo lwempilo lwangoku, ivumela ukuhanjiswa okukhuselekileyo nokusebenzayo kolwelo kunye namayeza ngokuthe ngqo kwigazi lesigulana.Ngobukhulu obahlukeneyo kunye neentlobo ezikhoyo, ezi catheter zilungelelaniswa kwiimfuno ezahlukeneyo zeklinikhi, ukusuka kwixesha elifutshane lokufikelela kwi-peripheral ukuya kunyango lwexesha elide kunye nemigca ephakathi.Ngokuthobela iindlela ezifanelekileyo ngexesha lokufakwa kunye nokugcinwa, abaqeqeshi bezempilo banokuphucula iziphumo zesigulane kunye nokunciphisa iingxaki ezinxulumene nokusetyenziswa kwe-catheter ye-IV, ukuqinisekisa unyango olukhuselekileyo nolusebenzayo kwizigulane zabo.
Ixesha lokuposa: Jul-31-2023