Shyiraho
Shanghai TeamStand Corporation ni ikigo cy'umwugaumucuruzi w'ibikoresho by'ubuvuzin'uruganda. Batanga ibicuruzwa bitandukanye byiza, harimokanula yo mu mitsi,urushinge rw'imitsi yo mu mutwe,inshinge zo gukusanya amaraso,inshinge zikoreshwa mu gihe runaka, naibyambu bishobora gushyirwamoMuri iyi nkuru, tuzibanda cyane cyane kuri IV Cannula. Tuzaganira ku moko atandukanye, imiterere, n'ingano ziboneka ku isoko muri iki gihe.
Ubwoko bwa Cannula ya IV
Imashini zikoresha imiti ya IV Cannula ni ibikoresho by'ingenzi mu buvuzi bikoreshwa mu kuvura inshinge, gutera amaraso no gutanga imiti. Ziza mu bwoko butandukanye kugira ngo zihuze n'ibyo umurwayi akeneye. Ibisanzwe cyane ni byoubwoko bwa Cannula za IVharimo:
1. Cannula ya Peripheral IV
Ubwoko bwa kanula ya Peripheral IV ni bwo bukoreshwa cyane mu bitaro no mu mavuriro. Ishyirwa mu mitsi mito yo mu ruhande, akenshi mu maboko cyangwa mu biganza. Ubwo bwoko bukwiriye ku buvuzi bw'igihe gito, nko kuvura amazi, imiti yica udukoko, cyangwa kugabanya ububabare. Byoroshye kuyishyiramo no kuyikuramo, bigatuma iba nziza cyane mu buryo bwihutirwa no mu buryo buhoraho.
Ibiranga by'ingenzi:
- Uburebure bugufi (ubusanzwe munsi ya santimetero 3)
- Ikoreshwa mu kubona amakuru y'igihe gito (ubusanzwe munsi y'icyumweru)
- Iboneka mu bunini butandukanye bw'ibipimo
- Ikunze gukoreshwa mu bitaro byo hanze no mu bitaro
Kanula yo mu murongo wa kane (Central Line IV) ishyirwa mu mutsi munini, akenshi mu ijosi (internal jugular vein), mu gituza (subclavian vein), cyangwa mu kibuno (femoral vein). Isonga rya katheta rirangira muri vena cava nziza hafi y'umutima. Imitsi yo mu murongo ikoreshwa mu kuvura igihe kirekire, cyane cyane iyo hakenewe amazi menshi, imiti igabanya ubukana, cyangwa imirire yose y'ababyeyi (TPN).
Ibiranga by'ingenzi:
- Gukoresha igihe kirekire (ibyumweru kugeza ku mezi)
- Yemerera gutanga imiti itera ububabare cyangwa imiti itera ububabare
- Ikoreshwa mu kugenzura umuvuduko w'imitsi yo hagati
- Bisaba uburyo bwo gukoresha tekiniki n'ubuyobozi bwo gufata amashusho
3. Sisitemu ya Catheter ya IV ifunze
A Sisitemu ya katheta ya IV ifunze, izwi kandi nka "safety IV cannula", yakozwe ifite umuyoboro wo kongeramo ufatanye mbere n'udukoresho tudafite inshinge kugira ngo igabanye ibyago byo kwandura no gukomereka kw'udushinge. Itanga uburyo bwo gufunga kuva ku gushyiramo kugeza ku guterwa amazi, bigafasha mu kubungabunga ubusembwa no kugabanya ubwandu.
Ibiranga by'ingenzi:
- Bigabanya ibyago byo kwandura amaraso no kwandura
- Uburinzi bw'urushinge buhuriweho
- Yongera umutekano ku bakozi bo mu rwego rw'ubuzima
- Ni byiza cyane ku bigo bifite amabwiriza yo kurwanya ubwandu ku rwego rwo hejuru
Katheta ya Midline ni ubwoko bw'igikoresho cya IV gishyirwa mu mitsi iri hejuru y'ukuboko, bityo umutwe ukaba uri munsi y'urutugu (kitagera ku mitsi yo hagati). Irakwiriye kuvura mu gihe cy'igihe gito—ubusanzwe kuva ku cyumweru kimwe kugeza kuri bine—kandi ikunze gukoreshwa iyo hakenewe uburyo bwo kuvura inshinge kenshi ariko umurongo wo hagati ntukenewe.
Ibiranga by'ingenzi:
- Uburebure buri hagati ya santimetero 3 na 8
- Bishyirwa mu mitsi minini yo ku ruhande (urugero, basilic cyangwa cephalic)
- Ingaruka nke z'ingorane ugereranyije n'imirongo yo hagati
- Ikoreshwa mu miti irwanya udukoko, amazi, n'imiti imwe n'imwe
Ibiranga uburyo bwo gufata kanula mu mitsi
Utumashini two mu mitsi dukozwe mu buryo butandukanye kugira ngo umurwayi agire ihumure ryiza kandi agire umutekano mu gihe cyo kuvurwa mu mitsi. Bimwe mu bintu by'ingenzi birimo:
1. Ibikoresho bya Catheter: Cannula zo mu mitsi zikozwe mu bikoresho nka polyurethane cyangwa silicone. Ibi bikoresho bihura n'ibinyabuzima kandi bigabanya ibyago byo kwandura thrombosis cyangwa kwandura.
2. Imiterere y'umutwe wa catheter: Umutwe wa cannula ushobora kuba usongoye cyangwa uzungurutse. Umutwe usongoye ukoreshwa iyo hakenewe gutobora urukuta rw'imitsi, mu gihe umutwe uzungurutse ukwiriye imitsi yoroshye kugira ngo ugabanye ibyago byo gutobora bitewe n'ingaruka mbi.
3. Ifite amababa cyangwa idafite amababa: Udupira tw'ingufu zo mu mutwe (IV cannulas) dushobora kugira amababa afatanye n'aho igitsina giherereye kugira ngo byoroshye kuyifata no kuyirinda mu gihe cyo kuyishyiramo.
4. Uburyo bwo gutera inshinge: Hari uburyo bwo gutera inshinge mu mitsi bufite uburyo bwo gutera inshinge. Ubwo buryo bwo gutera inshinge butuma imiti y'inyongera iterwa hatabayeho gukuramo katheteri.
| Kode y'ibara | GAUGE | OD (mm) | UBUREBURE | IGIPIMO CY'ITEMBA (ml/iminota) |
| Umuhondo | 14G | 2.1 | 45 | 290 |
| Ibara ry'ikijuju riri hagati | 16G | 1.7 | 45 | 176 |
| Umweru | 17G | 1.5 | 45 | 130 |
| Icyatsi kibisi cyijimye | 18G | 1.3 | 45 | 76 |
| Ibara ry'umutuku | 20G | 1 | 33 | 54 |
| Ubururu bwimbitse | 22G | 0.85 | 25 | 31 |
| Umuhondo | 24G | 0.7 | 19 | 14 |
| Umuhondo w'Ibara ry'Urubura | 26G | 0.6 | 19 | 13 |
16 Gauge: Iyi ngano ikoreshwa cyane mu cyumba cy’ubuvuzi bunini cyangwa mu bice byo kubaga. Iyi ngano nini ituma habaho uburyo butandukanye bwo gukora, nko gutanga amaraso, gutanga amazi vuba, n'ibindi.
Igipimo cya 18: Ubu bunini bugufasha gukora imirimo myinshi ingana n’iyo igipimo cya 16 gishobora gukora, ariko ni kinini kandi kibabaza umurwayi cyane. Zimwe mu nzira zisanzwe zikoreshwa harimo gutanga amaraso, gusunika amazi vuba, n'ibindi. Ushobora kubikoresha kuri CT PE Protocols cyangwa ibindi bipimo bisaba ingano nini ya IV.
Igipimo 20: Ushobora kuba ushobora gusunika amaraso muri ubu bunini niba udashobora gukoresha igipimo cya 18, ariko buri gihe reba amabwiriza y'umukoresha wawe. Ubu bunini ni bwiza ku barwayi bafite imitsi mito.
Igipimo cya 22: Ubu bunini buto ni bwiza mu gihe umurwayi adakeneye inshinge y'amaraso kandi adarwaye cyane. Ubusanzwe ntushobora gutanga amaraso bitewe n'uko ari mato, ariko hari amabwiriza amwe n'amwe yo mu bitaro yemerera ikoreshwa rya 22 G nibiba ngombwa.
24 Gauge: Iyi ngano ikoreshwa ku bana kandi ikoreshwa gusa nk'uburyo bwa nyuma bwo gupima intanga mu mubiri ku bantu bakuru.
Mu gusoza
Cannula yo mu mitsi ni igikoresho cy'ingenzi mu buvuzi mu bikorwa bitandukanye by'ubuvuzi. Shanghai TeamStand Corporation ni ikigo cy’umwuga gitanga ibikoresho by’ubuvuzi, gitanga ubwoko butandukanye bwa cannula yo mu mitsi n’ibindi bikoresho. Mu guhitamo cannula yo mu mitsi, ni ngombwa gusuzuma ubwoko butandukanye, imiterere, n’ingano zihari. Ubwoko bw’ingenzi ni cannulae zo mu mitsi yo mu mpande, catheter zo mu mitsi yo hagati, na catheter zo mu murongo wo hagati. Ibintu nk'ibikoresho bya catheter, imiterere y'umutwe, n'aho amababa cyangwa aho inshinge zishyirwa bigomba kwitabwaho. Byongeye kandi, ingano ya cannula yo mu mitsi (yerekanwa n'igipimo cya metero) iratandukanye bitewe n'uburyo bw'ubuvuzi bwihariye. Guhitamo cannula ikwiye yo mu mitsi kuri buri murwayi ni ingenzi kugira ngo habeho uburyo bwiza kandi bwizewe bwo kuvura mu mitsi.
Igihe cyo kohereza: Ugushyingo-01-2023