Menyekanisha
Shanghai TeamStand Corporation ni umunyamwugaibikoresho byo kwa muganganuwabikoze. Batanga ibicuruzwa bitandukanye byujuje ubuziranenge, harimourumogi,umutwe wumutwe washyizeho urushinge,inshinge zo gukusanya amaraso,inshinge zikoreshwa, naibyambu byatewe. Muri iyi ngingo, tuzibanda cyane cyane kuri IV Cannula. Tuzaganira ku bwoko butandukanye, ibiranga, nubunini buboneka ku isoko uyu munsi.
Ubwoko bwa IV Cannula
IV Urumogi nibikoresho byingenzi byubuvuzi bikoreshwa mu kuvura imitsi, guterwa amaraso, no gucunga ibiyobyabwenge. Baza muburyo butandukanye kugirango bahuze abarwayi bakeneye. Bikunze kugaragaraubwoko bwa IV Cannulasharimo:
1. Cannula ya Periferiya
Urumogi rwa Periferique IV ni ubwoko bukoreshwa cyane mubitaro n'amavuriro. Yinjizwa mumitsi mito ya peripheri, mubisanzwe mumaboko cyangwa amaboko. Ubu bwoko bukwiranye nubuvuzi bwigihe gito, nka resuscitation fluid, antibiotique, cyangwa gucunga ububabare. Biroroshye gushiramo no kuvanaho, bigatuma biba byiza byihutirwa kandi bisanzwe.
Ibintu by'ingenzi:
- Uburebure bugufi (mubisanzwe munsi ya santimetero 3)
- Byakoreshejwe mugihe gito (mubisanzwe bitarenze icyumweru)
- Iraboneka mubipimo bitandukanye
- Bikunze gukoreshwa mubuvuzi no hanze
Umurongo wo hagati wa kane urumogi rwinjizwa mumitsi minini, mubisanzwe mu ijosi (imitsi yimbere), igituza (imitsi ya subclavian), cyangwa igituba (imitsi yumugore). Isonga ya catheter irangirira muri vena cava isumba hafi yumutima. Imirongo yo hagati ikoreshwa mukuvura igihe kirekire, cyane cyane iyo hakenewe amazi menshi, chimiotherapie, cyangwa imirire yababyeyi (TPN).
Ibintu by'ingenzi:
- Gukoresha igihe kirekire (ibyumweru kugeza ukwezi)
- Emerera imiyoborere yibiyobyabwenge cyangwa uburakari
- Byakoreshejwe mugukurikirana umuvuduko wamaraso
- Irasaba tekinike ya sterile hamwe nubuyobozi bwerekana amashusho
3.Gufunga IV Catheter Sisitemu
A Sisitemu ya Catheter yafunzwe, bizwi kandi nk'umutekano wa IV urumogi, rwakozwe hamwe n'umuyoboro wateganijwe mbere yo kwaguka hamwe n'umuhuza udakenewe kugira ngo ugabanye ibyago byo kwandura no gukomeretsa urushinge. Itanga sisitemu ifunze kuva iyinjizwa kugeza mubuyobozi bwamazi, ifasha kubungabunga ingumba no kugabanya umwanda.
Ibintu by'ingenzi:
- Kugabanya guhura n'amaraso n'ingaruka zo kwandura
- Kurinda urushinge rwuzuye
- Kongera umutekano ku bakozi bashinzwe ubuzima
- Nibyiza kubikoresho bifite ibipimo bihanitse byo kurwanya indwara
Catheter ya Midline ni ubwoko bwibikoresho bya periferique IV byinjijwe mumitsi mumaboko yo hejuru kandi bigatera imbere kuburyo inama iri munsi yigitugu (itagera mumitsi yo hagati). Birakwiriye kuvura hagati yigihe gito - mubisanzwe kuva icyumweru kimwe kugeza bine - kandi bikoreshwa mugihe gikenewe inshuro nyinshi IV ariko umurongo wo hagati ntusabwa.
Ibintu by'ingenzi:
- Uburebure buri hagati ya santimetero 3 na 8
- Yinjijwe mumitsi minini ya periferiya (urugero, basilic cyangwa cephalic)
- Ibyago bike byingutu kuruta imirongo yo hagati
- Ikoreshwa muri antibiotike, hydration, n'imiti imwe n'imwe
Ibiranga urumogi rwinjira
Urumogi rwinjiza rwakozwe hamwe nibintu byinshi kugirango habeho ihumure ryiza ryumutekano numutekano mugihe cyo kuvura imitsi. Bimwe mu bintu by'ingenzi birimo:
1. Ibikoresho bya Catheter: Urumogi rwinjira mu bikoresho nka polyurethane cyangwa silicone. Ibi bikoresho ni biocompatable kandi bigabanya ibyago byo gutera trombose cyangwa kwandura.
2. Igishushanyo mbonera cya Catheter: Urumogi rushobora kwerekanwa cyangwa kuzunguruka. Impanuro ityaye ikoreshwa mugihe hagomba gutoborwa urukuta rw'ubwato, mugihe uruziga ruzengurutse rukwiranye n'imitsi yoroheje kugirango bigabanye ibyago byo guterwa no gutoboka.
3. Ibaba cyangwa amababa: Urumogi rwa IV rushobora kugira amababa afatanye na hub kugirango yoroherezwe neza kandi arinde umutekano mugihe cyo gushiramo.
4. Icyambu cyo gutera inshinge: Urumogi rwinjira mu mitsi rufite icyambu. Ibyo byambu byemerera imiti yinyongera guterwa udakuyemo catheter.
| Kode y'amabara | GAUGE | OD (mm) | UBURENGANZIRA | URUPFU RUGENDE (ml / min) |
| Icunga | 14G | 2.1 | 45 | 290 |
| Icyatsi giciriritse | 16G | 1.7 | 45 | 176 |
| Cyera | 17G | 1.5 | 45 | 130 |
| Icyatsi kibisi | 18G | 1.3 | 45 | 76 |
| Umutuku | 20G | 1 | 33 | 54 |
| Ubururu bwimbitse | 22G | 0.85 | 25 | 31 |
| Umuhondo | 24G | 0.7 | 19 | 14 |
| Violet | 26G | 0.6 | 19 | 13 |
16 Gauge: Ingano ikoreshwa cyane muri ICU cyangwa kubaga. Ingano nini ituma inzira nyinshi zitandukanye zikorwa, nko kuyobora amaraso, gutanga amazi byihuse, nibindi nibindi.
18 Gauge: Ingano igufasha gukora imirimo myinshi igipimo cya 16 gishobora, ariko nini kandi kibabaza umurwayi. Bimwe mubisanzwe bikoreshwa harimo gutanga amaraso, gusunika amazi vuba, nibindi. Urashobora gukoresha ibi kuri CT PE Protocole cyangwa ibindi bizamini bisaba ubunini bwa IV.
20 Gauge: Urashobora gusunika amaraso muri bunini niba udashobora gukoresha igipimo cya 18, ariko buri gihe ugenzure protocole y'umukoresha wawe. Ingano ni nziza kubarwayi bafite imitsi mito.
22 Gauge: Ingano ntoya nibyiza mugihe umurwayi atazakenera IV ndende kandi ntabwo arwaye cyane. Mubisanzwe ntushobora gutanga amaraso bitewe nubunini buke, ariko, protocole zimwe zibitaro zemerera 22 G gukoreshwa nibiba ngombwa.
24 Gauge: Ingano ikoreshwa mubuvuzi bw'abana kandi mubisanzwe ikoreshwa gusa nkuburyo bwa nyuma nka IV mubantu bakuze.
Mu mwanzuro
Cannula yinjira ni igikoresho cyubuvuzi cyingirakamaro mubikorwa bitandukanye byubuvuzi. Shanghai TeamStand Corporation ni ibikoresho byubuvuzi byumwuga bitanga kandi bigakora, bitanga ubwoko butandukanye bwo mu rwego rwohejuru rwinjiza urumogi nibindi bicuruzwa. Mugihe uhitamo urumogi rwa IV, ni ngombwa gusuzuma ubwoko butandukanye, ibiranga, nubunini buhari. Ubwoko nyamukuru ni urumogi rwa peripheri, urumogi rwagati, hamwe na catheters yo hagati. Ibiranga nkibikoresho bya catheter, igishushanyo mbonera, hamwe no kuba hari amababa cyangwa ibyambu byatewe inshinge. Byongeye kandi, ingano ya kanseri yinjiza (yerekanwa no gupima metero) iratandukanye bitewe nubuvuzi bwihariye. Guhitamo urumogi rukwiye kuri buri murwayi ni ingenzi kugirango habeho kuvura neza kandi neza.
Igihe cyo kohereza: Ugushyingo-01-2023