Ingano za Cannula ya IV ku bantu bakuru: Ni gute wahitamo ikwiye?

Intangiriro

Guhitamo kanula ya IV ni ubuhanga bw'ingenzi mu buvuzi bugira ingaruka ku musaruro w'umurwayi, ihumure, n'ubushobozi bwo kuvurwa. Ku barwayi bakuru, guhitamo ingano ikwiye ya kanula biterwa n'ibintu byinshi birimo ingano y'imitsi, imiterere y'ubuvuzi, n'intego yo gukanula. Iyi nyandiko iha abahanga mu by'ubuzima amakuru y'ingenzi ku bunini bwa kanula ya IV y'umuntu mukuru, umuvuduko w'amazi, n'ibipimo ngenderwaho byo guhitamo.

Ingano n'Ibisobanuro bisanzwe bya Cannula ya IV

Sisitemu yo gupima umurambararo wa cannula ya IV, aho imibare mike igaragaza cannula nini zitanga umuvuduko mwinshi w'amazi. Dore ingano zisanzwe zikoreshwa ku barwayi bakuru:

 
Gusobanukirwa igipimo cy'umuvuduko w'amazi

Igipimo cy'amazi gisobanura ingano y'amazi ashobora kunyura muri cannula ku munota, ipimwa muri mililitiro ku munota (mL/min). Ingano y'igipimo igira ingaruka ku buryo butaziguye ku bushobozi bw'amazi gutembera—ibipimo binini bitanga igipimo cyo hejuru cyane cy'amazi atembera. Cannula ifite gauge 14 ishobora gutanga hafi 240 mL/min, mu gihe 22-gauge itanga 35 mL/min gusa. Iyi sano ikurikiza ihame ry'uko umurambararo munini wa catheter utuma amazi atembera neza, ibyo bikaba ari ingenzi mu gusobanukirwa ikoreshwa ry'ubuvuzi.

Igipimo cy’amazi atemba kigira ingaruka ku bindi bintu birenze ingano y’amazi, harimo uburebure bw’amazi atemba, ubwoko bw’amazi atemba, n’umuvuduko w’amaraso w’umurwayi. Urugero, amazi menshi atemba nka hetastarch agaragaza igipimo gito cy’amazi atemba ugereranije n’ibisubizo bya crystalloid nka saline isanzwe.

Amabwiriza yo Gukoresha mu Buvuzi n'Amabwiriza yo Guhitamo

Ibibazo byihutirwa n'iby'ihungabana

Cannula zifite gauge 14 ni zo zikundwa cyane mu mashami y’ubutabazi bw’ibanze no mu bigo bivura ihungabana aho gukangura amazi vuba ari byo by’ingenzi. Izi cannula nini zituma amaraso atemba neza, zigatuma amaraso atangwa vuba, imiti n’ibisubizo bya crystalloid mu bihe bikomeye.

Kubagwa no Kwita ku Buzima Bukomeye

Cannula zifite gauge 16 na gauge 18 ni zo zisabwa mu kubaga no mu bitaro by’inkomere. Gauge ifite gauge 16 itanga ubushobozi bwo gusimbuza ingano y’umuvuduko wihuse hamwe n’umuvuduko wa 180 mL/min, mu gihe gauge ifite gauge 18 itanga uburyo bungana hamwe n’umuvuduko wa 90 mL/min, bukwiriye haba mu gutanga amazi no mu guterwa amaraso.

Guterwa amaraso

Cannula zifite gauge 18 kugeza kuri gauge 20 ni zo zikundwa cyane mu guterwa amaraso kugira ngo hirindwe ko amaraso atembera neza kandi zigatuma amaraso atembera neza. Gauge ifite gauge 18 ni nziza cyane iyo bikenewe ko amaraso aterurwa vuba, mu gihe gauge ya gauge 20 ikomeza kwemerwa mu guterwa amaraso buri gihe hakurikijwe amabwiriza y’ikigo.

Gukoresha Ibitaro mu Bitaro bisanzwe

Ku bijyanye n'ibitaro rusange bisaba uburinganire hagati yo gutanga amazi no koroherwa n'umurwayi, cannula za gauge 18 cyangwa 20 ni amahitamo asanzwe. Izi ngano zikoreshwa mu miti myinshi isanzwe n'amazi yo mu mibonano mpuzabitsina mu gihe bigabanya ububabare bw'umurwayi no kugabanya ibyago byo kumererwa nabi.

Abarwayi b'imitsi ishaje n'ifite intege nke

Cannula zifite gauge 22 na gauge 24 ni zo zisabwa ku barwayi bakuru bafite imitsi yoroshye cyangwa igoye kugeramo. Izi gauge nto zigabanya ihungabana ry'imitsi n'ingorane, bigatuma ziba nziza ku bageze mu za bukuru, nubwo zigabanya ubushobozi bwo gutemba ugereranyije n'ingano nini.

Uburyo bwo guhitamo Cannula nziza ya IV

Guhitamo neza kanula bisaba gusuzuma ibintu byinshi by’ubuvuzi:

Isuzuma ry'imitsi y'umurwayi:Suzuma ingano y'imitsi, imiterere yayo, n'uburyo ibasha kugeramo. Imitsi minini kandi igaragara cyane ishobora kwakira utunyangingo tunini, mu gihe imitsi mito cyangwa yoroshye ikenera ingano nto.

Indwara:Tekereza ku buryo umurwayi asuzumwa n'uburyo bwo kuvurwa byihutirwa. Mu bihe byihutirwa bisaba ibipimo binini kugira ngo ahabwe vuba, mu gihe abarwayi bazima bashobora gukoresha ingano nto.

Intego Igamije:Menya niba icyorezo cya IV ari icyo gukoresha imiti isanzwe, gukangura amazi, ibikomoka ku maraso, cyangwa gutanga imiti inyuranye. Gutera amaraso no gukora inyigo inyuranye akenshi bisaba gukoresha cannula za gauge 18-20.

Imyaka y'umurwayi n'uko ubuzima bwe buhagaze:Abarwayi bageze mu za bukuru, abafite indwara zidakira, cyangwa abageragerezwa imitsi inshuro nyinshi bungukirwa no guhitamo neza igipimo cyo gupima imitsi kugira ngo bagabanye kwangirika kw'imitsi.

Amabwiriza agenga ikigo: Buri gihe genzura ingano n'amabwiriza bya IV by'ikigo cyawe, kuko amabwiriza atandukanye bitewe n'ibigo.

Ibitekerezo ku buvuzi

Sisitemu yo kwandika amabara ikora nk'ikintu cy'ingenzi mu mutekano, ituma abakora ubuvuzi bashobora kumenya vuba ingano ya cannula no kugabanya ibyago byo gukora amakosa mu buvuzi. Ubu buryo bwo gushyiraho amabwiriza bunongera imikorere myiza kandi bugafasha gufata ibyemezo byihuse mu bihe bigoye.

Guhitamo ingano nyayo ya kanula ikoreshwa mu kuvura indwara ya IV bitanga umusaruro mwiza mu buvuzi, bikongera ihumure ry’umurwayi, bigabanya ingorane, kandi bigafasha mu gutanga ubuvuzi bwiza. Haba mu bikorwa bisanzwe cyangwa mu bihe byihutirwa, gusobanukirwa neza no gushyira mu bikorwa amahame yo guhitamo kanula ikoreshwa mu kuvura indwara ya IV bigira uruhare runini mu kuvura neza umurwayi.

Abahanga mu by'ubuzima bagomba gusuzuma buri gihe aya mabwiriza n'amabwiriza y'inzego kugira ngo bakomeze kugira ubushobozi mu guhitamo no gushyiramo kannula ikoresha imiyoboro y'amaraso.