Intangiriro
Imiyoboro ya kanseri (IV)ni ngombwaibikoresho by'ubuvuziikoreshwa mubice bitandukanye byubuzima kugirango itange amazi, imiti, nibicuruzwa byamaraso mumaraso yumurwayi. Iyi ngingo igamije gutanga ibisobanuro byimbitseIV catheters, harimo imikorere yabo, ingano, ubwoko, nibindi bintu bijyanye.
Imikorere ya IV Cannula Catheter
Catheter ya IV ya canula ni umuyoboro woroshye, woroshye winjizwa mumitsi yumurwayi, utanga uburyo bwo gutembera. Igikorwa cyibanze cya catheter ya IV ni ugutanga umurwayi wingenzi, electrolytite, imiti, cyangwa imirire kumurwayi, bigatuma byinjira vuba mumaraso. Ubu buryo bwo kuyobora butanga uburyo butaziguye kandi bwizewe bwo gukomeza kuringaniza amazi, gusimbuza amaraso yatakaye, no gutanga imiti itwara igihe.
Ingano ya Catheters ya IV
IV ya canula catheters iraboneka mubunini butandukanye, mubisanzwe bigaragazwa numubare wapimwe. Igipimo cyerekana diameter y'urushinge rwa catheter; ntoya nimero ya gauge, nini ya diameter. Ubunini bukoreshwa mubunini bwa IV cannula catheters harimo:
1.
2. 18 kugeza 20 Gauge: Izi nubunini bukoreshwa cyane mubitaro rusange, byita kubarwayi benshi hamwe nubuvuzi.
3. 22 Gauge: Bifatwa nkibyiza kubarwayi babana naba bakuze cyangwa abafite imitsi yoroheje, kuko bitera ubworoherane buke mugihe cyo gushiramo.
4.
Ubwoko bwa IV Catheters
1. Byagenewe gukoreshwa mugihe gito kandi birakwiriye kubarwayi bakeneye kuboneka kenshi cyangwa rimwe na rimwe.
2. Hagati ya Catheter yo hagati (CVC): Izi catheters zishyirwa mumitsi minini yo hagati, nka vena cava isumba izindi cyangwa imitsi yimbere. CVC ikoreshwa mubuvuzi bwigihe kirekire, gutoranya amaraso kenshi, no gutanga imiti itera uburakari.
3. Catheter yo hagati: Ihitamo hagati hagati ya catheteri ya peripheri na hagati, catheters yo hagati yinjizwa mumaboko yo hejuru hanyuma igahuzwa nu mitsi, ubusanzwe ikarangirira hafi yakarere. Birakwiriye kubarwayi bakeneye ubuvuzi bwigihe kirekire ariko ntibakeneye kubona imiyoboro minini yo hagati.
4. Periferique Yinjijwemo Catheter Hagati (PICC): Catheter ndende yinjijwe binyuze mumitsi ya peripheri (ubusanzwe mukuboko) hanyuma igatera imbere kugeza igihe isonga riruhukiye mumitsi minini yo hagati. PICCs ikoreshwa kenshi kubarwayi bakeneye ubuvuzi bwagutse bwimitsi cyangwa kubafite ubushobozi buke bwo kubona imitsi.
Uburyo bwo Kwinjiza
Kwinjiza catheter ya IV ya cannula bigomba gukorwa ninzobere mu buvuzi zahuguwe kugirango hagabanuke ibibazo kandi byemezwe neza. Inzira muri rusange ikubiyemo intambwe zikurikira:
1.
2.
3. Gutegura: Ahantu hatoranijwe hasukurwa hakoreshejwe imiti igabanya ubukana, kandi utanga ubuvuzi yambara uturindantoki.
4.
5. Umutekano: Catheter imaze kuba, iba ifite umutekano kuruhu ukoresheje imyenda ifatika cyangwa ibikoresho byumutekano.
6. Kwoza no Kuringaniza: Catheter isukwa saline cyangwa igisubizo cya heparinize kugirango habeho kwihangana no gukumira imyenda.
7. Kwitaho nyuma yo gushiramo: Urubuga rukurikiranwa kubimenyetso byose byanduye cyangwa ingorane, kandi imyambarire ya catheter ihinduka nkuko bikenewe.
Ingorane no Kwirinda
Mugihe muri rusange catheters ya cannula ifite umutekano muri rusange, hari ingorane zishobora kuba inzobere mu buzima zigomba kureba, harimo:
1.
2. Phlebitis: Gutwika imitsi, bigatera ububabare, umutuku, no kubyimba munzira.
3. Kwandura: Niba tekinike ikwiye ya aseptic idakurikijwe mugihe cyo gushiramo cyangwa kuyitaho, urubuga rwa catheter rushobora kwandura.
4. Kwikuramo: Catheter irashobora guhagarikwa kubera gutembera kwamaraso cyangwa gutembera nabi.
Kugira ngo ibibazo bigabanuke, abatanga ubuvuzi bubahiriza protocole ikomeye yo kwinjiza catheter, kwita ku mbuga, no kubungabunga. Abarwayi barashishikarizwa kumenyesha bidatinze ibimenyetso byose byerekana ko bitameze neza, ububabare, cyangwa umutuku aho binjiriye kugirango barebe ko byihutirwa.
Umwanzuro
IV ya cathela catheters igira uruhare runini mubuvuzi bwa kijyambere, ituma itangwa ryimiti neza kandi neza mumiti numuti mumaraso yumurwayi. Hamwe nubunini nubwoko butandukanye burahari, izi catheters zirahuza nibikenerwa bitandukanye byubuvuzi, kuva mugihe gito cya periferique kugera kubuvuzi bwigihe kirekire hamwe numurongo wo hagati. Mugukurikiza uburyo bwiza mugihe cyo kwinjiza no kubungabunga, inzobere mu buvuzi zirashobora guhindura umusaruro w’abarwayi no kugabanya ingorane ziterwa no gukoresha catheteri ya IV, kugira ngo abarwayi babo bavurwe neza kandi neza.
Igihe cyoherejwe: Nyakanga-31-2023