Gusobanukirwa Catheter ya IV Cannula: Imikorere, Ingano, n'ubwoko

Intangiriro

Kathetateri za cannula zikoreshwa mu mitsi (IV)ni ngombwa cyaneibikoresho by'ubuvuziikoreshwa mu nzego zitandukanye z'ubuvuzi kugira ngo itange amazi, imiti, n'ibikomoka ku maraso mu maraso y'umurwayi. Iyi nkuru igamije gutanga ubumenyi bwimbitse kuKatheta za kanula za IV, harimo imikorere yabyo, ingano, ubwoko bwabyo, n'ibindi bintu bifitanye isano.

Imikorere ya Katheteri ya IV Cannula

Catheter ya IV cannula ni umuyoboro muto kandi woroshye winjizwa mu mitsi y'umurwayi, utuma inzira z'amaraso zigera ku muvuduko w'amaraso zigenda neza. Inshingano y'ibanze ya catheter ya IV cannula ni ukugeza amazi y'ingenzi, electrolytes, imiti, cyangwa intungamubiri ku murwayi, bigatuma yinjira mu maraso vuba kandi neza. Ubu buryo bwo gutanga butanga uburyo butaziguye kandi bwizewe bwo kubungabunga uburinganire bw'amazi, gusimbuza ingano y'amaraso yatakaye, no gutanga imiti ifata igihe.

Ingano za Catheters za IV Cannula

Catheter za IV cannula ziboneka mu bunini butandukanye, akenshi zigaragazwa n'umubare w'igipimo. Igipimo kigaragaza umurambararo w'urushinge rwa catheter; uko umubare w'igipimo uba muto, niko umurambararo uba munini. Ingano zikunze gukoreshwa kuri catheter za IV cannula zirimo:

1. Gauge 14 kugeza kuri 24: Cannula nini (14G) zikoreshwa mu gutera amazi cyangwa ibikomoka ku maraso byihuse, mu gihe ingano nto (24G) zikwiriye gutanga imiti n'ibisubizo bidasaba umuvuduko mwinshi w'amazi.

2. Gauge 18 kugeza kuri 20: Izi ni zo ngano zikoreshwa cyane mu bitaro muri rusange, zigenewe abarwayi benshi n'ibibazo by'ubuvuzi.

3. 22 Gauge: Ifatwa nk'iyujuje ibisabwa ku barwayi b'abana n'abageze mu zabukuru cyangwa abafite imitsi yoroshye, kuko idatera ububabare bwinshi mu gihe cyo kuyishyiramo.

4. 26 Gauge (cyangwa irengaho): Izi cannula zoroshye cyane zikoreshwa mu bihe byihariye, nko gutanga imiti imwe n'imwe cyangwa ku barwayi bafite imitsi yoroshye cyane.

Ubwoko bwa Katheteri za IV Cannula

1. Cannula ya IV yo mu gice cy'imbere: Ubwoko bukunze kugaragara cyane, bushyirwa mu mitsi yo mu gice cy'imbere, akenshi mu kuboko cyangwa mu kuboko. Bwagenewe gukoreshwa igihe gito kandi bukwiriye abarwayi bakeneye kugezwaho kenshi cyangwa rimwe na rimwe.

2. Catheter yo mu mitsi yo hagati (CVC): Izi catheter zishyirwa mu mitsi minini yo hagati, nka vena cava ikomeye cyangwa umutsi wo mu jugular. CVC zikoreshwa mu kuvura igihe kirekire, gupimwa amaraso kenshi, no gutanga imiti itera umujinya.

3. Katheteri yo hagati: Ni uburyo bwo hagati hagati ya katheteri zo hagati n'izo hagati, katheteri zo hagati zishyirwa mu kuboko ko hejuru hanyuma zigashyirwa mu mitsi, akenshi zikarangira mu gace k'agati. Zikwiriye abarwayi bakeneye kuvurwa igihe kirekire ariko badakeneye kugera ku mitsi minini yo hagati.

4. Catheter yo hagati ishyirwa mu ruhande rw'umugongo (PICC): Catheter ndende ishyirwa mu mutsi wo hagati (ubusanzwe mu kuboko) ikagera ku mutwe wayo kugeza igihe ihagaze mu mutsi munini wo hagati. PICC zikunze gukoreshwa ku barwayi bakeneye kuvurwa mu buryo bwihuse cyangwa ku bafite imitsi mike yo mu ruhande rw'umugongo.

Uburyo bwo gushyiramo

Gushyiramo catheter ya IV cannula bigomba gukorwa n'inzobere mu by'ubuzima zabihuguwe kugira ngo bigabanye ingorane no kwemeza ko ishyirwa mu mwanya ukwiye. Muri rusange, ubu buryo bukubiyemo intambwe zikurikira:

1. Isuzuma ry'umurwayi: Umuganga asuzuma amateka y'ubuzima bw'umurwayi, imiterere y'imitsi, n'ibintu byose bishobora kugira ingaruka ku gikorwa cyo gushyiramo.

2. Guhitamo aho umurwayi aherereye: Aho umutsi ukwiye n'aho ushyirwa bitoranywa hashingiwe ku miterere y'umurwayi, ibyo akeneye mu buvuzi, ndetse n'uburyo imitsi ishobora gukoreshwa.

3. Gutegura: Ahantu hatoranijwe hasukurwa n'umuti wica udukoko, kandi umuganga yambara uturindantoki twanduye.

4. Gushyiramo: Hakorwa akantu gato mu ruhu, maze katheteri ishyirwamo witonze binyuze mu kantu kagenewe gukatamo umutsi.

5. Gukingira: Iyo catheter imaze gushyirwa mu mwanya wayo, ifatwa ku ruhu hakoreshejwe imyenda ifata cyangwa ibikoresho byo kurinda.

6. Gusukura no Gutera Indabo: Katheteri isukurwamo umunyu cyangwa umuti wa heparini kugira ngo irinde ko amaraso agwa.

7. Kwita ku mwana nyuma yo kumutera: Ahantu hakurikiranwa ibimenyetso by'ubwandu cyangwa ibibazo, kandi agapfundikizo ka catheter karahindurwa uko bikenewe.

Ingorane n'uburyo bwo kwirinda

Nubwo catheter za IV cannula muri rusange zitekanye, hari ingorane zishobora guterwa n'abaganga, harimo:

1. Kwinjira: Gusohoka kw'amazi cyangwa imiti mu ngingo zikikije aho kuva mu mitsi, bigatera kubyimba, ububabare, ndetse no kwangirika kw'ingingo.

2. Phlebitis: Kubyimba imitsi, bigatera ububabare, gutukura, no kubyimba mu nzira y'imitsi.

3. Kwandura: Iyo uburyo bukwiye bwo kwirinda kwandura butubahirijwe mu gihe cyo gushyiramo cyangwa kwita ku mubiri, aho catheter iri hashobora kwandura.

4. Kuziba: Catheter ishobora kuziba bitewe no kuziba kw'amaraso cyangwa gusohora amazi nabi.

Kugira ngo bagabanye ingorane, abakora mu by'ubuzima bakurikiza amabwiriza akomeye yo gushyiramo catheter, kwita ku nyubako, no kuyibungabunga. Abarwayi barashishikarizwa gutanga amakuru yihuse ku bimenyetso byose by'ububabare, ububabare, cyangwa gutukura aho bashyize kugira ngo bahabwe ubufasha ku gihe.

Umwanzuro

Catheter zo mu bwoko bwa IV cannula zigira uruhare runini mu buvuzi bwa none, bigatuma amazi n'imiti bitangwa mu maraso y'umurwayi mu buryo bwizewe kandi bunoze. Kubera ko ingano n'ubwoko butandukanye bihari, izi catheter zishobora gukoreshwa mu buryo butandukanye bitewe n'ibikenewe mu buvuzi, kuva ku gukoresha imiti mu gihe gito kugeza ku kuvura igihe kirekire hakoreshejwe imirongo mikuru. Mu gukurikiza uburyo bwiza bwo gushyiramo no kubungabunga, abahanga mu by'ubuzima bashobora kunoza umusaruro w'umurwayi no kugabanya ingorane ziterwa no gukoresha catheter zo mu bwoko bwa IV, bakareba ko abarwayi babo bavurwa neza kandi neza.