Ngenisa
I-Shanghai TeamStand Corporation inguchwephesheumhlinzeki wedivayisi yezokwelaphakanye nomkhiqizi. Banikeza imikhiqizo ehlukahlukene esezingeni eliphezulu, okuhlanganisai-cannula efakwa emthanjeni,inaliti ye-scalp vein set,izinaliti zokuqoqa igazi,amasirinji alahlwayo, futhiamachweba angatshalwaKulesi sihloko, sizogxila ngqo kwi-IV Cannula. Sizoxoxa ngezinhlobo ezahlukene, izici, kanye nosayizi abatholakala emakethe namuhla.
Izinhlobo ze-IV Cannula
Ama-cannula e-IV amadivayisi abalulekile ezokwelapha asetshenziselwa ukwelashwa ngemithambo yegazi, ukumpontshelwa igazi, kanye nokunikezwa kwemithi. Afika ngezinhlobo ezahlukene ukuze avumelane nezidingo ezithile zesiguli. Avame kakhuluizinhlobo zama-IV Cannulafaka:
1. I-Peripheral IV Cannula
I-Peripheral IV cannula iyindlela evame ukusetshenziswa ezibhedlela nasemakliniki. Ifakwa emithanjeni emincane yangaphandle, ngokuvamile ezingalweni noma ezandleni. Lolu hlobo lufanelekela ukwelashwa kwesikhashana, njengokuvuselela uketshezi, ama-antibiotic, noma ukuphathwa kobuhlungu. Kulula ukuyifaka nokuyikhipha, okwenza ifaneleke kakhulu ekusetshenzisweni okuphuthumayo nokuvamile.
Izici Eziyinhloko:
- Ubude obufushane (ngokuvamile bungaphansi kwamasentimitha angu-3)
- Isetshenziselwa ukufinyelela kwesikhashana (ngokuvamile ngaphansi kwesonto)
- Itholakala ngobukhulu obuhlukahlukene begeyiji
- Ngokuvamile isetshenziswa ekunakekelweni kweziguli zangaphandle kanye nezangaphakathi
I-Central Line IV cannula ifakwa emthanjeni omkhulu, ngokuvamile entanyeni (umthambo wangaphakathi we-jugular), esifubeni (umthambo we-subclavian), noma esinqeni (umthambo we-femoral). Isihloko se-catheter siphelela ku-vena cava ephezulu eduze kwenhliziyo. Imigqa ephakathi isetshenziselwa ukwelashwa kwesikhathi eside, ikakhulukazi lapho kudingeka uketshezi oluningi, i-chemotherapy, noma ukudla okunempilo okuphelele (TPN).
Izici Eziyinhloko:
- Ukusetshenziswa kwesikhathi eside (amasonto kuya ezinyangeni)
- Ivumela ukuphathwa kwezidakamizwa ezicasulayo noma ezicasulayo
- Isetshenziselwa ukuqapha umfutho wegazi ophakathi
- Kudinga ubuchwepheshe obuhlanzekile kanye nesiqondiso sokuthwebula izithombe
3. Uhlelo lwe-Catheter oluvaliwe lwe-IV
A Uhlelo lwe-catheter oluvaliwe lwe-IV, eyaziwa nangokuthi i-safety IV cannula, yaklanywa ngethubhu yokwandisa enamathiselwe kusengaphambili kanye nezixhumi ezingenazinaliti ukunciphisa ingozi yokutheleleka kanye nokulimala kwenaliti. Ihlinzeka ngohlelo oluvaliwe kusukela ekufakweni kuya ekuphathweni koketshezi, okusiza ukugcina ukungazali kanye nokunciphisa ukungcola.
Izici Eziyinhloko:
- Kunciphisa ukuchayeka egazini kanye nezingozi zokutheleleka
- Ukuvikelwa kwenaliti okuhlanganisiwe
- Kuthuthukisa ukuphepha kwabasebenzi bezempilo
- Kuhle kakhulu ezindaweni ezinezindinganiso eziphezulu zokulawula ukutheleleka
I-Midline catheter uhlobo lwedivayisi ye-peripheral IV efakwa emthanjeni ongakwesokunene futhi iqhubekele phambili ukuze inhloko ilale ngaphansi kwehlombe (ingafinyeleli emithanjeni ephakathi). Ifanele ukwelashwa kwesikhathi esiphakathi—ngokuvamile kusukela evikini elilodwa kuya kwamane—futhi ivame ukusetshenziswa lapho kudingeka ukufinyelela njalo kwe-IV kodwa umugqa ophakathi ungadingeki.
Izici Eziyinhloko:
- Ubude busukela ku-3 kuya ku-8 amasentimitha
- Kufakwe emithanjeni emikhulu engaphandle (isb., i-basilic noma i-cephalic)
- Ingozi encane yezinkinga kunemigqa ephakathi
- Isetshenziselwa ama-antibiotic, i-hydration, kanye nemithi ethile
Izici zama-cannula emithanjeni
Ama-cannula afakwa emthanjeni aklanywe ngezici eziningi ukuqinisekisa induduzo nokuphepha kwesiguli ngesikhathi sokwelashwa nge-intravenous. Ezinye izici ezibalulekile zifaka:
1. Izinto ze-catheter: Ama-cannula afakwa emthanjeni enziwe ngezinto ezifana ne-polyurethane noma i-silicone. Lezi zinto ziyahambisana ne-bio futhi zinciphisa ingozi ye-thrombosis noma ukutheleleka.
2. Ukwakheka kwesihloko se-catheter: Isihloko se-cannula singaba siqondile noma sigoqekile. Isihloko esibukhali sisetshenziswa lapho kudingeka ukubhoboza udonga lwemithambo yegazi, kanti isiqu esigoqekile sifanelekela imithambo ethambile ukunciphisa ingozi yezinkinga ezihlobene nokubhoboza.
3. Ezinamaphiko noma Ezingenamaphiko: Ama-cannula e-IV angaba namaphiko anamathele ku-hub ukuze kube lula ukuwaphatha nokuvikela ngesikhathi sokufakwa.
4. Imbobo yokujova: Amanye ama-cannula emithanjeni afakwe imbobo yokujova. Lawa mambobo avumela ukuthi kujovwe imithi eyengeziwe ngaphandle kokususa i-catheter.
| Ikhodi Yombala | I-GAUGE | I-OD (mm) | UBUDE | IZINGA LOKUGQIBELA (ml/min) |
| iwolintshi | 14G | 2.1 | 45 | 290 |
| Okumpunga Okuphakathi | 16G | 1.7 | 45 | 176 |
| Okumhlophe | 17G | 1.5 | 45 | 130 |
| Okuluhlaza Okujulile | 18G | 1.3 | 45 | 76 |
| Opinki | 20G | 1 | 33 | 54 |
| Okuluhlaza okwesibhakabhaka okujulile | 22G | 0.85 | 25 | 31 |
| Ophuzi | 24G | 0.7 | 19 | 14 |
| I-Violet | 26G | 0.6 | 19 | 13 |
Isilinganiso esingu-16: Lobukhulu busetshenziswa kakhulu ezindaweni ze-ICU noma zokuhlinzwa. Lobukhulu obukhulu buvumela ukuthi kwenziwe izinqubo eziningi ezahlukene, njengokuphathwa kwegazi, ukuphathwa koketshezi ngokushesha, njalo njalo.
Isilinganiso esingu-18: Lobukhulu bukuvumela ukuthi wenze imisebenzi eminingi engenziwa yisilinganiso esingu-16, kodwa bukhulu futhi bubuhlungu kakhulu esigulini. Ezinye zezindlela ezivamile zokusebenzisa zihlanganisa ukunikeza igazi, ukusunduza uketshezi ngokushesha, njll. Ungakusebenzisa lokhu kuma-CT PE Protocols noma okunye ukuhlolwa okudinga osayizi abakhulu be-IV.
Isilinganiso esingu-20: Ungase ukwazi ukusunduza igazi kulo sayizi uma ungakwazi ukusebenzisa i-gauge engu-18, kodwa hlola njalo inqubo yomqashi wakho. Lesi silinganiso singcono ezigulini ezinemithambo emincane.
Isilinganiso esingu-22: Lo sayizi omncane ulungele uma isiguli singadingi i-IV ende futhi singaguli kakhulu. Ngokuvamile awukwazi ukufaka igazi ngenxa yobukhulu balo obuncane, nokho, ezinye izindlela zesibhedlela zivumela ukusetshenziswa kwe-22 G uma kudingeka.
Isilinganiso esingu-24: Lobu bukhulu busetshenziselwa izingane futhi buvame ukusetshenziswa kuphela njengesixazululo sokugcina njenge-IV kubantu abadala.
Ekuphetheni
I-cannula efakwa emthanjeni iyithuluzi lezokwelapha elibalulekile emisebenzini eyahlukene yezokwelapha. I-Shanghai TeamStand Corporation ingumhlinzeki nomkhiqizi wemishini yezokwelapha ochwepheshe, ehlinzeka ngemikhiqizo eyahlukene ye-cannula efakwa emthanjeni esezingeni eliphezulu kanye neminye imikhiqizo. Uma ukhetha i-cannula ye-IV, kubalulekile ukucabangela izinhlobo ezahlukene, izici, nosayizi abatholakalayo. Izinhlobo eziyinhloko yi-cannulae yemithambo engaphandle, ama-catheter emithambo ephakathi, kanye nama-catheter aphakathi nendawo. Izici ezifana nezinto ze-catheter, ukwakheka kwe-tip, kanye nokuba khona kwamaphiko noma ama-port okujova kufanele kucatshangelwe. Ngaphezu kwalokho, ubukhulu be-cannula efakwa emthanjeni (okuboniswa yisilinganiso semitha) buyahlukahluka kuye ngokungenelela kwezokwelapha okuthile. Ukukhetha i-cannula efakwa emthanjeni efanele yesiguli ngasinye kubalulekile ekuqinisekiseni ukwelashwa okuphephile nokusebenzayo kwemithambo.
Isikhathi sokuthunyelwe: Novemba-01-2023