Usayizi Wesethi Yemithambo Yekhanda Yomuntu Omdala: Umhlahlandlela Ophelele

Isingeniso

Isethi yemithambo yekhanda, eyaziwa nangokuthi inaliti yebhabhathane, iyithuluzi lezokwelapha elisetshenziswa kakhulu ukufinyelela emithanjeni. Yenzelwe ukufakwa kwemithambo yesikhashana (IV), ukuthatha isampula yegazi, noma ukunikezwa kwemithi. Nakuba ibizwa ngokuthi isethi yemithambo yekhanda, ingasetshenziswa emithanjeni eyahlukahlukene yomzimba—hhayi ekhanda nje kuphela.

Nakuba ivame ukusetshenziswa ezigulini zezingane kanye nezinsana ezisanda kuzalwa, amasethi emithambo yesikhumba asetshenziswa nakubantu abadala, ikakhulukazi lapho imithambo yangaphandle kunzima ukuyifinyelela. Ukuqonda ubukhulu besethi yemithambo yesikhumba kubantu abadala kubalulekile ekuqinisekiseni induduzo yesiguli, ukuphepha, kanye nokwelashwa nge-IV okuphumelelayo.

Iyini Isethi Yemithambo Yekhanda?

Isethi yemithambo yesikhumba sekhanda iqukethe inaliti encane yensimbi engagqwali enamathiselwe emaphikweni epulasitiki aguquguqukayo kanye nepayipi elibonakalayo elixhuma kumugqa we-IV noma isirinji. Amaphiko avumela umhlinzeki wezempilo ukuba abambe futhi afake inaliti ngokulawula okungcono kanye nokuzinza.

Isethi ngayinye yemithambo yekhanda ihlukaniswe ngemibala ngokuya ngobukhulu bayo begeyiji, okunquma ububanzi benaliti kanye nesivinini sokugeleza kwayo. Izinombolo ezincane zegeyiji zibonisa ububanzi benaliti obukhulu, okuvumela amazinga aphezulu okugeleza kokufakwa.

Kungani Kufanele Usebenzise Isethi Yemithambo Yekhanda Kwabantu Abadala?

Nakuba ama-catheter e-peripheral IV avame kakhulu kubantu abadala, amasethi emithambo yesikhumba ekhanda asetshenziswa lapho:

Imithambo ibuthakathaka, mincane, noma kunzima ukuyithola
Isiguli sidinga ukufakwa kwe-IV yesikhashana noma ukuqoqwa kwegazi
Isiguli sizwa ukungakhululeki ngama-cannula ajwayelekile e-IV
Ukubhoboza imithambo yegazi kumele kwenziwe ngaphandle kokulimala okukhulu

Ezimweni ezinjalo, isethi yemithambo yekhanda yabantu abadala inikeza inketho ethambile neqondile.

Usayizi Wesethi Yemithambo Yekhanda Yabantu Abadala

Usayizi we-isethi yemithambo yekhandaIlinganiswa ngegeyiji (G). Inombolo yegeyiji ikhombisa ububanzi bangaphandle benaliti — lapho inombolo yegeyiji iphakeme, inaliti iba ncane.

Nasi isifinyezo esifushane samasayizi avamile emithambo yekhanda kubantu abadala:

Osayizi Besethi Yemithambo Yekhanda Enconyiwe Yabantu Abadala

Uma ukhetha isethi yemithambo yekhanda yeziguli ezindala, kubalulekile ukulinganisela izinga lokugeleza kwegazi, induduzo, kanye nesimo semithambo.

Ukuze uthole ukumnika okuvamile: 21G noma 22G
Lawa ngamasayizi asetshenziswa kakhulu ezigulini ezindala, okunikeza ibhalansi enhle phakathi kwesivinini sokugeleza kanye nenduduzo.

Ukuqoqwa kwegazi: 21G
Isethi yemithambo yekhanda enesilinganiso esingu-21 isetshenziswa kabanzi ekubhobozeni imivimbo ngoba ivumela ukugeleza kwegazi okuphumelelayo ngaphandle kokubangela ukuwohloka kwemivimbo.

Ukuze uthole ukumnika okusheshayo noma ukumpontshelwa: 18G noma 20G
Ezimweni eziphuthumayo noma ezimweni zokuhlinzwa lapho kufanele kunikezwe khona uketshezi oluningi ngokushesha, kukhethwa i-gauge enkulu (inani elincane).

Ngemithambo ebuthakathaka: 23G noma 24G
Iziguli esezikhulile noma eziphelelwe amanzi emzimbeni zivame ukuba nemithambo ebucayi engadinga inalithi encane ukuze kuncishiswe ukungakhululeki nokunciphisa ukulimala kwemithambo.

Indlela Yokukhetha Isethi Efanele Yemithambo Yekhanda

Ukukhetha usayizi ofanele wesethi yemithambo yekhanda kuncike ezintweni eziningi zezokwelapha nezihlobene nesiguli:

1. Inhloso Yokusebenzisa

Nquma ukuthi isethi yemithambo yekhanda izosetshenziswa yini ekwelashweni ngokufakwa kwe-infusion, ukuthatha amasampula egazi, noma ukunikeza imithi yesikhashana. Uma kufakwa isikhathi eside, isilinganiso esikhulu kancane (isb., 21G) singaba usizo.

2. Isimo Semithambo

Hlola usayizi, ukubonakala, kanye nobuthakathaka bemithambo. Imithambo emincane nethambile idinga isilinganiso esiphezulu (isb., 23G–24G), kuyilapho imithambo emikhulu nephilile ingabekezelela u-18G–20G.

3. Izidingo Zezinga Lokugeleza

Amazinga aphezulu okugeleza adinga ububanzi obukhulu. Isibonelo, ngesikhathi sokufaka amanzi ngokushesha nge-IV, isethi yemithambo yekhanda engu-20G inikeza ukugeleza okusheshayo uma kuqhathaniswa no-23G.

4. Induduzo Yesiguli

Induduzo ibaluleke kakhulu, ikakhulukazi ezigulini ezidinga ukufakwa njalo kwezinaliti. Ukusebenzisa inalithi encane (isilinganiso esiphezulu) kunganciphisa ubuhlungu nokukhathazeka.

Izinzuzo Zokusebenzisa Amasethi Emithambo Yekhanda

Ukulawula okungcono kanye nokuzinza ngesikhathi sokufakwa
Ukulimala kwemithambo yegazi okuncishisiwe ngenxa yamaphiko aguquguqukayo
Ingozi ephansi yokuphuma kwenaliti
Ilungele ukumpontshelwa igazi isikhathi esifushane noma ukudonswa kwegazi
Ukungakhululeki okuncane kweziguli ezinemithambo emincane noma ebuthakathaka

Ngenxa yalezi zinzuzo, amasethi emithambo yesikhumba ahlala eyindlela ethembekile ezibhedlela, emitholampilo, nasemalebhu.

Izinyathelo Zokuphepha Uma Usebenzisa Amasethi Emithambo Yekhanda

Ngisho noma idivayisi ilula, ochwepheshe bezempilo kumele balandele izindlela ezifanele zokulawula ukutheleleka kanye nezindlela zokuphepha:

1. Sebenzisa njalo amasethi emithambo yekhanda engcolile, alahlwayo.
2. Hlola ubuqotho bephakheji ngaphambi kokusebenzisa.
3. Gwema ukusebenzisa noma ukugoba inaliti kabusha.
4. Lahla isethi esetshenzisiwe ngokushesha esitsheni se-sharps.
5. Khetha usayizi ofanele wegeyiji ukuvimbela ukulimala noma ukungena kwemithambo yegazi.
6. Qapha indawo yokufaka umuthi ukuze ubone ukuthi ubomvu, ukuvuvukala, noma ubuhlungu.

Ukulandela lezi zinyathelo kusiza ekunciphiseni izinkinga ezifana ne-phlebitis, ukutheleleka, noma ukukhipha indle.

Amasethi Emithambo Yekhanda Elilahlwayo vs. Eliphinde Lisetshenziswe

Amasethi amaningi emithambo yesikhumba sekhanda anamuhla ayalahlwa, aklanyelwe ukusetshenziswa kanye ukuze kugcinwe ukungazali futhi kuncishiswe ingozi yokutheleleka. Amasethi aphinde asetshenziswe awavamile ukusetshenziswa ezindaweni zezokwelapha namuhla ngenxa yemithetho eqinile yokulawula ukutheleleka.

Amasethi emithambo yekhanda elahlwayofuthi iza ngemiklamo ekwazi ukuhoxiswa ngesandla noma ekwazi ukuhoxiswa ngokuzenzakalela ukuze kuthuthukiswe ukuphepha kwenaliti, okunciphisa ukulimala kwenaliti ngengozi.

Isiphetho

Ukukhetha usayizi wesethi yemithambo yekhanda efanele yeziguli ezindala kubalulekile ekwelashweni nge-IV okuphephile nokuphumelelayo.

Ngokuvamile, amasethi angu-21G–22G afanelekela iningi lezinqubo zabantu abadala, kuyilapho angu-18G–20G esetshenziselwa ukumpompa okusheshayo kanye no-23G–24G emithanjeni ebuthakathaka.

Ngokuqonda ubukhulu begeji, isimo semithambo yegazi, kanye nokusetshenziswa okuhlosiwe, abahlinzeki bezempilo bangenza ngcono induduzo yesiguli kanye nemiphumela yezokwelapha.

Isethi yemithambo yekhanda ekhethwe kahle ayigcini nje ngokuqinisekisa ukufinyelela okuthembekile kwemithambo kodwa futhi ithuthukisa ukuphepha kanye nekhwalithi yokwelashwa ngokufakwa.