Isingeniso
Emhlabeni wemishini yezokwelapha, iI-Intravenous (IV) cannulaiyithuluzi elibalulekile elisetshenziswa ezibhedlela nasezikhungweni zezempilo ukuze kunikezwe uketshezi nemithi ngokuqondile egazini lesiguli. Ukukhetha okulungileIV usayizi we-cannulakubalulekile ukuqinisekisa ukwelashwa okuphumelelayo nokunethezeka kwesiguli. Lesi sihloko sizohlola izinhlobo ezahlukene zosayizi be-cannula ye-IV, izinhlelo zabo zokusebenza, nokuthi ungakhetha kanjani usayizi ofanele wezidingo ezithile zezokwelapha. ShanghaiI-TeamStandInkampani, umphakeli ohamba phambili weimikhiqizo yezokwelapha elahlwayo, okuhlanganisa ne-IV cannulas, ibihamba phambili ekunikezeni izixazululo zekhwalithi ephezulu kochwepheshe bezokwelapha.
Izinhlobo ze-IV Cannula
Ama-cannula e-Intravenous (IV) angamathuluzi ezokwelapha abalulekile asetshenziselwa ukuletha uketshezi, imithi, noma imisoco ngokuqondile egazini lesiguli. Ngokuya ngesimo somtholampilo, kusetshenziswa izinhlobo eziningana ze-IV cannulas, ngayinye isebenzela izinhloso ezithile. Ngezansi izinhlobo eziyinhloko:
1. I-peripheral IV Cannula
I-peripheral IV cannula iwuhlobo olusetshenziswa kakhulu ezibhedlela nasemitholampilo. Ifakwa emithanjeni emincane eseceleni, ngokuvamile ezingalweni noma ezandleni. Lolu hlobo lufanele ukwelashwa kwesikhashana, njengokuvuselela uketshezi, ama-antibiotics, noma ukuphatha ubuhlungu. Kulula ukuyifaka nokuyikhipha, okuyenza ilungele ukusetshenziswa okuphuthumayo nokujwayelekile.
2. Central Line IV Cannula
I-Central Line IV cannula ifakwa emthanjeni omkhulu, ngokuvamile entanyeni (i-jugular vein yangaphakathi), esifubeni (i-subclavian vein), noma i-groin (i-femoral vein). Isihloko se-catheter siphelela ku-vena cava ephakeme eduze kwenhliziyo. Imigqa ephakathi isetshenziselwa ukwelashwa kwesikhathi eside (amasonto ama-serveral noma inyanga), ikakhulukazi uma uketshezi oluphezulu lwevolumu, i-chemotherapy, noma umsoco ophelele we-parenteral (TPN) iyadingeka.
3. Isistimu ye-Catheter ye-IV evaliwe
Isistimu ye-catheter ye-IV evaliwe, eyaziwa nangokuthi i-safety IV cannula, iklanywe ngeshubhu enwetshiwe enamathiselwe ngaphambili nezixhumi ezingenanaliti ukuze kuncishiswe ingozi yokutheleleka kanye nokulimala kwezinaliti. Ihlinzeka ngesistimu evaliwe kusukela ekufakweni kuya ekulawuleni uketshezi, okusiza ukugcina ubunyumba kanye nokunciphisa ukungcoliswa.
4. I-Catheter ye-Midline
I-Midline catheter iwuhlobo lwedivayisi ye-peripheral IV efakwe emthanjeni osengalweni engaphezulu futhi ithuthuke ukuze ichopho lilale ngezansi kwehlombe (lingafinyeleli emithanjeni emaphakathi). Ilungele ukwelashwa kwesikhathi esimaphakathi-ngokuvamile kusukela evikini elilodwa kuya kwamane-futhi ivame ukusetshenziswa lapho ukufinyelela kwe-IV njalo kuyadingeka kodwa umugqa ophakathi awudingeki.
IV Cannula Imibala Nosayizi
| Ikhodi Yombala | IGAUGE | I-OD (mm) | LENGTH | IZINGA LOKUGEZA(ml/min) |
| iwolintshi | 14G | 2.10 | 45 | 290 |
| Okumpunga Okumaphakathi | 16G | 1.70 | 45 | 176 |
| Emhlophe | 17G | 1.50 | 45 | 130 |
| Okuluhlaza Okujulile | 18G | 1.30 | 45 | 76 |
| Pink | 20G | 1.00 | 33 | 54 |
| Okuluhlaza okwesibhakabhaka | 22G | 0.85 | 25 | 31 |
| Okuphuzi | 24G | 0.70 | 19 | 14 |
| I-Violet | 26G | 0.60 | 19 | 13 |
Izicelo ze-IV Cannula Sizes
1. Umuthi Wezimo Eziphuthumayo:
- Ezimeni eziphuthumayo, ama-cannula e-IV amakhulu (14G kanye ne-16G) asetshenziselwa ukuletha uketshezi nemithi ngokushesha.
2. Ukuhlinzwa kanye Nezinzwa:
- Ama-cannulas angama-IV anosayizi omaphakathi (18G kanye ne-20G) avame ukusetshenziswa phakathi nezinqubo zokuhlinzwa ukuze kugcinwe ibhalansi yoketshezi kanye nokulawula i-anesthesia.
3. I-Pediatrics kanye ne-Geriatrics:
- Ama-cannulas amancane we-IV (22G kanye ne-24G) asetshenziselwa izinsana, izingane, neziguli esezikhulile ezinemithambo ethambile.
Ungakhetha Kanjani Usayizi WeCannula Ofanelekile IV
Ukukhetha usayizi we-cannula we-IV ofanele kudinga ukucatshangelwa ngokucophelela isimo sesiguli kanye nezidingo zezokwelapha:
1. Khetha usayizi weCannula nombala we-IV ngokuya ngeminyaka
| Amaqembu | Ncoma IV Cannula Osayizi | |
| Izinsana nezinsana (ubudala obu-0-1) | 24G(ophuzi), 26G(purple) | Imithambo mincane kwabasanda kuzalwa. Kukhethwa ama-cannula wegeji elincane. |
| Izingane (iminyaka engu-1-12) | 22G(blue), 24G(yellow) | Imithambo iba mikhudlwana njengoba ikhula, i-22G ne-24G isetshenziswa kakhulu |
| Intsha (iminyaka eyi-13-18) | 20G(pinki), 22G(blue) | Imithambo yentsha ivaliwe kubantu abadala, i-20G ne-22G ifanelekile. |
| Abantu abadala (iminyaka engu-19+ ubudala) | 18G(green), 20G(pink), 22G(blue) | Kubantu abadala, ukukhethwa kukasayizi we-cannula kuyehluka ngokuya ngezinqubo nosayizi wemithambo. Osayizi abasetshenziswa kakhulu yi-18G, 20G, 22G. |
| Iziguli Abadala (iminyaka engu-60+ ubudala) | 20G(pinki), 22G(blue) | Njengoba imithambo ingase ibe ntekenteke ngokukhula, usayizi we-cannula ofanele ubalulekile ukuze unciphise ukungaphatheki kahle kanye nengozi yezinkinga. Ama-cannula asukela ku-20 kuya ku-22 gauge avame ukusetshenziswa. |
Okunye Okucatshangelwayo Okukhethekile Okubalulekile
Ukucabangela usayizi womthambo weziguli kuyisiqalo esiwusizo kodwa kunezici ezengeziwe okufanele zicatshangelwe ngenkathi kukhethwa osayizi abalungile be-cannula be-IV :
Izimo zezempilo zesiguli:Kunemibandela ethile engase ibe nomthelela ekukhethweni kosayizi we-cannula. Isibonelo iziguli ezinemithambo entekenteke zingase zidinge usayizi omncane.
Umuzwa womsebenzi wezempilo:indlela yokufaka nolwazi lochwepheshe nakho kudlala indima ebalulekile.
Uhlobo lokwelashwa kwe-IV:Uhlobo loketshezi nemithi enikezwayo ithonya ukukhethwa kosayizi
Izinhlobo ezidumile ze-IV Cannula
1. ICannula ye-IV elahlwayo
2. ukuphepha IV Cannula
3. I-IV Cannula enembobo yomjovo
Isiphetho
Ama-cannula e-IV angamathuluzi abalulekile ekunakekelweni kwezempilo kwesimanje, avumela ochwepheshe bezokwelapha ukuthi bakhiphe uketshezi nemithi ngokuqondile egazini lesiguli. I-Shanghai Team Stand Corporation, umphakeli ohlonishwayo wemikhiqizo elahlwayo yezokwelapha, okuhlanganisa nama-cannula e-IV, uzibophezele ekunikezeni izixazululo zekhwalithi ephezulu kubahlinzeki bezempilo emhlabeni wonke. Lapho ukhetha usayizi we-cannula we-IV ofanelekile, kubalulekile ukucabangela iminyaka yesiguli, isimo, kanye nezidingo ezithile zezokwelapha ukuze kuqinisekiswe imiphumela yokwelashwa efanele kanye nokunethezeka kwesiguli. Ngokuqonda izinhlobo ezahlukene zeIV osayizi be-cannulakanye nezicelo zabo, ochwepheshe bezokwelapha bangathuthukisa ikhono labo lokuletha ukunakekelwa kwesiguli okuphumelelayo nokuphumelelayo.
Isikhathi sokuthumela: Aug-07-2023