Ngā Rahi o te Uaua o te Tukituki mō te Pakeke: He Aratohu Katoa

Kupu Whakataki

Ko te huinga uaua kiriuhi, e mōhiotia ana ko te ngira pūrerehua, he taputapu hauora e whakamahia whānuitia ana mō te urunga uaua. He mea hanga mō te werohanga uaua (IV) poto, te kohi toto, te hoatu rongoā rānei. Ahakoa e kiia ana he huinga uaua kiriuhi, ka taea te whakamahi ki ngā uaua rerekē o te tinana—ehara i te kiriuhi anake.

Ahakoa e whakamahia pinepine ana i roto i ngā tūroro tamariki me ngā pēpi hou, ka whakamahia anō hoki ngā huinga uaua tumuaki i roto i ngā pakeke, inā koa he uaua te uru atu ki ngā uaua taha. He mea nui te mārama ki te rahi o ngā huinga uaua tumuaki mō ngā pakeke kia pai ai te noho o te tūroro, kia haumaru ai, kia whai hua ai hoki te rongoā IV.

He aha te huinga uaua kiri tumuaki?

Ko te huinga uaua kiriuhi he mea hanga ki tētahi ngira angiangi kowiri tira e piri ana ki ngā parirau kirihou ngāwari me tētahi ngongo mārama e hono ana ki tētahi aho IV, ki tētahi ngira werohanga rānei. Mā ngā parirau ka taea e te kaiwhakarato hauora te pupuri me te whakauru i te ngira me te whakahaere pai ake me te pumau.

Ka tohua te tae o ia huinga uaua kiriuhi kia rite ki te rahi o tōna ine, e whakatau ana i te whānui o te ngira me te tere rere. Ko ngā tau ine iti ake e tohu ana i ngā whānui ngira nui ake, e āhei ai te tere rere teitei ake mō ngā werohanga.

He aha te take e whakamahia ai he huinga uaua kiriuhi upoko mō ngā pakeke?

Ahakoa he nui ake te whakamahi i ngā katitere IV ā-peripheral i roto i ngā pakeke, ka whakamahia ngā huinga uaua kiriuhi ina:

He pakarukaru, he iti, he uaua rānei te kimi i ngā uaua
Me werohia te tūroro ki te IV mō te wā poto, me kohi toto rānei
Ka pāngia te tūroro e te mamae me ngā cannulas IV paerewa
Me mahi te pokanga venipuncture me te iti rawa o te whara

I ēnei āhuatanga, ka māmā ake, ka tika ake hoki te kōwhiringa mā te whakamahi i te uaua kiri tumuaki mō ngā pakeke.

Ngā Rahi o te Uaua o te Tukituki mō ngā Pakeke

Te rahi o tētahihuinga uaua kiri tumuakika inehia ki te ine (G). Ko te tau ine e tohu ana i te diameter o waho o te ngira — ka teitei ake te tau ine, ka iti ake te ngira.

Anei tētahi tirohanga poto mō ngā rahi o ngā uaua kiri tumuaki mō ngā pakeke:

Ngā Rahi Huinga Uaua o te Tukituki e Manakohia ana mō ngā Pakeke

I te wā e whiriwhiri ana i tētahi huinga uaua kiri tumuaki mō ngā tūroro pakeke, he mea nui kia taurite te tere rere, te whakamarie, me te āhua o ngā uaua.

Mō te werohanga whānui: 21G, 22G rānei
Koinei ngā rahi e whakamahia whānuitia ana mō ngā tūroro pakeke, e tuku ana i te taurite pai i waenga i te tere rere me te whakamarie.

Mō te kohi toto: 21G
E whakamahia whānuitia ana te huinga uaua tumuaki 21-gauge mō te pokanga na te mea ka taea te rere pai o te toto me te kore e pakaru te uaua.

Mō te werohanga tere, te whakawhiti toto rānei: 18G, 20G rānei
I ngā wā ohorere, i ngā wā pokanga rānei, me tuku wawe te nui o te wai, he pai ake te whakamahi i te ine nui ake (he tau iti ake).

Mō ngā uaua pakarukaru: 23G, 24G rānei
He maha ngā wā he ngoikore ngā uaua o ngā tūroro kaumātua, o ngā tūroro maroke rānei, ā, me whakamahi he ngira angiangi hei whakaiti i te mamae me te kino o ngā uaua.

Me pēhea te whiriwhiri i te huinga uaua kiriuhi upoko tika

Ko te whiriwhiri i te rahi tika o te uaua tumuaki ka whakawhirinaki ki ngā āhuatanga haumanu me ngā āhuatanga e pā ana ki te tūroro:

1. Te Kaupapa o te Whakamahinga

Whakatauhia mēnā ka whakamahia te huinga uaua o te tumuaki mō te rongoā werohanga, te kohi toto, te hoatu rongoā poto rānei. Mō ngā werohanga roa ake, he pai ake pea te whakamahi i tētahi ine nui ake (hei tauira, 21G).

2. Te Āhua o te Uaua

Aromatawaihia te rahi, te tirohanga, me te ngoikore o ngā uaua. Ko ngā uaua iti, ngawari hoki me nui ake te ine (hei tauira, 23G–24G), ko ngā uaua nui, hauora ia ka taea te tu atu i te 18G–20G.

3. Ngā Whakaritenga Rere Rere

Ko ngā tere rere teitei ake e hiahia ana kia nui ake ngā diameter. Hei tauira, i te wā e tere ana te whakamakuku IV, ka tere ake te rere o te uaua kiriuhi 20G ki te whakaritea ki te 23G.

4. Te Whakamarie o te Tūroro

He mea tino nui te whakamarie, inā koa mō ngā tūroro e hiahia ana kia werohia pinepine ngā ngira. Mā te whakamahi i tētahi ngira pai ake (he teitei ake te ine) ka whakaiti i te mamae me te manukanuka.

Ngā Painga o te Whakamahi i ngā Huinga Uaua o te Tukituki

He pai ake te whakahaere me te pumau i te wā e whakaurua ana
Te whakaiti i te whara o ngā uaua nā ngā parirau ngāwari
He iti ake te mōrearea o te tangohanga o te ngira
He pai mō ngā werohanga poto, mō ngā tango toto rānei
He iti ake te mamae mō ngā tūroro he iti, he pakarukaru rānei ō rātou uaua

Nā ēnei painga, he whiringa pono tonu ngā huinga uaua kiri tumuaki i roto i ngā hōhipera, ngā whare hauora, me ngā taiwhanga.

Ngā Whakatūpato Haumaru i te Whakamahinga o ngā Huinga Uaua o te Tukituki

Ahakoa he māmā noa te taputapu, me whai tonu ngā tohunga hauora i ngā tikanga tika mō te whakahaere mate me te haumaru:

1. Whakamahia tonutia ngā huinga uaua kiri tumuaki kua horoia, ka taea te whakamahi kotahi.
2. Tirohia te kounga o te kete i mua i te whakamahinga.
3. Kaua e whakamahi anō, e piko rānei i te ngira.
4. Maka atu te kete kua whakamahia ki roto i tētahi ipu mō ngā mea koi tonu.
5. Kōwhiria te rahi e tika ana hei ārai i te pakaru, te urunga rānei o te uaua.
6. Aroturukihia te wāhi i werohia ai, mēnā he whero, he pupuhi, he mamae rānei.

Mā te whai i ēnei mahi ka āwhina i te whakaiti i ngā raruraru pērā i te phlebitis, te mate pukupuku, te extravasation rānei.

Ngā Huinga Uaua Tukituki Ka taea te Whakakore me te Ka taea te Whakamahi Anō

Ko te nuinga o ngā huinga uaua kiri tumuaki o ēnei rā he mea whakakorekore, he mea hanga mō te whakamahinga kotahi hei pupuri i te koretake me te whakaiti i te mōrearea o te mate. Kāore i te maha ngā whakamahinga o ngā huinga ka taea te whakamahi anō i roto i ngā wāhi haumanu i ēnei rā nā te mea he kaha ake ngā ture whakahaere mate.

Ngā huinga uaua tumuaki whakakorekorekei te wātea hoki i roto i ngā hoahoa hiki-ā-ringa, hiki-aunoa rānei hei whakapai ake i te haumaru o te ngira, hei whakaiti i ngā whara i te werohanga o te ngira.

Whakamutunga

He mea nui te whiriwhiri i te rahi tika o te uaua tumuaki mō ngā tūroro pakeke mō te haumaru me te whai hua o te rongoā IV.

Ko te tikanga, he pai ngā huinga 21G–22G mō te nuinga o ngā tikanga pakeke, ko te 18G–20G ia e whakamahia ana mō ngā werohanga tere, me te 23G–24G mō ngā uaua pakarukaru.

Mā te mārama ki te rahi o ngā ine, te āhua o ngā uaua, me te whakamahinga e tika ana, ka taea e ngā kaiwhakarato hauora te whakapai ake i te whakamarie o te tūroro me ngā putanga haumanu.

Mā te huinga uaua kiri tumuaki i whiriwhiria pai ka taea te whakarite i te urunga pono ki ngā uaua engari ka whakarei ake hoki i te haumaru me te kounga whānui o te rongoā werohanga.