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 o te Tukituki?

Ko te huinga uaua kiriuhi he mea hanga ki tētahi ngira kowiri tira angiangi 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 te ngāwari o ngā parirau
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 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 pono 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 tumuaki kua tīpakohia pai ka whakarite i te urunga pono ki ngā uaua engari ka whakarei ake hoki i te haumaru me te kounga whānui o te rongoā werohanga.