Kupu Whakataki
I te ao o ngā taputapu hauora, ko teCannula ā-roto (IV)he taputapu nui e whakamahia ana i roto i ngā hōhipera me ngā whare hauora hei tuku wai me ngā rongoā tika ki roto i te toto o te tūroro. Te whiriwhiri i te mea tikaRahi o te cannula IVhe mea nui kia whai hua ai te maimoatanga me te whakamarie o te tūroro. Ka tūhuratia e tēnei tuhinga ngā momo rahi o te cannula IV, ō rātou whakamahinga, me pēhea te whiriwhiri i te rahi e tika ana mō ngā whakaritenga hauora motuhake. ShanghaiTūnga TīmaCorporation, he kaiwhakarato matua ongā hua hauora whakakorekore, tae atu ki ngā cannulas IV, kei te taha mua i te whakarato otinga kounga teitei ki ngā tohunga hauora.
Ngā momo o te Cannula IV
He taputapu hauora nui ngā cannulas intravenous (IV) e whakamahia ana hei tuku wai, rongoā, matūkai rānei ki roto i te toto o te tūroro. I runga i te āhuatanga haumanu, he maha ngā momo cannulas IV e whakamahia ana, ia momo e mahi ana i ngā mahi motuhake. Kei raro nei ngā momo matua:
1. Cannula IV ā-Pāpāho
Ko te cannula IV Peripheral te momo e whakamahia whānuitia ana i roto i ngā hōhipera me ngā whare hauora. Ka whakaurua ki roto i ngā uaua iti o te taha, i roto i ngā ringaringa, i ngā ringaringa rānei. He pai tēnei momo mō ngā maimoatanga poto, pērā i te whakaora wai, te rongoā paturopi, te whakahaere mamae rānei. He ngāwari te whakauru me te tango, he mea pai mō te whakamahinga ohorere me te whakamahinga noa.
2. Te Kānula Raina Waenga IV
Ka whakaurua he cannula Central Line IV ki roto i tētahi uaua nui, i te nuinga o te wā i roto i te kaki (te uaua jugular o roto), te uma (te uaua subclavian), te uma rānei (te uaua femoral). Ka mutu te pito o te catheter ki te vena cava superior e tata ana ki te ngākau. Ka whakamahia ngā raina pokapū mō te maimoatanga roa (e hia wiki, e hia marama rānei), inā koa ka hiahiatia he nui ngā wai, he chemotherapy, he kai parenteral katoa rānei (TPN).
3. Pūnaha Tātari IV Kati
He pūnaha kati kati IV, e mōhiotia ana ko te cannula IV haumaru, kua hangaia me te ngongo toronga kua piri mua me ngā hononga kore ngira hei whakaiti i te tūponotanga o te mate me ngā whara wero ngira. Ka whakaratohia he pūnaha kati mai i te whakaurunga ki te whakahaere wai, hei āwhina i te pupuri i te koretake me te whakaiti i te poke.
4. Te Kātene Waenganui
Ko te Midline catheter he momo taputapu IV ā-taha e whakaurua ana ki roto i tētahi uaua i te ringa o runga, ā, e anga whakamua ana kia takoto te pito ki raro i te pakihiwi (kāore e tae ki ngā uaua o waenganui). He pai mō te rongoā wā-waenga—te nuinga o te wā mai i te kotahi ki te whā wiki—ā, he maha ngā wā ka whakamahia ina hiahiatia he urunga IV auau engari kāore e hiahiatia he aho pokapū.
Ngā Tae me ngā Rahi o te Cannula IV
| Waehere Tae | Ine | Ō (mm) | ROA | TE RERE O TE RERE (ml/min) |
| Karaka | 14G | 2.10 | 45 | 290 |
| hina waenga | 16G | 1.70 | 45 | 176 |
| Mā | 17G | 1.50 | 45 | 130 |
| Kakariki Hōhonu | 18G | 1.30 | 45 | 76 |
| Māwhero | 20G | 1.00 | 33 | 54 |
| Kikorangi Hōhonu | 22G | 0.85 | 25 | 31 |
| Kōwhai | 24G | 0.70 | 19 | 14 |
| Waiōre | 26G | 0.60 | 19 | 13 |
Ngā Whakamahinga o ngā Rahi o te Cannula IV
1. Rongoā Āwhati:
- I ngā āhuatanga ohorere, ka whakamahia ngā cannulas IV nui ake (14G me te 16G) hei tuku tere i ngā wai me ngā rongoā.
2. Pokanga me te Whakamamae:
- Ko ngā cannulas IV rahi-waenga (18G me te 20G) e whakamahia whānuitia ana i ngā wā pokanga hei pupuri i te taurite wai me te tuku rongoā whakamoe.
3. Ngā Tākuta Tamariki me ngā Tākuta Kaumātua:
- Ka whakamahia ngā cannulas IV iti ake (22G me te 24G) mō ngā pēpi, ngā tamariki, me ngā kaumātua he uaua ngawari ō rātou.
Me pēhea te whiriwhiri i te rahi o te cannula IV e tika ana
Ko te whiriwhiri i te rahi tika o te cannula IV me whai whakaaro nui ki te āhua o te tūroro me ōna hiahia hauora:
1. Kōwhiria te Rahi me te Tae o te Cannula IV e ai ki ngā tau
| Ngā Rōpū | Ngā Rahi o te Cannula IV e taunaki ana | |
| Ngā Pēpi me ngā Pēpi Hou (0-1 tau te pakeke) | 24G (kōwhai), 26G (papura) | He iti ngā uaua o te pēpi hou. He pai ake ngā cannulas iti-ira. |
| Tamariki (1-12 tau te pakeke) | 22G (kikorangi), 24G (kōwhai) | Ka nui haere ngā uaua i a rātou e tipu haere ana, ko te 22G me te 24G te mea e whakamahia whānuitia ana. |
| Taiohi (13-18 tau te pakeke) | 20G (māwhero), 22G (kikorangi) | Kāore e taea e ngā pakeke te whakamahi i ngā uaua o te taiohi, ā, e tika ana te 20G me te 22G. |
| Ngā pakeke (19+ tau te pakeke) | 18G (kākāriki), 20G (māwhero), 22G (kikorangi) | Mō ngā pakeke, ka rerekē te rahi o te cannula iv i runga i ngā tikanga me te rahi o te uaua. Ko ngā rahi e whakamahia whānuitia ana ko te 18G, 20G, 22G. |
| Ngā Tūroro Kaumātua (60+ tau te pakeke) | 20G (māwhero), 22G (kikorangi) | I te mea ka pakarukaru haere ngā uaua i te kaumātuatanga, he mea nui te rahi tika o te cannula hei whakaiti i te mamae me te mōrearea o ngā raruraru. Ko ngā cannula mai i te 20 ki te 22 te rahi e whakamahia whānuitia ana. |
Ētahi atu Whakaaro Motuhake Hira
He tīmatanga pai te whakaaro ki te rahi o ngā uaua o ngā tūroro, engari he mea anō hei whakaaroaro māu i te wā e whiriwhiri ana i te rahi tika o te cannula IV:
Ngā āhuatanga hauora o te tūroro:Tērā pea ētahi āhuatanga ka pā ki te whiriwhiri i te rahi o te cannula. Hei tauira, ko ngā tūroro he ngoikore ō rātou uaua, me iti ake te rahi.
Ngā wheako o te tohunga hauora:He mea nui anō hoki te tikanga whakauru me te wheako o te tohunga.
Momo rongoā IV:Ka pā te momo wai me te rongoā e tukuna ana ki te kōwhiringa rahi
Ngā momo rongonui o te IV Cannula
1. Cannula IV whakakorekore
2. te Cannula IV haumaru
3. Cannula IV me te putanga werohanga
Whakamutunga
He taputapu tino nui ngā cannula IV i roto i te hauora hou, e āhei ai ngā tohunga hauora ki te tuku wai me ngā rongoā tika ki roto i te toto o te tūroro. Ko Shanghai Team Stand Corporation, he kaiwhakarato rongonui o ngā hua hauora whakakorekore, tae atu ki ngā cannula IV, kua whakapau kaha ki te whakarato otinga kounga teitei ki ngā kaiwhakarato hauora puta noa i te ao. I te wā e whiriwhiri ana i te rahi cannula IV e tika ana, he mea nui kia whakaarohia te tau o te tūroro, tōna āhua, me ngā whakaritenga hauora motuhake kia pai ai ngā putanga maimoatanga me te whakamarie o te tūroro. Mā te mārama ki ngā momo rerekē oNgā rahi o te cannula IVme ā rātou tono, ka taea e ngā tohunga hauora te whakarei ake i tō rātou kaha ki te whakarato i te tiaki tūroro whai hua, whai tikanga hoki.
Wā tuku: Akuhata-07-2023