Gabatarwa
Ciki (IV) cannula cathetersba makawana'urorin likitanciana amfani da shi a cikin saitunan kiwon lafiya daban-daban don ba da ruwa, magunguna, da samfuran jini kai tsaye zuwa cikin jinin majiyyaci. Wannan labarin yana nufin samar da zurfin fahimtaIV cannula catheters, gami da aikinsu, girmansu, nau'ikansu, da sauran abubuwan da suka dace.
Ayyukan IV Cannula Catheter
Catheter na IV cannula wani bakin ciki ne, bututu mai sassauƙa da aka saka a cikin jijiyar majiyyaci, yana ba da dama ga tsarin jini. Babban aikin farko na catheter na IV cannula shine isar da ruwa mai mahimmanci, electrolytes, magunguna, ko abinci mai gina jiki ga majiyyaci, tabbatar da saurin shiga cikin jini. Wannan hanyar gudanarwa tana ba da hanyar kai tsaye kuma abin dogaro don kiyaye daidaiton ruwa, maye gurbin ƙarar jini da aka ɓace, da isar da magunguna masu saurin lokaci.
Girman IV Cannula Catheters
IV cannula catheters suna samuwa a cikin girma dabam dabam, yawanci ana gano su ta lambar ma'auni. Ma'aunin yana wakiltar diamita na allurar catheter; ƙarami lambar ma'auni, mafi girma diamita. Girman da aka saba amfani da su don IV cannula catheters sun haɗa da:
1. 14 zuwa 24 Ma'auni: Ana amfani da cannulas masu girma (14G) don saurin jiko na ruwa ko samfurori na jini, yayin da ƙananan ƙananan (24G) sun dace don gudanar da magunguna da mafita waɗanda ba sa buƙatar yawan adadin ruwa.
2. Ma'auni na 18 zuwa 20: Waɗannan su ne manyan nau'ikan da aka fi amfani da su a cikin saitunan asibitoci na gabaɗaya, suna ba da abinci da yawa na marasa lafiya da yanayin asibiti.
3. 22 Ma'auni: An yi la'akari da mafi kyau ga yara da marasa lafiya na geriatric ko wadanda ke da jijiyoyi masu rauni, saboda suna haifar da rashin jin daɗi a lokacin shigarwa.
4. 26 Ma'auni (ko mafi girma): Waɗannan cannulas masu ƙwanƙwasa suna yawanci ana amfani da su don yanayi na musamman, kamar gudanar da wasu magunguna ko kuma ga marasa lafiya masu rauni sosai.
Nau'in IV Cannula Catheters
1. Peripheral IV Cannula: Nau'in da aka fi sani da shi, ana saka shi a cikin jijiya na gefe, yawanci a hannu ko hannu. An ƙera su don amfani na ɗan gajeren lokaci kuma sun dace da marasa lafiya da ke buƙatar samun dama ko tazara.
2. Central Venous Catheter (CVC): Ana sanya waɗannan catheters a cikin manyan jijiyoyi na tsakiya, kamar maɗaukakin vena cava ko na ciki na jugular vein. Ana amfani da CVCs don maganin dogon lokaci, gwajin jini akai-akai, da gudanar da magunguna masu ban haushi.
3. Midline Catheter: Wani zaɓi na tsaka-tsakin tsaka-tsakin tsaka-tsakin tsaka-tsakin tsakiya da na tsakiya, ana saka catheters na tsakiya a cikin hannu na sama kuma an zare ta cikin jijiya, yawanci yana ƙarewa a kusa da yankin axillary. Sun dace da marasa lafiya waɗanda ke buƙatar magani na dogon lokaci amma basa buƙatar samun dama ga manyan jijiyoyin tsakiya.
4. Peripherally Inserted Central Catheter (PICC): Dogon catheter da ake sakawa ta wata jijiya ta gefe (yawanci a hannu) kuma ta ci gaba har sai tip ya tsaya a cikin babban jijiya ta tsakiya. Yawancin lokaci ana amfani da PICCs ga marasa lafiya da ke buƙatar tsawaita maganin jijiya ko kuma ga waɗanda ke da iyakacin damar jijiya.
Hanyar Shigarwa
ƙwararrun ƙwararrun ƙwararrun kiwon lafiya yakamata su aiwatar da shigar da catheter na cannula na IV don rage rikice-rikice da tabbatar da wurin da ya dace. Hanyar gabaɗaya ta ƙunshi matakai masu zuwa:
1. Ƙimar haƙuri: Ma'aikacin kiwon lafiya yana kimanta tarihin likita na majiyyaci, yanayin jijiyoyi, da duk wani abu da zai iya tasiri tsarin shigarwa.
2. Zaɓin Yanar Gizo: An zaɓi wurin da ya dace da jijiya da wurin sakawa bisa ga yanayin mai haƙuri, buƙatun jiyya, da samun damar jijiya.
3. Shiri: An tsaftace yankin da aka zaɓa tare da maganin maganin kashe kwayoyin cuta, kuma ma'aikacin kiwon lafiya yana sanya safofin hannu mara kyau.
4. Ciki: Ana yin ɗan ƙarami a cikin fata, kuma ana shigar da catheter a hankali ta hanyar yanka a cikin jijiyar.
5. Tsaro: Da zarar catheter ya kasance a wurin, ana adana shi zuwa fata ta amfani da riguna masu ɗaure ko na'urorin tsaro.
6. Flushing and Priming: Ana zubar da catheter da saline ko heparinized maganin don tabbatar da patency da hana samuwar jini.
7. Kulawa bayan shigar: Ana kula da wurin don kowane alamun kamuwa da cuta ko rikitarwa, kuma ana canza suturar catheter kamar yadda ake buƙata.
Matsaloli da Kariya
Duk da yake IV cannula catheters suna da lafiya gabaɗaya, akwai yuwuwar rikice-rikice waɗanda ƙwararrun kiwon lafiya dole ne su kula da su, gami da:
1. Kutsawa: Fitar ruwa ko magunguna a cikin kyallen jikin da ke kewaye maimakon jijiya, wanda ke haifar da kumburi, zafi, da yuwuwar lalacewar nama.
2. Phlebitis: Kumburi na jijiyoyi, yana haifar da ciwo, ja, da kumburi a kan hanyar jijiyar.
3. Kamuwa da cuta: Idan ba a bi dabarun aseptic masu kyau ba yayin sakawa ko kulawa, wurin catheter na iya kamuwa da cuta.
4. Occlusion: Catheter na iya toshewa saboda gudan jini ko zubar da ruwa mara kyau.
Don rage rikice-rikice, masu ba da kiwon lafiya suna bin ka'idoji masu tsauri don shigar da catheter, kula da wurin, da kiyayewa. Ana ƙarfafa marasa lafiya da su hanzarta ba da rahoton duk wani alamun rashin jin daɗi, zafi, ko ja a wurin sakawa don tabbatar da sa baki akan lokaci.
Kammalawa
IV cannula catheters suna taka muhimmiyar rawa a cikin tsarin kiwon lafiya na zamani, suna ba da izinin isar da lafiya da ingantaccen isar da ruwa da magunguna kai tsaye cikin jinin mara lafiya. Tare da nau'o'i daban-daban da nau'o'in samuwa, waɗannan catheters suna daidaitawa zuwa buƙatun asibiti daban-daban, daga gajeren lokaci na gefe zuwa hanyoyin kwantar da hankali na dogon lokaci tare da layi na tsakiya. Ta hanyar bin mafi kyawun ayyuka yayin shigarwa da kiyayewa, ƙwararrun ƙwararrun kiwon lafiya na iya haɓaka sakamakon haƙuri da rage rikice-rikice masu alaƙa da amfani da catheter IV, tabbatar da lafiya da ingantaccen magani ga marasa lafiya.
Lokacin aikawa: Yuli-31-2023