Selelekela
Lefatšeng la lisebelisoa tsa bongaka,Cannula e kenngoang methapong (IV)ke sesebelisoa sa bohlokoa se sebelisoang lipetlele le litsing tsa tlhokomelo ea bophelo ho fana ka metsi le meriana ka ho toba maling a mokuli. Ho khetha se nepahetsengBoholo ba kannula ea IVho bohlokoa ho netefatsa kalafo e sebetsang hantle le boiketlo ba mokuli. Sengoloa sena se tla hlahloba mefuta e fapaneng ea boholo ba cannula ea IV, ts'ebeliso ea eona, le mokhoa oa ho khetha boholo bo loketseng litlhoko tse itseng tsa bongaka. ShanghaiSehlopha sa SehlophaCorporation, mofani ea ka sehloohong oalihlahisoa tsa bongaka tse lahloang, ho kenyeletsoa le li-cannula tsa IV, e bile ka pele ho faneng ka litharollo tsa boleng bo holimo ho litsebi tsa bongaka.
Mefuta ea IV Cannula
Li-cannula tsa intravenous (IV) ke lisebelisoa tsa bohlokoa tsa bongaka tse sebelisetsoang ho isa maro, meriana, kapa limatlafatsi ka ho toba maling a mokuli. Ho latela boemo ba bongaka, ho sebelisoa mefuta e 'maloa ea li-cannula tsa IV, e 'ngoe le e 'ngoe e sebeletsa merero e itseng. Ka tlase ke mefuta e meholo:
1. Cannula ea Peripheral IV
Cannula ea Peripheral IV ke mofuta o sebelisoang haholo lipetlele le litleliniking. E kenngoa methapong e menyenyane ea kantle, hangata matsohong kapa matsohong. Mofuta ona o loketse mekhoa ea phekolo ea nako e khuts'oane, joalo ka ho tsosolosa metsi, lithibela-mafu, kapa taolo ea bohloko. Ho bonolo ho e kenya le ho e ntša, e leng se etsang hore e be e loketseng bakeng sa ts'ebeliso ea tšohanyetso le ea kamehla.
2. Cannula ea Mohala o Bohareng oa IV
Cannula ea Central Line IV e kenngoa ka har'a mothapo o moholo, hangata molaleng (mothapong oa ka hare oa jugular), sefubeng (mothapong oa subclavian), kapa groin (mothapo oa femoral). Ntlheng ea catheter e fella ka vena cava e phahameng haufi le pelo. Methapo ea bohareng e sebelisoa bakeng sa kalafo ea nako e telele (libeke tse 'maloa kapa khoeli), haholo-holo ha ho hlokahala metsi a mangata, chemotherapy, kapa phepo e nepahetseng ea parenteral (TPN).
3. Sistimi ea Catheter ea IV e Koetsoeng
Sistimi ea catheter ea IV e koetsoeng, e tsejoang hape e le cannula ea IV ea polokeho, e entsoe ka tube ea katoloso e khomaretsoeng esale pele le lihokelo tse se nang nale ho fokotsa kotsi ea tšoaetso le likotsi tsa nale. E fana ka sistimi e koetsoeng ho tloha ho kenngoeng ho ea ho tsamaiso ea mokelikeli, e thusang ho boloka bohloeki le ho fokotsa tšilafalo.
4. Catheter ea Moeli o Bohareng
Catheter ea Midline ke mofuta oa sesebelisoa sa IV se kenngoang ka har'a mothapo o ka holimo letsohong 'me se tsoetse pele kahoo ntlha e ka tlas'a lehetla (ha e fihle methapong e bohareng). E loketse kalafo ea nako e mahareng - hangata ho tloha bekeng e le 'ngoe ho isa ho tse 'ne -' me hangata e sebelisoa ha ho hlokahala phihlello ea IV khafetsa empa mola o bohareng ha o hlokehe.
Mebala le Boholo ba Cannula ea IV
| Khoutu ea 'Mala | TLHOKOMELISO | OD (mm) | BOLELE | SEKGAHLA SA PHALLO(ml/motsotso) |
| namunu | 14G | 2.10 | 45 | 290 |
| Putsoa e Mahareng | 16G | 1.70 | 45 | 176 |
| Bosweu | 17G | 1.50 | 45 | 130 |
| Botala bo tebileng | 18G | 1.30 | 45 | 76 |
| Pinki | 20G | 1.00 | 33 | 54 |
| Putsoa e Tebileng | 22G | 0.85 | 25 | 31 |
| Bosehla | 24G | 0.70 | 19 | 14 |
| Pherese | 26G | 0.60 | 19 | 13 |
Litšebeliso tsa Boholo ba Cannula ea IV
1. Bongaka ba Maemo a Tšohanyetso:
- Maemong a tšohanyetso, li-cannula tse kholo tsa IV (14G le 16G) li sebelisoa ho fana ka metsi le meriana kapele.
2. Ho Buuoa le ho Robatsa Bohloko:
- Li-cannula tsa IV tsa boholo bo mahareng (18G le 20G) hangata li sebelisoa nakong ea lits'ebetso tsa opereishene ho boloka botsitso ba mokelikeli le ho fana ka anesthesia.
3. Lingaka tsa Bana le tsa Batho ba Tsofetseng:
- Li-cannula tse nyane tsa IV (22G le 24G) li sebelisoa bakeng sa masea, bana le bakuli ba hōlileng ba nang le methapo e bonolo ea mali.
Mokhoa oa ho Khetha Boholo bo Loketseng ba Cannula ea IV
Ho khetha boholo bo nepahetseng ba cannula ea IV ho hloka ho nahana ka hloko ka boemo ba mokuli le litlhoko tsa bongaka:
1. Khetha Boholo le 'Mala oa Cannula ea IV ho latela lilemo
| Lihlopha | Khothaletsa Boholo ba Cannula ea IV | |
| Masea le Masea a sa tsoa tsoaloa (selemo se 0-1) | 24G (e mosehla), 26G (e pherese) | Methapo e menyenyane ea lesea le sa tsoa tsoaloa. Li-cannula tse nyane lia khethoa. |
| Bana (lilemo tse 1-12) | 22G (putsoa), 24G (mosehla) | Methapo ea methapo ea mali e ba meholo ha e ntse e hola, 22G le 24G li sebelisoa hangata |
| Bacha (lilemo tse 13-18) | 20G (pinki), 22G (putsoa) | Methapo ea bacha e koetsoe bakeng sa batho ba baholo, 20G le 22G lia loketse. |
| Batho ba baholo (lilemo tse 19+) | 18G (botala), 20G (pinki), 22G (boputsoa) | Bakeng sa batho ba baholo, khetho ea boholo ba cannula ea iv e fapana ho latela mekhoa le boholo ba mothapo. Boholo bo sebelisoang haholo ke 18G, 20G, 22G. |
| Bakuli ba Hōlileng (lilemo tse 60+) | 20G (pinki), 22G (putsoa) | Kaha methapo ea mali e ka ’na ea fokola haholoanyane ha e ntse e tsofala, boholo bo loketseng ba cannula bo bohlokoa haholo ho fokotsa ho se phutholohe le kotsi ea mathata. Hangata ho sebelisoa li-cannula tse pakeng tsa 20 le 22 gauge. |
Lintho Tse Ling Tsa Bohlokoa Tse Ikhethang Tse Amehang
Ho nahana ka boholo ba mothapo oa bakuli ke ntlha ea bohlokoa ea ho qala empa ho na le lintlha tse ling tse lokelang ho nahanoa ha ho khethoa boholo bo nepahetseng ba cannula ea IV:
Maemo a bophelo a mokuli:Ho na le maemo a itseng a ka amang khetho ea boholo ba cannula. Mohlala, bakuli ba nang le methapo e fokolang ba ka 'na ba hloka boholo bo bonyenyane.
Phihlelo ea setsebi sa tlhokomelo ea bophelo bo botle:Mokhoa oa ho kenya le phihlelo ea setsebi le tsona li bapala karolo ea bohlokoa.
Mofuta oa phekolo ea IV:Mofuta oa mokelikeli le meriana e fuoang li susumetsa khetho ea boholo
Mefuta e tsebahalang ea IV Cannula
1. Cannula ea IV e lahloang e lahloang
2. Cannula ea IV ea polokeho
3. Cannula ea IV e nang le kou ea ente
Qetello
Li-cannula tsa IV ke lisebelisoa tsa bohlokoa haholo tlhokomelong ea bophelo ea sejoale-joale, tse nolofalletsang litsebi tsa bongaka ho fana ka metsi le meriana ka kotloloho maling a mokuli. Shanghai Team Stand Corporation, mofani ea nang le botumo bo botle oa lihlahisoa tsa bongaka tse lahloang, ho kenyeletsoa le li-cannula tsa IV, e ikemiselitse ho fana ka litharollo tsa boleng bo holimo ho bafani ba tlhokomelo ea bophelo lefatšeng ka bophara. Ha ho khethoa boholo bo loketseng ba li-cannula tsa IV, ho bohlokoa ho nahana ka lilemo tsa mokuli, boemo ba hae le litlhoko tse itseng tsa bongaka ho netefatsa liphetho tse ntle tsa kalafo le boiketlo ba mokuli. Ka ho utloisisa mefuta e fapaneng eaBoholo ba li-cannula tsa IVle lits'ebetso tsa bona, litsebi tsa bongaka li ka ntlafatsa bokhoni ba tsona ba ho fana ka tlhokomelo ea bakuli e sebetsang hantle le e sebetsang.
Nako ea poso: Phato-07-2023