Damdawi in emaw emergency room emaw i kal tawh a nih chuan cannula i dah a ngai tawh ngei ang. Mi thenkhat chuan he plastic tube te tak te, i kut emaw, i taksa peng dang emaw vein-a dah hi an hlau deuh emaw, an hre duh emaw a ni. "Engvangin nge he thil hi dah luh a nih?", "A na dawn em?", "Eng nge thleng ang?", etc. I rilruah hetiang zawhna hi i nei mai thei. Chuvangin vawiin hian he cannula chungchanga zawhna i neih zawng zawng, a nih loh leh damdawi lam atanga thlir chuan ‘peripheral IV’ chungchanga zawhna i neih zawng zawng hi han tichiang ila, kan ti ang em?
A awlsam zawngin, he cannula hi eng nge ni?
Cannula chu plastic tube te tak te, flexible tak, i vein pakhatah dah a ni. 'Catheter' an ti bawk. I taksa enkawlna, tui leh damdawi te chu i thisenah direct-a pekna atan hman a ni.
Khawvel puma damdawi ina admit zinga 80% vel chuan an awm chhung hian cannula puihna an mamawh dawn tih han ngaihtuah teh. Hei hi damdawi in hmuna intravenous treatment hman tlanglawn ber a ni. A chang chuan `Peripheral IV catheter`, `Peripheral venous catheter` emaw `Peripheral IV line` emaw an ti bawk. Mahse, hei hi kan hriat vek `cannula` chu a ni.
Eng thil atan nge cannula hi i dah thin?
Doctor leh nurse te chuan cannula hi thil pawimawh engemaw zat atan an hmang thin. Hengte hi eng nge ni tih han thlir ila.
| Hmang | Hrilhfiahna awlsam tak |
|---|---|
| IV fluids a ni | Dehydration a awm chuan taksaah saline leh tui dangte pe thin ang che. |
| Damdawi chi hrang hrang | Damdawi thenkhat, antibiotics ang chi te chu direct-in vein-ah pek theih a ni a, result rang tak a awm theih nan. |
| Thisen pek a ni | Taksain a mamawh hunah thisen pe thin ang che, zai hnu emaw, accident hnu emaw pawh nise. |
| Ei leh in | Damlo ka ei thei lo tan chuan ei tur tul zawng zawng chu thisenah pek vek a ni. Hei hi (Total Parenteral Nutrition) an ti a. |
| Thisen sample lak a ni | Hei hi a chang chuan test nan thisen lak nan an hmang thin. |
Cannula dah luh a thatna lian ber pakhat chu ni engemaw zat enkawlna i dawn a ngai a nih chuan a vawi khatnaah needle hmanga i hliam ngai lo thei a ni.
A tam zawkah chuan cannula hi kut hnunglam, elbow chhung emaw, ke emaw vein-ah dah a ni. Mahse, naute te tan chuan an lu chhunga thisen zamte chu a chang chuan chu hmunah pawh dah a ni a, chu chu hmuh a awlsam zawk avangin.
Cannula leh line chi dang hi eng nge an danglamna?
PICC line ang chi hming dang pawh i hre tawh mai thei. Hengte hi a danglamna tlem a awm a.
PICC Line a ni
Hei hi vein chhunga dah tube a ni bawk a, mahse cannula aiin a sei zawk a, a thuk zawk bawk. Kut chhunga vein kaltlangin, rilru chhunga vein lian takah dah a ni. It is used for people who need to receive treatment for a very long time , kar emaw thla emaw ang chi. Mahse, cannula pangngai dah hi PICC line aiin a him zawk a, a awlsam zawk a, a hrehawm lo zawk tih hre reng ang che.
Midline ah a awm
Hei hi hun rei tak enkawlna atana hman chi dang a ni. PICC line aiin a tawi deuh hlek a ni. A chang chuan PICC line dah theih loh tan pawh hman a ni.
Engtin nge cannula dahna zawng zawng hi a thawh?
Okay, tunah chuan he thil hi kan dah luh hian eng nge thleng tak tak tih kan en ang a, hei hi step-by-step process a ni.
1. Inbuatsaihna
A hmasain doctor emaw nurse emaw chuan i symptoms te a zawt ang che a, nangmah i ni tih a chiang ang. Needle i hlauh chuan hrilh rawh. Anni chuan i rilru hahdam theih nan an pui ang che. Tichuan i kut chu hmun nuam takah dah turin an ti ang che.
2. Vein zawn chhuah
A dawtah chuan an kut chu uluk takin an sil a, kutkawr an bun a, i kut emaw, i ke emaw-ah vein tha tak, tling tak an hmu a. Vein dinglam, chak tak, che vel lo chu an duh zawk. Vein chhuah tir tur chuan i kut ah tourniquet an vuah ang. I kut chu flex turin an ti ang che. I kut zungtang an tap ang a, vein tha ber an zawng ang. A chang chuan vein hmuh a harsat chuan vein-finder device an tih te tak te an hmang thei bawk.
3. Vun tikhauh leh tifai
Vawikhat vein hmuh a nih hnuah, a chang chuan, a bik takin naupang tê têah chuan, chu hmunah chuan topical anesthetic hnawih theih a ni. A hnawih a nih chuan cannula i dah hmain a hman theih nan minute engemaw zat nghak hmasa phawt ang che. Tichuan, a hmun chu antiseptic swab hmangin uluk takin an tifai thin.
4. Cannula dah luh
Tunah hi a pawimawh ber a ni. An tih hmain, "Hei hian a ti na deuh dawn a ni," tih ang chi an hrilh ang che. Tichuan vun chu nghet takin an hrual ang a, vun hnuaiah chuan needle chu angle tlemtein an dah ang a, vein chhungah an dah lut ang. Needle nena rawn kal plastic tube (catheter) chu vein hnuai lamah tlem a hmasawn a, doctor chuan needle chu a la chhuak ang. Tunah chuan plastic tube chauh chu vein chhungah a awm tawh. Tichuan tourniquet chu an la chhuak ang.
5. Secure la, check rawh
A tawp berah chuan a hmun chu uluk takin an tifai a, cannula chu a lang thei turin transparent dressing hmangin an khuh a ni. Cannula nena inzawm tube chu a che thei lo turin tape-in an vuah a ni. Cannula an dah ni leh an dah hun chu tape-ah hian ziah a ni tlangpui. Tichuan, line chu saline hmangin an flush a, line chu a thawk tha em tih leh leak a awm em tih enfiah a ni.
Hei hian eng hlauhawmna leh harsatna nge a thlen theih?
A hmasa berah chuan cannula dah avanga harsatna awm hi a tlem hle. Mahse, damdawi lam thil dang ang bawkin, hlauhawmna tlemte chauh a awm.
| Complication awm thei | Chu chu... (Chu chu...) tihna a ni. |
|---|---|
| Kaichhawng | Puncture na hmun emaw thisen emaw chhunga hrik lut. |
| Hriselna (Bruising/Hematoma) a awm | Needle dahna hmun chu a dum emaw, thisen a chhuak emaw a ni. |
| Thisen zam (Thrombosis) . | Vein chhunga cannula chhehvela thisen zam lo awm. |
| Phlebitis (thil ruh natna) . | Vein chu a inflamed a, a na a, a hring bawk. |
| Blown vein a ni | Needle hian vein chu a deng a, a tichhia a, damdawi chu vein atang hian a leak chhuak ta a ni. |
Tute nge cannula dah harsa thei ang?
A tam zawkah chuan cannula hi a vawi khatnaah hlawhtling takin dah theih a ni. Mahse, mi thenkhat tan chuan hei hi a harsa deuh thei. Hei hi chhan hrang hrang a awm a.
- Tun hmaa cannula dah harsat i neih chuan.
- Taksaah tui tlakchhamna a awm chuan dehydration a awm tihna a ni .
- Vein hmuh theih lohna hmuna vein te tak te nei tan.
- Skin tones dum zawk nei tan (a chhan chu vein hmuh a harsa deuh avangin).
- Damdawi lam harsatna thenkhat Diabetes Mellitus leh Cancer nei tan .
- Thau lutuk emaw, thau lutuk emaw tan.
- Cancer vanga chemotherapy la mek te tan.
Take-Home Thuchah a ni
- Cannula (Peripheral IV) hi damdawi, saline ang chi, vein-a direct-a dahna atana hmanraw hman tlanglawn tak leh him tak a ni.
- Hetiang tih dan emaw, needle emaw chungchangah i lungkham a nih chuan i doctor emaw nurse emaw hnenah hrilh hlau suh . An pui ang che.
- Cannula hmun a na lutuk, a hring, a sen emaw, tui a luang chhuak emaw a nih chuan doctor emaw nurse emaw hnenah hrilh nghal tur a ni.
- Vawikhat i hnawih chuan ni engemaw zat (a tlangpuiin ni 3-4 chhung) i ha thei a, chuvang chuan i nail i chil chhak reng ngai loh nan a chhanhim a ni.
- Hemi chungchanga zawhna dang i neih chuan i rilruah dah suh la, i doctor zawt zawk rawh .
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