Icyo ukeneye kumenya kuri Peripheral IV

Ese wigeze ujya mu bitaro? Niba ari uko bimeze, ikintu kimwe uzahura nacyo ni ukwinjizwamo kanula mu kuboko kwawe. Mu mvugo isanzwe, ni "urushinge mu kuboko." Ikoreshwa mu bintu byinshi, harimo gutanga umuti wa saline, gutanga imiti yica udukoko, gutanga amaraso ... Ibi rero ni byo twita mu buvuzi IV . Iki ni ikintu gisanzwe cyane. Hafi 80% by'abarwayi binjira mu bitaro hirya no hino ku isi bagomba gushyirwamo kanula muri ubu buryo. Reka tuvuge kuri ibi byose uyu munsi.

Mu magambo make, Peripheral IV ni iki?

Umuyoboro wa IV wo mu gice cy'imbere ni umuyoboro wa pulasitiki woroshye kandi woroshye winjizwa mu mitsi yawe imwe. Twebwe abaganga tuyita catheter . Ushyirwa mu mitsi hakoreshejwe urushinge ruto. Iyo urushinge rugeze mu mitsi, urushinge rurakurwaho, hagasigara umuyoboro wa pulasitiki woroshye uri mu mitsi. Uwo ni umuyoboro uhambirwa ku kuboko kwawe hakoreshejwe plaster.

Ibi byitwa "peripheral" kuko bihabwa imitsi iri kure y'umubiri wacu (igituza), nk'iyo mu maboko no mu maguru. Ubu ni bwo buryo bukoreshwa cyane mu kuvura imitsi mu mitsi ku isi.

Ibi byitwa n'andi mazina menshi:

• Katheta ya IV yo mu gice cyo hagati
• Katheta y'imitsi yo mu mitsi yo ku ruhande
• Umurongo wa IV wo ku ruhande

Kuki tugomba gushyiramo Peripheral IV?

Muganga cyangwa umuforomo azagushyira mu kanwa kubera impamvu zimwe na zimwe z'ingenzi. Bituma amaraso anyuzwamo, kandi bikanatuma imiti itangwa mu maraso yawe. Ibi bituma umuti winjira vuba kandi bikagufasha gukira vuba.

Ibintu by'ingenzi bikoreshwa muri IV ni ibi bikurikira:

• Tanga ibinyobwa bya IV: Ibi ni byo twita saline. Ikoreshwa mu gutanga ibinyobwa byihuse ku mubiri mu bihe nko kubura amazi, ni ukuvuga iyo nta mazi ahagije mu mubiri.
• Gutanga imiti: Imiti igomba gukora vuba, cyane cyane imiti igabanya ubukana, itangwa mu mitsi. Imiti igabanya ububabare n'indi miti yihariye irashobora gutangwa muri ubu buryo.
• Guterwa amaraso: Iyo umuntu akeneye amaraso, amaraso atangwa binyuze muri uyu murongo wa IV.
• Gutanga intungamubiri zikomoka ku mazi: Ubu buryo bukoreshwa mu guha intungamubiri mu buryo butaziguye abarwayi badashobora kurya mu kanwa cyangwa ngo bashobore kwinjiza ibiryo binyuze mu mara. Ibi twita intungamubiri yose ya parenteral (TPN) .

Ahantu hakunze gushyirwamo agakoresho ko gushyiramo intanga mu mitsi ni inyuma y'ukuboko, imbere mu nkokora, ndetse rimwe na rimwe n'ukuguru. Ku bana bato, hari igihe imitsi mito yo mu mutwe ikoreshwa, kuko byoroshye kuyibona.

Ni irihe tandukaniro riri hagati y'ubundi bwoko bwa IV n'ubwa Peripheral IV?

Ushobora kuba warumvise amagambo nka PICC line na Central line. Aya atandukanye gato na Peripheral IV. Reka turebe itandukaniro riri hagati yayo.

Mu magambo make, agakoresho ko mu mutwe ka IV ni ko koroshye, gafite umutekano kandi koroshye gushyiramo. Nanone kandi ntikababaza cyane.

Uburyo bwo gushyiramo imashini ya IV bugenda bute?

Noneho reka turebe uko bigenda iyo ushyizwemo kanula mu kuboko kwawe. Nta muntu ukunda gukubitwa, ariko kumenya uko bigenda bizagufasha kugabanya ubwoba bwawe gato.

1. Kwitegura

Ubwa mbere, umuforomo cyangwa umuganga azakubaza izina ryawe n'ibindi bisobanuro kugira ngo amenye neza ko uri umuntu mwiza. Niba utinya inshinge, zibwire. Bazagufasha kuruhuka. Hanyuma bazagusaba gushyira ikiganza cyawe ku kintu cyiza, nk'umusego.

2. Kubona umutsi

Intambwe ikurikiraho ni ukubona umutsi mwiza. Umuforomo azakaraba intoki ze, yambare uturindantoki, hanyuma asuzume ukuboko kwawe. Azashaka umutsi ugororotse udateye imbere, udafata amashami, kandi munini gato.

• Ushobora kuba warabonye agapira k'urukiramende ( tourniquet ) gashyirwa ku kuboko ko hejuru. Ibi bikorwa kugira ngo imitsi yuzure amaraso kandi igaragare neza.
• Hanyuma bakubwira guhana amaboko.
• Kanda ku mutsi n'intoki zawe kugira ngo urebe uburyo ari mwiza kandi niba urimo kugenda.
• Hari igihe, iyo bigoye kubona umutsi, igikoresho cyihariye cyo gushakisha imitsi gishobora gukoreshwa.

3. Gushyiramo kanula

Iyo umutsi ubonetse neza, umuti ugabanya ububabare ushobora gushyirwaho kugira ngo utume ahantu hadakora neza. Ibi ni ingirakamaro cyane cyane ku bana bato. Umushumi ukurwaho icyo gihe, kuko bifata iminota 30 kugira ngo umuti ugabanya ububabare ukore.

Hanyuma, aho hantu hasukurwa neza hifashishijwe imiti yica udukoko hanyuma agapira k'umugozi gakongerwamo imbaraga.

Noneho ni cyo gice cy'ingenzi cyane. Umuforomo azakurura uruhu rw'ukuboko kwawe akoresheje ukuboko kumwe. Ahagarike umutsi utembera. Ku kundi kuboko, bazafata urushinge n'umuyoboro wa pulasitiki (cannula) bikikije. Bazakubwira bati "Urushinge rugiye gushyirwamo," maze bashyire urushinge mu ruhu no mu mutsi ku mfuruka nto cyane.

Iyo urushinge rwinjiye mu mitsi, igitonyanga gito cy'amaraso gisohoka inyuma ya kanula. Ibyo bivuze ko gikora neza. Hanyuma , uko urushinge rugenda rukurwa buhoro buhoro, umuyoboro wa plastiki ushyirwa imbere gato mu mitsi. Amaherezo, urushinge rurakurwaho rwose, hanyuma agatambaro ka rubber kagakurwaho.

4. Kurinda umutekano

Noneho, igisigaye mu muyoboro ni umuyoboro muto wa pulasitiki. Aho hantu hasukurwa neza kandi hagatwikirwa n'igitambaro kibonerana. Hanyuma, agakoresho karahambirwa ku ruhu kugira ngo kadahinduka. Amaherezo, itariki n'isaha kannula yashyizwemo byanditse kuri icyo gitambaro.

Hanyuma, nibiba ngombwa, hafatwa amaraso kugira ngo hapimwe amaraso, hanyuma hakoherezwa umuti wo mu bwoko bwa saline unyuze mu murongo wa saline kugira ngo harebwe niba umurongo ukora neza.

Iyi gahunda yose, niba umutsi ushobora kuboneka byoroshye, bifata igihe kitarenze umunota umwe.

Ni izihe ngaruka n'ingorane ziterwa n'ibi?

Nubwo gushyiraho agakoresho ka IV gakingira indwara ari inzira itekanye cyane, hari igihe hashobora kubaho ingorane ntoya. Ariko, izi ni gake cyane.

• Kwandura:Udukoko dushobora kwinjira mu maraso dunyuze aho kanula ishyirwa, niyo mpamvu ari ngombwa kubungabunga aho hantu hasukuye.
• Kuva amaraso cyangwa Hematoma: Hashobora kuva amaraso make aho yatobowe, cyangwa amaraso ashobora kwikusanya munsi y'uruhu agahinduka ubururu.
• Thrombose: Amaraso ashobora kuzura mu mitsi ikikije cannula.
• Phlebite: Umutsi urwara indwara ushobora gutukura no kubabara.
• Umutsi upfutse: Iyo urushinge runyuze mu mutsi rukawutobora, umuti cyangwa saline bishobora kuva mu mutsi bikajya mu ngingo, bigatuma agace kabyimba.
• Kwangirika kw'imitsi cyangwa imitsi: Ibi ni gake cyane.

Ese buri wese ashobora kubona IV byoroshye?

Oya. Hari igihe bidashoboka gushyiramo kanula bwa mbere. Ubushakashatsi bwagaragaje ko hagati ya 65% na 86% by'abanduye batsinda ku nshuro ya mbere. Ariko, hagati ya 8% na 23% by'abanduye, bishobora kugorana kuyishyiramo.

Hari impamvu nyinshi zishobora gutuma bigorana gushyiramo agapira ka IV:

• Amateka: Niba warigeze kugira ikibazo cyo kubona inshinge za IV mu bihe byashize.
• Kubura amazi: Iyo umubiri ubuze amazi, imitsi iragabanuka kandi kuyibona biragoye.
• Imiterere y'imitsi: Imitsi y'abantu bamwe ntigaragara n'amaso, cyangwa ni mito cyane.
• Ibara ry'uruhu: Hari igihe bishobora kugorana kubona imitsi mu bantu bafite uruhu rwijimye.
• Izindi mpamvu: Imitsi ishobora kugorana kuyibona bitewe n'ibintu nko gukoresha ibiyobyabwenge, inkovu zo kubagwa, indwara nka diyabete, kanseri, kugabanya ibiro cyangwa kwiyongera, na chimiotherapie.

Nanone, imibare igaragaza ko bishobora kugora abagore kubona inshinge ya IV kurusha abagabo.

Inshuro zingana iki umuntu ashobora gusigaranamo IV imwe?

Ubusanzwe, dukurikije politiki y’ibitaro, kanula imwe yo mu mpande zombi isigara mu mwanya wayo mu gihe cy’amasaha 72 kugeza kuri 96, ni ukuvuga iminsi 3-4. Iyo hakenewe kuvurwa igihe kirenze icyo, kanula ishaje irakurwaho hanyuma kanula nshya igashyirwa ahantu hashya kugira ngo igabanye ibyago byo kwandura.