Kana wakamboenda kuchipatara kana kuchipatara che emergency, pamwe waifanira kuiswa cannula. Vamwe vanhu vanotya kana kuda kuziva nezve chubhu diki iyi yepurasitiki yakaiswa mutsinga iri muruoko rwako kana chimwe chikamu chemuviri wako. "Sei ichiiswa?", "Zvicharwadza here?", "Chii chichaitika?", nezvimwewo. Ungave uine mibvunzo yakaita seiyi mupfungwa dzako. Saka nhasi, ngatigadzirise mibvunzo yako yese nezve cannula iyi, kana mumashoko ekurapa, 'peripheral IV', handiti?
Zvichitaurwa zviri nyore, chii chinonzi cannula iyi?
Cannula ichubhu yepurasitiki yakatetepa uye inochinjika inoiswa mune imwe yetsinga dzako. Inonziwo 'catheter'. Inoshandiswa kupa muviri wako mishonga, senge mvura uye mishonga, zvakananga muropa rako.
Fungidzira, varwere vanosvika 80% vanopinda muzvipatara pasi rose vanoda rubatsiro rwe cannula panguva yavanenge vari. Iyi ndiyo nzira inonyanya kushandiswa yekurapa netsinga muchipatara. Dzimwe nguva inonziwo `Peripheral IV catheter`, `Peripheral venous catheter` kana `Peripheral IV line`. Zvisinei, iyi ndiyo `cannula` yatinoziva tese.
Zvinhu zverudzii zvaunoisa cannula?
Vanachiremba nevanamukoti vanoshandisa cannula pazvinangwa zvikuru zvakasiyana-siyana. Ngationei kuti izvi zvinorevei.
| Shandisa | Tsananguro Iri Nyore |
|---|---|
| Mvura yemutsinga | Kana muviri wako wapererwa nemvura, ipa muviri wako saline nezvimwe zvinwiwa. |
| Mishonga | Mimwe mishonga, yakaita semishonga inorwisa mabhakitiriya, inogona kupihwa zvakananga mutsinga kuti iwane mhedzisiro nekukurumidza. |
| Kuwedzerwa ropa | Ipa ropa kana muviri uchida, kungava mushure mekuvhiyiwa kana tsaona. |
| Kudya zvinovaka muviri | Kune varwere vasingagoni kudya nemuromo, kudya kwese kunodiwa kunopihwa netsinga. Izvi zvinonzi (Total Parenteral Nutrition). |
| Mienzaniso yeropa | Dzimwe nguva izvi zvinoshandiswa kutora ropa kuti riongororwe. |
Chimwe chezvakanakira zvikuru zvekuiswa cannula ndechekuti kana uchida kurapwa kwemazuva akati wandei, unogona kudzivirira kubayiwa netsono nguva dzese.
Kazhinji, kanula inoiswa mutsinga iri kumashure kweruoko, mukati megokora, kana gumbo. Zvisinei, kuvana vadiki, tsinga dziri mumisoro yavo dzimwe nguva dzinoiswawo munzvimbo idzodzo, sezvo dziri nyore kuwana.
Ndeupi musiyano uripo pakati pe cannula nedzimwe mhando dzemitsetse?
Ungave wakambonzwa mamwe mazita akaita sePICC line. Pane musiyano mudiki pakati peaya.
Mutsetse wePICC
Iyi ichubhu inopinzwawo mutsinga, asi yakareba uye yakakora kupfuura cannula. Inopinzwa nepatsinga iri muruoko uye mutsinga huru iri muchipfuva. Inoshandiswa kuvanhu vanoda kurapwa kwenguva yakareba , senge mavhiki kana mwedzi. Asi yeuka, kuisa cannula yenguva dzose kwakachengeteka, kuri nyore, uye hakunyanyi kurwadza kupfuura PICC line.
Mutsetse wepakati
Iyi ndeimwe mhando inoshandiswa pakurapa kwenguva refu. Ipfupi zvishoma pane mutsetse wePICC. Dzimwe nguva inoshandiswa kune vanhu vasingakwanise kuiswa mutsetse wePICC.
Maitiro ese ekuisa cannula anoshanda sei?
Zvakanaka, ngationei zvinoitika kana taisa izvi. Iyi inhanho nhanho.
1. Kugadzirira
Kutanga, chiremba kana nesi vachakubvunza nezvezviratidzo zvako uye vachaona kuti ndiwe. Kana uchitya tsono, vaudze nezvazvo. Vachakubatsira kudzikamisa hasha. Zvadaro vachakukumbira kuti uise ruoko rwako panzvimbo yakasununguka.
2. Kutsvaga tsinga
Zvadaro, vanogeza maoko avo zvakanaka, vopfeka magirovhosi, vobva vawana tsinga yakanaka uye yakakodzera muruoko rwako kana gumbo. Vanoda tsinga yakatwasuka, yakasimba isingafambi. Kuti tsinga ibude, vanoisa tourniquet yakakomberedza ruoko rwako. Uchakumbirwa kuti utendeutse ruoko rwako. Vanogogodza minwe yako kuti vawane tsinga yakanakisisa. Dzimwe nguva, kana zvakaoma kuwana tsinga, vanogona kushandisa mudziyo mudiki unonzi mudziyo wekuwana tsinga.
3. Kusimbisa ganda uye kuchenesa
Kana tsinga yaonekwa, dzimwe nguva, kunyanya kuvana vadiki, mushonga unonyaradza marwadzo unogona kuiswa panzvimbo yacho. Kana ukaiswa, mirira kwemaminitsi mashoma kuti ushande usati waisa cannula. Zvadaro, nzvimbo yacho inocheneswa zvakanaka nemushonga unouraya utachiona.
4. Kuisa kanula
Zvino ndicho chinhu chinonyanya kukosha. Vasati vazviita, vachakuudza chimwe chinhu chakaita sekuti, "Izvi zvicharwadza zvishoma." Zvadaro vanodhonza ganda zvakasimba, voisa tsono pasi peganda nekona diki, voiisa mutsinga. Chubhu yepurasitiki (catheter) inouya netsono inofambira mberi zvishoma pasi petsinga, uye chiremba achabvisa tsono. Iye zvino, chubhu yepurasitiki chete ndiyo iri mukati metsinga. Zvadaro vachabvisa tourniquet.
5. Chengetedza uye tarisa
Pakupedzisira, nzvimbo yacho inocheneswa zvakanaka uye cannula inofukidzwa nejira rinoonekera kuitira kuti rionekwe. Chubhu yakabatana necannula inonamirwa kuti isafambe. Zuva nenguva yakapinzwa cannula zvinowanzo nyorwa patepi. Zvadaro, tambo yacho inozorwa saline kuti ione kana tambo yacho iri kushanda zvakanaka uye kana paine kubuda kwemvura.
Ndezvipi njodzi nematambudziko zvinogona kukonzerwa neizvi?
Chekutanga, matambudziko anokonzerwa nekuisa kanula haawanzoitiki. Zvisinei, sezvinoitwa chero nzira ipi zvayo yekurapa, pane dzimwe njodzi diki.
| Dambudziko Rinogona Kuitika | Zvinoreva... (Zvinoreva...) |
|---|---|
| Utachiona | Utachiona hunopinda panzvimbo yakaboorwa kana ropa. |
| Kukuvara/Hematoma | Nzvimbo yakapinzwa tsono inoshanduka kuita bhuruu kana kubuda ropa. |
| Kugwamba kweropa (Thrombosis) | Madota eropa anoumbwa akakomberedza kanula mukati metsinga. |
| Phlebitis (kuzvimba kwetsinga) | Tsinga yacho inozvimba, inorwadza, uye inozvimba. |
| Tsinga yakaputika | Tsono yakarova tsinga, ikaikuvadza zvikaita kuti mushonga ubude mutsinga. |
Ndiani angaomerwa nekuisa kanula?
Kazhinji, cannula inogona kuiswa zvinobudirira kekutanga. Zvisinei, kune vamwe vanhu, izvi zvinogona kuoma zvishoma. Pane zvikonzero zvakati wandei zvinoita kuti izvi zviitike.
- Kana wakamboomerwa nekuisa cannula kare.
- Kana muviri usina mvura yakakwana, zvinoreva kuti muviri hausisina mvura yakakwana mumuviri.
- Kune avo vane mitsipa midiki zvikuru iyo mitsipa isingaonekwe.
- Kune avo vane ganda rakasviba (nekuti zvakaoma kuwana mitsipa).
- Kune avo vane mamwe matambudziko ehutano akadai seDiabetes Mellitus neCancer .
- Kune avo vane huremu hushoma kana kuti vakafuta zvakanyanya.
- Kune avo vari kurapwa nekenza ne chemotherapy .
Mharidzo Yekuenda Nayo Kumba
- Cannula (Peripheral IV) inzira yakajairika uye yakachengeteka inoshandiswa kupa mishonga, yakaita sesaline, zvakananga mutsinga.
- Kana uchinetseka nezvenzira iyi kana tsono, usatya kuudza chiremba wako kana nesi . Vachakubatsira.
- Kana nzvimbo ye cannula ichirwadza zvikuru, yakazvimba, yakatsvuka, kana kuti ichibuda mvura, taurira chiremba kana nesi nekukasika.
- Sezvo ichigona kupfekwa kwemazuva akati wandei (kazhinji mazuva matatu kusvika mana) kana yaiswa, inokudzivirira kubva pakugara uchibaya nzara dzako.
- Kana muine mimwe mibvunzo nezvenyaya iyi, musavanza mibvunzo yacho, asi bvunzai chiremba wenyu.
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