Jekiseni remutsinga (IV) jekiseni remushonga kana chimwe chinhu mutsinga uye zvakananga muropa.Iyi ndiyo imwe yenzira dzinokurumidza kuendesa mushonga kumuviri.
Intravenous administration ine jekiseni rimwe chete rinoteverwa nechubhu nhete kana catheter inopinzwa mutsinga.Izvi zvinobvumira vashandi vezvehutano kuti vape madosi akawanda emushonga kana infusion mhinduro pasina kufanira kubayazve jekiseni padoro rega rega.
Ichi chinyorwa chinopa muchidimbu nei vashandi vehutano vachishandisa IVs, mashandiro avanoita, uye kuti ndezvipi midziyo yavanoda.Inotsanangurawo zvimwe zvakanakira nekuipira kwemishonga ye intravenous uye infusion, pamwe nedzimwe njodzi dzinogona kuitika uye mhedzisiro.
Majekiseni emutsinga ndeimwe yenzira dzinokurumidza uye dzinodzorwa zvakanyanya dzekuunza zvinodhaka kana zvimwe zvinhu mumuviri.
Vashandi vehutano vanogona kupa mishonga inoiswa mutsinga kana zvimwe zvinhu kuburikidza nemutsetse wepakati kana wepakati.Zvikamu zvinotevera zvinotsanangura chimwe nechimwe chazvo zvakadzama.
Catheter yeperipheral kana peripheral intravenous catheter inzira yakajairika yejekiseni remutsinga rinoshandiswa pakurapa kwenguva pfupi.
Peripheral mitsara inowanikwa kune bolus jekiseni uye nguva infusions.Zvikamu zvinotevera zvinotsanangura chimwe nechimwe chazvo zvakadzama.
Zvinosanganisira kubaya majekiseni ezvinodhaka zvakananga muropa romunhu.Nyanzvi yehutano inogona zvakare kureva jekiseni re bolus se bolus kana bolus.
Zvinosanganisira kuendeswa zvishoma nezvishoma kwezvinodhaka muropa remunhu nekufamba kwenguva.Iyi nzira inosanganisira kupihwa kwemishonga kuburikidza nedrip yakabatana necatheter.Pane nzira mbiri huru dzekupinza mutsinga: kudonha uye pombi.
Drip infusions inoshandisa simba rinokwevera zvinhu pasi kuti ripe mvura yakadzikama nekufamba kwenguva.Pakuisirwa drip, mushandi wezvehutano anofanira kuturika bhegi reIV pamusoro pemunhu ari kurapwa kuitira kuti simba rinokwevera zvinhu pasi riswededze mutsetse mutsinga.
Pombi infusion inosanganisira kubatanidza pombi kune infusion.Iyo pombi inopa infusion fluid muropa remunhu nenzira yakagadzikana uye inodzorwa.
Mutsara wepakati kana wepakati venous catheter inopinda mune imwe yepakati trunk vein, senge vena cava.Vena cava itsinga hombe inodzosera ropa kumoyo.Vanamazvikokota vekurapa vanoshandisa X-rays kuona nzvimbo yakakodzera yemutsara.
Dzimwe nzvimbo dzakajairika dzenguva pfupi intravenous catheter dzinosanganisira forearm nzvimbo senge wrist kana gokora, kana kuseri kweruoko.Mamwe mamiriro ezvinhu angada kushandiswa kwekunze kwetsoka.
Muzviitiko zvekukurumidzira, nyanzvi yezvehutano inogona kusarudza kushandisa imwe jekiseni saiti, senge tsinga mumutsipa.
Mutsara wepakati unowanzopinda mukati mepamusoro vena cava.Zvisinei, nzvimbo yekutanga jekiseni inowanzova muchipfuva kana ruoko.
Jekiseni remutsinga rakananga kana remutsinga rinosanganisira kuiswa kwechirapa chemushonga kana chimwe chinhu chakananga mutsinga.
Kubatsira kweyakananga intravenous infusion ndeyekuti inoburitsa iyo inodiwa dhizimusi nekukurumidza, iyo inobatsira kuti iite nekukurumidza sezvinobvira.
Izvo zvakashata zvekutungamira kwakananga mutsinga ndeyekuti kutora madosi makuru emushonga kunogona kuwedzera njodzi yekukuvara zvachose kune tsinga.Ngozi iyi inogona kunge yakakwira kana mushonga unozivikanwa unotsamwisa.
Majekiseni emutsinga akananga zvakare anodzivirira vashandi vehutano kuti vape madosi makuru emishonga kwenguva yakareba.
Izvo zvisingabatsiri zvekupinza intravenous ndezvekuti hazvibvumiri mahombe emushonga kupinda mumuviri pakarepo.Izvi zvinoreva kuti kuratidzwa kwemaitiro ekurapa kwemushonga kunogona kutora nguva.Nokudaro, zvinwiwa zvomutsinga zvingasava nzira yakakodzera apo munhu anoda mushonga nokukurumidza.
Njodzi uye mhedzisiro yekutonga kwemutsinga hazvina kujairika.Iyi invasive maitiro uye tsinga dzakatetepa.
Chidzidzo che2018 chakawana kuti kusvika makumi mashanu muzana epaperipheral IV catheter maitiro anokundikana.Centerlines inogonawo kugadzira matambudziko.
Maererano nekuongorora kwakabudiswa muThe Journal of Vascular Access, phlebitis inogona kuitika mu 31% yevanhu vanoshandisa catheter inopinza panguva yekuputirwa.Zviratidzo izvi zvinowanzorapika uye 4% chete yevanhu vanova nezviratidzo zvakakomba.
Kuiswa kwemushonga wakananga mutsinga weperipheral kunogona kukonzera kutsamwa uye kuzvimba kwematishu akapoteredza.Kutsamwiswa uku kunogona kunge kwakakonzerwa nepH yekugadzirwa kana zvimwe zvinogumbura zvingave zviripo mukugadzirisa.
Zvimwe zviratidzo zvekushatirwa kwezvinodhaka zvinosanganisira kuzvimba, kutsvuka kana kushanduka, uye kurwadziwa panzvimbo yejekiseni.
Kuramba kukuvadza tsinga kunogona kuita kuti ropa ribude kubva mutsinga, zvichikonzera mavanga panzvimbo yejekiseni.
Drug extravasation izwi rekurapa rekubuda kwemushonga unobaiwa jekiseni kubva mutsinga yeropa kupinda mumatishu akatenderedza.Izvi zvinogona kukonzera zviratidzo zvinotevera:
Mune zvimwe zviitiko, mabhakitiriya kubva pamusoro peganda anogona kupinda mu catheter uye kukonzera utachiona.
Mitsetse yepakati kazhinji haitakure njodzi dzakafanana semitsara yekutenderera, kunyangwe ichitakura njodzi.Dzimwe njodzi dzinogona kuitika kumutsara wepakati dzinosanganisira:
Kana munhu achifungidzira kuti anogona kunge aine matambudziko nemutsara wepakati, anofanira kuzivisa chiremba wake nekukurumidza.
Rudzi uye IV nzira inodiwa nemunhu zvinoenderana nezvakati wandei.Izvi zvinosanganisira mishonga uye chipimo chemushonga chavanoda, kuti vanoda mushonga wacho nekukurumidza sei, uye kuti mushonga unofanirwa kugara muhurongwa hwavo kwenguva yakareba sei.
Majekiseni anoiswa mutsinga ane dzimwe njodzi, dzakadai semarwadzo, kusvotwa, uye mavanga.Dzimwe njodzi dzakakomba dzinosanganisira kutapukirwa uye kugwamba kweropa.
Kana zvichibvira, munhu anofanira kutaurirana nachiremba nezvengozi dzinogona kuitika uye matambudziko ekushandisa IV asati atanga kurapwa uku.
Kutsemuka kwetsinga kunoitika apo tsono inokuvadza tsinga, zvichikonzera marwadzo uye mavanga.Muzviitiko zvakawanda, tsinga dzakabvaruka hadzikonzeri kukuvadzwa kwenguva refu.Tsvaga zvimwe pano.
Vanachiremba vanoshandisa mutsara wePICC kune intravenous (IV) kurapwa kumurwere.Vane zvakawanda zvinobatsira uye vangada kutarisirwa kumba.Tsvaga zvimwe pano.
Iron infusion ndiko kuendesa iron mumuviri kuburikidza nemutsara wemutsinga.Kuwedzera kwehuwandu hwesimbi muropa remunhu kunogona ...