The Electric Intraosseous Infusion System imapereka mankhwala odzidzimutsa ndi mwayi wamadzimadzi pamene zotumphukira za IV zimakhala zovuta kukhazikitsa. yake yamagetsi yapamanja Dalaivala imathandizira kupeza mwachangu kwa IO, yokhala ndi singano za 15G mu 15, 25 ndi 45 mm kutalika kwa ntchito za akulu ndi ana. Zopangidwira akatswiri azachipatala ophunzitsidwa bwino, zimathandizira chipatala ndi prehospital chisamaliro chadzidzidzi. Singano zotayidwa za IO zimagulitsidwa padera.
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MECANMED
Electric Intraosseous Infusion System imapereka njira ina yopangira mankhwala adzidzidzi ndi madzimadzi. Amagwiritsidwa ntchito ngati zotumphukira mtsempha wa mtsempha sangathe kukhazikitsidwa mwamsanga.
Dalaivala wamagetsi wapamanja amathandizira kuyika singano kuti ifike ku intraosseous (IO) . Dongosololi limabwera ndi singano za 15G zazitali zitatu ndipo zimathandizira ntchito za akulu ndi ana, kutengera momwe wodwalayo alili komanso malo oyikapo.
Dongosololi limathandizira kupezeka kwa mitsempha yadzidzidzi muzochitika zotsatirazi pamene kupeza kwa IV kuli kovuta kupeza.
Mkhalidwe Wadzidzidzi |
Kugwiritsa ntchito |
Kumangidwa kwa Mtima |
Kupeza mankhwala otsitsimula pamene mwayi wa IV sungathe kukhazikitsidwa mwamsanga. |
Kugwedezeka / Hypotension |
Njira ina yolowetsera pamene kusayenda bwino kwa m'mitsempha kumapangitsa kulowa kwa venous kukhala kovuta. |
Kutaya madzi m'thupi / Kupsa Kwambiri |
Kupezeka kwa makonzedwe amadzimadzi mwachangu pamene zotumphukira za IV zimakhala zovuta. |
Major Trauma |
Mankhwala adzidzidzi ndi kuperekera madzimadzi pamene kufika mofulumira kwa mitsempha kumafunika. |
Dongosololi limalola akatswiri azachipatala ophunzitsidwa bwino kuti akhazikitse mwayi wofikira ku IO pafupifupi masekondi 30-60 . Izi zimapereka njira yamankhwala mwachangu komanso zamadzimadzi.
Nthawi yeniyeni yofikira imadalira momwe wodwalayo alili, malo oyikapo, ndi zochitika za woyendetsa.
Dalaivala woyendetsa galimoto amayendetsa singanoyo pamalo ake. Mawonekedwe ake am'manja amapangitsa kuti ikhale yoyenera kwa ogwira ntchito ophunzitsidwa bwino m'madipatimenti odzidzimutsa azachipatala komanso chisamaliro chadzidzidzi cha prehospital.
Singano za 15G zimabwera mu 15 mm , 25 mm , ndi 45 mm kutalika , kupereka zosankha zakuya kwa minofu ndi malo oyika. Kusankha singano kuyenera kutengera kuwunika kwachipatala, osati zaka zokha.
Ogwira ntchito zachipatala ophunzitsidwa bwino atha kugwiritsa ntchito njira yotsatirayi. Kuti mugwiritse ntchito mokwanira, tsatirani malangizo omwe akugwiritsidwa ntchito panopa komanso ndondomeko zachipatala zomwe zikugwiritsidwa ntchito.
Khwerero |
Kayendedwe kantchito |
1. Konzani Dalaivala |
Khazikitsani dalaivala wamagetsi kuti azigwira ntchito. |
2. Sankhani Singano |
Sankhani kutalika kwa singano moyenerera malinga ndi momwe wodwalayo alili, kuya kwa minofu ndi malo omwe mwasankha. |
3. Kukhazikitsa IO Access |
Gwiritsani ntchito dalaivala wamagetsi kuti muthandizire kuyika singano pamalo okonzedwa, kenako tsegulani dalaivala. |
4. Tsimikizani Kuyika |
Chotsani stylet, tsimikizirani kuyika ndikutsuka molingana ndi malangizo ogwiritsira ntchito ndi protocol yachipatala. |
5. Lumikizani ku kulowetsedwa |
Lumikizani seti yowonjezera yowonjezera kapena stopcock ya mankhwala ndi madzimadzi. Yang'ananinso malo olowera mukamagwiritsa ntchito. |
Parameter |
Kufotokozera |
Mlingo wa singano |
15G pa |
Kutalika kwa singano |
15mm/25mm/45mm |
Magulu odwala |
Wamkulu ndi ana |
Pafupifupi nthawi yofikira ya IO |
30-60 masekondi* |
Dongosololi limagwiritsa ntchito dalaivala wamagetsi ndi singano zotayidwa za IO . Singano ndizogwiritsidwa ntchito kamodzi ndipo zimagulitsidwa padera , zokhala ndi utali wokwanira katatu kuti muwunikire.
Dongosololi limapangidwira ogwira ntchito zachipatala ophunzitsidwa bwino - madokotala, anamwino, ndi othandizira odwala - omwe aphunzitsidwa momwe angagwiritsire ntchito.
Kufikira kwa intraosseous kumapangidwira kugwiritsidwa ntchito kwakanthawi kwakanthawi . Kugwiritsa ntchito nthawi yopitilira maola 24 sikuvomerezeka.
Zotsutsana zimaphatikizapo matenda a khungu pamalo oyikapo , chotupa, osteogenesis imperfecta, osteoporosis, kulowetsedwa kwa IO yapitayi kapena kulephera kuyesa fupa lomwelo, njira zam'mbuyo za mafupa pafupi ndi malo oyikapo, ndi kupasuka kwamtundu wosankhidwa.
Inde. Yang'ananinso tsamba la IO mukangopeza mwayi ndikupitiliza kuyang'anira pa kulowetsedwa molingana ndi malangizo a chipangizocho komanso ndondomeko zachipatala zomwe zikugwiritsidwa ntchito.
Singano yachitsulo sigwirizana ndi MRI ndipo ingayambitse kufalitsa zinthu zakale pazithunzi za CT. Dziwitsani gulu lojambula ngati singano ya IO ilipo.
Ayi. Singano iliyonse ndi ntchito imodzi yokha . Kugwiritsanso ntchito kungayambitse matenda ndi kuvulaza wodwala.