Chii chinonzi Infusion Pump?
Infusion pombi chishandiso chekurapa chakaomarara chinoita basa rakakosha mukuchengetedza hutano hwazvino. Kufanana nebhokisi rekompakiti rine dhijitari kuratidzwa uye ruzhinji rwemabhatani ekudzora, zvingaite sezvisingafungidzire pakutanga kuona. Zvisinei, kukosha kwayo hakugoni kupfuudzwa. Yakagadzirwa zvine hungwaru kuti inyatso kudzora kuyerera uye huwandu hwemvura inopihwa kuvarwere, kuve nechokwadi chechokwadi uye chinoenderana kusununguka. Muwadhi yechipatara inobatikana, unowanzoona midziyo iyi yakaiswa pamatanda eIV, tubing yavo ichidzika kuvarwere, chinyararire asi nekuvimbika vachiita basa ravo rekuchengetedza hupenyu.
Infusion pombi ndiwo magamba asina kusimba mune akasiyana mamiriro ekurapa. Funga nezvemurwere ari muchikamu chevanorwara zvakanyanya (ICU) anoda kuramba achipiwa mishonga inoponesa upenyu, yakadai semavasopressors kuchengetedza BP. Iyo pombi inova nechokwadi chekuti donho rega rega rakakosha remushonga rinounzwa pachiyero chaicho chakatemwa nachiremba, miniti mushure meminiti, pasina kukundikana. Mudhipatimendi reoncology, chemotherapy mishonga, iyo inowanzova nesimba uye inoda kuti dosing chaiyo ishande uku ichideredza mhedzisiro, inopihwawo kuburikidza neinfusion pombi. Kunyangwe mumawadhi mazhinji ekurapa, kune varwere vanoda mvura kuti vadzoke kubva mukupererwa nemvura kana kusaenzana kwe electrolyte, pombi inovimbisa kuwanikwa kwakadzikama uye kuyerwa. Muchidimbu, chave chishandiso chakakosha, kusimudzira iko kurongeka uye kuchengetedzeka kwekurapa kwemutsinga uye kupa varapi vehutano chivimbo chekuti varwere vari kuwana kurapwa kwakakwana.
Iyo Yekushanda Nheyo yeInfusion Pump
Papakati payo, iyo infusion pombi inoshanda yakavakirwa pamubatanidzwa wekumanikidza kunzwa, kuyerera kwekutonga, uye alarm yekudzivirira masisitimu. Iyo yakajairika infusion pombi ine microcomputer system, pombi michina, yekutarisisa masensa, aramu unit, uye yekupinza/inobuditsa nzvimbo. Iyo microcomputer inoshanda se 'brain,' kugadzirisa data uye kuburitsa mirairo. Muchina wepombi, kazhinji pombi yeperistaltic kana piston-driven system, inoburitsa simba rinodiwa kufambisa mvura.
Pressure sensors inoita basa rakakosha. Ivo vanogara vachitarisa kudzvanywa mukati meiyo infusion tubing. Kana kudzvinyirirwa kunodonha pasi pezinga rakagadzirirwa, zvichida nekuda kwekinked chubhu kana bhegi risina chinhu, pombi inogona kuona izvi uye inokonzera alarm. Sezvineiwo, kana kudzvanywa kunokwira, zvichiratidza kuvharika kunogona kuitika, pombi inopindura nekukurumidza. Semuenzaniso, mumamiriro ezvinhu apo murwere anokotama mutsara weIV netsaona, sensor yekumanikidza inoona shanduko mukati memilliseconds, uye pombi inomisa kupinza uye inonzwika yambiro, kudzivirira chero chingangokuvadza.
Kudzora kuyerera ndechimwe chinhu chakakosha. Iyo pombi inonyatso gadzirisa kumhanya uko mvura inounzwa. Izvi zvinowanikwa kuburikidza nepamusoro mota control tekinoroji. Nekugadzirisa kutenderera kwepombi yepombi, chiyero chekuyerera chinogona kunyatsogadziriswa kuti chisangane nezvinodiwa zvekurapa kwemurwere. Muchikamu chechemotherapy, uko kuyerwa uye nguva yekushandiswa kwezvinodhaka kwakakosha, pombi yekuisirwa inova nechokwadi chekuti cytotoxic mishonga inopinzwa pamwero chaiwo wakatarwa neoncologist, ichideredza njodzi yekuderera- kana kudarika-dosing.
Iyo alarm yekudzivirira system ndiyo yekuchengetedza mambure. Inosanganisira maaramu akasiyana-siyana, kusanganisira ayo ebhatiri rakaderera, mudziyo wemvura usina chinhu, mabhuru emhepo mumutsara, uye kusashanda kwepombi. Aya maalarm akagadzirirwa kubata chero zvingangoitika nyaya kare. Muwadhi yechipatara yakabatikana, maaramu anonzwika uye anooneka anobva akwevera ngwariro yevashandi vanoyamwisa, zvichivabvumira kuita chiito chokururamisa nokukurumidza. Iyi yakawanda-yakasiyana-siyana yekushanda musimboti inosanganisa kuita kuti infusion pombi ive yakavimbika uye chaiyo chishandiso mukurapa kwemazuva ano.
Zvakajairwa Zvishandiso zveInfusion Pombi
Clinical Infusion
Munharaunda yemishonga yekiriniki, infusion pombi inowanikwa kwose kwose. Kune yenguva dzose intravenous infusions, vanopa nhanho yekurongeka iyo gadziriso yemanyorero haigone kuenderana. Muwadhi yezvokurapa, apo murwere anenge achinaya kubva pakuvhiyiwa uye achida kugadzikwa kwemvura kuitira kuchengetedza hydration uye electrolyte balance, infusion pump inoita kuti huwandu hwakatarwa hwesaline kana zvimwe zvinogadziriswa zvinounzwa pamwero chaiwo unodiwa. Izvi zvinobvisa fungidziro uye zvikanganiso zvingangove zvine chekuita nekugadzirisa nemaoko mwero wekudonha.
Tsigiro yekudya kunovaka muviri ndeimwe nzvimbo yakakosha. Muzviitiko zvevarwere vane kushaya zvokudya zvinovaka muviri zvakanyanya, avo vakavhiyiwa zvikuru mudumbu, kana vanhu vasingakwanisi kudya zvokudya nemuromo, kupinda mukati kana kuti parenteral kudya kazhinji ndiyo nzira yeupenyu. Infusion pombi inonyatso kudzora kuyerera kwezvinovaka muviri zvigadziriso, ingave yakaoma mafomula ane mapuroteni, makabhohaidhiretsi, mafuta, mavhitaminzi, uye zvicherwa. Izvi zvinovimbisa kuti murwere anogamuchira huwandu hwakafanira hwekudya pasina kuwandisa kana kuhudyisa. Munzvimbo yekugara kwenguva refu, murwere akwegura ane matambudziko ekumedza anogona kuvimba nepombi yekupinza kuti agamuchire rubatsiro runovaka muviri runodiwa kuchengetedza simba ravo uye hutano hwakakwana.
Kuiswa kwezvinodhaka ndiko pamwe uko kukosha kwepombi yekupinza kunopenya zvechokwadi. Chemotherapy mishonga, sezvambotaurwa, inoda kutorwa chaiko. Zvakafanana zvinoenda kune mimwe mishonga yakawanda ine simba. Semuenzaniso, mukurapa kwekutadza kwemoyo, zvinodhaka senge dobutamine kana milrinone zvinoda kuiswa pamwero chaiwo kuti ugone kushanda kwemoyo. Kunyanya kunonoka chiyero, uye murwere angasapindura zvakakwana; nekukurumidza, uye zvinogona kutungamira kune njodzi mhedzisiro senge arrhythmias. Infusion pombi inoita kuti zvikwanisike kufamba iyi mutsara wakanaka, kuendesa mishonga inoponesa hupenyu ine pinpoint chaiyo.
Special Scenarios
Mukamuri yevanorwara zvakanyanya (ICU), varwere vanowanzove vari mumamiriro ezvinhu akaomarara, hupenyu hwavo hwakarembera neshinda. Pano, infusion pombi yakakosha pakupa huwandu hwemishonga panguva imwe chete. Murwere ane septic shock angada vasopressors kuchengetedza BP, mishonga inorwisa utachiona, uye mishonga yekunyaradza kuti vagare vakasununguka. Iyo infusion pombi inogona kubata akawanda chiteshi, imwe neimwe yakanyatsogadziriswa kuendesa iyo chaiyo mushonga pachiyero chakakodzera uye mwero. Uku kurongeka kwemainfusions akawanda kwakakosha mukudzikamisa mamiriro emurwere uye kuvapa mukana wekurwa pakupora.
Kuchengetwa kwevana kunopa zvipingamupinyi zvayo. Vana, kunyanya vacheche uye vadiki, vane mavhoriyamu madiki madiki uye maitiro akatetepa emuviri. Infusion pombi dzakagadzirirwa kushandiswa kwevana dzinogona kuchinjika kune yakaderera zvakanyanya kuyerera, kuve nechokwadi chekuti mishonga uye zvinwiwa zvinopihwa mune minuscule asi yakarurama. Kune mwana asati azvarwa ari muchikamu cheneonatal intensive care unit (NICU) anoda kuramba achipihwa mushonga wekuti atsigire nhengo dzake dzisina kukura, pombi inogona kuiswa kuti ibudise zvikamu zvemillilita paawa, kuchengetedza hupenyu husina kusimba.
Panguva yeanesthesia, kuchengetedza hutano hwakagadzikana hweanesthetic agents muropa remurwere kunokosha. Infusion pombi inobvumira anesthesiologists kunyatso kudzora kuisirwa kwemishonga senge propofol kana fentanyl. Izvi zvinovimbisa kuti murwere anoramba asingazivi uye asingarwadzi panguva yose yekuvhiyiwa pasina njodzi yekuziva kamwe kamwe kana kunyanyisa sedation. Kukwanisa kugadzirisa dhizaini munguva chaiyo zvichienderana nezviratidzo zvakakosha zvemurwere uye kufambira mberi kwekuvhiya chinhu chinochinja-chinja mune yemazuva ano maitiro ekuanesthesia.
Kunyangwe mumarabhoritari marongero, infusion pombi dzinowana kushandiswa kwavo. Mumasero kuyedza tsika, semuenzaniso, apo chaiyo inovaka muviri kana musanganiswa wekuyedza inoda kuwedzerwa kumaseru pamwero wakadzorwa mukati menguva yakawedzerwa, infusion pombi inogona kutevedzera mamiriro emuviri. Izvi zvinoita kuti vatsvakurudzi vaongorore maitiro emasero pasi pemamiriro ezvinhu echokwadi uye anodzorwa, zvichiita kuti pave neruzivo rwakarurama rwesayenzi.
Kupfuura Mushonga: Kusajaira Kushandiswa kweInfusion Pumps
Nutrient Delivery
Kupfuura nzvimbo yekutarisirwa kwevarwere kwakananga, infusion pombi yakawana maapplication anoshamisa mune mamwe minda. Munzvimbo yekudya kunovaka muviri, kune avo varwere vane dambudziko remudumbu rakasimba, senge pfupi bowel syndrome kana kurutsa kusingagoneke uye manyoka, vasingakwanise kutora chikafu kuburikidza neyakajairwa kugaya turakiti, infusion pombi inova nzira yakakosha yekupa chikafu. Kudya kwevabereki, kunosanganisira kupinza musanganiswa wakanyatsogadzirwa weamino acids, lipids, makabhohaidhiretsi, mavhitaminzi, uye zvicherwa zvakananga muropa, inovimba nemapombi ekuisirwa kuti ave nechokwadi chekusununguka uye kwakadzikama. Izvi zvinotevedzera masikirwo ekunyudza anoitika muura, zvichibvumira muviri kushandisa izvi zvakakosha zvinovaka muviri pasina kuremedza circulatory system.
Mune mamwe mamiriro ekutsigira kudya kunovaka muviri, senge muvarwere vari kupora kubva mukutsva kukuru, uko kudiwa kwemetabolism yemuviri kuri kumusoro-pamusoro uye hurongwa hwekugaya hunogona kukanganisika kwechinguva, pombi dzinopinza dzinogona kupa mhinduro dzakagadzirwa-chakagadzirwa chekudya. Mhinduro idzi dzinogona kunge dziine chaiwo amino acids kubatsira mukugadziriswa kwetishu, mamwe ma antioxidants kurwisa oxidative kusagadzikana, uye nemazvo akarongedzerwa huwandu hwema electrolyte kuchengetedza mvura. Kugona kwepombi kuendesa iyi misanganiswa yakaoma pamwero wakadzorwa kwakakosha mukusimudzira kuporeswa nekudzivirira matambudziko ane chekuita nekudyisa kana kusadya zvakanyanya.
Chemical Reagent Transport muLabhoritari
Murabhoritari yesainzi, infusion pombi dzakabuda semidziyo inokosha. Mukugadzirwa kwemakemikari, kana maitiro achida kunyatsowedzerwa kwemareagents pane imwe nguva yakatarwa, infusion pombi inopa huchokwadi husingaenzaniswi. Funga nezvekuita kwepolymerization uko iyo inononoka uye inodzorwa yekuwedzera yemonomer kwakakosha kuti uwane inodiwa polymer cheni kureba uye zvivakwa. Iyo pombi inogona kugadzirwa kuti iparadze monoma pachiyero chemicroliter paminiti, ichichengetedza chiyero chakapfava chezvinoita mukati mekuita maitiro. Iyi nhanho yehutsanana inobvisa kusiyanisa kunogona kuitika nekuwedzera kwemanyorero, zvichitungamira kune zvimwe zvinogoneka uye zvakavimbika mhedzisiro.
Muanalytical chemistry, kunyanya muhunyanzvi senge liquid chromatography uye capillary electrophoresis, infusion pombi dzinoshandiswa kuunza sampuli uye nhare nhanho mumakoramu ekuparadzanisa. Iyo pombi inochengetedza nguva dzose yekuyerera, iyo inokosha pakuparadzanisa kwakarurama uye kuonekwa kwevanoongorora. Mune yakakwirira-inoshanda mvura chromatography (HPLC) setup, kudiki mutsauko muyero yekuyerera kwechikamu chenhare kunogona kutungamira kune yakakanganiswa maumbirwo epamusoro uye huwandu husina kunaka hwemakomponi ari kuongororwa. Mapombi anopinza ane simba rawo rekuyerera anodzivirira zvikanganiso zvakadaro, zvichibvumira vaongorori kuti vawane data remhando yepamusoro uye kuita mhedziso yesainzi ine ruzivo.
Mafungiro Akakosha eKushandisa Infusion Pombi
Kana zvasvika pakushandisa infusion pombi, akati wandei akakosha zvinhu zvinofanirwa kutakurwa mupfungwa kuti ive nechokwadi chekushanda kwavo kwakachengeteka uye kunoshanda. Chekutanga, kunyatsoteera kumirairo yekurapa hakugone kutaurirana. Chiremba anotsanangura rudzi rwemvura chaiyo, mwero wekupinzwa, uye huwandu hwehuwandu hunoenderana nemamiriro emurwere. Vanamukoti nevamwe vashandi vezvokurapa vanofanira kunyatsoronga pombi yekupinza zvinoenderana, vachitarisa kaviri zvigadziriso zvese kudzivirira kukanganisa. Semuyenzaniso, muchikamu chekuchengetedza moyo, kushomeka kushoma muyero yekunyudzwa kwemushonga wemoyo kunogona kuve nemhedzisiro yakaipa kumurwere.
Maitiro ekushanda akakodzera akakosha zvakaenzana. Usati washandisa, kunyatsoongorora kwepombi, tubing, uye zvibatanidza zvakakosha kuti ubvise chero kukuvara kana kukanganisa. Munguva yekuita infusion, kutariswa nguva dzose kunofanirwa kuitwa kutarisa kuyerera, kutarisa chero zviratidzo zvekudonha, uye kuve nechokwadi chekunyaradza kwemurwere. Muzvirongwa zvevana, uko vana vanogona kunge vachinyanya kutya, kutarisirwa kwakanyanya kunofanira kutorwa kuchengetedza tubing uye kudzivirira kubviswa netsaona.
Kugara uchigadzirisa ndiyo kiyi yekuwedzera hupenyu hwemapombi ekupinza. Izvi zvinosanganisira kuchenesa nguva dzose kudzivirira kuvakwa kwetsvina uye mabhakitiriya, kuenzanisa kuchengetedza kurongeka, uye kutarisa kwebhatiri kudzivirira kutadza kusingatarisirwe kwemagetsi. Muchipatara chakabatikana, zvikwata zvakazvitsaurira zveinjiniya zvebiomedical zvinowanzoita gadziriso yakarongwa kuchengetedza mapombi ari muchimiro chakanyanya.
Chekupedzisira, kunzwisisa uye nekukasika kupindura maalarm kwakakosha. Aramu yega yega, ingave inoratidza bhatiri rakaderera, bhegi remvura risina chinhu, chubhu yakavharwa, kana mabhuru emhepo mumutsetse, inoda kutariswa nekukurumidza. Vashandi vezvokurapa vanofanira kunge vachinyatsoziva matanho ekugadzirisa matambudziko ekutora kana alarm yarira, vachiva nechokwadi chokuti infusion inogona kutanga zvakare zvakanaka uye zvakachengeteka. Nekunyatso tarisa aya mafungidziro, iyo yakazara mukana wepombi yekupinza inogona kusungirirwa kuendesa yakanakisa kutarisirwa kwemurwere.
Mhedziso
Mukupedzisa, iyo infusion pombi iri kure nekuve imwe-inonyengera pony iyo inongopa mishonga yemishonga. Kugona kwaro kunotambanukira kupfuura zviri pachena, zvichipinda munzvimbo dzakasiyana-siyana dzehutano uye zvichipinda mune dzimwe nhandare dzesainzi uye dzinotsigira hupenyu. Kubva kumakamuri ekuchengetedza zvakanyanya apo inojairira mishonga yakawanda inoponesa hupenyu kune vanorwara zvakanyanya, kumabhenji erabhoritari iyo inogonesa maitiro chaiwo emakemikari, uye kunyange kusvika pamubhedha wevarwere vanovimba nayo kune zvakakosha zvekudya, infusion pombi inoratidza kushanda kwayo kwakasiyana-siyana nguva nenguva.
Sezvo tekinoroji ichiramba ichifambira mberi, tinogona kutarisira zvakanyanya kucheneswa maapplication uye mashandiro akawedzerwa. Ishuviro yedu kuti kuongorora kwakadzama uku hakuna kungodzima mashandiro nemashandisirwo emapombi anopinza asi kwakatungidza moto wekufarira mukuwedzera kunzwisisa michina inoshamisa inotsigira kufambira mberi kwekurapa nesainzi kwazvino. Nguva inotevera yaunosangana nepombi yekupinza, iwe unogona kuiona nekutenda kutsva kwehupamhi hwemipiro yayo.
