Intshayelelo
I-intravenous imele njengelitye lembombo kunyango lwanamhlanje, ukusebenza njengendlela ebalulekileyo yokuhambisa amayeza, ulwelo, kunye nezondlo ngqo kwigazi legazi lesigulana. Idlala indima engenakuphikwa kwiimeko ezahlukeneyo zonyango, ukusuka kulawulo lwendlela yokungenelela kaxakeka. Nangona kunjalo, indlela yesiqhelo yokuxhomekeka kuphela kwi-infrion xa i-insulion yenze imiceli mngeni ngokulawula ngokuthe ngqo kwireyithi yokuhamba kunye nevolumu, enokujongela phantsi ukusebenza ngokukuko. Ngenisa impompo ye-insulion-Imangaliso yeTekhnoloji enonyango oluguqukayo. Eli nqaku lihlala lingene kwiinzuzo ezinqwenelekayo kwaye ibalulekile kakhulu ukuba impompo zezonyango zizisa kwicandelo lezonyango, iphonononge indlela yokuphucula ukhathalelo lomonde, ukuhambisa umsebenzi weklinikhi, kwaye ube negalelo kwiziphumo ezingcono zezempilo.
II. Umgaqo wokuSebenza wokuNikezela iimpompo
A. IINGXAKI ZOBUCHULE
Kwintliziyo yempompo yokuphembelela ulele kwi-enserble enobuchule bezixhobo ezisebenza ngokuvisisanayo. Inkqubo ye-microcomputer isebenza njengengqondo 'ubuchopho, ' verchestrating zonke zenkqubo ye-insuluon. Icacisa igalelo lomsebenzisi, lingenisa idatha kwiinzwa, kwaye imiyalelo ichanekayo ukuqinisekisa ukuba impompo isebenza nokuchaneka okungafezekisi. Isixhobo sepompo, nokuba yindlela ye-piston eqhutywa okanye impompo ye-peristalitic, isebenza njengendlu yamandla, ivelisa amandla ayimfuneko ukuphelisa ulwelo ngaphambili. Gqibezela i-Suite ye-Suite yabavavanyi-bafumana ireyithi yokuhamba, uxinzelelo, kunye nobukho bamaqamza omoya-kunye nenkqubo ye-alammu elungiselelwe ukuba balumkise abasebenzi bezonyango, ezi zinto zine-coalesce ukwenza izixhobo ezinokuthenjwa kwaye zikhuselekile.
B. Indlela yokusebenza
Indlela yokusebenza yempompo yentembeko ngummangaliso wobunjineli obuchanekileyo. Xa iinkqubo zonyango zezonyango Inqanaba le-insulion elifunayo, inkqubo ye-microcomparuter iphuma kwisenzo. I-Meticting ilawula ngesantya apho isebenza khona indlela yempompo, echaza ukuhamba kwamanzi ngokusebenzisa ityhubhu. Umzekelo, kwimeko yokhathalelo olubalulekileyo apho isigulana sifuna ukuncitshiswa kwesiyobisi esisebenzayo, impompo ingasetwa ukuhambisa uxinzelelo lwe-numbungle okwangoku ngomzuzu, ukugcina iyeza leziyobisi elihlala rhoqo kwigazi. Eli nqanaba lokuchaneka alikufaneli kuphela ukusebenza konyango kodwa likwancitshise umngcipheko wokuphendula okuchaseneyo onokwenza i-stem domy.
III. Izibonelelo zokuzila
A. Ukuchaneka Kuzo UkuHanjiswa kweLwimi
Esona sibonelelo sibalulekileyo sempompo sokuzithemba silele ekuchanekeni kwabo ngendlela engalunganga. Ngokuchasene nendlela yokuthuthuzeleka kwemveli yemveli, apho ixabiso lokuhamba kwamaxabiso liyinto eqhelekileyo, i-pumpsion pumps inokugcina ukuhamba okuthe kratya. Umzekelo, kwiiyunithi zononophelo ezikhulu kakhulu, apho iintsana zifuna imfutshane ngamaxabiso e-Pumpses, i-pumpsion Pumps inokulungelelanisa ukuhambisa amanzi ngama-5.1 ml ngeyure nganye yexabiso le-5 lexabiso lexabiso. Eli nqanaba lokuchaneka liba nzima ngakumbi xa lilawula i-heparin okanye i-insulin, apho ukucokiswa okungalunganga komthamo kunokuthintela imiphumo emiselweyo. Kwi-chemotherapy, ukuhanjiswa ngokuchanekileyo nangokungaguqukiyo kwe-cytototy nje ye-cytototy kuphelaki kuphela kodwa ikwanciphisa umngcipheko wokuphatha okanye ukunciphisa izigulana ukuba zikwazi ukulimala.
B. Ukupheliswa kwahlukahlukana komntu
Izinto zabantu bekudala ziliva ecaleni kwe-inravelous yesiqhelo. Iintshukumo ezigudileyo zabaguli, ezinjengokuhamba ngaphezulu ebhedini okanye ziguquguquka ingalo, zinokuphazamisa ukuhamba kwembambano, kukhokelela ekunikezelweni kweziyobisi. I-pumpsion pumpsion iyayixhasa le micimbi. Iinkqubo zolawulo lwazo lwe-loop ezivaliweyo kunye neendlela zokulungisa ezomeleleyo ziqinisekisa ukuba inqanaba le-insulion lihlala lingachazwanga ngaphandle komzimba ongumzimba. Olunjani lona uzilulunge luyingenelo ikakhulu kwizigulana ezinemicimbi yokuhamba okanye abo bangakwaziyo ukusebenzisana ngokupheleleyo, njengabaguli abagqirha okanye abalupheleyo. Ngokuphelisa umahluko obanjiweyo, i-pumpsion Pums ibonelela ngendlela ethembekileyo nengaphazanyiswanga yolawulo lweziyobisi, ekwaziyo ukhuseleko kunye nokusebenza konyango ngokubanzi.
C. Ukunciphisa umthwalo wekliniki
Kwimeko ephithizelayo yeWedi yeSibhedlele, abongikazi bahlala begculela imisebenzi emininzi. I-pumpsion pumps ivele njenge-boon, inciphise kakhulu umthwalo wabo. Cinga ngemeko apho umongikazi unoxanduva lokukhathalela abaguli abaliqela, ngasinye esifuna amayeza ahlukileyo kunye nexabiso le-insusuon. Ngaphandle kwempompo yokufakwa kwembeko, umongikazi kuya kufuneka alungelelanise ngesandla inqanaba lokuhamba kwe-idrip nganye, ukutya okuthe gabalala kunye nempazamo. Ngokuqala kokuthambisa iimpompo, abongikazi banokucwangcisa iiparamitha ezinqwenelekayo kwaye bajolise kwimiba ebalulekileyo yononophelo olubalulekileyo, njengokubeka esweni iimpawu ezibalulekileyo, ukubonelela ngenjongo yemonki, okanye ukuya kwiimfuno zemvakalelo ezigulayo. Oku akupheleli ekulungelelaniselweni komsebenzi kodwa kunciphisa iindlela zokunyanga, ekugqibeleni kukhokelela kwiziphumo eziphuculweyo kunye nokwandisa ukwaneliseka komsebenzi kwababoneleli bononophelo.
Iv. Ukubaluleka kokufumana i-pumpsion ye-pumps kwisenzo sekliniki
A. Ukuqinisekisa ukusebenza kakuhle kwexabiso leziyobisi
Kwindawo yokhathalelo olubalulekileyo, indlela ekucoceke ngayo kunye nexesha elifanelekileyo kumayeza inokuba ngumahluko phakathi kobomi nokufa. I-pumps ivela njenge-linchpin kule meko iphakamileyo. Thatha i-vasokopresson iziyobisi, umzekelo. Kwizigulana ezinothusayo se-septic, apho ukugcina uxinzelelo lwegazi elaneleyo luyinto elawula kakuhle imbuyekezo yeziyobisi njenge-norepinephrine. Ukwazi kwempompo ukuxhasa ukugxininiswa kwechiza okungaguqukiyo kwigazi kuqinisekisa ukuba uxinzelelo lwegazi lwesigulana luhlala luzinzile, ukuthintela amazwi asongelayo asoyikisayo. Ngokufanayo, kulawulo lwe-Cardiac Evercethmias, iziyobisi ze-antiarrhymic ezifana ne-Amidiorone kufuneka zilawulwe ngokuchaneka kwePiint. Umahluko omncinci kwixabiso le-insusurion unokucebisa ukuba ulungelelene, nokuba ungasilela ukulungisa i-Acceythmia okanye i-Fitipititititititititititititititing yentliziyo entsha, enobungozi. Ngokubonelela ngendlela ethembekileyo kunye ne-pumpsions, i-pumpsion pumpscan yokuxhobisa ababoneleli ngezempilo ukuba bahambele ezi meko zinzima nezinzima, belungiselela amathuba esiphumo esihle sobuhlobo.
B. Ukuhlangabezana neemfuno ezizodwa zamaqela abaguli abasesichengeni
Abaguli abalupheleyo kunye neentsana zimele amaqela amabini abanobungozi obukhethekileyo xa kuziwa kwi-infravenous. Inkqubo yokwaluphala ihlala ikhokelela kwimithambo ebuthathaka kubantu abadala, ethambekele kakhulu ekunikezelweni nasemonakalo. I-pumpsion pumps, kunye ne-pumpsion yabo yokuthambisa i-fluccoses efihlakeleyo, ukunciphisa umngcipheko we-vein. Amaxabiso abo okuhamba ngokubhalisa aphindaphindiweyo axhaphake kakhulu kubantu abadala abadala, thintela ukulayisha i-fluid - imeko enokuthi ibangele iintliziyo okanye iingxaki zentliziyo. Kwimeko yeentsana, ubuncwane babo obufunga bomzimba bufuna eyona nto ibalulekileyo. I-Neonates, ngokukodwa, inezikhuselo ezincinci kunye nokunyamezelana okulinganiselweyo kutshintsho lwevolumu. I-Pumps inokuthi ilungelelaniswe ukuhambisa i-minecule Clobys, ezinje ngeekhilogramu ngekhilogramu ngomzuzu ngamnye kumayeza athile, aqinisekisa ukuba unyango lusebenza kwaye lukhuselekile. Eli nqanaba lokwenza ngokwezifiso aluphelanga njengabangapheli intlalo-ntle yabaguli abasesichengeni kodwa bakwabonelela ngoxolo lwengqondo kubakhathaleli babo, besazi ukuba inkqubo yentembeko ilawulwa ngononophelo.
C. Ukuququzelela unyango lwenkxaso yesondlo
Ukuze abaguli abakwazi ukufumana isondlo esaneleyo ngokusebenzisa umlomo, inkxaso yesondlo yesondlo iba sisisono. Iindawo zokuhlala zesondlo kunye ne-paretaral ifuna ibhalansi ebuthathaka ekuhanjisweni kwezondlo. I-Pumps Pumps idlala indima ebalulekileyo kule nkalo. Izisombululo zesondlo ze-paretaral, ezityebileyo kwi-Amino Acids, i-lipids, kunye ne-glucose, kufuneka ixhaswe ngereyithi elawulwa ngononophelo ukuthintela i-hyperglycemia okanye ezinye izihlobo ze-metabolic. Ukuchaneka kwempompo kuqinisekisa ukuba umxube ontsonkothileyo wezondlo uhanjiswa ngendlela etyibilika iinkqubo zokuziqhelanisa nomzimba ngokusondeleyo kangangoko kunokwenzeka. Isondlo esingeyonyani, apho kutyiwa khona ukondla ulwelo ngokusebenzisa i-nusogastric okanye i-jejuyostomy tube, impompo ilawula ukuhamba kwengqondo. Oku kubaluleke ngakumbi kubaguli baphinde baphinde baqhubeke no utyando lwesisu okanye abo banesono se-Gut. Ngokuququzelela ukuhanjiswa okungenamthungo kunye nokufaneleka kwesondlo sesondlo, i-pumpsion Pums igalelo ekubuyiselweni kwamandla abaguli, ukukhulisa ukuphiliswa kwenxeba, kunye nokuphuculwa kwemeko yabo yekliniki, ukukhawulezisa uhambo lokufumana kwakhona.
V. IZIBONELELO ZIKAMVA
Njengoko sicinga kwikamva leTekhnoloji yoNyango, indaleko yeempompo zokuzulala zinesithembiso esikhulu. Inkqubela phambili elindelweyo iquka ukuqhagamshelwa okuphuculweyo, kunye neempompo zidibanisa ngaphandle kweenkqubo zolwazi ezizibhedlele. Oku kuyakwenza ukuba nexesha ledatha yexesha lokwenyani phakathi kwamasebe ahlukeneyo, kuvumele ukhathalelo olulungelelanisiweyo nolubanzi lwesigulana. Umzekelo, kwisibhedlele esikhulu sokufundisa, oogqirha kwiCandelo loKhathalelo oluBanzi linokubeka esweni ngokude kwaye bahlengahlengise iiparamitha ezivela ezi-ofisini zabo okanye kwindawo leyo, ngelixa isokhemisi zinokufumana izilumkiso zezezakhiwo, ukuqinisekisa ukusalisa kwexesha.
I-Minimination kunye nokuthintelwa kukwindawo ethe tyaba. Khawufane ucinge ngemeko apho abaguli abaneemeko ezingapheliyo, njengabo bafuna unyango lwe-insulion yexesha elide ngenxa yezifo ezifana nesifo se-sclerosis okanye i-fibrosic, i-pibsuon ye-class, i-pumpsion ye-class. Esi sixhobo asiyi kuba nobulumko nje, sifanelwe kukungacacanga kubomi babo bemihla ngemihla, kodwa sixhotyiswe ngeempawu zoKhuseleko eziSebenzayo kunye nokuxhobisa abaguli ukuba bakwazi ukulawula iirejista zabo nge-iporanonikiy.
Ukuqukumbela, impompo yentembeko ivele njengeqela lenguqu kunyango lwanamhlanje. Ukuchaneka kwayo, ukuthembeka, kunye nokusebenza ngokuqatha kube nokutsharisa imigangatho yonyango lwe-intravenous. Ngokuphucula ukhuseleko lwezigulana, ukulungiselela ukusebenza ngonyango, kunye nokunciphisa umthwalo kubaboneleli bezempilo, kuyeyona nto ibalulekileyo kwisixhobo esibalulekileyo kwi-spectrium yoluntu. Njengoko itekhnoloji iyaqhubeka ukuya phambili, sinokulindela iimpompo zokuhombisa ukuze ziphinde zivele, zivula amathuba amatsha amayeza asebenzela kunye neziphumo zokuphucula ukhathalelo lwempilo. Kuyanyanzeleka kubo bonke abathathi-nxaxheba - ukusuka kwiingcali kwezonyango kunye nabaphandi kubaqulunqi kunye nezigulana-ukwamkela ezi teknoloji zeteknoloji ye-incomp yempikiswano.
