Michael Menna, DO, ni icyemezo cyemewe ninama yubuvuzi bwihutirwa mubitaro byera bya White Plains mu kibaya cyera, New York.
Urushinge rw'ikinyugunyugu ni igikoresho gikoreshwa mu kuvana amaraso mu mitsi cyangwa gutanga imiti ivura imitsi (IV). Urushinge rw'ikinyugunyugu rwitwa kandi amababa yashizwemo cyangwa igikoresho cyo mu mutwe. Igizwe n'urushinge ruto cyane rwa hypodermique, “amababa” abiri yoroheje, umuyoboro woroshye uhinduka kandi uhuza. Umuhuza arashobora guhuzwa numuyoboro wa vacuum cyangwa igikapu cyo gukusanya kugirango ukure amaraso, cyangwa na pompe ya infusion cyangwa umufuka winjiza imitsi kugirango utange amazi cyangwa ibiyobyabwenge. Imiti irashobora kandi gutangwa kubihuza binyuze muri syringe.
Urushinge rw'ikinyugunyugu rufite inyungu zimwe kurenza inshinge zigororotse. Kurugero, bemera gushyira neza neza, cyane cyane mumitsi igoye kuyigeraho. Ariko, ntabwo aribwo buryo bwiza bwo guhitamo muri buri kintu.
Urebye, urushinge rw'ikinyugunyugu rusa n'urushinge rwa Huber, kandi rufite amababa. Nyamara, inshinge za Huber zunamye kuri dogere 90 kugirango zishobore gushyirwa neza ku cyambu cya chimiotherapie cyatewe.
Abaganga ba Phlebotomy bakunze gukoresha inshinge zinyugunyugu kugirango babone urugero rwamaraso kugirango babare amaraso yuzuye (CBC), gupima cholesterol, gukurikirana diyabete, gusuzuma indwara zandurira mu mibonano mpuzabitsina, nibindi bizamini bishingiye ku maraso. Izi nshinge nazo zikoreshwa cyane muri banki yamaraso kubantu bashaka gutanga amaraso.
Niba udafite umwuma kandi ukaba udashobora kunywa cyangwa kunywa amazi ahagije kugirango wuzuze amazi, inshinge z'ikinyugunyugu nazo zirashobora gukoreshwa mugutanga amazi ava mumitsi. Birashobora kandi gukoreshwa mugutanga imiti (nk'imiti igabanya ububabare) mu mitsi itaziguye cyangwa gutera buhoro buhoro imiti ya IV (nka chimiotherapie cyangwa antibiotique).
Nubwo inshinge z'ikinyugunyugu zishobora kuguma mu mitsi iminsi 5 kugeza kuri 7 niba zifite umutekano neza, zirakoreshwa cyane mugihe gito.
Ibisanzwe cyangwa bikomeza gushiramo mubisanzwe bigerwaho binyuze mumitsi minini unyuze kumurongo wo hagati cyangwa winjizwamo peripheri hagati ya catheter (PICC).
Nubwo inshinge zose zinyugunyugu zisa nubushushanyo, ziracyatandukanye. Urushinge rw'ikinyugunyugu rupimwa mu bice byihariye, ubusanzwe rufite ubunini kuva kuri 18 kugeza kuri 27. Iyo ibisobanuro birambuye, niko urushinge ruto.
Kurugero, urushinge rwa 27-gipima nubunini bukoreshwa mugutera inshinge za insuline. Niba amazi yatewe ari menshi cyangwa amaraso arimo gukusanywa kugirango atere amaraso, koresha urushinge ruto. Inshinge nyinshi z'ikinyugunyugu ntizirenza bitatu bya kane bya santimetero (19 mm).
Igikoresho cya IV cyangwa ibikoresho byo gukusanya byahujwe nigituba gihujwe nurushinge, ntabwo kijyanye nurushinge. Ibi nibyiza kuko niba wankiwe cyangwa wagabanutse, amahirwe yo gukomereka aragabanuka.
Ubunini bw'umuyoboro buva kuri santimetero 8 kugeza kuri santimetero 15 (cm 20 kugeza 35). Umuyoboro mugufi ukoreshwa mugukuramo amaraso. Ibirebire bikoreshwa muri IV porogaramu kandi birashobora kugira uruzitiro rwo guhindura imigendekere. Imiyoboro irashobora kandi kuba amabara kugirango umuforomo abashe gutandukanya umurongo ukoreshwa mugihe hakoreshejwe imirongo myinshi.
Guhuza ibinyugunyugu bimwe na bimwe bifite icyambu cyubatswe "kigabo" gishobora kwinjizwa mumiyoboro ya vacuum. Abandi bahuza bafite ibyambu "byigitsina gore" byinjizwamo syringes cyangwa tubing.
Mugihe cyo guhumeka (urushinge rwinjizwa mumitsi), phlebotomiste cyangwa umuforomo bazahambira urushinge rwikinyugunyugu n'amababa hagati y'urutoki n'urutoki. Kuberako urushinge rwa hypodermique ari rugufi kandi intera yo gufata ni ngufi, gushyira urushinge rw'ikinyugunyugu birasobanutse neza kuruta urushinge rugororotse, kandi urushinge rugororotse ruzunguruka cyangwa ruzunguruka mu rutoki.
Shyiramo urushinge rugufi, ruto mu mitsi ku nguni nto. Nyuma yo gushiramo, umuvuduko wamaraso uzahatira amaraso make mumiyoboro ibonerana, byemeza ko urushinge rwashyizwe neza. Urushinge rumaze kuba, amababa arashobora kandi gukoreshwa muguhagarika urushinge no kuburizamo kugenda cyangwa kugenda.
Bimaze gukoreshwa (gushushanya amaraso cyangwa gutanga imiti), igikoresho cyose kizajugunywa mubintu byabitswe. Noneho uzingire igikomere cyacumiswe hamwe na bande.
Bitewe nubunini bwazo (buto cyane kuruta catheteri yimitsi) hamwe nigishushanyo mbonera, inshinge zinyugunyugu zirashobora kwinjira mumitsi yimbere hafi yuruhu. Ibi ntibituma gusa bababaza gukoresha, ahubwo binabemerera kwinjira mumitsi mito cyangwa ifunganye, nk'impinja cyangwa abasaza.
Urushinge rw'ikinyugunyugu rurakwiriye cyane kubantu bafite imitsi mito cyangwa ifatanye (kuzunguruka), ndetse irashobora no kwinjizwa mumitsi myiza yintoki, ibirenge, inkweto cyangwa igihanga.
Urushinge rw'ikinyugunyugu rurakwiriye cyane kubatindiganya inshinge, kuko zidatera ubwoba.
Inshinge zimaze gukurwaho, nazo ntizishobora gutera amaraso menshi, kwangiza imitsi, cyangwa imitsi.
Moderi nshya ifite igifuniko cyo gufunga gihita kinyerera hejuru y'urushinge iyo kivuye mumitsi, bikarinda gukomeretsa inkoni no gukoresha inshinge zikoreshwa.
Niba bakubwiye ko imitsi yawe ari nto kandi ukaba ufite ikibazo cyo kuvoma amaraso kera, urashobora gutekereza gusaba urushinge.
Bitewe n'ubunini buke bw'urushinge, umuvuduko wo gukusanya amaraso akenshi utinda. Niba umuntu yikanga cyangwa mugihe cyihutirwa gisaba amaraso yihuse, ibi birashobora gutera ibibazo muri banki yamaraso. Muri iki kibazo, guhitamo ingano yinshinge nurufunguzo.
Ndetse hamwe no gushushanya amaraso bisanzwe, niba hakenewe amaraso menshi, ingano y'urushinge itari yo irashobora guhagarika kandi bigasaba kuvoma kabiri.
Kubera ko urushinge rukoreshwa mugushiramo rusigaye mu kuboko, ntabwo ari catheter cyangwa insinga ya PICC, urushinge rw'ikinyugunyugu rushobora kwangiza imitsi iyo igikoresho gikuruwe gitunguranye. Nubwo urushinge rufite ubunini bukwiye, niba rudashyizwe neza, urushinge rushobora guhagarikwa mugihe cyo kuvura.
Iyandikishe kumakuru yacu yubuzima bwa buri munsi kugirango wakire inama za buri munsi zagufasha kubaho ubuzima bwiza.
Tekinike ya Venipuncture. Muri: Tuza. Igitabo cya 6. 2018: 308-318. doi: 10.1016 / b978-0-323-40053-4.00024-x
Ohnishi H, Watanabe M, Watanabe T. Urushinge rwibinyugunyugu rugabanya ibyago byo gukomeretsa imitsi mugihe cya phlebotomy. Arch Pathol Lab Med. 2012; 136 (4): 352. doi: 10.5858 / arpa.2011-0431-LE
Ialongo, C. na Bernardini, S. Phlebotomy, ikiraro kiri hagati ya laboratoire n'umurwayi. Biochem Med (Zagreb). 2016 15 Gashyantare; 26 (1): 17-33. DOI: 10.11613 / BM.2016.002.
Volovitz, A.; Beure, P.; Essex, D., nibindi Ugereranije na catheteri yimitsi, gukoresha inshinge zikinyugunyugu mu kuvoma amaraso bifitanye isano no kugabanuka gukabije kwa hemolysis. Inama ngarukamwaka ya Academy ya Academic Medicine Emergency Medicine; Atlanta, Jeworujiya, Amerika; Gicurasi 2013. DOI: 10.1111 / acem.12245.
Igihe cyo kohereza: Ugushyingo-10-2021
