Gutera imitsi (IV) ni inshinge yibiyobyabwenge cyangwa ibindi bintu mumitsi kandi byinjira mumaraso.Ubu ni bumwe mu buryo bwihuse bwo kugeza ibiyobyabwenge mu mubiri.
Ubuyobozi bwimitsi bugizwe ninshinge imwe ikurikirwa numuyoboro muto cyangwa catheter winjijwe mumitsi.Ibi bituma inzobere mu buvuzi zitanga inshuro nyinshi zibiyobyabwenge cyangwa igisubizo cyatewe utiriwe wongera gutera inshinge kuri buri gipimo.
Iyi ngingo itanga incamake yimpamvu inzobere mu buvuzi zikoresha IV, uko zikora, n’ibikoresho bakeneye.Irasobanura kandi bimwe mu byiza n'ibibi by'imiti yinjira mu mitsi no kwinjiza, ndetse na zimwe mu ngaruka zishobora kubaho n'ingaruka zabyo.
Gutera imitsi ni bumwe mu buryo bwihuse kandi bugenzurwa no kugeza ibiyobyabwenge cyangwa ibindi bintu mu mubiri.
Abakozi bashinzwe ubuzima barashobora gutanga imiti yinjira cyangwa ibindi bintu binyuze kumurongo wa peripheri cyangwa hagati.Ibice bikurikira birasobanura buri kimwe muburyo burambuye.
Catheter ya periferique cyangwa catheter ya periferique ni uburyo busanzwe bwo gutera inshinge zikoreshwa mukuvura igihe gito.
Imirongo ya periferi iraboneka kubitera bolus no guterwa igihe.Ibice bikurikira birasobanura buri kimwe muburyo burambuye.
Harimo gutera inshuro zibiyobyabwenge mumaraso yumuntu.Inzobere mu buvuzi irashobora kandi kwerekeza inshinge ya bolus nka bolus cyangwa bolus.
Harimo no gutanga buhoro buhoro ibiyobyabwenge mumaraso yumuntu mugihe runaka.Ubu buryo bukubiyemo gucunga ibiyobyabwenge hifashishijwe igitonyanga gihujwe na catheter.Hariho uburyo bubiri bwingenzi bwo kwinjiza imitsi: gutonyanga na pompe.
Amashanyarazi atonyanga akoresha uburemere kugirango atange amazi meza mugihe runaka.Kugira ngo ibitonyanga bitonyanga, umukozi wubuzima agomba kumanika umufuka wa IV hejuru yuwuvurwa kugirango uburemere bukurura infusion kumurongo mumitsi.
Kwinjiza pompe bikubiyemo guhuza pompe no gushiramo.Pompe itanga amazi mumaraso yumuntu muburyo butajegajega kandi bugenzurwa.
Umurongo wo hagati cyangwa catheter yo hagati yinjira mumitsi yo hagati, nka vena cava.Vena cava ni umutsi munini usubiza amaraso kumutima.Inzobere mu buvuzi zikoresha X-ray kugirango zimenye neza umurongo.
Imbuga zimwe zisanzwe za catheters zigihe gito zirimo imbuga zintoki nkukuboko cyangwa inkokora, cyangwa inyuma yukuboko.Ibintu bimwe bishobora gusaba gukoresha ubuso bwinyuma bwikirenge.
Mubihe byihutirwa cyane, inzobere mu buvuzi irashobora gufata icyemezo cyo gukoresha ahandi hantu hatera inshinge, nkumutsi mu ijosi.
Umurongo wo hagati mubisanzwe winjira hejuru ya vena cava.Ariko, ikibanza cyambere cyo gutera inshinge mubisanzwe mubituza cyangwa mukuboko.
Gutera inshinge cyangwa imitsi itaziguye bikubiyemo gutanga imiti ivura imiti cyangwa ibindi bintu mu mitsi.
Ibyiza byo kwinjiza imitsi itaziguye ni uko itanga igipimo gikenewe cyibiyobyabwenge byihuse, bikamufasha gukora vuba bishoboka.
Ingaruka zubuyobozi bwimitsi itaziguye ni uko gufata ibiyobyabwenge binini bishobora kongera ibyago byo kwangirika kwamaraso.Izi ngaruka zirashobora kuba nyinshi mugihe ibiyobyabwenge bizwi ko bitera uburakari.
Gutera inshinge zitaziguye kandi birinda inzobere mu buvuzi gutanga ibiyobyabwenge byinshi mu gihe kirekire.
Ingaruka zo kwinjiza imitsi ni uko itemerera dosiye nini yibiyobyabwenge kwinjira mumubiri ako kanya.Ibi bivuze ko kwigaragaza ingaruka zo kuvura imiti bishobora gufata igihe.Kubwibyo, imiyoboro y'amaraso ntishobora kuba uburyo bukwiye mugihe umuntu akeneye imiti byihutirwa.
Ingaruka n'ingaruka z'ubuyobozi bwimitsi ntibisanzwe.Ubu ni uburyo butera kandi imitsi iroroshye.
Ubushakashatsi bwakozwe mu mwaka wa 2018 bwerekanye ko kugera kuri 50 ku ijana bya periferi ya IV ya catheter yananiwe.Centreline irashobora kandi guteza ibibazo.
Nk’uko ubushakashatsi bwasohotse mu kinyamakuru cyitwa Journal of Vascular Access bubitangaza, phlebitis irashobora kugaragara ku bantu 31% bakoresha catheteri yinjira mu gihe cyo gutera.Ibi bimenyetso mubisanzwe birashobora kuvurwa kandi 4% byabantu bonyine nibo bagaragaza ibimenyetso bikomeye.
Kwinjiza ibiyobyabwenge mu mitsi itaziguye birashobora gutera uburakari no gutwika imyenda ikikije.Uku kurakara gushobora guterwa na pH yimikorere cyangwa ibindi bintu bitera uburakari bishobora kuba mubihari.
Bimwe mu bimenyetso bishobora kurakaza ibiyobyabwenge harimo kubyimba, gutukura cyangwa guhindura ibara, no kubabara aho batewe.
Gukomeza kwangirika kw'imitsi birashobora gutuma amaraso ava mumitsi, bikaviramo gukomeretsa aho batewe.
Gukabya ibiyobyabwenge nijambo ryubuvuzi kumeneka imiti yatewe mumitsi yamaraso mumitsi ikikije.Ibi birashobora gutera ibimenyetso bikurikira:
Rimwe na rimwe, bagiteri ziva hejuru yuruhu zirashobora kwinjira muri catheter zigatera indwara.
Imirongo yo hagati muri rusange ntabwo itwara ibyago nkumurongo wa peripheri, nubwo bitwara ingaruka zimwe.Bimwe mubishobora guteza ingaruka kumurongo wo hagati harimo:
Niba umuntu akeka ko ashobora kuba afite ibibazo kumurongo wo hagati, agomba kubimenyesha muganga vuba bishoboka.
Ubwoko nuburyo bwa IV umuntu akenera biterwa nibintu byinshi.Harimo imiti na dosiye bakeneye, uburyo bakeneye byihutirwa imiti, nigihe imiti ikeneye kuguma muri sisitemu yabo.
Gutera inshinge zitwara ingaruka zimwe, nk'ububabare, kurakara, no gukomeretsa.Ingaruka zikomeye zirimo kwandura no gutembera kw'amaraso.
Niba bishoboka, umuntu agomba kuganira na dogiteri ingaruka n'ingaruka z'ubuyobozi bwa IV mbere yo kuvurwa.
Kumeneka kw'imitsi bibaho mugihe urushinge rukomeretsa imitsi, bigatera ububabare no gukomeretsa.Kenshi na kenshi, imitsi yatanyaguwe ntabwo itera kwangirika kwigihe kirekire.Shakisha byinshi hano.
Abaganga bakoresha umurongo wa PICC kubuvuzi bwimitsi (IV) kumurwayi.Bafite inyungu nyinshi kandi barashobora gusaba kwitabwaho murugo.Shakisha byinshi hano.
Kwinjiza ibyuma ni ugutanga ibyuma mumubiri binyuze mumurongo winjira.Kwiyongera kwicyuma mumaraso yumuntu birashobora…