Icyo Heparine na Sodium Chloride Bivuga: Ibikoreshwa, Uburyo Bifatwamo, Ingaruka Zabyo n'ibindi

Heparine na sodium chloride ni umuti uvura ibibazo byinshi, urinda amaraso gupfundana kandi ugatuma imiyoboro ya IV ikora neza. Uyu muti uvanga heparine, ituma amaraso atavura, na sodium chloride (amazi y'umunyu) kugira ngo habeho uburyo bwizewe kandi bwiza bwo gukoresha imiyoboro yawe ya intravenous.

Niba urimo guhabwa ubuvuzi bwa IV cyangwa ufite catheter, uyu muti ugira uruhare ruto ariko rwingenzi mu kwitabwaho kwawe. Ikora mu buryo butagaragara kugira ngo irinde amaraso gupfundana mu miyoboro yawe ya IV mugihe yizera ko imitsi yawe ikomeza kuba mizima mugihe cyo kuvurwa kwawe.

Heparine na Sodium Chloride ni iki?

Heparine na sodium chloride ni umuti utagira mikorobe uvanga ibintu bibiri byingenzi byo kwita ku miyoboro ya IV. Heparine ni umuti w'amaraso w'umwimerere urinda amaraso gupfundana, mugihe sodium chloride ari amazi y'umunyu akoreshwa mu buvuzi ahura n'uburinganire bw'amazi y'umubiri wawe.

Uku kuvanga gukora icyo abaganga bita "heparine flush" cyangwa "heparine lock." Uyu muti wateguwe byihariye kugira ngo ube woroshye ku mitsi yawe mugihe utanga uburinzi bwizewe ku gupfundana kw'amaraso. Bimaze imyaka myinshi bikoreshwa mu buryo bwizewe mu bitaro no mu mavuriro.

Uyu muti uza mu nkingo zizuzuye cyangwa mu mpapuro zifite ubushobozi bwihariye. Itsinda ryawe ry'ubuzima rizakoresha imbaraga zihagije zikenewe kubera uko umubiri wawe umeze, rikazana umutekano n'ubushobozi.

Heparine na Sodium Chloride bikoreshwa kubera iki?

Uyu muti ukora nk'umurinzi w'inzira yawe ya IV, urinda amaraso gupfundana ashobora guhagarika catheter yawe cyangwa umurongo wa IV. Ikoreshwa cyane cyane mu gukomeza gufunguka (gufunguka) kwa catheter ya intravenous iyo itari gukoreshwa mu miti cyangwa gutanga amazi.

Abaganga bakoresha umuti muri ibi bihe bikomeye. Iyo ufite umurongo wo hagati, umurongo wa PICC, cyangwa IV yo ku ruhande igomba kuguma ahantu igihe kirekire, guhora ukoresha uyu muti bituma byose bikora neza.

Uyu muti kandi ni ngombwa mu gihe cy'ibikorwa by'ubuvuzi bimwe na bimwe aho gukomeza kubona IV neza ari ngombwa. Ibi birimo kuvura dialysis, ibikorwa bya chimiothérapie, na antibiyotike yo mu gihe kirekire aho umurongo wawe wa IV ukeneye gukora neza mu minsi cyangwa mu byumweru.

Umuti wa Heparine na Sodium Chloride ukora ute?

Uyu muti ukora uhungabanya uburyo umubiri wawe usanzwe ukora amaraso mu buryo bwihariye cyane. Heparine ikoresha poroteyine yitwa antithrombin III, hanyuma ikabuza ibintu byinshi bikora amaraso mu maraso yawe, ikabuza amaraso gukora cyane cyane aho umuti uhari.

Igice cya sodium chloride gikora nk'umutwaro utunganye wa heparine mugihe gikomeza kugira urugero rukwiye rw'imyunyu mu maraso yawe. Uyu muti w'amazi y'umunyu ni isotonic, bivuze ko ihura n'imiterere y'amazi yawe, bityo ntibitera uburibwe cyangwa kutumva neza mu mitsi yawe.

Nka umuti ugabanya amaraso, heparine ifatwa nk'ikomeye cyane iyo ikoreshwa mu mubiri wawe wose. Ariko, mu miti ya heparine, imiti ni mito cyane kandi ikora ahantu hato mu murongo wawe wa IV aho kugira ingaruka ku mikorere y'amaraso yawe yose.

Nkwiriye gufata gute umuti wa Heparine na Sodium Chloride?

Ntabwo uzifata uyu muti wenyine - buri gihe utangwa n'abantu bafite ubumenyi mu by'ubuvuzi binyuze mu murongo wawe wa IV cyangwa catheter. Uyu muti utangwa nk'ukoza, bivuze ko aterwa buhoro buhoro mu murongo wawe wa IV hanyuma ukagumishwa ahantu cyangwa ugakurwaho, bitewe n'ibyo ukeneye mu by'ubuvuzi.

Itsinda ryawe rishinzwe ubuzima rizagena igihe nyacyo n'uburyo bwo gukora izi flushes bitewe n'uko ubuzima bwawe bumeze. Abarwayi bamwe bakira flushes buri masaha 8-12, mu gihe abandi bashobora kuzibona mbere na nyuma yo gufata imiti cyangwa gukora ibikorwa by'ubuvuzi.

Nta mbogamizi z'imirire cyangwa imyiteguro yihariye ukeneye. Uyu muti ntugirana imikoranire n'ibiryo, kandi urashobora kurya no kunywa nk'ibisanzwe keretse muganga wawe akaba yaraguhaye izindi mbwiriza zihariye zijyanye n'uburyo uvurwa muri rusange.

Nzamara Igihe Kingana Iki Ndafashe Heparine na Sodium Chloride?

Igihe cyo gukoresha heparine na sodium chloride giterwa n'igihe cyose ukeneye ko urwungano rwawe rwa IV ruguma ahantu. Ibi bishobora guhera ku minsi mike yo kuvurwa igihe gito kugeza ku byumweru byinshi cyangwa amezi menshi yo kwitabwaho mu buvuzi burambye.

Ku barwayi bafite imirongo ya IV y'agateganyo, flushes zikomeza gukorwa kugeza igihe catheter ikurwaho. Niba ufite umurongo wo hagati cyangwa icyambu cy'igihe kirekire, ushobora kubona izi flushes igihe cyose igikoresho kigikora mu mubiri wawe, bishobora kumara amezi cyangwa imyaka.

Umutanga serivisi z'ubuzima azagenzura buri gihe niba ukeneye urwungano rwa IV n'izo flushes za heparine zijyana na rwo. Bazatekereza ibintu nk'ubuzima bwawe muri rusange, iterambere ry'ubuvuzi, n'ibibazo byose bishobora kuvuka. Intego ni ukuguhereza umuti igihe cyose ugirira akamaro kandi bikaba ngombwa.

Ni Ibihe Bikorwa Bigaragara bya Heparine na Sodium Chloride?

Abantu benshi bafata neza flushes za heparine na sodium chloride, bafite ibikorwa bigaragara bike. Kubera ko doze ari nto kandi zikora ahantu hato mu murongo wawe wa IV, biragoye ko wagira ibikorwa bigaragara bijyana n'imiti ituma amaraso ataguma mu mubiri itangwa mu mubiri wawe wose.

Dore ibikorwa bigaragara bisanzwe ushobora kubona, nubwo abantu benshi batagira na kimwe:

• Ubwiza bworoshye cyangwa ububabare ahantu hashyizweho IV
• Kumva gushirira cyangwa kuruma gato mugihe cyo gukaraba
• Ukuva amaraso guto bifata igihe gito kugirango bihagarare niba wakomeretse
• Umutuku rimwe na rimwe cyangwa ubushyuhe hafi yaho catheter yashyizweho

Ibi bikorwa bisanzwe mubisanzwe birabura kandi bikemuka vuba. Itsinda ryawe ryita kubuzima rikora igenzura kuri ibi bikorwa kandi rishobora guhindura uburyo bwita kubuzima niba bibaye ngombwa.

Ingaruka zikomeye ziragoye ariko zisaba ubufasha bwihuse bwa muganga. Ibi bikorwa bidasanzwe bishobora kuba birimo:

• Ukuva amaraso bidasanzwe bitahagarara n'umuvuduko usanzwe
• Ibimenyetso byo kwibasirwa n'umubiri nk'uruhu, kuribwa, cyangwa guhumeka bigoranye
• Ubwiza bukomeye bugaragara ako kanya cyangwa bugakwira vuba
• Amaraaso mu nkari zawe cyangwa imyanda yijimye idasanzwe
• Umutwe udashira cyangwa isereri

Itsinda ryawe ryita kubuzima ryatojwe kumenya no gusubiza ibi bibazo bikomera ako kanya. Bazagukurikiranira hafi, cyane cyane mugihe utangiye guhabwa umuti.

Ninde utagomba gufata Heparine na Sodium Chloride?

Uburwayi bumwe butuma heparine na sodium chloride bidakwiriye cyangwa bishobora guteza akaga. Umuganga wawe azasuzuma neza amateka yawe mbere yo gukoresha uyu muti kugirango yemeze ko bifite umutekano kubuzima bwawe bwihariye.

Abantu bafite uburwayi bwo kuva amaraso cyangwa abafite ubuva amaraso butagendera neza ntibagomba guhabwa heparine. Ibi birimo indwara nka indwara ikomeye y'umwijima, ubwoko bumwe bwa anemia, cyangwa kubagwa vuba aho ibyago byo kuva amaraso biri hejuru.

Niba ufite allergie izwi kuri heparine cyangwa wateje indwara yitwa heparin-induced thrombocytopenia (HIT) mugihe gishize, ibisubizo byo gukaraba bizakoreshwa. HIT ni igikorwa gike ariko gikomeye aho heparine ikora ibice by'amaraso byangiza aho kubikumira.

Abarwayi bafite indwara zikomeye z'impyiko, umuvuduko ukabije w'amaraso utagenzurwa, cyangwa indwara zimwe na zimwe z'umutima bashobora gukenera imiti ivuguruye cyangwa imiti isimbura. Itsinda ryawe ry'ubuvuzi rizagena ibi byose mugihe rigena uburyo bwo kuvura bwa IV.

Amazina y'ubwoko bwa Heparine na Sodium Chloride

Uyu muti uboneka munsi y'amazina menshi y'ubwoko, nubwo ibitaro byinshi na za clinique bikoresha ubwoko bwa generic bukora neza. Amazina asanzwe y'ubwoko arimo Hep-Lock, HepFlush, n'imiti itandukanye yateguwe n'ibitaro.

Ibikorwa byinshi by'ubuvuzi bitegura imiti yabo ya heparine na sodium chloride cyangwa bakayigura mu bigo byihariye by'imiti. Ubwoko nyabwo bukoreshwa ntibugira icyo butanga mubuvuzi bwawe, kuko ubwoko bwose bugomba guhura n'amabwiriza akomeye y'umutekano n'imikorere.

Umutanga serivisi z'ubuzima azakoresha buri gihe umubare n'imiti ikwiriye kubwoko bwawe bwihariye bwa IV n'ibikenewe by'ubuvuzi. Yaba ari ubwoko bw'izina cyangwa generic, umuti uzakora kimwe kugirango umurongo wawe wa IV ukore neza.

Uburyo bwo gusimbuza Heparine na Sodium Chloride

Hariho uburyo bwinshi bwo gusimbuza kugirango umurongo wa IV ukore neza mugihe heparine idakwiriye cyangwa itaboneka. Umunyu usanzwe (sodium chloride yonyine) nicyo gisubizo gisanzwe, nubwo bishobora gusaba ko wohereza kenshi kugirango wirinde amabuye.

Kubarwayi badashobora guhabwa heparine kubera allergie cyangwa izindi ngorane, abaganga bashobora gukoresha imiti isimbura anticoagulants nka argatroban cyangwa bivalirudin. Iyi miti ikora muburyo butandukanye na heparine ariko igeraho intego imwe yo kwirinda gukora amabuye.

Uburyo bushya bwa catheter butegurwa kugirango bagabanye gukenera gukoresha imiti ya anticoagulant. Izi catheter zihariye zifite ibishushanyo bidasanzwe cyangwa imiterere yihanganira kamere, nubwo zitakwiriye buri gihe.

Ese Heparine na Sodium Chloride biruta umunyu usanzwe?

Guhitamo hagati ya heparin na sodium chloride ugereranije na normal saline gusa biterwa n'uburwayi bwawe bwihariye n'ubwoko bwa IV ufite. Kuri IV nyinshi zigufi, normal saline flushes ikora neza kandi ntigira ibyago bito byo kuva amaraso bifitanye isano na heparin.

Ariko, ku mirongo miremire yo hagati cyangwa abarwayi bafite ibyago byinshi byo gukora ibibazo, heparin na sodium chloride akenshi bikora neza mu gukumira ibibazo. Umubare muto wa heparin utanga uburinzi bwiyongera bushobora kuba ingenzi mugukomeza IV igihe kirekire.

Itsinda ryawe ryita ku buzima rizatekereza ibintu nk'ibibazo byawe byo kuva amaraso, ubwoko bwa catheter ufite, igihe uzakenera IV, n'uburwayi bwawe muri rusange muguhitamo hagati yibi bintu. Byombi birinzwe kandi bikora neza iyo bikoreshejwe neza.

Ibikunze Kubazwa Kuri Heparin na Sodium Chloride

Ese Heparin na Sodium Chloride birinzwe ku bagore batwite?

Heparin na sodium chloride muri rusange bifatwa nkibiringirwa mugihe cyo gutwita iyo bikoreshwa nka IV line flushes. Heparin ntikora placenta, bityo ntizagira ingaruka ku mwana wawe ukura. Ariko, umuganga wawe azakugenzura neza kandi ashobora guhindura kenshi cyangwa umubare bitewe n'icyiciro cyawe cyo gutwita.

Abagore batwite rimwe na rimwe bagira ibyago byiyongereye byo gukora ibibazo, bituma heparin flushes iba ingenzi cyane mugukomeza IV. Itsinda ryawe ry'abaganga bazakorana bya hafi n'abandi baganga kugirango barebe ko wowe n'umwana wawe mukomeza kuba muzima mugihe cyose uvurwa.

Nigute nzakora niba mbonye heparin na sodium chloride nyinshi?

Kubera ko uyu muti ahora atangwa nabaganga, overdoses zidakwiye ni gake cyane. Niba ufite impungenge zo kubona nyinshi,menyesha umuforomo wawe cyangwa muganga ako kanya. Barashobora gusuzuma vuba uko bimeze hanyuma bagafata ingamba zikwiye niba bibaye ngombwa.

Ibimenyetso byo gukoresha heparin nyinshi bishobora kuba kuvirira amaraso atari ibisanzwe, gukomereka cyane, cyangwa amaraso mu nkari zawe. Ariko, doze nto zikoreshwa mu gukaraba IV bituma bishoboka cyane ko habaho overdose ikomeye. Itsinda ryawe ry'ubuzima rigukurikiranira hafi kandi rishobora guhindura ingaruka za heparin niba bibaye ngombwa.

Nigute nshobora gukora niba nciwe doze ya Heparin na Sodium Chloride?

Ntabwo ukeneye guhangayika kubera gucikanwa na doze kuko abaganga bakora iyi miti kuri wowe. Niba igihe cyo gukaraba gihagaritswe, umuforomo wawe azabikora vuba bishoboka kandi agahindura igihe cya doze zizaza uko bikwiye.

Gucikanwa no gukaraba rimwe na rimwe ntibitera ibibazo, cyane cyane hamwe na IV igihe gito. Itsinda ryawe ry'ubuzima rizasuzuma imikorere ya IV yawe kandi rishobora gukora ibindi bikaraba niba bibaye ngombwa kugirango byemeze ko ibintu byose bikomeza gukora neza.

Nshobora guhagarika ryari gufata Heparin na Sodium Chloride?

Umuti urahagarara igihe IV yawe itagikenewe cyangwa igihe catheter yawe ikuweho. Umuganga wawe azagira iki cyemezo ashingiye ku iterambere ryawe ry'ubuvuzi n'ibikenewe by'ubuzima muri rusange.

Kubarwayi bafite imirongo miremire yo hagati cyangwa ibyambu, gukaraba heparin birashobora gukomeza igihe kitazwi kugirango bakomeze imikorere y'igikoresho. Itsinda ryawe ry'ubuvuzi rizasuzuma buri gihe niba ugikeneye IV kandi rigahindura gahunda yawe y'ubuvuzi uko bikwiye.

Ese Heparin na Sodium Chloride bishobora guhura n'indi miti nkorana?

Guhura kw'imiti hamwe na heparin ikaraba ntibisanzwe kuko doze nto kandi zikora ahantu hato muri IV yawe. Ariko, niba ufata izindi miti ituma amaraso atenda nka warfarin cyangwa aspirine, umuganga wawe azagukurikiranira hafi ibimenyetso byose byo kongera kuva amaraso.

Buri gihe menyesha itsinda ryawe ry'ubuzima ku miti yose, ibyongerera imbaraga, n'imiti y'ibyatsi ufata. Barashobora kumenya uburyo ubwo aribwo bwose bushobora guhura no guhindura gahunda yawe y'ubuvuzi kugirango umutekano wawe ubeho neza mugihe cyose uvurwa.