Umongo wethambo uqulethe imithambo yegazi eninzi, nto leyo eyenza ibe yenye indlela esebenzayo yokuhambisa ulwelo, amayeza kunye neemveliso zegazi. Ukunyuswa kwe-IO kunokuba lungenelelo olusindisa ubomi kwiimeko ezingxamisekileyo, njengokubanjwa kwentliziyo, ukwenzakala okukhulu, okanye xa isigulane sigula kakhulu.
Izixhobo zokufakelwa kwe-intraosseous zihlala zinenaliti okanye i-catheter efana nenaliti, ihabhu yokudibanisa, kunye nenkqubo yokuhambisa ulwelo. Inaliti yenzelwe ngokukhethekileyo ukungena kwindawo enzima yangaphandle yethambo kwaye ifike kumnkantsha. Ngokuqhelekileyo yenziwe ngensimbi engenasici okanye iplastiki eqinile, iqinisekisa ukuhlala kunye nokubukhali.
Inaliti ifakwe kwithambo kwindawo ehlala iphantsi kwedolo kwithambo le-tibia okanye ngaphezu kwe-ankle kwi-tibia okanye amathambo e-fibula. Kwizigulane zabantwana, i-proximal tibia yeyona ndawo isetyenziswa ngokuqhelekileyo. Inaliti ihambela phambili kwi-bony cortex ide ingene kumqolo womongo, emva koko i-stylet isuswe, ivumela ulwelo ukuba luhambe.
Ukukhusela inaliti kwindawo kunye nokuthintela ukufuduka, iindlela ezahlukeneyo zokuzinzisa zisetyenziswa. Ezinye izixhobo ze-IO zisebenzisa izixhobo zomatshini, ezifana neqonga lokuzinzisa okanye ipleyiti yoxinzelelo, ngelixa ezinye zisebenzisa i-adhesive dressings okanye ama-bandages. Ukukhethwa kwendlela yokuzinzisa kuxhomekeke kwisixhobo esithile esisetyenzisiweyo kunye neemfuno zesigulane.
Nje ukuba ufikelelo lwe-IO lusekiwe, ulwelo, amayeza, okanye iimveliso zegazi zinokungeniswa ngokuthe ngqo kumnkantsi womongo. Inkqubo yokuhanjiswa kwamanzi, ngokuqhelekileyo isikhwama soxinzelelo okanye i-syringe, ifakwe kwi-hub yenaliti, evumela ukulawulwa nokulawulwa ngokukhawuleza. Ukufakwa kwe-IO kunokuhambisa ulwelo kunye namayeza ngesantya esifana neendlela zendabuko ze-intravenous, ukuqinisekisa unyango lwangexesha.
Izixhobo ze-intraosseous infusion zithathwa njengenye indlela ekhuselekileyo nesebenzayo xa ukufikelela emthanjeni kulucelomngeni. Babonelela ngeendlela ezithembekileyo zokuvuselela ulwelo kunye nokulawulwa kweziyobisi kwiimeko ezingxamisekileyo. Ufikelelo lwe-IO lunokumiselwa ngokukhawuleza, nangabachwephesha bezempilo abanamava, kwaye lunokuhlala lusebenza ixesha elide ukuba lufuneka.
Kubalulekile ukuqaphela ukuba ukufakelwa kwe-IO ngokuqhelekileyo kuthathwa njengomlinganiselo wexeshana kwaye kufuneka kulandelelwe ngeenzame zokuseka ukufikelela kwi-intravenous xa kunokwenzeka. Ukujongwa ngononophelo kwempendulo yesigulane kunyango kunye nesayithi ye-IO kubalulekile ukukhusela iingxaki ezifana nosulelo, i-extravasation, okanye i-compartment syndrome.
Isishwankathelo, izixhobo ze-intraosseous infusion zidlala indima ebalulekileyo kwiyeza likaxakeka ngokubonelela ngendlela ekhawulezayo nesebenzayo yokuhanjiswa kwamanzi kunye neziyobisi xa ukufikelela kwi-intravenous yendabuko kunzima. Uyilo kunye nokusebenza kwazo kwenza ukuba abaqeqeshi bezempilo banikezele ngokhathalelo olubalulekileyo ngokukhawuleza, olunokusindisa ubomi kwiimeko ezinoxinzelelo oluphezulu.
Aditya Patel
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