Alakaʻi Nui o ka Nila Inikini: Ana a me ka Lōʻihi

Ke koho ʻana i ka mea kūponoka nui o ka nila inikinihe mea nui ia no ka hoʻouna ʻana i nā lāʻau lapaʻau palekana, ʻoluʻolu, a me ka maikaʻi. Inā hoʻohana ʻia ma nā haukapila, nā keʻena lapaʻau, nā papahana hoʻopili ʻana, a i ʻole nā ​​​​​​wahi mālama ola home, ke koho ʻana i ka mea kūponoana nilaa meka lōʻihi o ke kuikōkua i ka hōʻoia ʻana i ka lawelawe pololei ʻana i ka lāʻau a me ka hoʻomaikaʻi ʻana i nā hopena o ka mea maʻi.

Ma ke ʻano he hoʻokahi o nā mea i hoʻohana nui ʻianā mea hoʻopau lāʻau lapaʻau, loaʻa nā nila injection i nā kikoʻī he nui i hoʻolālā ʻia no nā noi lapaʻau like ʻole. Ke hoʻomaopopo nei pehea e koho ai i ka kūponoka nui o ka nilakōkua i nā loea mālama ola kino a me nā mea hoʻolaha lapaʻau e hana i nā hoʻoholo kūʻai maikaʻi aʻe.

He aha ke ana o ka nila?

Ana nilapili i ke anawaena o waho (mānoanoa) o kahinila hoʻokomo.

He kānāwai koʻikoʻi e hoʻomanaʻo ai:

ʻOi aku ka nui o ka helu anakahi, ʻoi aku ka liʻiliʻi o ke anawaena o ka nila.

ʻo kahi laʻana:

Ana nila	Mānoanoa o ke kui	Hoʻohana Maʻamau
18G	Mānoanoa loa	Ka hoʻoili wai wikiwiki
21G	Mānoanoa	ʻOhi koko, nā inikini
23G	Waena	Nā inikini laulā
25G	Lahilahi	Nā inikini subcutaneous
27G	Lahilahi loa	Nā inikini insulin

ʻOiai paha e huikau kēia ʻōnaehana helu i ka wā mua, he ana ia i hoʻonohonoho ʻia ma ka honua holoʻokoʻa i hoʻohana nui ʻia ma nā wahi āpau.lako lapaʻauʻoihana.

Ke koho ʻana i ka mea kūponoana nilahōʻoia i kahi kaulike ma waena o ka pono o ke kahe ʻana o ka lāʻau lapaʻau a me ka hōʻoluʻolu o ka mea maʻi.

Ke Hoʻomaopopo nei i ka Lōʻihi o ke Kuila

Ma waho aʻe o ke anawaena,ka lōʻihi o ke kuihe kumu koʻikoʻi ʻē aʻe i ke koho ʻana i kahinila hoʻokomo.

ʻO nā lōʻihi nila maʻamau:

• ½ ʻīniha
• ⅝ ʻīniha
• 1 ʻīniha
• 1½ ʻīniha

ʻO ka pololeika lōʻihi o ke kuihilinaʻi nui ʻia ma luna o:

• ʻano hoʻokomo
• ka hoʻonohonoho kino o ka mea maʻi
• wahi o ka injection

Eia kekahi laʻana, hoʻohana pinepine ʻia nā nila pōkole no nā inikini subcutaneous, ʻoiai e pono ana nā nila lōʻihi no nā inikini intramuscular e hōʻoia i ka hiki ʻana o ka lāʻau lapaʻau i nā ʻiʻo hohonu.

Nā mea hana hilinaʻi onā mea hoʻopau lāʻau lapaʻau, e like meKa Papa Hana Hui o Shanghai, hāʻawi pinepine i kahi ākea o nā koho lōʻihi nila e kākoʻo i nā koi lapaʻau honua.

Nā Hui Pū ʻana o ke Ana o ka Nila Maʻamau a me ka Lōʻihi o ka Nila

ʻO nā mea ʻeluaana nilaa meka lōʻihi o ke kuipono e koho pū ʻia e hōʻoia i nā inikini palekana a maikaʻi hoʻi. Pono nā ʻano inikini like ʻole i nā hui like ʻole.

Hōʻike ka papa ma lalo nei i ka mea i hoʻohana pinepine ʻianā hui pū ʻana o ka nui o ka nila injectionma ka hana lapaʻau:

ʻAno Inikini	Ana nila	Ka lōʻihi o ke kui	Hoʻohana Maʻamau
ʻO ka inikini intradermal	26–27G	¼–½ ʻīniha	Ka hoʻāʻo ʻana i ka maʻi puʻupuʻu, ka hoʻāʻo ʻana i ka maʻi ʻaleka
ʻO ka inikini subcutaneous	25–27G	½–⅝ ʻīniha	ʻInisulina, heparin
ʻO ke komo ʻana o nā ʻiʻo (Deltoid)	22–25G	1 ʻīniha	Nā lāʻau pale, nā inikini huaora
ʻO loko o nā ʻiʻo (Gluteal)	21–23G	1–1½ ʻīniha	Nā lāʻau antibiotic, nā inikini hormone
ʻUlu ʻiʻo (ʻūhā)	22–25G	1 ʻīniha	Nā lāʻau pale keiki
ʻOhi koko	21–23G	1–1½ ʻīniha	Ka hoʻopaʻa ʻana i ka venipuncture maʻamau
ʻO ka inikini lāʻau ʻawaʻawa	18–21G	1–1½ ʻīniha	Nā lāʻau lapaʻau i hana ʻia me ka ʻaila
ʻO ka inikini keiki	24–27G	½–1 ʻīniha	Nā inikini haʻahaʻa

 

Ke koho ʻana i ka mea kūponoka nui o ka nilaʻaʻole wale ia e pili ana i ke ʻano o ka inikini akā i ka mānoanoa o ka lāʻau lapaʻau a me ke kūlana o ka mea maʻi. Ma nā wahi lapaʻau, hoʻoponopono nā mea lawelawe olakinoka nui o ka nila inikinie like me ia e hōʻoia ai i ka hānau palekana a me ka hōʻoluʻolu o ka mea maʻi.

Ma ke ʻano he mea hoʻolako loea o ka mea hoʻoleilako lapaʻaunā huahana,Ka Papa Hana Hui o Shanghaihāʻawi i kahi koho ākea onila hoʻokomonā kikoʻī kūpono no nā noi lapaʻau like ʻole ma ka honua holoʻokoʻa.

Nā Kumu Koʻikoʻi e Noʻonoʻo ai i ke Koho ʻana i ka Nui o ka Nila Injection

Ke koho ʻana i nā mea kūponoka nui o ka nila inikinipili i ka loiloi ʻana i kekahi mau kumu koʻikoʻi.

1. Ka nui o ke kino o ka mea maʻi

Hoʻopili pololei ke ʻano o ke kino o ka mea maʻi i ka mea e pono aika lōʻihi o ke kui.

ʻo kahi laʻana:

• ʻO ka maʻamau, pono nā poʻe maʻi lahilahi i nā nila pōkole
• ʻO nā maʻi me nā pakeneka momona o ke kino kiʻekiʻe e pono paha i nā nila lōʻihi
• ʻO ka maʻamau, pono nā maʻi pediatric i nā nila liʻiliʻi a me nā lōʻihi pōkole

Ke hoʻohana nei i ka mea kūponoka nui o ka nilahōʻoia i ka hiki ʻana o ka lāʻau lapaʻau i ka papa ʻiʻo i manaʻo ʻia.

Ke koho ʻana o nā mea lawelawe mālama ola a me nā mea hoʻolahanā mea hoʻopau lāʻau lapaʻauno ka hoʻohana ʻana i ka lāʻau lapaʻau e noʻonoʻo pono i kēia mau ʻokoʻa.

2. ʻĀpana Inikini o ke Kino

Pono nā wahi injection like ʻole i nā ʻano like ʻoleana nilaa meka lōʻihi o ke kuinā hui pū ʻana.

ʻO nā hiʻohiʻona maʻamau:

Kahi Hoʻokomo	Ka nui o ke kui i manaʻo ʻia
ʻIʻo Deltoid	22–25G, 1 ʻīniha
ʻIʻo gluteal	21–23G, 1–1.5 ʻīniha
ʻōpū	25–27G, ½ ʻīniha
ʻūhā	22–25G, 1 ʻīniha

 

ʻO ka maʻamau, pono nā nila lōʻihi no nā inikini intramuscular ma mua o nā inikini subcutaneous.

Ke koho ʻana i ka mea kūponoka nui o ka nila inikinihoʻomaikaʻi i ka pono o ka hoʻopili ʻana o ka lāʻau lapaʻau a hōʻemi i nā pilikia e pili ana i ka injection.

3. Ka nui o ka wai i hoʻokomo ʻia

Hoʻopilikia pū ka nui o ka inikini a me ka mānoanoa o ka lāʻau i ke koho ʻana i ka nila.

ʻO nā nui injection nui aʻe e pono ai:

• helu ana haʻahaʻa
• anawaena nila ākea
• ka hoʻomaikaʻi ʻana i ka nui o ke kahe ʻana

ʻo kahi laʻana:

Hoʻohana pinepine ʻia nā lāʻau lapaʻau mānoanoa a i ʻole nā ​​inikini nui aʻeNā nila inikini 21G–23G, ʻoiai ʻo nā inikini insulin e koi pinepine ʻiaNā nila 26G–30G.

Ke hoʻohālikelike nei i ka mea kūponoana nilame nā ʻano lāʻau lapaʻau e hōʻoiaʻiʻo ana i ka hana injection maʻalahi.

He ʻoiaʻiʻo anei ʻo nā nila liʻiliʻi e hōʻemi i ka ʻeha?

I ka hapanui o nā kūlana, ʻae.

ʻO nā nila liʻiliʻi ke anawaena (nā helu anawaena kiʻekiʻe) e hōʻemi pinepine i ka ʻoluʻolu ʻole i ka wā o ka inikini no ka mea hana lākou i nā puka puka liʻiliʻi a hōʻemi i ka hōʻino ʻana i nā ʻiʻo.

Eia nō naʻe, pili pū ka ʻoluʻolu o ka injection i kekahi mau kumu ʻē aʻe:

• ʻenehana hoʻokomo
• ka mānoanoa o ka lāʻau lapaʻau
• ka wikiwiki o ka hoʻokomo ʻana
• ka ʻike o ka mea maʻi
• wahi hoʻokomo

ʻO ka hoʻohana ʻana i kahi nila lahilahi loa no ka lāʻau lapaʻau mānoanoa e hoʻonui paha i ke kaomi injection a hoʻonui maoli i ka ʻeha.

No laila, ke koho ʻana i ka mea kūpono,ka nui o ka nila inikiniʻoi aku ka mea nui ma mua o ke koho wale ʻana i ka nila liʻiliʻi loa.

No ke aha i manaʻo ʻia ai he nila 23 Gauge he kūpono no nā inikini he nui?

Ma waena o nā mea āpau i loaʻaana nilanā koho, nānila inikini 23 anakahiua manaʻo nui ʻia ʻo ia kekahi o nā nui versatile loa i ka hana lapaʻau.

Hāʻawi ia i kahi kaulike maikaʻi loa ma waena o ka hōʻoluʻolu a me ka hana injection.

1) Kūpono no nā noi injection he nui

A Kuila inikini 23Ghoʻohana pinepine ʻia no:

• nā inikini intramuscular
• nā inikini subcutaneous
• nā kaʻina hana pale
• lawelawe antibiotic
• nā inikini huaora

Ma muli o kona maʻalahi, ʻo ia kekahi o nā nui i mālama pinepine ʻia e nā haukapila a me nā mea hoʻolaha onā mea hoʻopau lāʻau lapaʻau.

2) ʻOluʻolu Hoʻokomo Kaulike a me ka Kaʻina Holo

Ke hoʻohālikelike ʻia me nā nila lahilahi e like me 25G a i ʻole 27G:

ʻAe nā nila 23G i ka lawe wikiwiki ʻana i nā lāʻau lapaʻau.

Ke hoʻohālikelike ʻia me nā nila mānoanoa e like me 21G:

hoʻomaikaʻi nui lākou i ka ʻoluʻolu o ka mea maʻi.

ʻO kēia kaulike e hana ai i kanila inikini 23 anakahikahi koho makemake ʻia ma nā wahi mālama ola he nui.

3) Kūlike me kahi laulā o nā noi lapaʻau

ʻO kekahi pono o kaKuila inikini 23Gʻo kona kūlike me nā lāʻau lapaʻau o nā viscosities like ʻole.

No kēia kumu, koho ka nui o nā luna kūʻai i nā nila 23G ma ke ʻano he mea waihona maʻamau i ka wā e kūʻai ai i ka mea hilinaʻi.lako lapaʻaunā huahana mai nā mea hana akamai e like meKa Papa Hana Hui o Shanghai, nāna e hāʻawi i ka kaohi maikaʻi kūlike a me nā koho kikoʻī maʻalahi no nā mākeke honua.