Kev sau ntshav yog ib qho ntawm cov txheej txheem kho mob ntau tshaj plaws, tab sis nws yuav tsum muaj qhov tseeb, cov cuab yeej raug, thiab cov txheej txheem raug los xyuas kom tus neeg mob muaj kev nyab xeeb thiab kuaj pom tseeb. Ntawm ntaucov khoom siv kho mob, covkoob sau ntshavplays lub luag haujlwm tseem ceeb. Xaiv hom thiab qhov loj ntawm rab koob tsis yog qhov yooj yim xwb; Nws tuaj yeem txiav txim siab seb qhov venepuncture yog du thiab tsis mob lossis ua rau muaj teeb meem xws li cov hlab ntsha tawg, hematoma, lossis kev kuaj tsis raug.
Hauv tsab xov xwm no, peb yuav tshawb xyuas vim li cas thiaj xaiv cov koob sau ntshav kom zoo, qhov sib txawv ntawm arab koob ncajthiab anpauj npaim koob, thiab cov ntsiab lus tseem ceeb uas qhia cov kws kho mob hauv kev xaiv cov cuab yeej kho mob zoo rau cov txheej txheem phlebotomy niaj hnub.
Dab tsi yog koob siv tau thaum lub sij hawm Venepuncture?
Cov koob ntau tshaj plaws siv rau venepuncture thaj tsam ntawm 21G thiab 23G. Tus "G" sawv cev rau kev ntsuas, lub kaw lus uas hais txog lub koob txoj kab uas hla. Ib tug me me qhia tau hais tias txoj kab uas hla loj dua. Piv txwv li:
21G koob - Kev xaiv tus qauv rau cov neeg laus. Nws muab qhov sib npaug zoo ntawm tus nqi ntws thiab kev nplij siab ntawm tus neeg mob.
22G koob - Feem ntau siv rau cov menyuam yaus, cov hluas, lossis cov laus uas muaj cov leeg me.
23G koob - Zoo tagnrho rau cov neeg mob menyuam yaus, cov neeg laus, lossis cov uas muaj cov hlab ntsha tawg.
Xaiv qhov ntsuas qhov tseeb ua kom cov ntshav txaus kom tsis txhob ua rau cov hlab ntsha puas tsuaj lossis ua rau tsis xis nyob.
Pom zoo koob ntsuas, ntev, thiab ntaus ntawv rau ntau pawg hnub nyoog
Thaum xaiv cov txheej txheem sau cov ntshav, cov kws kho mob xav txog tus neeg mob lub hnub nyoog, qhov mob ntawm cov hlab ntsha, thiab hom kev kuaj yuav tsum tau ua. Table 3.1 muab cov lus qhia dav dav:
Table 3.1: Pom zoo koob ntsuas, ntev, thiab ntaus ntawv
| Hnub nyoog Group | Pom zoo ntsuas | Koob Length | Ntaus hom |
| Cov neeg laus | 21g ua | 1-1.5 hli | Ncaj rab koob los yog rab koob npauj npaim |
| Cov tub ntxhais hluas | 21 - 22 G | 1 nti | Ncaj koob |
| Cov menyuam yaus | 22-23 G | 0.5-1.5 hli | Npauj npaim koob nrog collection set |
| Me nyuam mos | 23g ua | 0.5 nti los yog tsawg dua | Npauj npaim koob, micro-collection |
| Cov neeg laus | 22-23 G | 0.5-1.5 hli | Npauj npaim koob (cov leeg tsis muaj zog) |
Cov lus no qhia txog qhov tseem ceeb ntawm kev kho cov cuab yeej kho mob raws li tus neeg mob xav tau. Kev siv qhov ntsuas tsis raug lossis ntev tuaj yeem ua rau cov hlab ntsha raug mob lossis cuam tshuam cov qauv zoo.
Lub ntsiab tseem ceeb los xav txog thaum xaiv koob ntsuas qhov ntau thiab tsawg hauv Venepuncture
Xaiv cov koob sau ntshav kom raug tsis yog ib qho kev txiav txim siab ib leeg. Ntau yam tseem ceeb yuav tsum tau soj ntsuam:
1. Client's Vein Size
Cov hlab ntsha loj tuaj yeem ua raws li qhov ntsuas loj dua li 21G, thaum cov hlab ntsha me me lossis tsis yooj yim yuav tsum tau ntsuas qhov ntsuas zoo xws li 22G lossis 23G.
2. Tus neeg siv khoom hnub nyoog
Cov neeg laus tuaj yeem zam cov koob me me, tab sis cov menyuam yaus thiab cov neeg laus cov neeg mob yuav xav tau cov khoom siv me me thiab muag heev.
3. Tus neeg mob cov mob
Cov neeg mob uas tau txais kev kho mob chemotherapy, lim ntshav, lossis kev kho mob mus sij hawm ntev yuav muaj kev cuam tshuam cov hlab ntsha, yuav tsum tau ua kom zoo dua nrog cov koob npauj npaim.
4. Yuav tsum tau kuaj ntshav
Qee qhov kev sim xav tau ntau dua, ua rau 21G ncaj koob siv tau zoo dua. Cov ntim me me lossis kuaj ntshav capillary tuaj yeem siv cov koob zoo dua.
5. Koob qhov tob tob
Qhov ntev yog ua kom cov hlab ntsha nkag mus kom zoo yam tsis muaj qhov tob tob lossis ua rau cov hlab ntsha puas.
Txhua qhov cuam tshuam ncaj qha cuam tshuam rau tus neeg mob kev nplij siab thiab kev ntseeg siab ntawm cov txheej txheem kuaj mob.
Koob ncaj vs. Npauj npaim koob: Yam twg siv?
Ib qho kev txiav txim siab tshaj plaws hauv kev sau ntshav yog seb yuav siv rab koob ncaj lossis rab koob npauj npaim. Ob leeg tau siv dav siv cov cuab yeej kho mob, tab sis txhua tus muaj nws lub zog.
Koob ncaj
Pros
Zoo tagnrho rau niaj hnub venepuncture nyob rau hauv cov neeg laus.
Muab cov ntshav khiav ceev, tsim nyog rau kev kuaj uas xav tau cov qauv loj.
Nqi-zoo piv rau npauj npaim poob lawm.
Cons
Kev nyuaj dua rau cov neeg mob me, dov, lossis cov leeg tsis muaj zog.
Tej zaum yuav ua rau tsis xis nyob yog tias cov hlab ntsha nyuaj nrhiav.
Npauj npaim koob
Pros
Tsim los rau precision nyob rau hauv me me los yog ilv leeg.
Muab kev tswj ntau dua thaum lub sij hawm ntxig vim nws cov raj hloov tau yooj yim.
Txo cov neeg mob tsis xis nyob, tshwj xeeb tshaj yog rau cov menyuam yaus lossis cov neeg laus.
Cons
kim dua cov koob ncaj.
Tsis yog ib txwm tsim nyog rau cov leeg loj, yooj yim nkag mus.
Cov ntsiab lus
Rau cov neeg laus venepuncture nrog cov leeg noj qab haus huv, 21G ncaj koob yog tus qauv kub.
Rau cov menyuam yaus, cov neeg mob laus, lossis cov neeg uas muaj cov hlab ntsha tawg, ib rab koob npauj npaim feem ntau yog qhov kev xaiv zoo dua.
Yog vim li cas tus koob tsim nyog teeb meem nyob rau hauv kev kho mob xyaum
Qhov kev xaiv ntawm koob sau ntshav ncaj qha cuam tshuam rau ob qho tib si kev kho mob thiab cov neeg mob siab. Kev xaiv tsis raug tuaj yeem ua rau kev sim ua tsis tiav venepuncture, mob tsis tsim nyog, lossis kuaj ntshav tsis txaus. Qhov no tuaj yeem ncua kev kuaj mob thiab kev kho mob, ua rau muaj nqi kho mob ntxiv.
Kev siv cov cuab yeej kho mob tsim nyog ua kom:
Tus neeg mob kev nplij siab thiab txo kev ntxhov siab.
Kev sau ntshav zoo thiab raug.
Tsawg qhov kev pheej hmoo ntawm cov teeb meem xws li hematoma, hlab ntsha tawg, lossis kev raug mob ntawm rab koob.
Kev ua raws cai zoo dua, tshwj xeeb tshaj yog rau cov neeg mob uas yuav tsum tau kuaj ntshav ntau zaus.
Hauv luv luv, xaiv cov txheej txheem sau cov ntshav zoo yog qhov tseem ceeb ntawm kev saib xyuas cov neeg mob zoo.
Xaus
Kev sau ntshav yuav zoo li txoj kev yooj yim, tab sis qhov tseeb, nws yuav tsum tau ceev faj xaiv cov khoom siv kho mob zoo. Xaiv cov koob sau cov ntshav kom raug-txawm yog rab koob ncaj los yog rab koob npauj npaim-nyob ntawm cov yam xws li cov hlab ntsha loj, cov neeg mob hnub nyoog, kev kho mob, thiab qhov ntim ntawm cov ntshav xav tau.
Rau cov venepuncture niaj hnub, 21G rab koob ncaj yog feem ntau siv rau cov neeg laus, thaum cov ntsuas zoo dua thiab cov kab npauj npaim tau pom zoo rau cov menyuam yaus, cov neeg laus, thiab cov neeg mob uas muaj kev pheej hmoo siab. Los ntawm kev ua raws li cov lus qhia tsim, xws li cov lus teev tseg hauv Table 3.1, cov kws kho mob tuaj yeem ua kom muaj kev nyab xeeb dua, ua tau zoo dua, thiab yooj yim dua cov txheej txheem sau ntshav.
Thaum kawg, kev xaiv kom zoo ntawm cov cuab yeej kho mob rau phlebotomy tsis yog hais txog kev sau cov ntshav xwb - nws yog hais txog kev xa cov kev saib xyuas uas muaj kev nyab xeeb, raug, thiab tus neeg mob nyob nruab nrab.
Post lub sij hawm: Sep-22-2025