I-catheter emaphakathi efakwe ngaphesheya - ukufutha

Une-catheter emaphakathi efakwe eceleni (PICC). Lesi yishubhu elingena emthanjeni engalweni yakho. Kuyasiza ukuthwala izakhamzimba noma umuthi emzimbeni wakho. Ibuye isetshenziselwe ukuthatha igazi uma udinga ukuhlolwa kwegazi.

Udinga ukukhipha i-catheter njalo emva kokusebenzisa. Lokhu kubizwa ngokuthi ukuqhuma. Ukuhlanza kusiza ukugcina ipayipi le-catheter lihlanzekile. Iphinde ivimbele amahlule egazi ekuvimbeni i-catheter.

Landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo yokuthi ungageza kanjani ipayipi le-catheter yakho. Ilungu lomndeni, umngane, noma umnakekeli angakwazi ukukusiza ngokugubha. Sebenzisa leli shidi ukusiza ukukukhumbuza ngezinyathelo.

Umhlinzeki wakho uzokunikeza incwadi kadokotela ngezinto ozozidinga. Ungazithenga esitolo sezinto zokwelashwa. Kuzoba wusizo ukwazi igama le-catheter yakho nokuthi yenziwa yini inkampani. Bhala lolu lwazi bese ulugcina lusebenza kalula.

Ukufaka i-catheter yakho, uzodinga:

• Hlanza amathawula wephepha
• Amanzi wesaline (acacile), futhi mhlawumbe imijovo ye-heparin (ephuzi)
• Utshwala noma i-chlorhexidine isula
• Amagilavu ​​ayinyumba
• Isiqukathi se-Sharps (isitsha esikhethekile samasirinji asetshenzisiwe nezinaliti)

Ngaphambi kokuqala, hlola amalebula emijovo kasawoti, imijovo ye-heparin, noma imijovo yemithi. Qiniseka ukuthi amandla nomthamo kulungile. Hlola usuku lokuphelelwa yisikhathi. Uma isirinji ingakagcwaliswa, dweba inani elifanele.

Uzokhipha ipayipi le-catheter ngendlela oyinyumba (ehlanzekile kakhulu). Lokhu kuzokusiza ukuvikeleke ekuthelelekeni. Landela le mihlahlandlela:

1. Geza izandla zakho imizuzwana engama-30 ngensipho namanzi. Qiniseka ukuthi ugeza phakathi kweminwe yakho nangaphansi kwezipikili zakho. Susa konke ubucwebe eminweni yakho ngaphambi kokugeza.
2. Yomisa ngethawula lephepha elihlanzekile.
3. Setha izimpahla zakho endaweni ehlanzekile kuthawula lephepha elisha.
4. Gqoka amagilavu ​​oyinyumba.
5. Susa ikepisi esirinji enosawoti bese ubeka ikepisi phansi kuthawula lephepha. Ungavumeli ukuphela kwesipontsho okungavaliwe kuthinte ithawula lephepha noma yini enye.
6. Khipha uqinisa ekugcineni kwe-catheter bese usula isiphetho se-catheter ngokusula utshwala.
7. Sula isirinji yesaline ku-catheter ukuyinamathisela.
8. Jova kancane kancane usawoti ku-catheter ngokucindezela ngobunono ku-plunger. Yenza okuncane, bese ume, bese wenza okunye. Jova yonke i-saline ku-catheter. Ungayiphoqi. Shayela umhlinzeki wakho uma engasebenzi.
9. Uma usuqedile, khipha isirinji bese uyifaka esitsheni sakho esibukhali.
10. Hlanza ukuphela kwe-catheter yakho ngokusula okusha.
11. Beka uqinisa ku-catheter uma usuqedile.
12. Susa amagilavu ​​bese ugeza izandla zakho.

Buza umhlinzeki wakho uma udinga futhi ukufaka i-catheter yakho nge-heparin. IHeparin ngumuthi osiza ukuvimbela amahlule egazi.

Landela lezi zinyathelo:

1. Namathisela isirinji ye-heparin ku-catheter yakho, ngendlela efanayo naleyo onamathisele ngayo isirinji yesaline.
2. Gxuma kancane ngokujova kancane ngesikhathi, ngendlela efanayo naleyo owenza ngayo usawoti.
3. Khipha isirinji ye-heparin kusuka ku-catheter yakho. Yifake esitsheni sakho esibukhali.
4. Hlanza isiphetho se-catheter yakho ngokusula okusha kotshwala.
5. Beka uqinisa emuva ku-catheter.

Gcina zonke izibopho ku-catheter yakho zivaliwe ngaso sonke isikhathi. Kungumqondo omuhle ukushintsha amakepisi ekugcineni kwepayipi lakho (elibizwa nge- "claves") lapho ushintsha indlela ogqoka ngayo nangemuva kokudonswa kwegazi. Umhlinzeki wakho uzokutshela ukuthi ungakwenza kanjani lokhu.

Buza umhlinzeki wakho ukuthi ungageza nini noma ugeze nini. Uma wenza kanjalo, qiniseka ukuthi ukugqokiswa kuvikelekile futhi isiza sakho se-catheter sihlala somile. Ungavumeli isayithi le-catheter lingene ngaphansi kwamanzi uma ucwilisa kubhavu wokugeza.

Shayela umhlinzeki wakho uma:

• Unenkinga yokugeza ipayipi lakho
• Ukopha, ubomvu noma ukuvuvukala esizeni
• Thuthukisa ukuvuvukala engalweni engezansi kwe-catheter
• Isaziso liyavuza, noma i-catheter isikwa noma iqhekeka
• Yiba nobuhlungu eduze kwesiza, noma entanyeni yakho, ebusweni, esifubeni, noma engalweni
• Yiba nezimpawu zokutheleleka (umkhuhlane, amakhaza)
• Baphelelwa umoya
• Zizwe unesiyezi

Fonela futhi umhlinzeki wakho uma ipayipi lakho lokuhambisa amanzi ngomshini:

• Iphuma emthanjeni wakho
• Kubonakala kuvinjiwe

I-PICC - ukuqhuma

USmith SF, uDuell DJ, uMartin BC, u-Aebersold M, uGonzalez L. ngapha nangapha kufakwe i-catheter ephakathi (PICC). Ku: Smith SF, uDuell DJ, Martin BC, Gonzalez L, Aebersold M, abahleli. Amakhono Wabahlengikazi Abasemtholampilo: Okuyisisekelo Kumakhono Athuthukile. Umhlaka 9. ENew York, NY: Pearson; I-2017: isahluko 29.6.

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