Ushintsho oluphakathi olufakwa ngaphesheya komugqa

I-catheter emaphakathi efakwe eceleni (PICC) iyishubhu ende, ezacile engena emzimbeni wakho ngomthambo wengalo yakho ephezulu. Ukuphela kwale catheter kungena emthanjeni omkhulu eduze kwenhliziyo yakho.

Ekhaya uzodinga ukushintsha ukugqoka okuvikela isayithi le-catheter. Umhlengikazi noma uchwepheshe uzokukhombisa ukuthi ungakushintsha kanjani ukugqoka. Sebenzisa imininingwane engezansi ukusiza ukukukhumbuza ngezinyathelo.

I-PICC ithwala izakhamzimba nemithi emzimbeni wakho. Ingasetshenziselwa ukudweba igazi lapho udinga ukuhlolwa kwegazi.

Ukugqoka yibhandishi elikhethekile elivimba amagciwane futhi ligcine indawo yakho ye-catheter yomile futhi ihlanzekile. Kufanele ushintshe ukugqoka cishe kanye ngesonto. Udinga ukuyiguqula ngokushesha uma ixega noma iba manzi noma ingcolile.

Njengoba i-PICC ibekwe kwesinye sezingalo zakho futhi udinga izandla ezimbili ukushintsha ukugqoka, kungcono ukuthi kube khona umuntu ozokusiza ngoshintsho lokugqoka. Umhlengikazi wakho uzokufundisa ukuthi ukugqoka kwakho kufanele kushintshwe kanjani. Yiba nomuntu osizayo naye abuke futhi alalele iziyalo zikanesi noma uchwepheshe.

Udokotela wakho ukunikeze incwadi kadokotela yezinto ozidingayo. Ungathenga lezi zinto esitolo sezokwelapha. Kuyasiza ukwazi igama le-catheter yakho nokuthi iyiphi inkampani eyenza. Bhala lolu lwazi bese ulugcina lusebenza kalula.

Imininingwane engezansi ichaza izinyathelo zokushintsha ukugqoka kwakho. Landela noma imiphi imiyalo eyengeziwe umhlinzeki wakho wokunakekelwa kwezempilo akunikeza yona.

Ukuze ushintshe ukugqoka, udinga:

• Amagilavu ​​ayinyumba.
• Isifihla-buso sobuso.
• Isixazululo sokuhlanza (njenge-chlorhexidine) kwisicelo esincane esisodwa sokusebenzisa.
• Izipanji ezikhethekile noma ama-wipe aqukethe i-ejenti yokuhlanza, njenge-chlorhexidine.
• Isiqephu esikhethekile esibizwa ngeBiopatch.
• Ibhandeshi elicacile lesithiyo, kungaba iTegaderm noma iCovaderm.
• Izingcezu ezintathu zeteyiphu ebanzi engamasentimitha ayi-2,5, amasentimitha angu-4 (amasentimitha ayi-10) ubude (nezingcezu ezi-1 zidwengulwe phakathi, ubude obude.)

Uma unikezwe ikhi yokushintsha yokugqoka, landela imiyalo yokusebenzisa okuhlinzekwe kukhithi yakho.

Lungiselela ukushintsha ukugqoka kwakho ngendlela oyinyumba (ehlanzekile kakhulu):

• Geza izandla zakho imizuzwana engama-30 ngensipho namanzi. Qiniseka ukuthi ugeza phakathi kweminwe yakho nangaphansi kwezipikili zakho.
• Sula izandla zakho ngethawula lephepha elihlanzekile.
• Setha izinto endaweni ehlanzekile, kuthawula lephepha elisha.

Susa ukugqoka bese uhlola isikhumba sakho:

• Gqoka isifihla-buso sobuso kanye namagilavu ​​oyinyumba.
• Khipha ngobumnene isembatho esidala neBiopatch. UNGADONSI noma uthinte ipayipi lapho iphuma khona engalweni.
• Lahla okokugqoka okudala namagilavu.
• Geza izandla zakho bese ugqoka amagilavu ​​amasha oyinyumba.
• Hlola isikhumba sakho ukuthi sibomvu, ukuvuvukala, ukuphuma kwegazi, noma yimuphi omunye umsele ozungeze ipayipi.

Hlanza indawo ne-catheter:

• Sebenzisa ukusula okukhethekile okukodwa ukuhlanza i-catheter.
• Sebenzisa okunye ukusula ukuhlanza i-catheter, kancane usebenza kude nalapho iphuma khona engalweni.
• Hlanza isikhumba sakho eduze kwesiza ngesiponji nesixazululo sokuhlanza imizuzwana engama-30.
• Vumela umoya wendawo ukome.

Ukubeka ukugqoka okusha:

• Beka iBiopatch entsha endaweni lapho ipayipi elingena khona esikhunjeni. Gcina uhlangothi lwegridi lubheke phezulu nohlangothi olumhlophe luthinta isikhumba.
• Uma utshelwe ukuthi wenze njalo, gcoba isikhumba lapho isikhumba sizoba khona.
• Coil the catheter. (Lokhu akunakwenzeka ngawo wonke ama-catheters.)
• Cwecwa usekelo kusuka ebhandishini leplastiki elicacile (iTegaderm noma iCovaderm) bese ubeka ibhandishi phezu kwepayipi.

Thepha i-catheter ukuyivikela:

• Beka ucezu olulodwa lwetheyiphu engu-1-intshi (2.5 amasentimitha) phezu kwepayipi elingasemaphethelweni onqenqemeni lwebhande leplastiki elicacile.
• Beka esinye isiqeshana sethephu ezungeze i-catheter ngephethini levemvane.
• Beka ucezu lwesithathu lwe-tape phezu kwephethini levemvane.

Phonsa imaski yobuso namagilavu ​​bese ugeza izandla zakho uma usuqedile. Bhala phansi usuku owashintsha ngalo ukugqoka kwakho.

Gcina zonke izibopho ku-catheter yakho zivaliwe ngaso sonke isikhathi. Uma uyalelwe, shintsha amakepisi (amachweba) ekugcineni kwe-catheter lapho ushintsha ukugqoka kwakho nangemva kokudonswa kwegazi.

Ngokuvamile kulungile ukuthatha izihlambi nokugeza ezinsukwini ezimbalwa ngemuva kokufakwa kwepayipi lakho. Buza umhlinzeki wakho ukuthi alinde isikhathi esingakanani. Uma ugeza noma ugeza, qiniseka ukuthi ukugqoka kuvikelekile futhi indawo yakho ye-catheter ihlala yomile. UNGAVUMELI isayithi le-catheter lingene ngaphansi kwamanzi uma ucwilisa kubhavu wokugezela.

Shayela umhlinzeki wakho uma une:

• Ukopha, ubomvu, noma ukuvuvukala esizeni
• Isiyezi
• Imfiva noma amakhaza
• Ukuphefumula kanzima
• Kuvuza ku-catheter, noma i-catheter iyanqunywa noma iqhekezwe
• Ubuhlungu noma ukuvuvukala eduze kwesayithi le-catheter, noma entanyeni yakho, ebusweni, esifubeni, noma engalweni
• Unenkinga ngokukhipha ipayipi lakho noma ukushintsha ukugqoka kwakho

Fonela futhi umhlinzeki wakho uma ipayipi lakho lokuhambisa amanzi ngomshini:

• Iphuma engalweni yakho
• Kubonakala kuvinjiwe

I-PICC - ukuguqulwa kokugqoka

USmith SF, uDuell DJ, uMartin BC, uGonzalez L, u-Aebersold M. Central ukufinyelela kwamadivayisi. Ku: Smith SF, uDuell DJ, Martin BC, Gonzalez L, Aebersold M, abahleli. Amakhono Wabahlengikazi Abasemtholampilo: Okuyisisekelo Kumakhono Athuthukile. Umhlaka 9. ENew York, NY: Pearson; 2016: isahluko 29.

• Ukunakekelwa Okubalulekile
• Ukusekelwa Kwezomsoco