Ukwelashwa kwe-IV ekhaya

Wena noma ingane yakho nizobuyela ekhaya nibuya esibhedlela kungekudala. Umhlinzeki wezokunakekelwa kwezempilo unikeze imithi noma ezinye izindlela zokwelashwa wena noma ingane yakho okufanele nizithathe ekhaya.

IV (emthanjeni) kusho ukunikeza imithi noma uketshezi ngenaliti noma ngepayipi (ipayipi) elingena emthanjeni. Ishubhu noma ipayipi lingaba kokulandelayo:

• Ipayipi le-venous emaphakathi
• Ipayipi le-venous emaphakathi - itheku
• I-catheter emaphakathi efakwe eceleni
• I-IV ejwayelekile (eyodwa ifakwe emthanjeni ngaphansi kwesikhumba sakho)

Ukwelashwa kwe-Home IV kuyindlela yokuthi wena noma ingane yakho ithole umuthi we-IV ngaphandle kokuba sesibhedlela noma ukuya emtholampilo.

Ungadinga imithamo ephezulu yama-antibiotic noma ama-antibiotic ongeke uyithathe ngomlomo.

• Kungenzeka ukuthi uqale ama-antibiotic e-IV esibhedlela okudingeka ukuthi uqhubeke nokuthola isikhashana ngemuva kokuphuma esibhedlela.
• Isibonelo, ukutheleleka emaphashini, emathanjeni, ebuchosheni, noma kwezinye izingxenye zomzimba kungaphathwa ngale ndlela.

Ezinye izindlela zokwelashwa ze-IV ongazithola ngemuva kokuphuma esibhedlela zifaka:

• Ukwelashwa kokushoda kwama-hormone
• Imithi yesicanucanu esinzima esingabangelwa yi-cancer chemotherapy noma yokukhulelwa
• I-analgesia elawulwa yisiguli (PCA) yezinhlungu (lo ngumuthi we-IV iziguli ezinikeza wona)
• I-Chemotherapy yokwelapha umdlavuza

Wena noma ingane yakho ningadinga umsoco ophelele we-parenteral (TPN) ngemuva kokuhlala esibhedlela. I-TPN ifomula yokudla okunikezwa ngomthambo.

Wena noma ingane yakho futhi ningadinga uketshezi olungeziwe nge-IV.

Imvamisa, abahlengikazi bezokunakekelwa kwempilo ekhaya beza ekhaya lakho ukukunika umuthi. Kwesinye isikhathi, ilungu lomndeni, umngane, noma wena uqobo unganikeza umuthi we-IV.

Umhlengikazi uzohlola ukuqinisekisa ukuthi i-IV isebenza kahle futhi azikho izimpawu zokutheleleka. Ngemuva kwalokho umhlengikazi uzonikeza umuthi noma olunye uketshezi. Izonikezwa ngenye yalezi zindlela ezilandelayo:

• I-bolus esheshayo, okusho ukuthi umuthi unikezwa ngokushesha, konke ngasikhathi sinye.
• Ukumnika kancane, okusho ukuthi umuthi unikezwa kancane kancane isikhathi eside.

Ngemuva kokuthola umuthi wakho, umhlengikazi uzokulinda ukuthi abone ukuthi kukhona yini ongakuphenduli kahle. Uma uphilile, umhlengikazi uzoshiya ikhaya lakho.

Izinaliti ezisetshenzisiwe zidinga ukulahlwa esitsheni senaliti (sharps). Ishubhu esetshenzisiwe se-IV, izikhwama, amagilavu, nezinye izinto ezilahlwayo zingangena esikhwameni sepulasitiki bese zifakwa kudoti.

Bheka lezi zinkinga:

• Imbobo esikhunjeni lapho kukhona i-IV. Imithi noma uketshezi kungangena ezicutshini ezizungeze umthambo. Lokhu kungalimaza isikhumba noma izicubu.
• Ukuvuvukala komthambo. Lokhu kungaholela ekunqandeni kwegazi (okubizwa nge-thrombophlebitis).

Lezi zinkinga ezingavamile zingadala izinkinga zokuphefumula noma zenhliziyo:

• Igwebu lomoya lingena emthanjeni bese liya enhliziyweni noma emaphashini (okubizwa ngokuthi yi-embolism yomoya).
• Ukungezwani komzimba noma okunye ukusabela okungathi sína emthini.

Izikhathi eziningi, abahlengikazi bokunakekelwa kwempilo emakhaya batholakala amahora angama-24 ngosuku. Uma kunenkinga nge-IV, ungashayela inkampani yakho yokunakekelwa kwezempilo ekhaya ukuze uthole usizo.

Uma i-IV iphuma emthanjeni:

• Okokuqala, faka ingcindezi lapho kuvuleka khona i-IV kuze kuyeke ukuphuma kwegazi.
• Bese ushayela inkampani yezempilo yasekhaya noma udokotela ngokushesha.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma wena noma ingane yakho unezimpawu zokutheleleka, njenge:

• Ububomvu, ukuvuvukala, noma ukulinyazwa endaweni lapho inaliti ingena khona emthanjeni
• Ubuhlungu
• Ukopha
• Umkhuhlane ka-100.5 ° F (38 ° C) noma ngaphezulu

Shayela inombolo yakho yendawo ephuthumayo, njenge-911, ngokushesha uma une:

• Noma yiziphi izinkinga zokuphefumula
• Ukushaya kwenhliziyo okusheshayo
• Isiyezi
• Ubuhlungu besifuba

Ukwelapha ngemithambo efakwa ekhaya; Ipayipi le-venous emaphakathi - ikhaya; I-peripheral venous catheter - ikhaya; Ichweba - ikhaya; Umugqa we-PICC - ikhaya; Ukwelashwa ukumnika - ekhaya; Ukunakekelwa kwempilo yasekhaya - ukwelashwa kwe-IV

UChu CS, uRubin SC. Izimiso eziyisisekelo zokwelashwa ngamakhemikhali. Ku: IDiSaia PJ, iCreasman WT, iMannel RS, iMcMeekin DS, iMutch DG, ama-eds. I-Clinical Gynecologic Oncology. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 17.

Igolide HS, LaSalvia MT. Ukwelashwa kwamagciwane okuphulukisa kwabazali. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 53.

UPong AL, uBradley JS. Ukwelashwa kwe-antimicrobial yokwelashwa okungalapheki kwezifo ezimbi. Ku: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, abahleli. Incwadi kaFeigin neCherry's Pediatric Infectious Diseases. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 238.

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