I-catheter emaphakathi efakwe ngesandla - izinsana

I-catheter emaphakathi efakwe ngasikhathi sinye (i-PICC) iyishubhu epulasitiki ende, ezacile kakhulu, ethambile efakwa emthanjeni omncane wegazi futhi ifinyelela ekujuleni komthambo wegazi omkhulu. Lo mbhalo ukhuluma ngama-PICC ezinganeni.

KUNGANI Kusetshenziswa iPicc?

I-PICC isetshenziswa lapho ingane idinga uketshezi lwe-IV noma umuthi isikhathi eside. Ama-IV ajwayelekile ahlala ezinsukwini ezi-1 kuya kwezi-3 kuphela futhi adinga ukushintshwa. I-PICC ingahlala amasonto amabili kuya kwamathathu noma ngaphezulu.

Ama-PICC avame ukusetshenziswa ezinganeni ezizalwe ngaphambi kwesikhathi ezingakwazi ukondla ngenxa yezinkinga zamathumbu noma ezidinga imithi ye-IV isikhathi eside.

IBHALWA KANJANI IPICC?

Umhlinzeki wezokunakekelwa kwempilo uzo:

• Nikeza ingane umuthi wezinhlungu.
• Hlanza isikhumba sengane ngomuthi obulala amagciwane (isinqandakuvunda).
• Yenza ukusika okuncane bese ubeka inaliti engenalutho emthanjeni omncane engalweni noma emlenzeni.
• Hambisa i-PICC ngenaliti uye emthanjeni omkhulu (emaphakathi), ubeke ithiphu yayo eduze (kodwa hhayi ngaphakathi) kwenhliziyo.
• Thatha i-x-ray ukubeka inaliti.
• Susa inaliti ngemuva kokubekwa kwepayipi.

BUYINI UBUNGOZI BOKUTHOLA IPICC?

• Ithimba lezokunakekelwa kwempilo kungadingeka lizame kaningi ukubeka iPICC. Kwezinye izimo, i-PICC ayikwazi ukumiswa kahle futhi kuzodingeka ukwelashwa okuhlukile.
• Kukhona ingozi encane yokutheleleka. Uma iPICC ikhona isikhathi eside, iba nkulu ingozi.
• Kwesinye isikhathi, ipayipi le-catheter lingaqeda udonga lomthambo wegazi. Uketshezi lwe-IV noma umuthi ungangena ezindaweni eziseduze zomzimba.
• Kuyaqabukela kakhulu, i-PICC ingakhukhula udonga lwenhliziyo. Lokhu kungadala ukopha okukhulu nokungasebenzi kahle kwenhliziyo.
• Kuyaqabukela kakhulu, i-catheter ingaphuka ngaphakathi komthambo wegazi.

I-PICC - izinsana; I-PQC - izinsana; Umugqa wePic - izinsana; I-Per-Q cath - izinsana

I-Pasala S, iSiphepho EA, iStroud MH, et al. Ukufinyelela kwemithambo yezingane namasenti. Ku: Fuhrman BP, Zimmerman JJ, ama-eds. Ukunakekelwa Okubalulekile Kwezingane. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2017: isahluko 19.

ISantillanes G, uClaudius I. Ukufinyelela kwezingane ngemithambo namasu okusampula igazi. Ku: Roberts J, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 19.

Izikhungo Zase-United States Zokulawulwa Kwezifo Zokulawulwa Kokulawulwa Kwezifo. Imihlahlandlela yango-2011 yokuvimbela izifo ezihlobene ne-catheter ezihambisana nemithambo yegazi. www.cdc.gov/infectioncontrol/pdf/guidelines/bsi-guidelines-H.pdf. Kubuyekezwe u-Okthoba 2017. Kufinyelelwe ngo-Okthoba 24, 2019.