Umugqa we-venous Central - izinsana

Umugqa we-venous ophakathi nendawo uyishubhu ende, ethambile, epulasitiki efakwa emthanjeni omkhulu esifubeni.

KUNGANI KUSETSHENZISWA UMZILA OPHAKATHI WAMAGESHA?

Ulayini we-venous ophakathi nendawo uvame ukufakwa lapho ingane ingakwazi ukuthola ipayipi lokufaka ipayipi eliphakathi nendawo (PICC) noma i-midline central catheter (MCC). Ulayini we-venous ophakathi nendawo ungasetshenziswa ukunikeza ingane izakhamzimba noma imithi. Ifakwa kuphela lapho izingane zidinga umsoco we-IV noma imithi isikhathi eside.

IFAKWA KANJANI I-CENTRAL VENOUS LINE?

Umugqa we-venous central ufakwa esibhedlela. Umhlinzeki wezokunakekelwa kwempilo uzo:

• Nikeza ingane umuthi wezinhlungu.
• Hlanza isikhumba esifubeni ngesisombululo sokubulala amagciwane (isinqandakuvunda).
• Yenza ukusika okuncane kokuhlinzwa esifubeni.
• Faka uphenyo oluncane lwensimbi ukwenza umhubhe omncane ngaphansi kwesikhumba.
• Faka ipayipi ngokusebenzisa lo mhubhe, ngaphansi kwesikhumba, emthanjeni.
• Phusha i-catheter ngaphakathi kuze kube yilapho ithiphu iseduze kwenhliziyo.
• Thatha i-x-ray ukuze uqiniseke ukuthi umugqa we-venous ophakathi nendawo usendaweni efanele.

BUYINI UBUNGOZI BOMGCA OPHAKATHI WAMAVENSI?

Izingozi zifaka:

• Kukhona ingozi encane yokutheleleka. Uma isikhathi eside umugqa we-venous central ukhona, ingozi enkulu kakhulu.
• Amahlule egazi angakha emithanjeni eholela enhliziyweni.
• Ama-catheters angaqeda udonga lomthambo wegazi.
• Uketshezi lwe-IV noma umuthi ungangena kwezinye izingxenye zomzimba. Lokhu akuvamile, kepha lokhu kungadala ukopha okukhulu, izinkinga zokuphefumula, nezinkinga ngenhliziyo.

Uma ingane inanoma iyiphi yalezi zinkinga, umugqa we-venous central ungakhishwa. Khuluma nomhlinzeki wengane yakho mayelana nezingozi zomugqa we-venous ophakathi.

I-CVL - izinsana; I-catheter emaphakathi - izinsana - zibekwe ngokuhlinzwa

• Ipayipi le-venous emaphakathi

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. Imihlahlandlela yokuvimbela izifo ezihlobene ne-catheter ezihambisana nemithambo yegazi, 2011. www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Kubuyekezwe u-Okthoba 2017. Kufinyelelwe ngoSepthemba 26, 2019.

UDenne SC. Umsoco wabazali wengane esengozini enkulu. Ku: Gleason CA, Juul SE, ama-eds. Izifo zika-Avery Zomntwana osanda kuzalwa. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2018: isahluko 69.

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.