Ama-catheters we-umbilical

I-placenta iyisixhumanisi phakathi kukamama nengane ngesikhathi sokukhulelwa. Imithambo emibili nomthambo owodwa osenkabeni kuthwala igazi liye naphambili. Uma ingane esanda kuzalwa igula ngemuva nje kokuzalwa, kungabekwa ipayipi.

Ipayipi lokuhambisa ipayipi liyishubhu ende, ethambile, engenalutho. I-umbilical artery catheter (UAC) ivumela igazi ukuthi lithathwe enganeni ngezikhathi ezahlukene, ngaphandle kwezinti zezinaliti eziphindaphindwayo. Ingasetshenziswa futhi ukuqapha ngokuqhubekayo umfutho wegazi wengane.

Kuvame ukusetshenziswa i-umbilical artery catheter uma:

• Ingane idinga usizo lokuphefumula.
• Ingane idinga amagesi egazi nokubhekwa kwengcindezi yegazi.
• Ingane idinga imithi eqinile yomfutho wegazi.

I-umbilical venous catheter (UVC) ivumela uketshezi nemithi ukuthi inikezwe ngaphandle kokufaka njalo ulayini we-intravenous (IV).

Kungasetshenziswa ipayipi le-venous venous uma:

• Ingane isheshe izalwe.
• Ingane inezinkinga zamathumbu ezivimbela ukuncela.
• Ingane idinga imithi enamandla kakhulu.
• Ingane idinga ukumpontshelwa igazi.

ZIBEKWA KANJANI IZIKHUNGO ZOMBUSO?

Ngokuvamile kunemithambo emibili yenkaba kanye nomthambo owodwa we-umbilical entanjeni yenkaba. Ngemuva kokunqunywa kwenkaba, umhlinzeki wezempilo angayithola le mithambo yegazi. Ama-catheters afakwa emthanjeni wegazi, bese kuthathwa i-x-ray ukuthola indawo yokugcina. Lapho ama-catheters esesimweni esifanele, abanjwa endaweni ngentambo kasilika. Kwesinye isikhathi, ama-catheters ahanjiswa endaweni yesisu somntwana.

BUYINI UBUNGOZI BAMAKHAWUNTI EMBILI?

Izinkinga zifaka:

• Ukuphazanyiswa kokugeleza kwegazi kuya esithweni (amathumbu, izinso, isibindi) noma isitho (umlenze noma ukuphela kwangemuva)
• Ukuqina kwegazi eceleni kwepayipi
• Ukutheleleka

Izinkinga zokuhamba kwegazi nezinkinga zegazi zingasongela impilo futhi zidinga ukususwa kwe-UAC. Abahlengikazi be-NICU baqapha ngokucophelela ingane yakho ngalezi zinkinga ezingenzeka.

I-UAC; I-UVC

• Ipayipi le-umbilical

UMiller JH, izinqubo zikaMoake M. Ku: Isibhedlela iJohns Hopkins; UHughes HK, Kahl LK, ama-eds. Isibhedlela iJohns Hopkins: IHarriet Lane Handbook. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2018: isahluko 3.

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

I-Whiting CH. I-catheterization yesitsha se-Umbilical. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 165.