Yini i-catheter ye-PICC, yenzelwa ini nokunakekelwa

-Delile

• Yenzelwe ini
• Kwenziwa kanjani
• Ukunakekelwa okuyinhloko
• Izinkinga ezingenzeka

Ipayipi le-venous central catheter, elaziwa kangcono njenge-PICC catheter, liyishubhu eliguquguqukayo, elincanyana nelide le-silicone, eliphakathi kuka-20 kuye ku-65 cm ubude, elifakwa emthanjeni wengalo lize lifinyelele emthanjeni wenhliziyo futhi lisebenzele ukuphathwa imithi efana nemithi elwa namagciwane, i-chemotherapy kanye ne-serum.

I-PICC uhlobo lwe-catheter oluthatha izinyanga ezifika kwezingu-6 futhi lwenziwa kubantu abelashwa isikhathi eside, ngemithi ejojwayo, futhi abadinga ukuqoqa igazi izikhathi eziningi. Inqubo yokufakwa kwe-PICC yenziwa ngaphansi kwe-anesthesia yendawo emtholampilo wabalalayo futhi umuntu angaya ekhaya ekugcineni kwenqubo.

Yenzelwe ini

I-catheter ye-PICC inconywa kubantu abadinga ukwenza uhlobo oluthile lokwelashwa okuhlala isikhathi eside, ngoba ngemuva kokubekwa, ingahlala izinyanga eziyisithupha. Luhlobo lwe-catheter oluvimbela umuntu ukuthi alume kaningana, futhi lungasetshenziselwa:

• Ukwelashwa komdlavuza: isetshenziselwa ukufaka i-chemotherapy ngqo emthanjeni;
• Ukudla kwabazali: kungukuhlinzekwa kwezakhi zoketshezi ngomthambo, isibonelo, kubantu abanezinkinga zohlelo lokugaya ukudla;
• Ukwelashwa kwezifo ezimbi: Siqukethe ukuphathwa kwama-antibiotic, ama-antifungal noma ama-antivirals ngomthambo;
• Ukuhlolwa kokuqhathanisa: isetshenziselwa ukunikeza ukuqhathanisa okujovekayo kwe-iodine, i-gadolinium noma i-barium;
• Ukuqoqwa kwegazi: ukwenza ukuhlolwa kwegazi kubantu abanemithambo entekenteke engalweni;

I-PICC nayo ingasetshenziselwa ukumpontshelwa igazi noma iplatelet, inqobo nje uma udokotela ekugunyaza nokuthi ukunakekelwa kwenziwa, njengokugeza nge-saline solution.

Lolu hlobo lwe-catheter alukhonjiswa kubantu abanezinkinga ze-coagulation, ukungasebenzi kahle emithanjeni, abenza inhliziyo ishaye ngamandla, abashile noma amanxeba lapho izofakwa khona. Ngaphezu kwalokho, abantu abenze i-mastectomy, okungukuthi, abakhiphe isifuba, bazokwazi ukusebenzisa i-PICC ngakolunye uhlangothi lapho bebehlinzwa khona phambilini. Bona okuningi mayelana nokululama ngemuva kokususwa kwebele.

Kwenziwa kanjani

Ukufakwa kwe-catheter ye-PICC kungenziwa ngudokotela wenhliziyo noma umhlengikazi ofanelekayo, kuthatha isilinganiso sehora elilodwa futhi kungenziwa emtholampilo wabangalaliswanga ngaphandle, ngaphandle kwesidingo sokwamukelwa esibhedlela. Ngaphambi kokuqala inqubo, lo muntu uhlala endaweni yokulala, kufanele agcine izingalo zakhe ziqonde.

Ngemuva kwalokho, kwenziwa i-antisepsis ukuhlanza isikhumba bese kufakwa i-anesthesia endaweni lapho kuzofakwa khona ipayipi, okuthi, ezimweni eziningi, lisendaweni yengalo engabuseki, eduze kwesibaya. Udokotela noma umhlengikazi angasebenzisa i-ultrasound kuyo yonke inqubo ukubuka indlela nobungako bomthambo.

Ngemuva kwalokho, inaliti ifakwa emthanjeni bese ngaphakathi kufakwa ithubhu eliguquguqukayo, eliya emthanjeni wenhliziyo, lingamzwisi ubuhlungu lowo muntu. Ngemuva kokwethulwa kweshubhu, kungenzeka ukuthi kuqinisekiswe ukuthi kukhona ukunwetshwa okuncane, okuyilapho kuzofakwa khona izidakamizwa.

Ekugcineni, kuzokwenziwa i-X-ray ukuqinisekisa ukutholakala kwe-catheter bese kufakwa okokugqoka esikhumbeni ukuvikela ukutheleleka, njengoba nje kwenziwa ngemuva kokufakwa kwepayipi le-venous central. Funda kabanzi mayelana nokuthi yini i-catheter ye-venous ephakathi.

Ukunakekelwa okuyinhloko

Ipayipi le-PICC lingasetshenziswa ngabantu abelashwa ngaphandle, ngakho-ke abantu bavame ukuya emakhaya bephethe ipayipi elisesandleni. Noma kunjalo, ezinye izinyathelo zokuqapha ziyadingeka, njenge:

• Ngesikhathi sokugeza, kubalulekile ukuvikela isifunda se-catheter ngefilimu epulasitiki;
• Ungasebenzisi amandla ngengalo yakho, ugweme ukubamba noma ukuphonsa imigomo esindayo;
• Ungagxili olwandle noma echibini;
• Ungahloli umfutho wegazi engalweni lapho kukhona khona ipayipi;
• Bheka ubukhona begazi noma uketshezi endaweni ye-catheter;
• Njalo gqoka ukugqoka kumile.

Ngaphezu kwalokho, lapho i-catheter ye-PICC isetshenziswa esibhedlela noma emtholampilo ukwelashwa, ukunakekelwa kwenziwa yithimba labahlengikazi, njengokugeza ngosawoti, ukuhlola ukubuya kwegazi nge-catheter, ukubuka izimpawu ezibonisa ukutheleleka, ukushintsha i-cap ichopho ngepayipi bese ushintsha ukugqoka njalo ezinsukwini eziyi-7.

Izinkinga ezingenzeka

Ipayipi le-PICC liphephile, noma kunjalo, kwezinye izimo, kungenzeka izinkinga, njengokuphuma kwegazi, i-arrhythmia yenhliziyo, amahlule egazi, i-thrombosis, ukutheleleka noma ukuvinjelwa. Lezi zinkinga zingelashwa, kepha kaningi, udokotela uncoma ukuthi kususwe ipayipi le-PICC ukuvikela ezinye izinkinga zezempilo ukuthi zingaveli.

Ngakho-ke, uma kuvela enye yalezi zimpawu, noma uma uhlangabezana nomkhuhlane, ukuphefumula okuncane, ukushaya kwenhliziyo, ukuvuvukala endaweni noma uma kwenzeka ingozi bese kuvela ingxenye yepayipi, kufanele uxhumane nodokotela ngokushesha.