I-Central Venous Catheters: Imigqa ye-PICC uma kuqhathaniswa namachweba

-Delile

• Uyini umugqa we-PICC?
• Yini itheku?
• I-PICC vs. port

Mayelana nama-catheters amaphakathi we-venous

Isinqumo esisodwa ongadinga ukusenza ngaphambi kokuqala i-chemotherapy yiluphi uhlobo lwe-catheter ye-venous central (CVC) ofuna ukuthi i-oncologist yakho ifake ukwelashwa kwakho. I-CVC, kwesinye isikhathi ibizwa ngokuthi ulayini ophakathi nendawo, ifakwa emthanjeni omkhulu esifubeni noma engalweni engaphezulu.

Ama-catheters amashubhu epulasitiki amade angenalutho enza kube lula ukubeka umuthi, imikhiqizo yegazi, izakhi zomzimba, noma uketshezi ngqo egazini lakho. I-CVC ingenza futhi kube lula ukuthatha amasampuli egazi ayohlolwa.

I-oncologist yakho nayo inganquma ukuthi i-CVC iyadingeka uma kuzodingeka ube:

• ukumnika okuqhubekayo kwamakhemikhali
• ukwelashwa okuhlala amahora angama-24 noma ngaphezulu
• ukwelashwa ngenkathi usekhaya

Eminye imithi yokwelashwa ngamakhemikhali ibhekwa njengengozi uma ivuza ngaphandle kwemithambo yakho. Lezi zibizwa ngokuthi ama-vesicants noma ama-irritants. I-oncologist yakho ingancoma i-CVC ukuvimbela lokhu ukuthi kungenzeki.

Ama-CVC abhekwa njengalawuleka kakhulu kune-catheter ejwayelekile ye-intravenous (IV) ngoba angahlala emzimbeni wakho isikhathi eside. Amanye ama-CVC angashiywa emzimbeni wakho we:

• amasonto
• izinyanga
• iminyaka

Ipayipi le-IV elijwayelekile lingahlala izinsuku ezimbalwa kuphela. Lokhu kusho ukuthi i-oncologist noma umhlengikazi wakho kuzofanele afake ama-IV amaningi emithanjeni yakho phakathi nokwelashwa kwakho okungalimaza imithambo emincane ngokuhamba kwesikhathi.

Kunezinhlobo ezahlukahlukene zama-CVC. Okuvame kakhulu ukufakwa ngaphesheya kwe-catheters, noma imigqa ye-PICC, namachweba. Uhlobo lwe-CVC ozoludinga luncike ezintweni ezimbalwa ezilandelayo, kufaka phakathi ukuthi iyiphi i-oncologist yakho oyithandayo:

• Uzodinga isikhathi esingakanani i-chemotherapy
• Kuthatha isikhathi esingakanani ukujova imithamo yakho yamakhemikhali
• Zingaki izidakamizwa ozozithola ngasikhathi sinye
• Ukuthi unazo yini ezinye izinkinga zezokwelapha ezinjengamahlule egazi noma ukuvuvukala

Uyini umugqa we-PICC?

Ulayini we-PICC ufakwa emthanjeni omkhulu engalweni ngu-oncologist wakho noma umhlengikazi oqeqeshwe ngokukhethekile. Ukufakwa akudingi ukuhlinzwa. Uma i-PICC isikhona, ithubhu le-catheter lizophuma esikhunjeni sakho. Lezi zaziwa ngokuthi "imisila" noma amalambu, futhi ungaba nokuningi kokukodwa.

Ukuba nama-catheters, kufaka phakathi ama-PICC, ngaphandle komzimba wakho kunengozi yokutheleleka.

Ukunciphisa ubungozi, kuzodingeka unakekele ngokukhethekile ithubhu nesikhumba esizungeze indawo lapho kufakwa khona umugqa. Amashubhu nawo kufanele akhishwe nsuku zonke ngesisombululo esiyinyumba ukuvimbela ukuvinjelwa.

Yini itheku?

Itheku yisigubhu esincane esenziwe ngepulasitiki noma ngensimbi esinophawu olufana nenjoloba ngaphezulu. Ishubhu elincanyana, umugqa, usuka esigubhini ungene emthanjeni. Amachweba afakwa ngaphansi kwesikhumba esifubeni sakho noma engalweni ephezulu ngudokotela ohlinzayo noma i-radiologist.

Ngemuva kokuthi itheku selibekiwe, ungaqaphela kuphela iqhubu elincane. Ngeke kube khona umsila we-catheter ngaphandle komzimba. Uma sekuyisikhathi sokuthi itheku lisetshenziswe, isikhumba sakho sizofakwa ukhilimu bese inaliti ekhethekile izofakwa esikhunjeni kufakwe uphawu lwenjoloba. (Lokhu kubizwa ukufinyelela ethekwini.)

I-PICC vs. port

Yize imigqa namachweba e-PICC enenhloso efanayo, kunokwehluka okumbalwa phakathi kwawo:

• Imigqa ye-PICC ingahlala amasonto noma izinyanga ezimbalwa. Amachweba angahlala inqobo nje uma udinga ukwelashwa, kuze kube yiminyaka eminingana.
• Olayini be-PICC badinga ukuhlanzwa nokukhutshwa okukhethekile nsuku zonke. Kuncane ukunakekelwa ngamachweba ngoba angaphansi kwesikhumba. Amachweba nawo adinga ukufuthwa cishe kanye ngenyanga ukuvimbela ukuqina.
• Olayini be-PICC akufanele bavunyelwe ukuba manzi. Uzodinga ukuyimboza ngezinto ezingangenwa ngamanzi lapho ugeza, futhi ngeke ukwazi ukubhukuda. Ngechweba, ungageza futhi ubhukude lapho indawo isiphulukiswe ngokuphelele.

Ukusiza ukuthola umbono ongcono wokuthi ukuba ne-CVC kungasho ukuthini kuwe, ungahle uthande ukubuza le-oncologist yakho le mibuzo:

• Kungani uncoma ukuthi ngibe nepayipi noma itheku?
• Yiziphi izinkinga ezingenzeka ngePICC noma itheku?
• Ingabe ukufaka ipayipi noma itheku kubuhlungu?
• Ngabe umshuwalense wami wezempilo uzozikhokhela zonke izindleko ezikhokhelwa noma iyiphi idivayisi?
• I-catheter noma imbobo izosala isikhathi esingakanani?
• Nginakekela kanjani ipayipi noma itheku?

Sebenza nethimba lakho lokwelashwa kwe-oncology ukuqonda zonke izinzuzo nobungozi bamadivayisi e-CVC.