Za PICC chubu

Za PICC chubu

Za PICC chubu

PICC chubu, kapena peripherally inserted central catheter (nthawi zina amatchedwa percutaneously inserted central catheter) ndi chipangizo chachipatala chomwe chimalola kuti magazi azilowa mosalekeza panthawi imodzi kwa miyezi isanu ndi umodzi.Itha kugwiritsidwa ntchito popereka madzi amtsempha (IV) kapena mankhwala, monga maantibayotiki kapena mankhwala amphamvu, komanso kutenga magazi kapena kuyika magazi.
Kutchulidwa kuti "tola", ulusi nthawi zambiri amalowetsedwa kudzera mumtsempha wa kumtunda kwa mkono ndiyeno kudzera mumtsempha waukulu wapakati pafupi ndi mtima.
Malo ambiri amangolola ma IV okhazikika kusungidwa kwa masiku atatu kapena anayi asanachotse ndikuyika ma IV atsopano.M'kupita kwa milungu yambiri, PICC imatha kuchepetsa kuchuluka kwa venipuncture yomwe muyenera kulekerera kulowetsa mtsempha.
Monga jekeseni wamba wa mtsempha, mzere wa PICC umalola kuti mankhwala alowe m'magazi, koma PICC ndi yodalirika komanso yokhazikika.Itha kugwiritsidwanso ntchito popereka madzi ochulukirapo ndi mankhwala osokoneza bongo omwe amakwiyitsa kwambiri kuti azitha kuperekedwa kudzera mu jakisoni wamba wa mtsempha.
Pamene munthu akuyembekezeka kulandira mankhwala olowetsedwa m'mitsempha kwa nthawi yayitali, mzere wa PICC ukhoza kugwiritsidwa ntchito pazinthu zingapo.Mzere wa PICC utha kulimbikitsidwa pazamankhwala awa:
Waya wa PICC wokha ndi chubu chokhala ndi waya wowongolera mkati kuti alimbikitse chubu ndikupangitsa kuti ikhale yosavuta kulowa mumtsempha.Ngati ndi kotheka, chingwe cha PICC chikhoza kudulidwa, makamaka ngati ndinu wamng'ono.Kutalika koyenera kumalola waya kufalikira kuchokera pamalo oikapo mpaka pomwe nsonga ili mumtsempha wamagazi kunja kwa mtima.
Mzere wa PICC nthawi zambiri umayikidwa ndi namwino (RN), wothandizira dokotala (PA) kapena namwino wothandizira (NP).Opaleshoniyo imatenga pafupifupi ola limodzi ndipo nthawi zambiri imachitikira pambali pa chipatala kapena malo osamalirako nthawi yayitali, kapena ikhoza kukhala opaleshoni yakunja.
Sankhani mtsempha, nthawi zambiri ndi jekeseni kuti muchepetse malo oyikapo.Tsukani bwino malowo ndipo chekani pang'ono kuti mulowe mumtsempha.
Pogwiritsa ntchito njira ya aseptic, ikani pang'onopang'ono waya wa PICC mumtsuko.Zimalowa pang'onopang'ono m'mitsempha yamagazi, kusuntha mkono, kenako ndikulowa mu mtima.Nthawi zambiri, ultrasound (ultrasound) imagwiritsidwa ntchito kuti mudziwe malo abwino kwambiri opangira PICC, zomwe zingachepetse nthawi zomwe "munakakamira" panthawi yoyika mzere.
PICC ikakhazikika, imatha kutetezedwa pakhungu kunja kwa malo oyikapo.Ulusi wambiri wa PICC umalumikizidwa m'malo mwake, zomwe zikutanthauza kuti machubu ndi madoko omwe ali kunja kwa khungu amagwiridwa ndi sutures.Izi zimalepheretsa PICC kusuntha kapena kuchotsedwa mwangozi.
PICC ikakhazikika, X-ray imachitidwa kuti adziwe ngati ulusi uli pamalo abwino mumtsempha wamagazi.Ngati sichili m'malo mwake, imatha kukankhidwa mozama m'thupi kapena kukokera kumbuyo pang'ono.
Mizere ya PICC ili ndi zowopsa zina, kuphatikiza zomwe ndi zazikulu komanso zomwe zitha kupha moyo.Ngati mzere wa PICC umayambitsa zovuta, ungafunike kuchotsedwa kapena kusinthidwa, kapena chithandizo chowonjezera chingafunikire.
Machubu a PICC amafunika kusamalidwa pafupipafupi, kuphatikiza kusinthidwa pafupipafupi kwa mavalidwe osabala, kuwotcha ndi madzi osabala, komanso kuyeretsa madoko.Kupewa matenda ndikofunikira, zomwe zikutanthauza kuti malowa azikhala oyera, kusunga mabandeji ali bwino, ndikusamba m'manja musanagwire madoko.
Ngati mukufuna kusintha kavalidwe musanakonzekere kusintha (pokhapokha mutasintha nokha), chonde funsani wothandizira zaumoyo wanu mwamsanga.
Wothandizira zaumoyo wanu adzakudziwitsaninso zomwe mungachite ndi masewera omwe muyenera kupewa, monga kukweza zitsulo kapena masewera ochezera.
Muyenera kuphimba siteshoni yawo ya PICC ndi zokutira pulasitiki kapena bandeji yopanda madzi kuti musamba.Simuyenera kunyowetsa dera la PICC, kotero kusambira kapena kumizidwa kwa manja anu mubafa sikovomerezeka.
Kuchotsa ulusi wa PICC ndikofulumira komanso kosapweteka.Chotsani ulusi wa suture womwe wagwira ulusi pamalo ake, ndiyeno pang'onopang'ono kukoka ulusiwo kuchokera m'manja.Odwala ambiri amati zimamveka zachilendo kuchotsa, koma sizosangalatsa kapena zopweteka.
PICC ikatuluka, mapeto a mzere wopanga adzafufuzidwa.Chikhale chofanana ndi chimene chinaikidwa, osasowa ziwalo zotsalira m’thupi.
Ngati magazi akutuluka, ikani bandeji yaing’ono pamalopo ndikuisunga kwa masiku awiri kapena atatu pamene bala likuchira.
Ngakhale mizere ya PICC nthawi zina imakhala ndi zovuta, zopindulitsa zomwe zingakhalepo nthawi zambiri zimaposa zoopsa, ndipo ndi njira yodalirika yoperekera mankhwala ndikuwunika thanzi.Kukwiya kobwerezabwereza kapena kukhudzika kwa acupuncture kuti alandire chithandizo kapena kutenga magazi kuti ayezedwe.
Lowani m'makalata athu a Daily Health Tips kuti mulandire malangizo atsiku ndi tsiku okuthandizani kukhala ndi moyo wathanzi.
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Centers for Disease Prevention and Control.Mafunso omwe amafunsidwa pafupipafupi za catheter.Zasinthidwa pa Meyi 9, 2019.
Zarbock A, Rosenberger P. Zowopsa zomwe zimagwirizanitsidwa ndi kuyika kozungulira kwa catheter yapakati.Lancet.2013;382(9902):1399-1400.doi:10.1016/S0140-6736(13)62207-2
Centers for Disease Prevention and Control.Matenda okhudzana ndi magazi a Centerline: zothandizira odwala ndi othandizira azaumoyo.Inasinthidwa pa February 7, 2011.
Velissaris D, Karamouzos V, Lagadinou M, Pierrakos C, Marangos M. Kugwiritsiridwa ntchito kwa peripherally inserted central catheters ndi matenda okhudzana ndi zochitika zachipatala: zolemba zolemba.J Clinical Medical Research.2019; 11(4):237-246.doi:10.14740/jocmr3757


Nthawi yotumiza: Nov-11-2021