Mu dipatimenti ya hematology, "PICC" ndi mawu omwe amagwiritsidwa ntchito ndi ogwira ntchito zachipatala ndi mabanja awo polankhulana. PICC catheterization, yomwe imadziwikanso kuti central venous catheter placement kudzera pa peripheral vascular puncture, ndi kulowetsedwa m'mitsempha komwe kumateteza bwino mitsempha yakumtunda ndikuchepetsa kuwawa kobwerezabwereza.
Komabe, catheter ya PICC ikayikidwa, wodwalayo ayenera "kuvala" kwa moyo wonse panthawi ya chithandizo, kotero pali njira zambiri zodzitetezera pa chisamaliro cha tsiku ndi tsiku. Pachifukwa ichi, dokotala wabanja adayitana Zhao Jie, namwino wamkulu wa Hematology Comprehensive Ward of Southern Hospital of Southern Medical University, kuti atigawire zachitetezo ndi luso la unamwino la chisamaliro cha tsiku ndi tsiku kwa odwala PICC.
Mukayika catheter ya PICC, mutha kusamba koma osasamba
Kusamba ndi chinthu wamba komanso womasuka, koma ndizovuta kwa odwala a PICC, ndipo ngakhale odwala ambiri amakumana ndi zovuta pakusamba.
Zhao Jie adauza mkonzi wa pa intaneti wa dokotala wabanja kuti: “Odwala sayenera kuda nkhawa kwambiri.Komabe, posankha njira yosamba, ndi bwino kusankha shawa m’malo mosamba.”
Kuwonjezera apo, wodwalayo ayenera kukonzekera asanasambe, monga kuchiza mbali ya chubu asanasambe. Zhao Jie adanena kuti, "Pamene wodwala akugwira mbali ya catheter, amatha kukonza catheter ndi sock kapena chivundikiro cha ukonde, kenaka ndikukulunga ndi thaulo laling'ono, ndikukulunga ndi zigawo zitatu za pulasitiki. Pambuyo pokulungidwa, wodwalayo akhoza kukulunga mbali ya Gwiritsani ntchito mphira kapena tepi kuti akonze nsonga zonse ziwiri, ndipo potsirizira pake amavala manja oyenera opanda madzi.
Posamba, wodwalayo amatha kusamba ndi mkono kumbali ya chubu chomwe wachiritsidwa. Komabe, ziyenera kukumbukiridwa kuti posamba, muyenera kuyang'ana nthawi zonse ngati gawo lokulungidwa la mkono ndilonyowa, kotero kuti likhoza kusinthidwa nthawi. ”
Povala tsiku ndi tsiku, odwala a PICC amafunikanso kusamala kwambiri. Zhao Jie adakumbutsa iziodwala ayenera kuvala thonje, zovala zotayirira ndi ma cuffs otayirira momwe angathere.Povala zovala, ndi bwino kuti wodwala azivala zovala kumbali ya chubu choyamba, ndiyeno zovala kumbali ina, ndipo mosiyana ndi zoona pamene akuvula.
“Kukazizira, wodwalayo amathanso kuika masitonkeni pa mwendo wake m’mbali mwa chubucho kuti agwiritse ntchito kusalala kwake kuti zovala zosinthira zizikhala zosalala, kapenanso wodwalayo atha kupanga zipi pamkono wa m’mbali mwa chubu kuti avale zovala ndi Kusintha filimuyo.”
Mukatuluka m'chipatala, muyenerabe kutsatira mukakumana ndi izi
Kutha kwa chithandizo cha opaleshoni sikukutanthauza kuti matendawa achiritsidwa kwathunthu, ndipo wodwalayo amafunikira kusamalidwa nthawi zonse atatha kutulutsa. Namwino wamkulu Zhao Jie adanenansokwenikweni, odwala ayenera kusintha mandala applicator osachepera kamodzi pa sabata, ndi yopyapyala applicator kamodzi 1-2 masiku..
Ngati pali vuto, wodwalayo akufunikabe kupita kuchipatala kuti akalandire chithandizo. Mwachitsanzo, pamene wodwala akuvutika ndi kumasuka kwa ntchito, kupindika, magazi kubwerera kwa catheter, magazi, effusion, redness, kutupa ndi ululu pa puncture point, khungu kuyabwa kapena zidzolo, etc., kapena catheter kuwonongeka kapena kusweka, catheter yowonekera iyenera kuthyoledwa poyamba Kapena muzochitika zadzidzidzi monga kusasunthika, muyenera kupita kuchipatala mwamsanga. "Anatero Zhao Jie.
Nkhaniyi inayamba poyamba https://baijiahao.baidu.com/s?id=1691488971585136754&wfr=spider&for=pc
Nthawi yotumiza: Nov-15-2021