Ne èyi kɔdzi alo xɔ si me wowɔa dɔ kpata le kpɔ la, ke ɖewohĩ eva hiã be woade atike si wotsɔna ƒoa ka na wò. Ame aɖewo vɔ̃na vie alo dina be yewoanya nu tso aŋetu sue sia si wotsɔ de ʋuka aɖe me le wò alɔnu alo wò ŋutilã ƒe akpa bubu ŋu. "Nukatae wole esia dem eme?", "Ðe wòave?", "Nukae adzɔ?", kple bubuawo Ðewohĩ nyabiase siawo tɔgbe anɔ susu me na wò. Eyata egbea, mina míakɔ nyabiase siwo katã le asiwò ku ɖe cannula sia ŋu, alo le atikewɔwɔ me la, ‘peripheral IV’ ŋu, alo?
Kpuie ko la, nukae nye cannula sia?
Cannula nye aŋetu si le tsɛ ŋutɔ si te ŋu trɔna bɔbɔe, si wotsɔ dea wò ʋukawo dometɔ ɖeka me. Wogayɔnɛ be ‘catheter’. Wozãnɛ tsɔ naa wò ŋutilã ƒe atikewo, abe tsi kple atikewo ene, yia wò ʋukawo me tẽ.
Bu eŋu kpɔ be, dɔnɔ siwo woxɔ ɖe kɔdzi le xexeame katã ƒe 80% lɔƒo ahiã na atikekui ƒe kpekpeɖeŋu le woƒe afima nɔnɔ me. Esiae nye atikewɔwɔmɔnu si wozãna wu le ʋuka me le kɔdzi. Ɣeaɖewoɣi la, wogayɔnɛ be `Peripheral IV catheter`, `Peripheral venous catheter` alo `Peripheral IV line`. Ke hã, esiae nye `cannula` si mí katã míenya.
Nu ka ƒomeviwoe nèdea cannula ɖe eme?
Ðɔktawo kple dɔnɔdzikpɔlawo zãa cannula hena dɔ vevi geɖe wɔwɔ. Na míalé ŋku ɖe nusiwo nye esiawo ŋu.
| Zã | Numeɖeɖe Blewu |
|---|---|
| Lãmetsi siwo wozãna le ʋuka me | Ne tsi vɔ le lãme na ame la, na dze kple tsi bubuwo ŋutilãa. |
| Atikewo | Woate ŋu atsɔ atike aɖewo, abe dɔlékuiwutikewo ene, ade ʋuka me tẽ be woakpɔ emetsonuwo kaba. |
| Ʋudodo | Na ʋu ne ŋutilãa hiãe, eɖanye le amekoko alo afɔku aɖe megbe o. |
| Nunyiame ŋuti nunya | Le dɔnɔ siwo mate ŋu aɖu nu to nu me o gome la, wotsɔa nunyiame siwo katã hiã la naa wo to ʋuka me. Woyɔa esia be (Total Parenteral Nutrition). |
| Ʋu ƒe kpɔɖeŋuwo | Wozãa esia ɣeaɖewoɣi tsɔ xɔa ʋu hena dodokpɔ. |
Viɖe gãtɔ siwo le cannula dede me dometɔ ɖekae nye be ne ehiã be woawɔ atike na wò ŋkeke geɖe la, àte ŋu aƒo asa na aŋe si woatsɔ aƒo wò ɣesiaɣi.
Zi geɖe la, wotsɔa ʋukaa dana ɖe ʋuka aɖe si le asi ƒe megbe, abɔta ƒe eme, alo afɔ me. Gake le vidzĩ suewo gome la, wotsɔa ʋuka siwo le woƒe ta me la dana ɖe teƒe mawo hã ɣeaɖewoɣi, elabena wo kpɔkpɔ nɔa bɔbɔe wu.
Vovototo kae le kaƒomɔ̃ kple ka ƒomevi bubuwo dome?
Ðewohĩ èse ŋkɔ bubuwo abe PICC line ene kpɔ. Vovototo sue aɖewo le esiawo dome.
PICC ƒe Fli
Esia hã nye mɔ̃ si wotsɔ dea ʋuka me, gake edidi wu eye wòlolo wu ʋuka. Wodenɛ to ʋuka aɖe si le alɔnu me eye wògena ɖe ʋuka gã aɖe si le akɔta me. Wozãnɛ na amesiwo hiã be woawɔ atike na wo ɣeyiɣi didi ŋutɔ , abe kwasiɖa alo ɣleti geɖe ene. Gake ɖo ŋku edzi be cannula si wozãna edziedzi dede eme le dedie wu, ele bɔbɔe wu, eye mevea ame boo o wu PICC line.
Titina fli
Esia nye ƒomevi bubu si wozãna tsɔ daa dɔe ɣeyiɣi didi. Enɔ kpuie vie wu PICC ƒe fli. Wozãnɛ ɣeaɖewoɣi na amesiwo mate ŋu atsɔ PICC fli ade eme o.
Aleke mɔ̃ si wotsɔ dea mɔ̃memi me ƒe mɔnu bliboa wɔa dɔe?
Enyo, azɔ na míakpɔ nusi tututu dzɔna ne ètsɔ esia de eme.Esia nye afɔɖeɖe ɖesiaɖe ƒe ɖoɖo.
1. Dzadzraɖo
Gbã la, ɖɔkta alo dɔnɔdzikpɔla abia nya wò tso wò dzesiwo ŋu eye wòakpɔ egbɔ be wòe. Ne èvɔ̃na na aŋewo la, gblɔe na wo. Woakpe ɖe ŋuwò be wò dzi nadze eme. Emegbe woabia tso asiwò be nàtsɔ wò asi aɖo teƒe si dzi nànɔ bɔbɔe.
2. Vein aɖe didi
Eyome, woklɔa woƒe asiwo nyuie, doa asigɛwo, eye wokpɔa ʋuka nyui aɖe si sɔ le wò alɔnu alo afɔ me. Wolɔ̃a ʋuka dzɔdzɔe sesẽ si meʋãna o. Be ʋukaa nado la, woatsɔ tourniquet abla wò alɔnu. Woabia tso asiwò be nàbɔbɔ wò abɔ. Woaƒo wò asibidɛwo be woake ɖe ʋuka nyuitɔ kekeake ŋu. Ɣeaɖewoɣi la, ne esesẽ be woakpɔ ʋuka aɖe la, woate ŋu azã mɔ̃ sue aɖe si woyɔna be vein-finder device.
3. Ŋutilã ƒe tete kple eŋu kɔklɔ
Ne wonya ke ɖe ʋukaa ŋu ko la, ɣeaɖewoɣi, vevietɔ le ɖevi suewo gome la, woate ŋu atsɔ atike si naa alɔ̃dɔdɔ ame ƒe ŋutilã asisi ɖe teƒea. Ne wotsɔe de eme la, lala aɖabaƒoƒo ʋɛ aɖewo hafi wòawɔ dɔ hafi nàde kanula la eme. Emegbe, wotsɔa dɔlékuiwutike klɔa teƒea nyuie.
4. Cannula la dede eme
Fifiae nye akpa vevitɔ kekeake. Hafi woawɔe la, woagblɔ nya aɖe na wò abe, "Esia ave wò vie." Emegbe woahe ŋutigbalẽa sesĩe, atsɔ aŋea ade ŋutigbalẽa te le dzogoe sue aɖe dzi, eye woatsɔe ade ʋukaa me. Wodoa aŋetu (catheter) si kpe ɖe aŋea ŋu ɖe ŋgɔ vie yia ʋukaa me, eye ɖɔktaa aɖe aŋea ado goe. Fifia, plastik-mɔ̃a koe le ʋukaa me. Emegbe woaɖe tourniquet la ɖa.
5. De dedie eye nàlé ŋku ɖe eŋu
Mlɔeba la, wokɔa teƒea ŋu nyuie eye wotsɔa nusi me kɔ la tsyɔa cannula la dzi ale be woate ŋu akpɔe. Woblaa mɔ̃ si wotsɔ do ka kple kanula la be wòagaʋuʋu o. Zi geɖe la, woŋlɔa ŋkeke kple gaƒoƒo si wotsɔ de cannula la ɖe kasɛt la dzi. Emegbe, wotsɔa dze klɔa ka la be woakpɔe ɖa be ka la le dɔ wɔm nyuie hã eye ne tsi aɖe le dodom hã.
Afɔku kple kuxi kawoe esia ate ŋu ahe vɛ?
Gbã la, kuxi siwo dona tso ʋuka si wotsɔ dea ʋuka me me la mebɔ kura o. Gake abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, afɔku sue aɖewo ŋutɔ li.
| Kuxi si Ate Ŋu Adzɔ | Ema fia be... (Ema fia be...) |
|---|---|
| Dɔdzedze | Dɔlékui siwo gena ɖe teƒe si woɖe doa le alo ʋu me. |
| Abi ƒe ƒoƒo/Ʋu ƒe ʋuʋu | Teƒe si wotsɔ aŋea de la trɔna zua blɔ alo ʋu dona le eme. |
| Ʋu ƒe sisi (Thrombosis) . | Ʋu ƒe sisi ƒo xlã ʋuka si le ʋukaa me. |
| Phlebitis (ʋuka ƒe vuvu) . | Vein la va zua abi, veve, eye wòvuvuna. |
| Vein si woƒo | Aŋea ƒo ʋukaa, si gblẽ nu le eŋu eye wòna atike la do le ʋukaa me. |
Amekawoe ate ŋu asesẽ na wo be woade cannula la eme?
Zi geɖe la, woate ŋu ade cannula la eme dzidzedzetɔe zi gbãtɔ. Ke hã, le ame aɖewo gome la, esia ate ŋu asesẽ vie. Susu geɖewo tae wòle alea ɖo.
- Ne esesẽ na wò be nàde cannula me va yi.
- Ne tsi mele ŋutilãa me o la, ekema efia be tsi vɔ le lãme na ame .
- Le amesiwo ƒe ʋukawo le sue ŋutɔ le afisi ʋukaawo medzena o gome.
- Le amesiwo ƒe ŋutigbalẽ ƒe amadede do viviti wu gome (elabena esesẽna vie be woakpɔ ʋukawo).
- Le amesiwo ŋu atikewɔwɔ me dɔléle aɖewo abe Suklidɔ kple Kansa ene le gome la .
- Le amesiwo lolo akpa alo lolo akpa ŋutɔ gome.
- Na amesiwo le kansa ƒe atikewo zãm.
Gbedasi si Wotsɔ Yi Aƒeme
- Cannula (Peripheral IV) nye mɔnu si bɔ ŋutɔ eye wòle dedie si wozãna tsɔ doa atikewo abe saline ene ɖe ʋuka me tẽ.
- Ne ètsi dzi ɖe dɔdamɔnu sia alo aŋea ŋu la, mègavɔ̃ be yeagblɔe na wò ɖɔkta alo dɔnɔdzikpɔla o . Woakpe ɖe ŋuwò.
- Ne cannula ƒe akpa si le veve sem ŋutɔ, vuvu, biã, alo tsi le dodom la, gblɔe na ɖɔkta alo dɔnɔdzikpɔla enumake.
- Esi wònye be woate ŋu adoe ŋkeke geɖe (zi geɖe la, ŋkeke 3-4) ne wonya ƒoe zi ɖeka ta la, eɖea wò ɖa be màgaƒo wò ɖa ɣesiaɣi o.
- Ne nyabiase bubu aɖewo le asiwò ku ɖe esia ŋu la, mègaɣlae ɖe ɖokuiwò dzi o, ke boŋ bia wò ɖɔkta .
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