He aha ka laina PICC (Peripherally Inserted Central Catheter)? E kamaʻilio maʻalahi kākou e pili ana i kēia!

Ua loaʻa anei iā ʻoe a i ʻole kekahi āu i ʻike ai ka lāʻau lapaʻau intravenous (IV) no nā lā, nā pule, a i ʻole nā ​​mahina? A i ʻole ua pono anei ʻoe e huki pinepine i ke koko? Ua ʻike mākou a pau i ka ʻeha, ka ʻoluʻolu ʻole, a me ka hōʻino ʻana o ke aʻalolo e hele mai me ka hoʻololi ʻana i ka cannula i kēlā me kēia ʻelua a ʻekolu mau lā, a me ka pono e hou pinepine i kahi aʻa no ka mea ʻaʻole hiki iā ʻoe ke loaʻa. No ka poʻe e pono ai ka mālama lōʻihi, a pono e huki pinepine i ke koko, he ala kūikawā a maʻalahi ka laina PICC e hōʻemi ai i ka ʻoluʻolu ʻole o kēia mau punctures.

He aha maoli ka laina PICC?

I ka ʻōlelo maʻalahi, ʻo ka laina PICC (Peripherally Inserted Central Catheter) he paipu (catheter) i hoʻokomo ʻia i loko o kahi aa. Akā, ʻaʻole ia e like me ka cannula liʻiliʻi a mākou e ʻike mau ai ma ka pulima . He paipu plastik lōʻihi loa ia, lahilahi, palupalu loa, a palupalu hoʻi.

Hoʻokomo pinepine ʻia kēia i loko o kahi aʻa koko ma kou lima, ma luna pono o kou kuʻekuʻe lima, a laila e hoʻopili mālie i kēlā aʻa koko i kahi aʻa koko nui ma kou umauma. Ke hoʻokomo ʻia, ʻike wale ʻia kahi ʻōmole liʻiliʻi ma o ka ʻili o kou lima. Hiki ke hoʻohana ʻia kēia ʻōmole e hāʻawi iā ʻoe i nā lāʻau IV, nā wai, a me nā hāpana koko ʻeha ʻole.

Pehea ʻoe e hoʻokomo ai i kēia laina PICC?

He hana paʻakikī iki kēia ma mua o ke kau ʻana i kahi cannula maʻamau, no laila e hana ʻia e ke kauka a kahu maʻi paha i loaʻa i ka hoʻomaʻamaʻa kūikawā no kēia kumu. E noʻonoʻo ua hoʻonohonoho ʻia ʻoe e hoʻokomo i kahi laina PICC. A laila hana ʻia kekahi mea e like me kēia.

1. Ka ʻIke ʻana i nā Aa: ʻO ka mea mua, hoʻohana ke kauka i kahi mīkini scan kūikawā, kahi mīkini ultrasound, e ʻimi i nā aa hohonu ma kou lima luna. Kōkua kēia i ka ʻimi pololei ʻana i ke aa a hoʻēmi i nā hewa.

2. Hoʻomaʻemaʻe: A laila, no ka pale ʻana i ka wahi e hoʻokomo ʻia ai ke kaula mai nā germs, ua hoʻomaʻemaʻe pono ʻia ka wahi a uhi ʻia me kahi lole sterile. He mea nui loa kēia e pale aku ai i ka maʻi.

3. Ka ʻeha: Hoʻokomo ʻia kahi liʻiliʻi o ka lāʻau lapaʻau i loko o ka wahi i hoʻokomo ʻia ai ka ʻōmole e hoʻomāʻeha iā ʻoe i ʻole ʻoe e ʻeha. ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻeha nui ke hoʻokomo ʻia ke kaula.

4. Ke hoʻokomo ʻana i ke kaula: I kēia manawa ua mae ka ʻāpana, ua hoʻokomo mālie ʻia ka ʻōmole lahilahi i loko o ke aʻa, e neʻe ana i luna i ke aʻa nui ma ka umauma. ʻOiai paha e like kēia me kahi paʻi iki, ʻaʻole nui ka ʻeha a me ka ʻoluʻolu ʻole o ka hapa nui o nā maʻi.

5. Ke kau ʻana a me ka hōʻoia ʻana: Ke hoʻokomo pono ʻia ke kaula, hoʻopaʻa ʻia i ka lima me kahi ʻano plaster kūikawā e pale aku ai i ka neʻe ʻana a uhi ʻia me kahi ʻaʻahu sterile e pale aku ai mai nā germs. ʻO ka hope loa, hana ʻia kahi x-ray umauma e hōʻoia i ka 100% o ka ʻōmole ma kahi kūpono.

6.Ke hana nei e like me ka mea maʻamau: Ke pau kēia mau mea a pau, hiki iā ʻoe ke kūlou, hoʻolōʻihi, a hana i nā hana maʻamau me ka ʻole o ka laina PICC.

He aha nā pōmaikaʻi o ka hoʻohana ʻana i kahi laina PICC?

ʻO ka pōmaikaʻi nui o ka hoʻohana ʻana i kahi laina PICC ʻo ia ka maʻalahi e hāʻawi ai i kahi mea e mālama ʻia ana i ka wā lōʻihi.

• Ke kūʻokoʻa mai ke kuʻi pinepine ʻana i ka nila: Hiki iā ʻoe ke kūʻokoʻa loa mai ka pono e hoʻokomo pinepine i nā cannulas no nā lā a i ʻole nā ​​pule. Ke hoʻokomo ʻia kahi laina PICC, hiki ke waiho ʻia ma kahi no nā pule, a hiki i nā mahina.
• Ka pale ʻana i nā aʻa: ʻO kekahi mau lāʻau IV ʻino e hoʻonāukiuki loa i nā aʻa. Ke hāʻawi mau ʻia kēia mau lāʻau, hiki i nā aʻa ke hōʻino a pehu. ʻOiai ua pili pono ka laina PICC i kahi aʻa nui, pale ia i ka hōʻino ʻana i nā aʻa liʻiliʻi.
• Ka maʻalahi: Hiki ke hoʻohana ʻia kēia ma nā haukapila, a ma kekahi mau hihia no ka poʻe e mālama ʻia ana ma ka home ('home care').
• Nā hoʻohana he nui: Hiki ke hoʻohana ʻia e lawelawe i nā ʻano ʻano IV therapy like ʻole, a me ka loaʻa ʻana o nā hāpana koko me ka ʻeha ʻole no ka aneane o nā hoʻāʻo koko.

He aha nā pilikia o kēia?

E like me nā hana lapaʻau a pau, aia kekahi mau pilikia liʻiliʻi e pili ana i ke kau ʻana a me ka hoʻohana ʻana i kahi laina PICC. He mea nui e makaʻala i kēia mau mea.

He aha nā koho ʻē aʻe ma waho aʻe o ka laina PICC?

Aia kekahi mau ʻano hana ʻē aʻe o ka IV therapy. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa ma muli o kou kūlana.

• Nā catheters IV pōkole: ʻO kēia nā cannulas maʻamau a mākou i kamaʻāina ai. Hoʻokomo ʻia lākou i loko o kahi aa koko ma ka lima a i ʻole ka lima. Pono e hoʻololi ʻia kēia mau mea i kēlā me kēia mau lā. ʻAʻole kūpono hoʻi lākou no kekahi mau lāʻau ikaika.
• Nā catheters venous waena: Hoʻokomo ʻia kēia mau mea i loko o kahi aa koko ma ka ʻāʻī, ka umauma o luna, a i ʻole ka ʻūhā. He kūpono wale nō lākou no ka hoʻohana pōkole (ʻaʻole i ʻoi aku ma mua o 2 mau pule) a hoʻohana wale ʻia ma kahi haukapila.
• Nā catheters paʻa: Hoʻokomo ʻia nā catheters paʻa, e like me nā catheters Hickman a me nā ports, i loko o kahi lumi ʻoki. Hoʻohana ʻia kēia mau mea no ka poʻe e pono ai ka mālama ʻia no ka manawa lōʻihi loa.

ʻO ka mea hope loa, inā pono ʻoe e loaʻa i ka lāʻau lapaʻau IV no kahi manawa lōʻihi, he koho pono a kūpono hoʻi ka laina PICC. Mai kānalua e kūkākūkā ākea i nā nīnau, nā makaʻu, a i ʻole nā ​​hopohopo āu e pili ana i ia mea me kāu kauka .