Yu ɔ pɔsin we yu sabi dɔn ɛva gɛt fɔ tek intravenous (IV) mɛrɛsin fɔ sɔm dez, wik, ɔ mɔnt? Ɔ yu dɔn ɛva nid fɔ pul blɔd ɔltɛm? Wi ɔl no di pen, diskɔmfɔt, ɛn di nerve damej we kin kam wit fɔ chenj di kanula ɛvri tu to tri dez, ɛn fɔ pank wan vein bɔku bɔku tɛm bikɔs yu nɔr kin ebul fɔ fɛn am. Fɔ di wan dɛn we nid tritmɛnt fɔ lɔng tɛm, ɛn we gɛt fɔ pul blɔd bɔku tɛm, PICC layn na spɛshal, fayn we fɔ ridyus di diskɔmfɔt we dɛn pankchɔ ya kin gɛt.
Wetin na PICC layn rili?
Fɔ tɔk am simpul wan, PICC (Peripherally Inserted Central Catheter) layn na wan tiub (kateta) we dɛn kin put insay wan vein. Bɔt i nɔ tan lɛk di smɔl kanula we wi kin si na di an . Na wan rili lɔng, tin, rili fleksibul, saf plastic tiub.
Bɔku tɛm dɛn kin put dis insay wan vein na yu an, jɔs ɔp yu ɛlb, dɔn dɛn kin trɛd da vein de smɔl smɔl to wan big vein na yu chɛst. We yu dɔn put am, na wan smɔl tiub nɔmɔ yu go si tru di skin na yu an. Dɛn kin yuz dis tiub fɔ gi yu IV mɛrɛsin, wata, ɛn blɔd sɛmpul dɛn we nɔ de mek yu fil pen.
Aw yu kin put dis PICC layn?
Dis na tin we kɔmplikt smɔl pas fɔ put kanula we dɛn kin put ɔltɛm, so na dɔktɔ ɔ nɔs we dɔn gɛt spɛshal trenin fɔ dis kin du am. Imajin se dɛn dɔn schedul fɔ mek dɛn put PICC layn insay. Dɔn sɔntin lɛk dis kin apin.
1. Vein Identification: Fɔs, di dɔktɔ de yuz spɛshal skan mashin, we na ɔltra saund mashin, fɔ no di dip vein dɛn na yu ɔp an. Dis kin ɛp fɔ no usay di vein de kɔrɛkt wan ɛn i kin mek di mistek dɛn nɔ bɔku.
2. Klin: Dɔn, fɔ protɛkt di say we dɛn go put di layn frɔm jem, dɛn kin klin di say fayn fayn wan ɛn kɔba am wit klos we nɔ gɛt stɛriyl. Dis na impɔtant tin fɔ mek yu nɔ gɛt di sik.
3. Numbness: Dɛn kin injekt smɔl mɛrɛsin na di say we dɛn put di tiub fɔ mek yu nɔ fil so dat yu nɔ go fil ɛni pen. Dis min se yu nɔ go fil bɔku pen we dɛn put di layn insay.
4. fכ put di layn insay: naw we di εria nכmכ, dεn de put di tכn tכb sכmtεm insay di vein, i de muv כp to di big vein na di chεst. Pan ɔl we dis kin fil lɛk fɔ push smɔl, bɔku pan di wan dɛn we sik nɔ kin fil bɔku pen ɔ nɔ kin fil fayn.
5. Pozishɔn ɛn kɔnfɔmeshɔn: We dɛn dɔn put di layn fayn fayn wan, dɛn kin tay am na di an wit spɛshal kayn plasta fɔ mek i nɔ muv ɛn kɔba am wit stɛriyl dresin fɔ protɛkt am frɔm jem. fכ finish, dεn kin du εks-ray na di chεst fכ mek sכh se di tכb de 100% na di rayt ples.
6. 6. .Wok lɛk aw yu kin wok: We yu dɔn du ɔl dis, yu go ebul fɔ bɛn, ɛkstɛnd, ɛn du nɔmal wok dɛn we yu nɔ gɛt di PICC layn.
Wetin na di bɛnifit dɛn we yu go gɛt we yu yuz PICC layn?
Di men bɛnifit fɔ yuz PICC layn na di fayn we aw i de gi pɔsin we de tek lɔng tɛm tritmɛnt.
- Fridɔm frɔm nidul stik ɔltɛm: Yu kin fri ɔlsay frɔm di nid fɔ put kanula bɔku tɛm fɔ sɔm dez ɔ wik. We dɛn dɔn put PICC layn, dɛn kin lɛf am na in ples fɔ sɔm wiks, ivin sɔm mɔnt.
- Vein protection: Sɔm harsh IV mɛrɛsin kin rili irita di vein. We dɛn gi dɛn mɛrɛsin ya ɔltɛm, di vein dɛn kin pwɛl ɛn swel. biכs di PICC layn kכnekt dairekt to wan big vein, i de mek di sכm vein dεm nכ de damej.
- I kin izi fɔ yuz: Dɛn kin yuz dis na ɔspitul, ɛn bak insay sɔm kes dɛm fɔ di wan dɛm we de gɛt tritmɛnt na os (`home care`).
- Bɔku yus: Dɛn kin yuz am fɔ gi difrɛn kayn IV tritmɛnt, ɛn bak fɔ gɛt blɔd sɛmpul fɔ ɔlmost ɛni blɔd tɛst we nɔ gɛt pen.
Wetin na di bad tin dɛn we kin apin we dis kin apin?
Jɔs lɛk ɛni mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we pɔsin kin put ɛn yuz PICC layn. I impɔtant fɔ no bɔt dɛn tin ya.
Mɛmba se bɔku pan dɛn prɔblɛm ya nɔ kin apin so ɔltɛm, ɛn dɛn dɔn tren yu mɛdikal tim fɔ manej dɛn.
| Denja | Tɔk bɔt |
|---|---|
| Pen/diskɔmfɔt | Yu kin fil smɔl we yu de put di layn insay. |
| Blɔd we de kɔmɔt | Sɔntɛm blɔd kin kɔmɔt smɔl frɔm di say we dɛn put di layn. |
| Wan blɔd we de klɔt na wan vein (Thrombosis) . | Na sכm tεm we bכdi kin fכm insay di vein we de rawnd di tiub. Dis kin mek di an swel ɛn pen. |
| Plɛbitis we gɛt bɔdi | Dis kin apin wit ɛni IV layn. Di vein kin rɛd ɛn i kin mek i fil pen. |
| Sik we de prɛd | Jɛm kin go insay di blɔd ɔ di say we dɛn put di layn. Yu kin avɔyd dis if yu kip di dresin klin. |
| Layn de kam aut/lokeshɔn chenj | If dɛn nɔ put am fayn, di layn kin kɔmɔt smɔl ɔ i kin kɔmɔt ɔlsay. I kin ivin chenj in pozishɔn na di vein. If dis apin, dɛn go nid fɔ put am bak ɔ pul am. |
| Di layn dɔn blok. | Sɔntɛnde, di layn kin blok bikɔs ɔf blɔd we de klɔt ɔ mɛrɛsin. Dɛn kin yuz mɛrɛsin fɔ opin am bak. |
Us ɔda opshɔn dɛn de apat frɔm PICC layn?
Fɔ tru, sɔm ɔda we dɛn de fɔ tek IV tritmɛnt. Yu dɔktɔ go disayd di we we go fayn fɔ yu bay di tin we de apin to yu.
- Short IV catheters: Dis na di kכmכn kanula dεm we wi כl sabi. Dɛn kin put dɛn insay wan vein na di an ɔ an. Dɛn nid fɔ chenj dɛn tin ya ɛvri sɔm dez. Dɛn nɔ kin fayn bak fɔ sɔm strɔng mɛrɛsin dɛn.
- Sεntrial venus kateta dεm: dεn kin put dεn ya insay wan vein na di nεk, כp chεst, כ groin. Dɛn kin jɔs fayn fɔ yuz fɔ shɔt tɛm (lɛs dan 2 wik) ɛn dɛn kin yuz dɛn nɔmɔ na ɔspitul.
- Kateta dɛn we go de sote go: Dɛn kin put kateshɔn dɛn we go de sote go, lɛk Hickman kateta ɛn pɔt dɛn, na rum usay dɛn de du ɔpreshɔn. Dɛn kin yuse dɛn tin ya fɔ pipul dɛm wae nid tritmɛnt fɔ lɔng tɛm.
Fɔ dɔn, if yu nid fɔ gɛt IV tɛrapi fɔ lɔng tɛm, wan PICC layn na wan opshɔn we rili yusful ɛn fayn. Nɔ ɛva shem fɔ tɔk opin wan bɔt ɛni kwɛstyɔn, fred, ɔ wɔri we yu gɛt bɔt am wit yu dɔktɔ .
Mɛsej we dɛn kin kɛr go na os
- PICC layn na spɛshal, lɔng, tin tiub we dɛn kin yuz fɔ gi lɔng tɛm IV mɛrɛsin ɔ it ɛn fɔ pul blɔd.
- dis kin εp fכ mek dεn nכ put di kanula כltεm εn fכ mek di vein dεm nכ pwεl.
- Bɔku tɛm, na dɔktɔ ɔ nɔs we dɛn dɔn tren spɛshal wan kin du dis ɛn nɔ kin mek i fil pen.
- Jɔs lɛk ɔl di tin dɛn we dɛn kin du fɔ mɛn pipul dɛn, prɔblɛm dɛn de we kin apin, lɛk fɔ gɛt infɛkshɔn ɛn fɔ mek blɔd klɔt, bɔt dɛn nɔ kin apin so ɔltɛm.
- Tɔk to yu dɔktɔ bɔt if PICC layn rayt fɔ yu ɛn wetin na in gud ɛn bad tin fɔ mek yu disayd fɔ du di bɛst.
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