PICC line (Peripherally Inserted Central Catheter) tih hi eng nge ni? Hemi chungchang hi awlsam takin han sawi ila!

Nangmah emaw, i hriat mi emaw chuan ni tam tak, kar tam tak, a nih loh leh thla tam tak chhung chu thisen kal tlanga (IV) damdawi ei a ngai tawh em? A nih loh leh thisen test neih fo a ngai tawh em? Ni hnih atanga ni thum danah cannula thlak a ngai a, i hmuh theih loh avangin vein i tihchhiat nawn fo a ngai a, a natna, a nuam lo leh a nerve tihchhiat te hi kan hre vek a ni. Hun rei tak enkawl ngai, leh thisen test neih fo ngai tan chuan PICC line hi heng puncture-te natna tihziaawmna tur kawng bik, awlsam tak a ni.

PICC line chu eng nge ni tak tak?

A awlsam zawngin PICC (Peripherally Inserted Central Catheter) line chu tube (catheter) vein chhunga dah a ni. Mahse kan hmuh thin cannula te tak te ang kha a ni lo . Plastic tube sei tak, te tak te, flexible tak, nem tak a ni.

Hei hi i kut chhunga vein pakhatah, i elbow chung lam deuhah dah a ni tlangpui a, chu vein chu zawi zawiin i rilru chhunga vein lian takah thread up a ni. Vawikhat dah luh chuan i kut vun atang hian tube te tak te chauh a lang thei. He tube hmang hian IV damdawi, tui, leh natna nei lo thisen sample pek theih a ni.

Engtin nge he PICC line hi i insert ang?

Hei hi cannula pangngai dah ai chuan a buaithlak zawk a, chuvangin hemi atana training bik nei doctor emaw nurse emaw chuan a ti thin. PICC line dah tura ruahman i ni ang tih han ngaihtuah teh. Tichuan hetiang thil hi a thleng ta a ni.

1. Vein Identification: A hmasa berin doctor chuan scanning machine bik, ultrasound machine hmangin i kut chunglam vein thuk tak takte chu a zawng chhuak thin. Hei hian vein awmna hmun dik tak a hriat theih nan a pui a, tihsual a ti tlem bawk.

2. Thianghlimna: Tichuan, line dahna tur hmun chu natna hrik laka ven nan, chu hmun chu uluk takin silfai a, puan sterile-in a khuh thin. Hei hi hri kai laka inven nan a pawimawh hle.

3. Numbness: Natna i hriat loh nan tube dahna hmunah hian damdawi tlem te te inject a ni. Hei hian line i dah chuan natna i nei tam lovang tihna a ni.

4. Line dah: Tunah chuan a hmun chu a hring tawh a, chu tube te tak te chu zawi zawiin vein chhungah a lut a, a rilru chhunga vein lian tak thlengin a kal chho ta a ni. Hei hi nawr tlemte ang maiin a lang thei a, mahse damlo tam zawk chuan natna leh lungawi lohna an nei tam lo.

5. Positioning leh confirmation: Line hi uluk taka dah a nih hnuah a che thei lo turin plaster chi bik hmangin arm-ah an nghet a, hrik laka ven nan sterile dressing hmangin an khuh bawk. A tawp berah chuan chest x-ray hmangin tube chu 100% a hmun dik takah a awm em tih enfiah a ni.

6. 6. A rilru a hah lutuk chuan a rilru a buai em em a.A hma anga hnathawh: Heng zawng zawng hi i tih zawh chuan PICC line tel lovin i ben thei tawh ang a, i extend thei tawh ang a, thil tih pangngai i ti thei tawh ang.

PICC line hman hian eng hlawkna nge a neih?

PICC line hman thatna ber chu hun rei tak enkawl mek tan a awlsamna a ni.

• Needle stick tam lutuk atanga zalenna: Ni tam tak emaw, kar tam tak emaw chhung chu cannula dah nawn fo ngai lohna atangin i zalen vek thei. PICC line vawi khat dah a nih chuan kar tam tak, thla tam tak pawh a hmunah dah theih a ni.
• Vein protection: IV damdawi khauh tak tak thenkhat hian vein a ti na hle. Heng damdawi te hi pek fo a nih chuan thisen zam a chhe thei a, a hring thei bawk. PICC line hi vein lian tak nen direct-a inzawm a nih avangin vein te te tihchhiat a veng thei a ni.
• A awlsamna: Hei hi damdawi inah hman theih a ni a, chutiang bawkin a then phei chuan in lama enkawl (`home care`) te tan pawh hman theih a ni.
• Multiple uses: IV therapy chi hrang hrang pekna atan hman theih a ni a, chubakah thisen test eng pawh atan pawh natna nei lovin thisen sample lak theih a ni bawk.

Hei hian eng hlauhawmna nge a neih?

Damdawi lam thil dang ang bawkin PICC line dah leh hman hian hlauhawmna tenau tak tak a awm a. Hengte hi fimkhur a pawimawh hle.

PICC line tih loh chu eng option dang nge awm?

A nihna takah chuan IV therapy hman dan dang engemaw zat a awm bawk. I dinhmun atana hmanraw remchang ber chu i doctor chuan a ruat ang.

• Short IV catheters: Hengte hi kan hriat vek cannula hman tlanglawn tak takte an ni. Kut emaw kut emaw vein pakhatah an dah lut thin. Hengte hi ni engemaw zat danah tihdanglam a ngai a ni. Damdawi chak tak tak thenkhat tan pawh a tha lo hle.
• Central venous catheters: Hengte hi kawr, rilru chunglam emaw, kekawr bul emaw vein-ah dah a ni. Hun rei lote chhunga hman tur (kar 2 aia rei lo) chauh an ni a, damdawi inah chauh hman an ni.
• Permanent catheter: Permanent catheter, Hickman catheter leh port te chu surgical room-ah dah a ni. Hengte hi hun rei tak enkawl ngai tan chuan hman a ni.

A tawp berah chuan IV therapy rei tak i lak a ngai a nih chuan PICC line hi a tangkai hle a, a awlsam hle bawk. Hemi chungchanga zawhna, hlauhthawnna, leh ngaihtuahna i neih apiang chu i doctor nen tlang taka sawipui hreh ngai suh .