Kua whiwhi koe, tētahi atu rānei e mōhio ana koe i ngā rongoā werohanga (IV) mō ngā rā, wiki, marama rānei? Kua hiahia rānei koe kia tangohia he toto i ngā wā katoa? E mōhio ana tātou katoa ki te mamae, te kore whakamarie, me te kino o ngā io e pā mai ana me te whakawhiti i te cannula i ia rua, e toru rānei ngā rā, me te werohanga i te uaua i ngā wā katoa nā te mea kāore e kitea. Mō te hunga e hiahia ana ki te maimoatanga mō te wā roa, me te hunga e hiahia ana kia tangohia he toto i ngā wā katoa, he huarahi motuhake, he huarahi watea te raina PICC hei whakaiti i te kore whakamarie o ēnei werohanga.
He aha tonu te rārangi PICC?
He whakarāpopototanga noa iho, ko te aho PICC (Peripherally Inserted Central Catheter) he ngongo (catheter) e whakaurua ana ki roto i te uaua. Engari kāore i rite ki te cannula iti e kitea ana i roto i te ringaringa . He ngongo kirihou tino roa, angiangi, tino ngāwari, he ngohengohe.
I te nuinga o te wā ka whakaurua tēnei ki roto i tētahi uaua i tō ringa, i runga ake i tō tuke, kātahi ka mirohia mārire taua uaua ki tētahi uaua nui i tō uma. Kia whakaurua, he ngongo iti noa iho ka kitea mā roto i te kiri o tō ringa. Ka taea te whakamahi i tēnei ngongo hei hoatu rongoā IV, wai, me ngā tauira toto kore mamae ki a koe.
Me pēhea te whakauru i tēnei rārangi PICC?
He mahi uaua ake tēnei i te whakauru i tētahi cannula noa, nō reira ka mahia e te tākuta, e te nēhi rānei kua whiwhi whakangungu motuhake mō tēnei kaupapa. Whakaarohia kua whakaritea kia whakaurua he aho PICC ki a koe. Kātahi ka puta he mea pēnei.
1. Te Tāutu i te Uaua: Tuatahi, ka whakamahia e te tākuta tētahi mīhini matawai motuhake, he mīhini ultrasound, hei kimi i ngā uaua hohonu i tō ringa o runga. Mā tēnei ka āwhina i te kimi tika i te uaua, ā, ka whakaitihia ngā hapa.
2. Te Horoi: Kātahi, hei tiaki i te wāhi e whakaurua ai te aho mai i ngā iroriki, ka horoia pai te wāhi, ā, ka hipokina ki te kakahu parakore. He mea tino nui tēnei hei ārai i te mate.
3. Te ngoikore: Ka werohia he iti o te rongoā ki te wāhi e whakaurua ana te ngongo hei whakangawari i a koe kia kore ai koe e mamae. Ko te tikanga o tēnei, kāore koe e tino mamae ina whakaurua te aho.
4. Te whakauru i te aho: Nā te mea kua ngoikore te wāhi, ka āta whakaurua te ngongo angiangi ki roto i te uaua, ka neke ake ki te uaua nui i roto i te uma. Ahakoa he pēhi iti tēnei, ko te nuinga o ngā tūroro kāore e tino mamae, e kore hoki e pai.
5. Te tūnga me te whakaū: Kia tika te whakaurunga o te aho, ka herea ki te ringa me tētahi momo pāreti motuhake hei ārai i te nekenekehanga, ā, ka hipokina ki tētahi takai parakore hei tiaki i a ia mai i ngā iroriki. Hei whakamutunga, ka mahia he hihi-X o te uma hei whakarite kei te 100% te tūnga o te ngongo ki te wāhi tika.
6.Te mahi pēnei i ngā wā katoa: Kia oti katoa ēnei mea, ka taea e koe te piko, te totoro, me te mahi i ngā mahi o ia rā, me te kore e whakamahi i te rārangi PICC.
He aha ngā painga o te whakamahi i te raina PICC?
Ko te painga matua o te whakamahi i te raina PICC ko te whai huatanga e whakaratohia ana e ia mō te tangata e whiwhi ana i te maimoatanga mō te wā roa.
- Te herekore i te werohanga ngira auau: Ka taea e koe te tino herekore i te hiahia ki te whakauru i ngā cannulas i ngā wā maha mō ngā rā, mō ngā wiki rānei. Kia whakauruhia he aho PICC, ka taea te waiho ki tōna tūranga mō ngā wiki, tae atu ki ngā marama.
- Te tiaki i ngā uaua: Ko ētahi rongoā werohanga IV kaha ka tino whakapataritari i ngā uaua. Ina hoatuhia ēnei rongoā i ngā wā katoa, ka pakaru, ka pupuhi hoki ngā uaua. Nā te mea e hono tika ana te raina PICC ki tētahi uaua nui, ka ārai i te kino o ngā uaua iti.
- Ngāwari: Ka taea te whakamahi i tēnei i ngā hōhipera, tae atu ki ētahi wā mō te hunga e whiwhi maimoatanga ana i te kāinga ('manaaki kāinga').
- He maha ngā whakamahinga: Ka taea te whakamahi hei tuku i ngā momo rongoā IV, me te tiki tauira toto mō te nuinga o ngā whakamātautau toto, me te kore mamae.
He aha ngā mōrearea o tēnei?
Pērā i ngā tikanga hauora katoa, he iti noa ngā tūponotanga kei roto i te whakauru me te whakamahi i te aho PICC. He mea nui kia mōhio ki ēnei.
Kia maumahara, he tino onge te nuinga o ēnei mōrearea, ā, kua whakangungua tō tīma hauora ki te whakahaere i aua mōrearea.
| Mōrearea | Whakaahuatanga |
|---|---|
| Mamae/koretake | Tērā pea ka pāngia koe e te iti o te mamae i te wā e whakauru ana i te aho. |
| Te toto | Tērā pea ka puta he toto iti mai i te wāhi i werohia ai te aho. |
| He toto totoka i roto i te uaua (Thrombosis) | He tino onge te puta o te toto totoka i roto i te uaua huri noa i te ngongo. Ka pupuhi, ka mamae hoki te ringa i tēnei. |
| Te mate pūkahukahu | Ka taea tēnei te tupu me tetahi raina IV. Tērā pea ka whero, ka mamae hoki te uaua. |
| Mate pāwera | Ka taea e ngā huakita te uru ki roto i te toto, ki te wāhi rānei i werohia ai te aho. Ka taea tēnei te ārai mā te pupuri i te takai kia ma. |
| Te putanga mai o te rārangi/te huringa tauwāhi | Ki te kore e whakaurua tika, ka puta katoa, ka puta rānei te aho. Tērā pea ka nekehia tōna tūranga i roto i te uaua. Mēnā ka tupu tēnei, me nekehia, me tango rānei. |
| Kua āraia te rārangi. | I ētahi wā ka āraia te arai e te toto totoka, e te rongoā rānei. Tērā pea ka whakamahia he rongoā hei whakatuwhera anō. |
He aha atu ngā kōwhiringa kei tua atu i te raina PICC?
He maha atu anō ngā tikanga mō te rongoā IV. Mā tō tākuta e whakatau te tikanga tino tika mō tō āhuatanga.
- Ngā katitere IV poto: Koinei ngā cannula noa e mōhiotia ana e tātou katoa. Ka whakaurua ēnei ki roto i tētahi uaua i te ringa, i te ringaringa rānei. Me whakawhiti ēnei i ia torutoru rā. Kāore hoki i te pai mō ētahi rongoā kaha.
- Ngā katitere uaua matua: Ka whakaurua ēnei ki roto i tētahi uaua i te kaki, i te uma o runga, i te uma rānei. He pai noa iho ēnei mō te whakamahinga poto noa iho (iti iho i te 2 wiki) ā, ka whakamahia anake i roto i te hōhipera.
- Ngā katitere tūmau: Ka whakauruhia ngā katitere tūmau, pērā i ngā katitere Hickman me ngā pūwero, ki roto i te rūma pokanga. Ka whakamahia ēnei mō te hunga e hiahia ana ki te maimoatanga mō te wā roa.
Hei whakamutunga, ki te hiahia koe ki te whiwhi rongoā IV mō te wā roa, he kōwhiringa tino whai hua, he kōwhiringa watea hoki te raina PICC. Kaua e mangere ki te kōrero tuwhera ki tō tākuta mō ō pātai, ō mataku, ō āwangawanga rānei mō tēnei mea .
Karere Tangohia ki te Kāinga
- He ngongo motuhake, roa, angiangi te aho PICC e whakamahia ana hei hoatu rongoā IV, hei kai rānei mō te wā roa, hei utu toto hoki.
- Ka āwhina tēnei ki te aukati i te whakaurunga pinepine o te cannula me te kino o ngā uaua.
- I te nuinga o te wā ka mahia tēnei me te kore mamae e te tākuta, e te nēhi rānei kua whakangungua motuhake.
- Pērā i ngā tikanga hauora katoa, tera pea ētahi mōrearea, pērā i te mate urutā me te toto totoka, engari he tino onge.
- Kōrero ki tō tākuta mō te tika o te raina PICC māu, me ōna painga me ōna huakore hei whakatau i te whakatau pai rawa atu.
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