Mukuopa kutenga cannula? Tiyeni tikambirane zonse! (Peripheral IV)

Ngati munapitapo kuchipatala kapena kuchipinda chodzidzimutsa, mwina munayenera kuikidwa cannula. Anthu ena amachita mantha pang'ono kapena amafunitsitsa kudziwa za chubu chaching'ono cha pulasitiki ichi chomwe chaikidwa mumtsempha womwe uli m'dzanja lanu kapena mbali ina ya thupi lanu. "Chifukwa chiyani chikuyikidwa?", "Kodi chidzapweteka?", "Chidzachitika ndi chiyani?", ndi zina zotero. Mungakhale ndi mafunso ngati awa m'maganizo mwanu. Lero, tiyeni tiyankhe mafunso onse omwe muli nawo okhudza cannula iyi, kapena pankhani yazachipatala, 'peripheral IV', sichoncho?

Mwachidule, kodi kanula iyi ndi chiyani?

Cannula ndi chubu chapulasitiki chopyapyala kwambiri komanso chosinthasintha chomwe chimayikidwa mumtsempha umodzi. Chimatchedwanso 'catheter'. Chimagwiritsidwa ntchito popatsa thupi lanu mankhwala, monga madzi ndi mankhwala, mwachindunji m'magazi anu.

Tangoganizirani, pafupifupi 80% ya odwala omwe alowetsedwa m'zipatala padziko lonse lapansi amafunikira thandizo la cannula panthawi yomwe ali kuchipatala. Iyi ndi njira yochizira matenda yomwe imagwiritsidwa ntchito kwambiri m'chipatala. Nthawi zina imatchedwanso `Peripheral IV catheter`, `Peripheral venous catheter` kapena `Peripheral IV line`. Komabe, iyi ndi `cannula` yomwe tonse timaidziwa.

Kodi mumayika cannula pazinthu zotani?

Madokotala ndi anamwino amagwiritsa ntchito cannula pazifukwa zingapo zazikulu. Tiyeni tiwone zomwe izi zili.

Kawirikawiri, kanula imayikidwa mu mtsempha kumbuyo kwa dzanja, mkati mwa chigongono, kapena mwendo. Komabe, kwa makanda aang'ono, mitsempha ya m'mutu mwawo nthawi zina imayikidwanso m'malo amenewo, chifukwa ndi yosavuta kupeza.

Kodi pali kusiyana kotani pakati pa cannula ndi mitundu ina ya mizere?

Mwina munamvapo mayina ena monga PICC line. Pali kusiyana pang'ono pakati pa mayinawa.

Mzere wa PICC

Iyi ndi chubu chomwe chimayikidwa mu mtsempha, koma ndi yayitali komanso yokhuthala kuposa cannula. Imayikidwa kudzera mu mtsempha womwe uli m'dzanja ndi mtsempha waukulu pachifuwa. Imagwiritsidwa ntchito kwa anthu omwe amafunika kulandira chithandizo kwa nthawi yayitali , monga milungu kapena miyezi. Koma kumbukirani, kuyika cannula wamba ndikotetezeka kwambiri, kosavuta, komanso kopweteka pang'ono kuposa mzere wa PICC.

Pakati

Uwu ndi mtundu wina womwe umagwiritsidwa ntchito pochiza matenda kwa nthawi yayitali. Ndi waufupi pang'ono kuposa mzere wa PICC. Nthawi zina umagwiritsidwa ntchito kwa anthu omwe sangathe kuyika mzere wa PICC.

Kodi njira yonse yoyika cannula imagwira ntchito bwanji?

Chabwino, tsopano tiyeni tiwone zomwe zimachitika tikayika izi. Iyi ndi njira yotsatizana.

1. Kukonzekera

Choyamba, dokotala kapena namwino adzakufunsani za zizindikiro zanu ndikutsimikiza kuti ndinu. Ngati mukuopa singano, auzeni za izo. Adzakuthandizani kukhala chete. Kenako adzakupemphani kuti muyike dzanja lanu pamalo abwino.

2. Kupeza mtsempha

Kenako, amatsuka m'manja mwawo bwino, amavala magolovesi, ndipo amapeza mtsempha wabwino komanso woyenera m'dzanja kapena mwendo wanu. Amakonda mtsempha wowongoka komanso wamphamvu womwe suyenda. Kuti mtsempha utuluke, amaika tourniquet mozungulira mkono wanu. Mudzafunsidwa kuti mukweze mkono wanu. Amagogoda zala zanu kuti apeze mtsempha wabwino kwambiri. Nthawi zina, ngati n'zovuta kupeza mtsempha, angagwiritse ntchito chipangizo chaching'ono chotchedwa chipangizo chopezera mtsempha.

3. Kulimbitsa ndi kuyeretsa khungu

Mtsempha ukapezeka, nthawi zina, makamaka kwa ana aang'ono, mankhwala oletsa ululu amatha kugwiritsidwa ntchito pamalopo. Ngati agwiritsidwa ntchito, dikirani mphindi zochepa kuti ayambe kugwira ntchito musanayike cannula. Kenako, malowo amatsukidwa bwino ndi swab yophera tizilombo toyambitsa matenda.

4. Kuyika kanula

Tsopano ndi gawo lofunika kwambiri. Asanachite izi, adzakuuzani chinthu chonga ichi, "Izi zipweteka pang'ono." Kenako adzakoka khungu mwamphamvu, kuyika singano pansi pa khungu pang'ono, ndikuyiyika mu mtsempha. Chubu cha pulasitiki (catheter) chomwe chimabwera ndi singano chimapita patsogolo pang'ono pansi pa mtsempha, ndipo dokotala adzatulutsa singano. Tsopano, chubu cha pulasitiki chokha ndi chomwe chili mkati mwa mtsempha. Kenako adzachotsa tourniquet.

5. Chitani bwino ndipo fufuzani

Pomaliza, malowo amatsukidwa bwino ndipo kannula imaphimbidwa ndi chotetezera kuti iwonekere. Chubu cholumikizidwa ku kannula chimamatidwa kuti chisasunthike. Tsiku ndi nthawi yomwe kannula idalowetsedwa nthawi zambiri zimalembedwa pa tepi. Kenako, mzerewo umatsukidwa ndi saline kuti muwone ngati mzerewo ukugwira ntchito bwino komanso ngati pali kutuluka kulikonse.

Kodi zoopsa ndi zovuta zomwe izi zingayambitse ndi ziti?

Choyamba, mavuto obwera chifukwa choika cannula ndi osowa kwambiri. Komabe, monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zazing'ono kwambiri.

Ndani angavutike kuyika cannula?

Nthawi zambiri, cannula imatha kulowetsedwa bwino nthawi yoyamba. Komabe, kwa anthu ena, izi zitha kukhala zovuta pang'ono. Pali zifukwa zingapo zomwe zimapangitsa izi.

• Ngati mwakhala mukuvutika kuyika cannula kale.
• Ngati madzi akusowa m'thupi, ndiye kuti pali vuto la kuchepa kwa madzi m'thupi .
• Kwa iwo omwe ali ndi mitsempha yaying'ono kwambiri komwe mitsemphayo siioneka.
• Kwa iwo omwe ali ndi khungu lakuda (chifukwa zimakhala zovuta kupeza mitsempha).
• Kwa iwo omwe ali ndi matenda ena monga matenda a shuga ndi khansa .
• Kwa iwo omwe ali ndi thupi lochepa kwambiri kapena onenepa kwambiri.
• Kwa iwo omwe akulandira chithandizo cha chemotherapy cha khansa.