Mwina inuyo kapena wina m'banja mwanu mwauzidwa ndi dokotala wanu kuti muyenera kuyika mzere wa PICC. Kumva dzina limenelo kungakupangitseni mantha pang'ono, kufuna kudziwa zambiri, komanso kuchita mantha. Mwina munaganizapo kuti, "Kodi chinthu chatsopanochi n'chiyani?" Koma musachite mantha. Lero, tikambirana m'njira yosavuta komanso yochezeka za tanthauzo la mzere wa PICC, zomwe umachita, komanso momwe ungasamalire mosamala.
Mwachidule, kodi Mzere wa PICC ndi chiyani?
Mzere wa PICC (Peripherally Inserted Central Catheter) ndi chubu chopyapyala kwambiri, chosinthasintha, komanso chachitali. Uli ngati mzere wa saline (IV line/cannula) womwe mwina mwauwona m'dzanja lanu. Koma ndi wautali pang'ono, wamphamvu, ndipo ukhoza kukhalabe m'thupi lanu nthawi yayitali.
Izi zimayikidwa mu mtsempha womwe uli m'dzanja lanu lapamwamba, ndipo mbali ina ya chubu imalumikizidwa mu mtsempha waukulu womwe uli pafupi ndi mtima wanu. Mbali yakunja ya chubuyo imawonekera kudzera m'dzanja lanu lapamwamba. Izi zimakulolani kulandira mankhwala a nthawi yayitali, zakudya, ndi zinthu zina mwachindunji mumtsempha waukulu.
Kodi mzere wa PICC umafunika pazochitika ziti?
Dokotala nthawi zambiri amasankha kuyika mzere wa PICC ngati mukufuna kulandira chithandizo kudzera mu mtsempha kwa nthawi yayitali. Izi zili choncho chifukwa kukhala ndi cannula m'dzanja lanu tsiku lililonse kumatha kuwononga mitsempha. Komanso, mankhwala ena amphamvu (monga mankhwala oletsa khansa) ndi ovuta kupirira mitsempha yaying'ono.
Nazi zina mwa zinthu zomwe mzere wa PICC umagwiritsidwa ntchito:
- Mankhwala opha tizilombo toyambitsa matenda kwa nthawi yayitali: Ngati munthu wadwala, mankhwala opha tizilombo angafunike kumwedwa kwa milungu ingapo.
- Chithandizo cha khansa (Chemotherapy): Perekani mankhwala opha maselo a khansa mwachindunji mumtsempha waukulu.
- Kuika Magazi: Kwa odwala omwe amafunika kuikidwa magazi pafupipafupi.
- Madzi a m'mitsempha: Ngati mukufuna kupitiriza kupereka zinthu monga saline.
- Zakudya Zonse za Parenteral: Perekani zakudya zonse kudzera m'mitsempha kwa odwala omwe sangathe kudya pakamwa komanso omwe sangathe kuyamwa zakudya kuchokera m'matumbo.
- Kuyesa magazi: Popanda kubaya chala chanu nthawi zonse, mutha kutenga magazi kuchokera mu chubu ichi ndikutumiza kuti akayesedwe.
Mwachidule, mzere wa PICC umagwiritsidwa ntchito kuteteza mitsempha yanu ku singano zomwe zimayikidwa pafupipafupi komanso kupereka chithandizo mosavuta komanso mosamala.
Kodi chimachitika ndi chiyani mzere wa PICC usanayikidwe?
Dokotala wanu adzafufuza zinthu zingapo asanakupatseni mankhwala.
- Muyenera kumudziwitsa za mankhwala ndi mavitamini onse omwe mukumwa panopa.
- Dokotala adzakufunsani za mbiri yanu yonse yachipatala, makamaka ngati mudadwalapo khansa ya m'mawere, kudula mano a m'khwapa, zipangizo zoyikidwa (monga pacemakers), matenda a mtima (atrial fibrillation), kapena matenda a impso osatha.
- Mungayesedwe magazi kangapo kuti muwone ngati magazi anu akutseka bwino magazi komanso ngati impso zanu zikugwira ntchito bwino.
- Nthawi zina, mayeso ojambulira zithunzi angachitike kuti aone komwe mitsempha ili m'dzanja.
Momwe mungaikire mzere wa PICC (Ndondomeko)
Izi nthawi zambiri zimatenga pafupifupi ola limodzi ndipo sizipweteka kwambiri. Tangoganizirani momwe izi zimachitikira.
1. Kukonzekera: Mudzagonekedwa pabedi ndikulumikizidwa ndi chowunikira kuti muwone zinthu monga kugunda kwa mtima wanu ndi kuthamanga kwa magazi.
2. Kupeza mtsempha: Dokotala adzagwiritsa ntchito makina owunikira kuti apeze mtsempha wozama kwambiri komanso woyenera kwambiri m'dzanja lanu lakumtunda.
3. Kuyeretsa ndi kuyeretsa mano: Malowa amatsukidwa bwino ndipo amaphimbidwa ndi nsalu yoyera kuti apewe matenda. Kenako, mankhwala oyeretsa mano amabayidwa m'malowa kuti achititse mano. Kuti musamve kupweteka kulikonse.
4. Kuika chubu: Kenako, mzere wa PICC umalowetsedwa mosamala mu mtsempha kuchokera pamalo opanda dzanzi ndikutsogoleredwa ku Superior Vena Cava, mtsempha waukulu kwambiri wamagazi pamwamba pa mtima.
5. Chitetezo: Chitoliro chikangoyikidwa pamalo ake, gawo lowonekera limamangidwa padzanja ndi pulasitala wapadera ndikukutidwa ndi bandeji yoyera (yophimba) kuti itetezedwe ku majeremusi.
Mukamaliza izi, mutha kupita kunyumba tsiku lomwelo.
Kodi mungasamalire bwanji mzere wa PICC kunyumba? Ichi ndiye chinthu chofunikira kwambiri!
Mukakhala ndi mzere wa PICC, ndikofunikira kuusamalira bwino kuti mupewe matenda. Dokotala wanu ndi ogwira ntchito ya anamwino adzakuphunzitsani za izi. Nazi zinthu zina zofunika kukumbukira.
Kusamalira kuvala
Chovala chophimba mzere wa PICC chiyenera kukhala choyera, chouma, komanso chogwirana bwino ndi khungu . Ngati chanyowa, chatuluka, kapena chadetsedwa, chiyenera kusinthidwa nthawi yomweyo. Chovala ichi nthawi zambiri chimasinthidwa kamodzi pa sabata. Izi zimachitika ndi namwino kapena munthu wophunzitsidwa. Musamagwiritse ntchito mafuta odzola kapena mafuta odzola pansi pa chovalacho.
Samalani mukamasamba.
Si bwino kulola madzi kulowa mu dressing mukamasamba. Chinthu chabwino kwambiri chomwe mungachite ndikuphimba malowo bwino kuti asalowe madzi.
- Pali zophimba zapadera zosalowa madzi zomwe mungagule ku pharmacy.
- Kapenanso, mutha kuyika nsalu yoyera komanso youma pamwamba pa dressing, kukulunga ndi cling wrap mwamphamvu mozungulira, ndikuyimangirira ndi tepi yosalowa madzi pamwamba ndi pansi.
Kutsuka Mzere
Kuti magazi asaundane mkati mwa chubu, muyenera kuchisunga choyera ndikuchitsuka ndi saline yoyera nthawi ndi nthawi. Chipatala chidzakuuzani momwe mungachitire izi. Tsatirani malangizo amenewo molondola.
Zabwino ndi zoyipa zokhala ndi mzere wa PICC
Mukhoza kuchita zambiri za tsiku ndi tsiku monga mwachizolowezi pamene muli ndi mzere wa PICC. Komabe, pali zinthu zingapo zomwe muyenera kusamala nazo.
| Zinthu Zoyenera Kupewa | Zinthu zabwino |
|---|---|
| Kunyamula katundu woposa 4.5 kg (10 lbs) ndi mkono womwe uli ndi mzere wa PICC. | Zinthu monga kupinda, kutambasula, kulemba, ndi kudya bwino. |
| Kusambira, masewera a m'madzi. | Kuchita masewera olimbitsa thupi pang'ono monga kuyenda. |
| Masewera omwe amakhudza kuyenda mwachangu kwa manja (monga gofu, bowling, vacuum cleaning). | Kugwiritsa ntchito dzanja lina pa ntchito iliyonse monga mwachizolowezi. |
| Lumikizanani ndi masewera. | Funsani dokotala wanu ndipo muchite zinthu zovomerezeka. |
| Kuchita masewera olimbitsa thupi mopitirira muyeso komwe kumayambitsa thukuta m'khwapa ndipo kungayambitse kuti chovalacho chinyowe. | Lankhulani ndi dokotala wanu za zosangalatsa zanu ndipo pemphani upangiri wa momwe mungachitire mosamala. |
Kodi zoopsa ndi ziti ndi PICC Line?
Ngakhale kuti mzere wa PICC uli ndi maubwino ambiri, palinso zoopsa zina zomwe sizichitika kawirikawiri zomwe ndizofunikira kuzidziwa.
- Matenda: Majeremusi amatha kulowa m'magazi kuchokera pamalo omwe paikidwa chubu. Ichi ndiye chiopsezo chachikulu. Ngati matenda afika poipa kwambiri, angayambitse matenda oopsa otchedwa sepsis .
- Kutupa kwa magazi: Magazi oundana amatha kupangika mkati mwa mtsempha wozungulira chubu. Izi zingayambitse kutupa ndi kupweteka m'dzanja.
- Kutsekeka kwa chubu: Magazi amatha kupangika mkati mwa chubucho ndikuchitseka.
- Chubucho chingatuluke kapena kusamukira kwina: Ngati sichinalowetsedwe bwino, chubucho chingatuluke pang'ono kapena kusamukira kwina mkati mwa mtsempha.
- Kuwonongeka kwa mtsempha: Nthawi zambiri, singano imatha kugunda mtsempha wapafupi kapena mitsempha ikayikidwa.
Zoopsa zimenezi n’zochepa kwambiri, koma ndikofunikira kudziwa izi ndikudziwa zizindikiro za matenda.
Kodi muyenera kupita kwa dokotala nthawi yomweyo liti?
Dziwani bwino zizindikiro izi. Zingakhale zizindikiro za matenda aakulu.
| Zadzidzidzi - Pitani ku Dipatimenti Yoona za Zadzidzidzi ya Chipatala chapafupi (ETU) nthawi yomweyo | |
|---|---|
| - Malungo kapena kuzizira | - Kuvuta kupuma kapena kukhosomola |
| - Chizungulire kapena kutaya chidziwitso | - Ngati magazi kapena madzi ena akutuluka kuchokera pamalo a PICC line |
| - Kupweteka kapena kutupa pankhope, padzanja, kapena pachifuwa | - Izi zitha kukhala zizindikiro za sepsis . |
| Lankhulani ndi dokotala wanu. | |
| - Ngati malo omwe mzere wa PICC unalowetsedwapo ndi ofiira, akumveka ofunda, kapena akumveka ngati chotupa . | - Ngati chubucho chatuluka ndipo chikuwoneka ngati chasintha kutalika . |
| - Ngati mukumva dzanzi kapena kumva kuwawa m'dzanja kapena zala zomwe zili m'mbali mwa mzere wa PICC. | - Ngati mukumva kupweteka mukamamwa mankhwala kudzera mu chubu. |
Mzere wa PICC ndi njira yothandiza kuti chithandizo chanu chikhale chosavuta komanso kuti musalandire jakisoni pafupipafupi. Zimatenga nthawi kuti muzolowere. Mungamve kusasangalala anthu akamakuyang'anani ndikufunsa mafunso okhudza izi. Koma kumbukirani, muli ndi ufulu wosankha ngati mungauze aliyense za izi kapena ayi. Mutha kuziphimba ndi zovala zazitali ngati mukufuna. Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola.
Uthenga Wopita Nawo Kunyumba
- Mzere wa PICC ndi chubu chapadera chomwe chimagwiritsidwa ntchito pothandiza kuchiza kwa nthawi yayitali ndikuletsa singano kuti zisalowe nthawi zambiri.
- Kupewa matenda ndiye chinthu chofunikira kwambiri, choncho nthawi zonse sungani bandeji pamalo pomwe mzere wa PICC walowetsedwapo ukhale woyera komanso wouma .
- Mukasamba, onetsetsani kuti mwaphimba bwino malowo kuti asalowe madzi.
- Dziwani zizindikiro zochenjeza monga kutentha thupi, kuzizira, kupuma movutikira, ndi kutupa kwa manja. Ngati chilichonse mwa izi chichitika, pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo.
- Tsatirani malangizo omwe dokotala wanu ndi ogwira ntchito ya unamwino akupatsani molondola. Musazengereze kuwafunsa ngati muli ndi mafunso.











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