Niba warigeze kujya mu bitaro cyangwa mu cyumba cy’ubutabazi bw’ibanze, birashoboka ko byakubayeho ko washyizwemo kanula. Hari abantu bagira ubwoba cyangwa amatsiko ku bijyanye n’aka gakoresho gato ka pulasitiki gashyirwa mu mutsi uri mu kuboko kwawe cyangwa ikindi gice cy’umubiri wawe. "Kuki gashyirwamo?", "Ese bizababaza?", "Ni iki kizaba?", nibindi. Ushobora kuba ufite ibibazo nk'ibi mu mutwe wawe. None rero uyu munsi, reka dusobanure ibibazo byose ufite kuri iyi kanula, cyangwa mu buryo bw’ubuvuzi, 'peripheral IV', si byo se?
Mu magambo make, iyi cannula ni iki?
Cannula ni umuyoboro muto cyane wa pulasitiki woroshye winjizwa mu mitsi yawe. Nanone yitwa 'catheter'. Ikoreshwa mu guha umubiri wawe imiti, nk'amazi n'imiti, mu maraso yawe.
Tekereza, hafi 80% by'abarwayi bakirwa mu bitaro ku isi bazakenera ubufasha bwa cannula mu gihe bazaba bari mu bitaro. Ubu buryo ni bwo bukoreshwa cyane mu kuvura mu mitsi mu bitaro. Hari igihe bwitwa `Peripheral IV catheter`, `Peripheral venous catheter` cyangwa `Peripheral IV line`. Ariko, iyi ni `cannula` twese tuzi.
Ni ibihe bintu ushyiramo kanula?
Abaganga n'abaforomo bakoresha kanula mu bikorwa by'ingenzi bitandukanye. Reka turebe ibyo ari byo.
| Koresha | Ibisobanuro byoroshye |
|---|---|
| Ibinyobwa bya IV | Mu gihe umuntu amaze amazi menshi, tanga umunyu n'ibindi binyobwa bisindisha umubiri. |
| Imiti | Imiti imwe n'imwe, nka antibiyotike, ishobora gutangwa mu mitsi kugira ngo ibone ibisubizo byihuse. |
| Guterwa amaraso | Tanga amaraso igihe umubiri uyakeneye, haba nyuma yo kubagwa cyangwa impanuka. |
| Imirire | Ku barwayi badashobora kurya mu kanwa, intungamubiri zose zikenewe zitangwa mu mitsi. Ibi byitwa (Total Parenteral Nutrition). |
| Ingero z'amaraso | Ibi rimwe na rimwe bikoreshwa mu gufata amaraso kugira ngo bipimwe. |
Kimwe mu byiza bikomeye byo gushyiramo kanula ni uko niba ukeneye kuvurwa iminsi myinshi, ushobora kwirinda gukubitwa urushinge buri gihe.
Akenshi, kanula ishyirwa mu mutsi inyuma y'ukuboko, imbere mu nkokora, cyangwa ku kuguru. Ariko, ku bana bato, imitsi yo mu mitwe yabo rimwe na rimwe ishyirwa muri ibyo bice, kuko byoroshye kuyibona.
Ni irihe tandukaniro riri hagati ya cannula n'ubundi bwoko bw'imirongo?
Ushobora kuba warumvise andi mazina nka PICC line. Hari itandukaniro rito hagati yayo.
Umurongo wa PICC
Iyi ni umuyoboro winjizwa mu mutsi, ariko ni muremure cyane kandi ubyibushye kurusha cannula. Yinjizwa binyuze mu mutsi wo mu kuboko no mu mutsi munini wo mu gituza. Ikoreshwa ku bantu bakeneye kuvurwa igihe kirekire cyane , nko mu byumweru cyangwa amezi. Ariko ibuka ko gushyira cannula isanzwe ari byiza cyane, byoroshye, kandi ntibibabaza cyane kurusha umurongo wa PICC.
Hagati
Ubu ni ubundi bwoko bukoreshwa mu kuvura igihe kirekire. Ni bugufi gato ugereranije n'umurongo wa PICC. Hari igihe bukoreshwa ku bantu badashobora gushyiramo umurongo wa PICC.
Uburyo bwose bwo gushyiramo kanula bukora bute?
Noneho reka turebe uko bigenda iyo tubishyizemo. Iyi ni intambwe ku yindi.
1. Kwitegura
Ubwa mbere, umuganga cyangwa umuforomo azakubaza ibimenyetso byawe kandi arebe neza ko ari wowe. Niba utinya inshinge, zibwire. Bazagufasha gutuza. Hanyuma bazagusaba gushyira ikiganza cyawe ahantu heza.
2. Kubona umutsi
Hanyuma, bakaraba intoki zabo neza, bambara uturindantoki, hanyuma bagashaka umutsi mwiza kandi ukubereye mu kuboko cyangwa ku kuguru kwawe. Bakunda umutsi ugororotse kandi ukomeye utagenda. Kugira ngo umutsi usohoke, bazagushyiramo agapira ko kuzenguruka ukuboko. Uzasabwa kuzunguza ukuboko kwawe. Bazagukora ku ntoki kugira ngo babone umutsi mwiza. Hari igihe, niba bigoye kubona umutsi, bashobora gukoresha igikoresho gito cyitwa igikoresho cyo gushakisha imitsi.
3. Gukomeza no gusukura uruhu
Iyo umutsi umaze kuboneka, rimwe na rimwe, cyane cyane ku bana bato, umuti ugabanya ububabare ushobora gushyirwa ku gice cy'umubiri. Iyo ushyizweho, tegereza iminota mike kugira ngo ugire ingaruka mbere yo gushyiramo kanula. Hanyuma, aho hantu hasukurwa neza n'umuti wica udukoko.
4. Gushyiramo kanula
Noneho ni cyo gice cy'ingenzi cyane. Mbere yo kubikora, bazakubwira ikintu nk'iki: "Ibi bizababaza gato." Hanyuma bazakurura uruhu cyane, bashyire urushinge munsi y'uruhu ku mfuruka nto, hanyuma barushyire mu mitsi. Umuyoboro wa pulasitiki (catheter) uza n'urushinge uba ugiye imbere gato mu mitsi, maze muganga azawukuramo. Noneho, umuyoboro wa pulasitiki gusa ni wo uri mu mitsi. Hanyuma bazakuraho tourniquet.
5. Bika umutekano kandi ugenzure
Amaherezo, aho hantu hasukurwa neza, hanyuma agakoresho gapfundikirwa n'igitambaro kibonerana kugira ngo kigaragare. Umuyoboro uhujwe na kaseti ufatwa kugira ngo wirinde kugenda. Itariki n'isaha kaseti yashyizwemo akenshi byanditse kuri kaseti. Hanyuma, umurongo ushyirwamo umunyu kugira ngo harebwe niba umurongo ukora neza kandi niba hari aho uva.
Ni izihe ngaruka n'ingorane ibi bishobora gutera?
Mbere na mbere, ingorane ziterwa no gushyiramo kanula ni gake cyane. Ariko, kimwe no mu buryo ubwo ari bwo bwose bwo kwa muganga, hari ingaruka nke cyane.
| Ingorane zishoboka | Ibyo bivuze... (Ibyo bivuze...) |
|---|---|
| Kwandura | Udukoko twinjira aho umuntu yatobowe cyangwa mu maraso. |
| Gukomereka/Hematoma | Aho urushinge rwashyizwe hahinduka ubururu cyangwa amaraso akava. |
| Kubyimba kw'amaraso (Trombose) | Amaraso abumba hirya no hino mu mutsi. |
| Phlebitis (kubyimba k'imitsi) | Umutsi urabyimba, urababara, kandi urabyimba. |
| Umutsi wahumetse | Urushinge rwakubise umutsi, rurawungiza maze umuti uva mu mutsi. |
Ni nde ushobora kugira ikibazo cyo gushyiramo kanula?
Akenshi, kanula ishobora gushyirwamo neza ku nshuro ya mbere. Ariko, kuri bamwe, ibi bishobora kugorana gato. Hari impamvu nyinshi zibitera.
- Niba waragize ikibazo cyo gushyiramo kanula mu bihe byashize.
- Iyo hari ibura ry'amazi mu mubiri, bivuze ko hari umwuma ukabije .
- Ku bafite imitsi mito cyane aho imitsi itagaragara.
- Ku bafite uruhu rwijimye (kuko bigoye kubona imitsi).
- Ku bafite indwara zimwe na zimwe nka Diyabete na Kanseri .
- Ku bantu bafite ibiro bike cyane cyangwa barengeje ibiro byinshi.
- Ku bakorerwa imiti igabanya ubukana bwa kanseri.
Ubutumwa bwo kujyana mu rugo
- Cannula (Peripheral IV) ni uburyo busanzwe kandi bwizewe bukoreshwa mu gutanga imiti, nka saline, mu buryo butaziguye mu mitsi.
- Niba uhangayikishijwe n'ubu buryo bwo kuvura cyangwa urushinge, ntutinye kubimenyesha muganga wawe cyangwa umuforomo . Bazagufasha.
- Niba agace ka cannula kababaza cyane, kabyimbye, gatukura, cyangwa gatanga amazi, bibwira muganga cyangwa umuforomo ako kanya.
- Kubera ko ishobora kwambarwa iminsi myinshi (ubusanzwe iminsi 3-4) umaze kuyishyiraho, bikurinda guhora ufata inzara zawe.
- Niba ufite ibindi bibazo kuri ibi, ntukabihishe wenyine, ahubwo baza muganga wawe.

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