Ese wowe cyangwa umuntu uzi wigeze ahabwa imiti yo mu mitsi (IV) mu gihe cy'iminsi, ibyumweru, cyangwa amezi? Cyangwa se wagombaga gupimwa amaraso kenshi? Twese tuzi ububabare, kumererwa nabi, no kwangirika kw'imitsi bizanwa no guhindura cannula buri minsi ibiri cyangwa itatu, no gutobora imitsi kenshi kuko utayibona. Ku bakeneye kuvurwa igihe kirekire, kandi bagomba gupimwa amaraso buri gihe, umurongo wa PICC ni uburyo bwihariye kandi bworoshye bwo kugabanya ububabare bw'iyi mitsi.
Umurongo wa PICC ni iki mu by'ukuri?
Mu magambo make, umurongo wa PICC (Peripherally Inserted Central Catheter) ni umuyoboro (catheter) winjizwa mu mutsi. Ariko ntabwo umeze nka kanula nto dukunze kubona mu kuboko . Ni umuyoboro muremure cyane, woroshye, woroshye kandi woroshye wa pulasitiki.
Ibi bikunze gushyirwa mu mutsi uri mu kuboko kwawe, hejuru gato y'inkokora yawe, hanyuma bigashyirwa buhoro buhoro kuri uwo mutsi mugari uri mu gituza cyawe. Iyo umaze gushyirwamo, umuyoboro muto ni wo ugaragara binyuze mu ruhu rw'ukuboko kwawe. Uyu muyoboro ushobora gukoreshwa mu kuguha imiti yo mu mitsi, ibinyobwa, n'amaraso adakomeretsa.
Ushyiramo gute uyu murongo wa PICC?
Ubu buryo buragoye gato kuruta gushyiramo kanula isanzwe, bityo bukorwa na muganga cyangwa umuforomo wahawe amahugurwa yihariye kuri iyi ntego. Tekereza ko ugomba gushyirwamo umurongo wa PICC. Hanyuma ikintu nk'iki kibaho.
1. Kumenya imitsi: Ubwa mbere, muganga akoresha imashini yihariye yo gupima, imashini ya ultrasound, kugira ngo amenye imitsi miremire iri mu kuboko kwawe. Ibi bifasha kumenya neza imitsi no kugabanya amakosa.
2. Gusukura: Hanyuma, kugira ngo hirindwe aho umurongo uzashyirwa mikorobe, aho hantu hasukurwa neza kandi hagatwikirwa n'igitambaro cyanduye. Ibi ni ingenzi cyane kugira ngo hirindwe kwandura.
3. Kubabara: Umuti muto uterwa mu gace k'aho umuyoboro ushyirwa kugira ngo ugire ikibazo cyo kubabara kugira ngo utababara. Ibi bivuze ko utazababara cyane igihe umurongo ushyizwemo.
4. Gushyiramo umurongo: Noneho ubwo agace kamaze kubura ibinure, umuyoboro muto winjizwa buhoro buhoro mu mutsi, uzamuka ukagera ku mutsi munini uri mu gituza. Nubwo ibi bishobora kumvikana nk'aho ari ugusunika gato, abarwayi benshi ntibababara cyane cyangwa ngo bumve nabi.
5. Aho umurongo uherereye no kuwushimangira: Iyo umurongo umaze gushyirwaho neza, uhambirwa ku kuboko hakoreshejwe ubwoko bwihariye bwa plaster kugira ngo wirinde kugenda kandi ugapfukwaho agatambaro kadasukuye kugira ngo karindwe mikorobe. Amaherezo, hakorwa X-ray yo mu gituza kugira ngo harebwe neza ko umuyoboro uri 100% ahantu heza.
6.Gukora nkuko bisanzwe: Ibi byose nibirangira, uzabasha kunama, kwagura, no gukora ibikorwa bisanzwe udafite umurongo wa PICC.
Ni izihe nyungu zo gukoresha umurongo wa PICC?
Akamaro gakomeye ko gukoresha umurongo wa PICC ni uburyo bworohereza umuntu uvurwa igihe kirekire.
- Kudakoresha inkoni zo gushisha kenshi: Ushobora kuba utagikeneye gukoresha cannula inshuro nyinshi mu minsi cyangwa ibyumweru. Iyo umurongo wa PICC umaze gushyirwamo, ushobora gusigara aho uri mu mwanya wawo mu gihe cy'ibyumweru cyangwa amezi.
- Kurinda imitsi: Imiti imwe n'imwe ikarishye yo mu mitsi itera ububabare cyane ku mitsi. Iyo iyi miti itanzwe buri gihe, imitsi ishobora kwangirika no kubyimba. Kubera ko umurongo wa PICC ufitanye isano itaziguye n'umutsi munini, birinda kwangirika kw'imitsi mito.
- Uburyo bworoshye: Ibi bishobora gukoreshwa mu bitaro, ndetse no mu bihe bimwe na bimwe ku bavurirwa mu rugo (`ubuvuzi bwo mu rugo`).
- Ikoreshwa mu buryo bwinshi: Ishobora gukoreshwa mu gutanga ubwoko butandukanye bw'ubuvuzi bwa IV, ndetse no kubona amaraso nta bubabare ku buryo hafi ya bwose bwo gupima amaraso.
Ni izihe ngaruka mbi zishobora guterwa n'ibi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nke zishobora guterwa no gushyiramo umurongo wa PICC. Ni ngombwa kubimenya.
Wibuke ko inyinshi muri izi ngaruka ziba nke cyane, kandi itsinda ry’abaganga bawe ryahuguwe kuzicunga.
| Ingaruka | Ibisobanuro |
|---|---|
| Ububabare/kubabara | Ushobora kumva utameze neza igihe ushyiramo umurongo. |
| Kuva amaraso | Hashobora kuba hari amaraso make ava aho umurongo washyizwe. |
| Ukwibumba kw'amaraso mu mitsi (Trombose) | Ni gake cyane, amaraso ashobora kuzura mu mitsi ikikije umuyoboro. Ibi bishobora gutera kubyimba no kubabara mu kuboko. |
| Phlebite | Ibi bishobora kubaho ku murongo uwo ari wo wose wa IV. Umutsi ushobora gutukura no kubabara. |
| Kwandura | Udukoko dushobora kwinjira mu maraso cyangwa aho umurongo washyizwe. Ibi bishobora kwirindwa hakoreshejwe isukuye. |
| Umurongo usohoka/guhindura aho uherereye | Iyo idashyizwemo neza, umurongo ushobora gusohoka igice cyangwa burundu. Ishobora no guhindura aho iherereye mu mutsi. Ibi nibibaho, bizakenera gusubizwa ahandi cyangwa gukurwaho. |
| Umurongo urafunze. | Hari igihe umurongo ushobora gufungwa n'amaraso cyangwa imiti. Imiti ishobora gukoreshwa kugira ngo wongere ufungurwe. |
Ni izihe zindi nzira zihari uretse umurongo wa PICC?
Mu by’ukuri hari ubundi buryo bwinshi bwo kuvura hakoreshejwe imiyoboro ya IV. Muganga wawe ni we uzaguhitiramo uburyo bukwiye cyane bitewe n’ikibazo cyawe.
- Catheter ngufi za IV: Izi nizo cannula zisanzwe twese tuzi. Zishyirwa mu mitsi mu kuboko cyangwa mu kuboko. Izi zigomba guhindurwa buri minsi mike. Ntabwo zikwiriye kandi imiti imwe n'imwe ikomeye.
- Katheta zo mu mitsi yo hagati: Izi zishyirwa mu mitsi yo mu ijosi, mu gituza cyo hejuru, cyangwa mu kibuno. Zikoreshwa gusa igihe gito (mu gihe kitarenze ibyumweru 2) kandi zikoreshwa gusa mu bitaro.
- Catheter zihoraho: Catheter zihoraho, nka catheter za Hickman na ports, zishyirwa mu cyumba cy’ababaga. Izi zikoreshwa ku bantu bakeneye kuvurwa igihe kirekire cyane.
Hanyuma, niba ukeneye kuvurwa hakoreshejwe imiti igabanya ubukana bw'imitsi mu gihe kirekire, umurongo wa PICC ni ingirakamaro cyane kandi woroshye. Ntugatinye kuganira na muganga wawe ku mugaragaro ku kibazo icyo ari cyo cyose, ubwoba cyangwa impungenge ufite kuri ibyo .
Ubutumwa bwo kujyana mu rugo
- Umurongo wa PICC ni umuyoboro wihariye, muremure kandi woroshye ukoreshwa mu gutanga imiti y'igihe kirekire cyangwa intungamubiri no gukuramo amaraso.
- Ibi bishobora gufasha gukumira gushyiramo cannula kenshi no kwangiza imitsi.
- Ibi akenshi bikorwa nta bubabare bukabije na muganga cyangwa umuforomo wabyigiye.
- Nkuko bigenda ku buryo bwose bwo kwa muganga, hari ibyago bishobora kubaho, nko kwandura no kuvura amaraso, ariko ni gake cyane.
- Vugana na muganga wawe niba umurongo wa PICC ukubereye n'ibyiza n'ibibi byawo kugira ngo ufate icyemezo cyiza.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.