Oko kufuneka ukwazi malunga nePeripheral IV

Ngaba wakha waya esibhedlele? Ukuba kunjalo, into enye oza kujongana nayo kukufakwa kwe-cannula engalweni yakho. Ngokwesiqhelo, "yinaliti engalweni." Isetyenziselwa izinto ezininzi, kubandakanya ukunika i-saline, ukunika amayeza okubulala iintsholongwane, ukunika igazi... Ngoko ke le yinto esiyibiza ngokwezonyango ngokuba yi- peripheral IV . Oku kuyinto eqhelekileyo kakhulu. Malunga nama-80% ezigulana ezingeniswe kwizibhedlele kwihlabathi liphela kufuneka zifakwe i-IV ngale ndlela. Ngoko ke masithethe ngayo yonke le nto namhlanje.

Ngamafutshane, yintoni iPeripheral IV?

I-peripheral IV yityhubhu yeplastiki ebhityileyo neguquguqukayo efakwa kwenye yemithambo yakho. Thina oogqirha siyibiza le nto ngokuba yi-catheter . Ifakwa kwimithambo kusetyenziswa inaliti encinci. Nje ukuba inaliti ingene kwimithambo, inaliti iyasuswa, kushiyeke kuphela ityhubhu yeplastiki ebhityileyo ngaphakathi kwimithambo. Leyo yityhubhu ebotshelelwa engalweni yakho ngeplasta.

Oku kubizwa ngokuba yi-"peripheral" kuba kunikwa imithambo ekude nombindi womzimba wethu (isifuba), njengaleyo isezingalweni nasemilenzeni. Le yindlela yonyango lwe-intravenous esetyenziswa kakhulu ehlabathini.

Oku kubizwa ngamanye amagama aliqela:

• I-catheter ye-peripheral IV
• I-catheter yemithambo ejikeleze imithambo
• Umgca we-IV ojikelezayo

Kutheni kufuneka sifake iPeripheral IV?

Ugqirha okanye umongikazi uza kukufaka kwi-IV ngezizathu ezimbalwa eziphambili. Ivumela ukuba igazi litsalwe ngayo, kwaye ivumela nonyango ukuba lunikwe ngqo egazini lakho. Oku kuvumela ukuba amayeza afunxwe ngokukhawuleza kwaye kukunceda ukuba uphile ngokukhawuleza.

Iimeko eziphambili apho kusetyenziswa khona i-IV zezi:

• Nika ulwelo lwe-IV: Oku sikubiza ngokuba yi-saline. Isetyenziselwa ukunika ulwelo ngokukhawuleza emzimbeni kwiimeko ezifana nokuphelelwa ngamanzi emzimbeni, oko kukuthi, xa kungekho manzi aneleyo emzimbeni.
• Nika amayeza: Amayeza afanele asebenze ngokukhawuleza, ingakumbi amayeza okubulala iintsholongwane, anikwa ngemithambo yegazi. Iipilisi zokunciphisa iintlungu kunye namanye amayeza akhethekileyo anokunikwa ngale ndlela.
• Utofelo-gazi: Xa umntu efuna igazi, igazi linikwa ngalo mgca we-IV.
• Nika ukutya okumanzi: Le ndlela isetyenziselwa ukunika isondlo ngqo emthanjeni kwizigulana ezingakwaziyo ukutya ngomlomo okanye ukufunxa ukutya ngamathumbu. Oku sikubiza ngokuba yi-total parenteral nutrition (TPN) .

Iindawo eziqhelekileyo zokufaka i-IV ngasemva kwengalo, ngaphakathi kwengqiniba, kwaye ngamanye amaxesha umlenze. Kwiintsana ezincinci, imithambo emincinci entloko ngamanye amaxesha iyasetyenziswa, njengoko kulula ukuyifumana.

Yintoni umahluko phakathi kwezinye iintlobo ze-IV kunye ne-Peripheral IV?

Mhlawumbi ukhe weva amagama afana nomgca wePICC kunye nomgca ophakathi. La ahluke kancinci kwiPeripheral IV. Makhe sijonge ukuba yintoni umahluko.

Ngamafutshane, i-peripheral IV yeyona ilula, ikhuselekileyo, kwaye kulula ukuyifaka. Ayinabuhlungu kangako.

Inkqubo yokufaka i-IV yenzeka njani?

Kulungile, ngoku makhe sibone ukuba kwenzeka ntoni xa i-cannula ifakwa engalweni yakho. Akukho mntu uthanda ukuhlatywa, kodwa ukwazi le nkqubo kuya kunceda ekunciphiseni uloyiko lwakho kancinci.

1. Ukulungiselela

Okokuqala, umongikazi okanye ugqirha uza kubuza igama lakho kunye nezinye iinkcukacha ukuqinisekisa ukuba ungumntu olungileyo. Ukuba uyoyika iinaliti, baxelele ngazo. Baza kukunceda uphumle. Emva koko baza kukucela ukuba ubeke isandla sakho kwinto ekhululekileyo, njengomqamelo.

2. Ukufumana umthambo

Inyathelo elilandelayo kukufumana umthambo olungileyo. Umongikazi uza kuhlamba izandla zakhe, anxibe iiglavu, aze ahlole ingalo yakho. Baza kukhangela umthambo othe tye ongajongi ngaphakathi, ongahlumiyo, kwaye mkhulu kancinci.

• Mhlawumbi ukhe wayibona irabha ( i-tourniquet ) ifakwa engalweni engasentla. Oku kwenzelwa ukwenza imithambo izaliswe ligazi kwaye ibonakale ngokucacileyo.
• Emva koko bakuxelela ukuba nixhawulane.
• Ncangcazela umthambo ngeminwe yakho ukuze ubone ukuba ulungile kangakanani na nokuba uyahambahamba na.
• Ngamanye amaxesha, ukuba kunzima ukufumana umthambo, isixhobo esikhethekileyo sokufumana imithambo singasetyenziswa.

3. Ukufaka i-cannula

Nje ukuba kufunyenwe umthambo olungileyo, i-anesthetic efakwe apha emzimbeni ingafakwa ukuze ivale loo ndawo. Oku kuluncedo kakhulu kubantwana abancinci. Ibhendi yerabha iyasuswa ngelo xesha, njengoko kuthatha malunga nemizuzu engama-30 ukuba i-anesthetic isebenze.

Emva koko, indawo ihlanjululwe kakuhle nge-antiseptic kwaye irabha iqiniswe kwakhona.

Eyona nto ibalulekileyo ngoku. Umongikazi uza kutsala ulusu lwengalo yakho ngokuqinileyo ngesandla esinye. Vimbela umthambo ukuba ungashukumi. Ngesinye isandla, baza kubamba inaliti kunye nombhobho weplastiki (i-cannula) ojikeleze yona. Baza kukuxelela, "Inaliti iza kufakwa," baze bafake inaliti eluswini baze bangene emthanjeni ngekona engaphantsi kakhulu.

Xa inaliti ingena emthanjeni, kuphuma ithontsi elincinci legazi emva kwe-cannula. Oko kuthetha ukuba isebenza kakuhle. Emva koko , njengoko inaliti ikhutshwa kancinci, umbhobho weplastiki utyhalelwa phambili kancinci emthanjeni. Ekugqibeleni, inaliti isusiwe ngokupheleleyo, kwaye ibhendi yerabha isusiwe.

4. Ukukhusela

Ngoku, okuseleyo ngaphakathi emthanjeni yityhubhu yeplastiki ebhityileyo. Indawo icocekile kakuhle ize igqunywe ngebhandishi ecacileyo. Emva koko, i-cannula ibotshelelwa eluswini ukuze ingashukumi. Ekugqibeleni, umhla nexesha i-cannula efakwe ngalo zibhaliwe kwibhandishi.

Emva koko, ukuba kuyimfuneko, kuthathwa igazi elithile ukuze kuvavanywe igazi, kwaye kuthunyelwa i-saline flush ngomgca we-saline ukujonga ukuba umgca usebenza kakuhle na.

Le nkqubo yonke, ukuba umthambo ungafumaneka lula, ithatha ngaphantsi komzuzu.

Zithini iingozi kunye neengxaki zoku?

Nangona ukubeka i-peripheral IV kuyinkqubo ekhuselekileyo kakhulu, ngamanye amaxesha kunokubakho iingxaki ezincinci. Nangona kunjalo, ezi azixhaphakanga kakhulu.

• Usulelo:Iintsholongwane zinokungena egazini ngendawo yokufaka i-cannula, yiyo loo nto kubalulekile ukugcina indawo icocekile.
• Ukopha okanye iHematoma: Kusenokubakho ukopha okuncinci kwindawo ebhoboziweyo, okanye igazi lisenokuqokelelana phantsi kwesikhumba lize libe luhlaza okwesibhakabhaka.
• I-Thrombosis: Ihlwili legazi lisenokwakheka ngaphakathi emthanjeni ojikeleze i-cannula.
• I-Phlebitis: Umthambo uyasuleleka kwaye unokuba bomvu kwaye ube buhlungu.
• Umthambo ovuthuzayo: Ukuba inaliti idlula emthanjeni ize iyibhoboze, iyeza okanye ityuwa inokuvuza iphume emthanjeni iye kwizicubu, nto leyo ebangela ukuba indawo idumbe.
• Ukonakala kwemithambo-luvo okanye kwimithambo-luvo: Oku kunqabile kakhulu.

Ngaba wonke umntu angafumana i-IV ngokulula?

Hayi. Ngamanye amaxesha akunakwenzeka ukufaka i-cannula okokuqala. Uphando lubonise ukuba phakathi kwama-65% nama-86% eemeko ziyaphumelela kwinzame yokuqala. Nangona kunjalo, phakathi kwama-8% nama-23% eemeko, kunokuba nzima ukuyifaka.

Kukho izizathu ezahlukeneyo zokuba kutheni kunokuba nzima ukufaka i-IV:

• Imbali: Ukuba wakha waba nobunzima bokufumana i-IV ngaphambili.
• Ukuphelelwa ngamanzi emzimbeni: Xa umzimba ungenamanzi, imithambo yegazi iyancipha kwaye kuba nzima ukuyifumana.
• Uhlobo lwemithambo: Imithambo yabanye abantu ayibonakali emehlweni, okanye ibhityile kakhulu.
• Umbala wolusu: Ngamanye amaxesha kunokuba nzima kancinci ukufumana imithambo yabantu abanesikhumba esimnyama.
• Ezinye izizathu: Kunzima ukuzifumana imithambo yegazi ngenxa yezinto ezifana nokusetyenziswa kweziyobisi, amanxeba otyando, iimeko zonyango ezifana nesifo seswekile, umhlaza, ukwehla okanye ukutyeba, kunye ne-chemotherapy.

Kwakhona, idatha ibonisa ukuba kunokuba nzima kancinci kubafazi ukufumana i-IV kunakumadoda.

Ingakanani ixesha eliseleyo kwi-IV enye?

Ngokwesiqhelo, ngokwemigaqo-nkqubo yesibhedlele, i-peripheral IV cannula enye ishiywa endaweni yayo kangangeeyure ezingama-72 ukuya kuma-96, nto leyo ethatha malunga neentsuku ezi-3-4. Ukuba unyango lufuneka ixesha elide kunelo, i-cannula endala iyasuswa kwaye i-cannula entsha ifakwe kwindawo entsha ukunciphisa umngcipheko wosulelo.