Ukuba wakha waya esibhedlele okanye kwigumbi likaxakeka, kusenokwenzeka ukuba kwafuneka ufake i-cannula. Abanye abantu bayoyika okanye banomdla malunga nale tube incinci yeplastiki efakwe emthanjeni osengalweni yakho okanye kwenye indawo yomzimba wakho. "Kutheni le nto ifakwa?", "Ingaba iza kuba buhlungu?", "Kuza kwenzeka ntoni?", njl. Usenokuba nemibuzo efana nale engqondweni yakho. Ngoko ke namhlanje, masicacise yonke imibuzo onayo malunga nale cannula, okanye ngokwezonyango, 'i-peripheral IV', akunjalo?
Kalula nje, yintoni le cannula?
I-cannula yityhubhu yeplastiki ebhityileyo kakhulu, eguquguqukayo efakwa kwenye yemithambo yakho. Ikwabizwa ngokuba yi-'catheter'. Isetyenziselwa ukunika umzimba wakho unyango, olufana nolwelo kunye namayeza, ngqo egazini lakho.
Khawucinge nje, malunga ne-80% yezigulana ezingeniswe kwizibhedlele kwihlabathi liphela ziya kufuna uncedo lwe-cannula ngexesha lokuhlala kwazo. Le yindlela yonyango olusetyenziswa kakhulu esibhedlele. Ngamanye amaxesha ikwabizwa ngokuba yi-'Peripheral IV catheter', 'Peripheral venous catheter' okanye 'Peripheral IV line'. Nangona kunjalo, le yi-'cannula' esiyaziyo sonke.
Zeziphi izinto ozifakayo kwi-cannula?
Oogqirha kunye nabongikazi basebenzisa i-cannula ngeenjongo eziphambili ezininzi. Makhe sijonge ukuba zeziphi ezi zinto.
| Sebenzisa | Ingcaciso elula |
|---|---|
| Ulwelo lwe-IV | Xa umzimba uphelelwe ngamanzi emzimbeni, nika umzimba ityuwa kunye nezinye izinto ezibangela ulwelo. |
| Amayeza | Amanye amayeza, afana nee-antibiotics, anokunikwa ngqo emthanjeni ukuze kufunyanwe iziphumo ezikhawulezileyo. |
| Utofelo-gazi | Nikela ngegazi xa umzimba ulifuna, nokuba emva kotyando okanye ingozi. |
| Isondlo | Kwizigulane ezingakwaziyo ukutya ngomlomo, zonke izondlo ezifunekayo zinikwa ngemithambo yegazi. Oku kubizwa ngokuba yi-(Total Parenteral Nutrition). |
| Iisampuli zegazi | Ngamanye amaxesha oku kusetyenziswa xa kuthathwa igazi ukuze kuhlolwe. |
Enye yezona nzuzo zinkulu zokufakwa kwe-cannula kukuba ukuba ufuna unyango kangangeentsuku ezininzi, ungakuphepha ukuhlatywa ngenaliti ngalo lonke ixesha.
Amaxesha amaninzi, i-cannula ifakwa emthanjeni ngasemva kwesandla, ngaphakathi kwengqiniba, okanye emlenzeni. Nangona kunjalo, kwiintsana ezincinci, imithambo esezintlokweni zazo ngamanye amaxesha ibekwa kwezo ndawo, kuba kulula ukuzifumana.
Yintoni umahluko phakathi kwe-cannula kunye nezinye iintlobo zemigca?
Usenokuba ukhe weva amanye amagama afana nomgca wePICC. Kukho umahluko omncinci phakathi kwala magama.
Umgca wePICC
Le ikwayityhubhu efakwa kumthambo, kodwa inde kakhulu kwaye ityebile kune-cannula. Ifakwa ngomthambo ongalweni nakwi-venation enkulu esifubeni. Isetyenziselwa abantu abafuna unyango ixesha elide kakhulu , njengeeveki okanye iinyanga. Kodwa khumbula, ukufaka i-cannula eqhelekileyo kukhuselekile kakhulu, kulula, kwaye akubuhlungu kangako kunomgca we-PICC.
Umgca ophakathi
Olu lolunye uhlobo olusetyenziselwa unyango lwexesha elide. Lufutshane kancinci kunomgca we-PICC. Ngamanye amaxesha lusetyenziswa kubantu abangenako ukufakwa komgca we-PICC.
Isebenza njani yonke inkqubo yokufaka i-cannula?
Kulungile, ngoku masibone ukuba kwenzeka ntoni xa siyifaka le nto. Le yinkqubo ethatha inyathelo ngenyathelo.
1. Ukulungiselela
Okokuqala, ugqirha okanye umongikazi uza kukubuza ngeempawu zakho aze aqinisekise ukuba nguwe. Ukuba uyoyika iinaliti, baxelele ngazo. Baza kukunceda uzole. Emva koko baza kukucela ukuba ubeke isandla sakho kwindawo ekhululekileyo.
2. Ukufumana umthambo
Emva koko, bahlamba izandla zabo kakuhle, banxibe iiglavu, baze bafumane umthambo ofanelekileyo, ongangeniyo engalweni okanye emlenzeni. Bakhetha umthambo othe tye noqinileyo ongashukumiyo. Ukuze bakhuphe umthambo, baza kufaka i-tourniquet ejikeleze ingalo yakho. Uza kucelwa ukuba ugobe ingalo yakho. Baza kucofa iminwe yakho ukuze bafumane umthambo ongcono. Ngamanye amaxesha, ukuba kunzima ukufumana umthambo, banokusebenzisa isixhobo esincinci esibizwa ngokuba sisixhobo sokufumana imithambo.
3. Ukuqinisa nokucoca ulusu
Xa umthambo ufunyenwe, ngamanye amaxesha, ingakumbi kubantwana abancinci, i-anesthetic esetyenziswayo ingafakwa kwindawo leyo. Ukuba ifakiwe, linda imizuzu embalwa ukuze isebenze ngaphambi kokufaka i-cannula. Emva koko, indawo ihlanjululwe kakuhle nge-antiseptic swab.
4. Ukufaka i-cannula
Eyona nto ibalulekileyo yile. Ngaphambi kokuba bakwenze, baza kukuxelela into efana nale, "Oku kuza kuba buhlungu kancinci." Emva koko baza kuyitsala ulusu ngokuqinileyo, babeke inaliti phantsi kolusu ngekona encinci, baze bayifake emthanjeni. Ityhubhu yeplastiki (i-catheter) eza nenaliti ihambela phambili kancinci emthanjeni, kwaye ugqirha uza kuyikhupha inaliti. Ngoku, yityhubhu yeplastiki kuphela engaphakathi emthanjeni. Emva koko baza kuyisusa i-tourniquet.
5. Khusela kwaye ujonge
Okokugqibela, indawo iyacocwa kakuhle kwaye i-cannula igqunywe nge-blank ebonakalayo ukuze ibonakale. Ityhubhu eqhagamshelwe kwi-cannula ireyipu ukuthintela intshukumo. Umhla kunye nexesha i-cannula efakwe ngalo zihlala zibhalwa kwiteyiphu. Emva koko, umgca uhlanjwa nge-saline ukujonga ukuba umgca usebenza kakuhle na kwaye kukho ukuvuza.
Ziziphi iingozi kunye neengxaki ezinokubangela oku?
Okokuqala, iingxaki zokufaka i-cannula azixhaphakanga kakhulu. Nangona kunjalo, njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu.
| Ingxaki enokwenzeka | Oko kuthetha... (Oko kuthetha...) |
|---|---|
| Usulelo | Iintsholongwane ezingena kwindawo yokubhoboza okanye egazini. |
| Ukudumba/iHematoma | Indawo apho inaliti ifakwe khona ijika ibe luhlaza okwesibhakabhaka okanye iphume igazi. |
| Ihlwili legazi (iThrombosis) | Amahlwili egazi ajikeleza i-cannula ngaphakathi emthanjeni. |
| I-Phlebitis (ukudumba komthambo) | Umthambo uyavuvukala, ube buhlungu, kwaye udumbe. |
| Umthambo ovuthuziweyo | Inaliti ibethe umthambo, yawonakalisa yaza yabangela ukuba iyeza liphume emthanjeni. |
Ngubani onokuba nobunzima bokufaka i-cannula?
Uninzi lwexesha, i-cannula inokufakwa ngempumelelo okokuqala. Nangona kunjalo, kwabanye abantu, oku kunokuba nzima kancinci. Kukho izizathu ezahlukeneyo zoku.
- Ukuba ubunengxaki yokufaka i-cannula ngaphambili.
- Ukuba kukho ukunqongophala kwamanzi emzimbeni, oko kuthetha ukuba kukho ukuphelelwa ngamanzi emzimbeni .
- Kwabo banemithambo emincinci kakhulu apho imithambo ingabonakali khona.
- Kwabo banesikhumba esimnyama (kuba kunzima ukufumana imithambo).
- Kwabo baneengxaki ezithile zempilo ezifana neDiabetes Mellitus kunye nomhlaza .
- Kwabo batyebe kancinci kakhulu okanye abatyebe kakhulu.
- Kwabo bafumana unyango lwe-chemotherapy ngenxa yomhlaza.
Umyalezo Wokuya Ekhaya
- I-cannula (iPeripheral IV) yindlela eqhelekileyo nekhuselekileyo esetyenziselwa ukunika amayeza, anjenge-saline, ngqo emthanjeni.
- Ukuba ukhathazekile ngale nkqubo okanye ngenaliti, ungoyiki ukuxelela ugqirha wakho okanye umongikazi . Baza kukunceda.
- Ukuba indawo ye-cannula ibuhlungu kakhulu, idumbile, ibomvu, okanye ikhupha ulwelo, xelela ugqirha okanye umongikazi ngokukhawuleza.
- Ekubeni inokunxitywa iintsuku ezininzi (ngesiqhelo iintsuku ezi-3-4) xa sele isetyenzisiwe, oku kuyakusindisa ekubeni uhlale uhlaba iinzipho zakho.
- Ukuba uneminye imibuzo malunga noku, musa ukuyigcina kuwe, kodwa buza ugqirha wakho.
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