Mhlawumbi wena okanye umntu osapho lwakho uxelelwe ngugqirha wakho ukuba kufuneka ufake umgca we-PICC. Ukuva elo gama kusenokuba kukwenze woyike kancinci, wanomdla, kwaye waxhalaba. Usenokuba ukhe wacinga, "Yintoni le nto intsha?" Kodwa ungoyiki. Namhlanje, siza kuthetha ngendlela elula neyobuhlobo malunga nokuba umgca we-PICC uyintoni, wenza ntoni, kwaye ungayinyamekela njani ngononophelo.
Kalula nje, yintoni i-PICC Line?
Umgca we-PICC (i-Peripherally Inserted Central Catheter) ngumbhobho omncinci kakhulu, oguquguqukayo, omde. Ufana nomgca we-saline (umgca we-IV/i-cannula) mhlawumbi owubonileyo engalweni yakho. Kodwa mde kancinci, unamandla, kwaye ungahlala emzimbeni wakho ixesha elide.
Oku kufakwa kumthambo osengalweni yakho engasentla, kwaye elinye icala lombhobho lifakwe kumthambo omkhulu kufutshane nentliziyo yakho. Isiphelo sangaphandle sombhobho sibonakala ngengalo yakho engasentla. Oku kukuvumela ukuba ufumane amayeza exesha elide, izondlo, kunye nezinye izinto ngokuthe ngqo kumthambo omkhulu.
Kuphantsi kweziphi iimeko apho kufuneka khona umgca we-PICC?
Ugqirha uhlala egqiba ekubeni abeke umgca we-PICC ukuba ufuna unyango ngemithambo yegazi ixesha elide. Oku kungenxa yokuba ukuba ne-cannula engalweni yakho yonke imihla kunokonakalisa imithambo yegazi. Kwakhona, amanye amayeza anamandla (umzekelo, amayeza okulwa nomhlaza) kunzima ukuwanyamezela kwimithambo yegazi emincinci.
Nazi ezinye zezinto ezisetyenziselwa umgca we-PICC:
- Ii-antibiotics zexesha elide: Kwimeko yosulelo, ii-antibiotics zinokufuneka zithathwe iiveki ezininzi.
- Unyango lomhlaza (iKhemotherapy): Nika amayeza okubulala iiseli zomhlaza ngqo kumthambo omkhulu.
- Utofelo-gazi: Kwizigulane ezifuna utofelo-gazi rhoqo.
- Ulwelo lwe-IV: Ukuba ufuna ukuqhubeka nokunika izinto ezifana ne-saline.
- Isondlo Esipheleleyo Somzali: Nika izigulane ezingakwaziyo ukutya ngomlomo kwaye ezingakwaziyo ukufunxa izondlo emathunjini ukutya okunesondlo esipheleleyo ngemithambo yazo.
- Ukuthathwa kwesampulu yegazi: Ngaphandle kokuhlaba umnwe wakho ngalo lonke ixesha, ungathatha isampuli yegazi kule tube uyithumele ukuba iye kuvavanywa.
Ngamafutshane, umgca we-PICC usetyenziselwa ukukhusela imithambo yakho kwiinaliti ezisetyenziswa rhoqo kunye nokubonelela ngonyango ngokulula nangokukhuselekileyo.
Kwenzeka ntoni ngaphambi kokuba kubekwe umgca we-PICC?
Ugqirha wakho uza kujonga izinto ezimbalwa ngaphambi kokuba anike le mithi.
- Ufanele umazise ngazo zonke amayeza kunye neevithamini ozisebenzisayo ngoku.
- Ugqirha uza kukubuza ngembali yakho epheleleyo yezonyango, ingakumbi ukuba ukhe waba nomhlaza webele, ukuqhaqhwa kwe-lymph node ye-axillary, izixhobo ezifakelweyo (umz., i-pacemakers), iingxaki zesingqisho sentliziyo (i-atrial fibrillation), okanye isifo sezintso esingapheliyo.
- Usenokuvavanywa igazi izihlandlo ezininzi ukuze ujonge ukuba igazi lakho lijiyile kangakanani na kwaye izintso zakho zisebenza kakuhle kangakanani na.
- Ngamanye amaxesha, uvavanyo lomfanekiso lunokwenziwa ukuze kubonwe ukuba imithambo ikwindawo enjani kanye kanye engalweni.
Indlela yokufaka umgca we-PICC (Inkqubo)
Oku kudla ngokuthatha malunga neyure kwaye akubuhlungu kangako. Khawucinge nje ukuba oku kwenziwa njani.
1. Ukulungiselela: Uza kwenziwa ukuba ulale ebhedini kwaye uqhagamshelwe kwisikrini ukuze ujonge izinto ezifana nokubetha kwentliziyo yakho kunye noxinzelelo lwegazi.
2. Ukufumana umthambo: Ugqirha uza kusebenzisa umatshini we-ultrasound ukufumana umthambo onzulu nofanelekileyo engalweni yakho engasentla.
3. Ukucoca nokufaka iintlungu: Indawo icocekile kakuhle ize igqunywe ngebhanti ecocekileyo ukuthintela usulelo. Emva koko, kufakwa iyeza lokufaka iintlungu kuloo ndawo ukuze ingabi nantlungu. Ngoko awuyi kuva ntlungu.
4. Ukufakwa kombhobho: Okulandelayo, umgca we-PICC ufakwa ngononophelo kumthambo ukusuka kwindawo engenanto uze ukhokelwe kwiSuperior Vena Cava, umthambo wegazi omkhulu ngaphezu kwentliziyo.
5. Ukhuseleko: Nje ukuba ityhubhu ibekwe endaweni yayo, inxalenye eveziweyo ibotshelelwa engalweni ngohlobo oluthile lweplasta kwaye igqunywe ngebhandishi ecocekileyo (ibhandeji) ukuyikhusela kwiintsholongwane.
Wakugqiba oku, ungagoduka ngaloo mini inye.
Ungayinyamekela njani i-PICC line ekhaya? Le yeyona nto ibalulekileyo!
Xa une-PICC line, kubalulekile ukuyinyamekela kakuhle ukuze uthintele usulelo. Ugqirha wakho kunye nabasebenzi bakho bomongikazi baza kukufundisa ngale nto. Nazi ezinye izinto eziqhelekileyo ekufuneka uzikhumbule.
Ukunyamekela ilokhwe
Ilokhwe egquma umgca we-PICC kufuneka ihlale icocekile, yomile, kwaye inamathele kakuhle eluswini . Ukuba imanzi, iphuma, okanye ingcolile, kufuneka itshintshwe ngoko nangoko. Le lokhwe idla ngokutshintshwa kube kanye ngeveki. Oku kwenziwa ngumongikazi okanye umntu oqeqeshiweyo. Ungaze ufake iikhrimu okanye iiloshini phantsi kwelokhwe.
Lumka xa uhlamba.
Akuyonto ilungileyo ukuvumela amanzi angene kwilokhwe xa uhlamba. Eyona nto ingcono onokuyenza kukugquma indawo kakuhle ukuze ingangeni manzi.
- Kukho izigqubuthelo ezikhethekileyo ezingangeni manzi onokuthi uzithenge kwiikhemesti.
- Okanye, ungabeka ilaphu elicocekileyo nelomileyo phezu kwengubo, uyisonge nge-cling wrap, uze uyiqinise nge-tape engangeni manzi phezulu nasezantsi.
Ukucoca uMgca
Ukuze uthintele ukuba amahlwili egazi angabikho ngaphakathi kwityhubhu, kufuneka uyigcine icocekile kwaye uyihlambe nge-saline ecocekileyo ngamanye amaxesha. Isibhedlele siza kukuxelela indlela yokwenza oku. Landela loo miyalelo ngokuchanekileyo.
Iingenelo kunye neengxaki zokuba nomgca we-PICC
Ungenza uninzi lwemisebenzi yakho yemihla ngemihla njengesiqhelo ngelixa une-PICC line. Nangona kunjalo, kukho izinto ezimbalwa ekufuneka uzilumkele.
| Izinto Okufanele Uziphephe | Izinto ezilungileyo |
|---|---|
| Ukuphakamisa ngaphezu kwe-4.5 kg (10 lbs) ngengalo enomgca we-PICC. | Izinto ezifana nokugoba, ukuzolula, ukubhala, nokutya ngendlela eqhelekileyo. |
| Ukuqubha, imidlalo yamanzi. | Ukuzilolonga okulula njengokuhamba. |
| Imidlalo ebandakanya iintshukumo zezandla ezikhawulezayo (umz. igalufa, i-bowling, i-vacuum cleaner). | Ukusebenzisa esinye isandla kuyo nayiphi na imisebenzi njengesiqhelo. |
| Nxibelelana nezemidlalo. | Nxibelelana nogqirha wakho kwaye wenze imisebenzi evumelekileyo. |
| Ukuzilolonga kakhulu okubangela ukubila emakhwapheni kwaye kunokubangela ukuba ilokhwe imanzi. | Thetha nogqirha wakho ngezinto ozithandayo uze ufumane icebiso lokuba ungazenza njani ngokukhuselekileyo. |
Zithini iingozi ngePICC Line?
Nangona umgca we-PICC unezibonelelo ezininzi, kukwakho nemingcipheko engaqhelekanga kakhulu ebalulekileyo ukuba uyazi.
- Usulelo: Iintsholongwane zinokungena egazini zisuka kwindawo efakwe kuyo ityhubhu. Le yeyona ngozi iphambili. Ukuba usulelo luba nzima, lunokukhokelela kwimeko esongela ubomi ebizwa ngokuba yi-sepsis .
- I-Thrombosis: Ihlwili legazi linokuvela ngaphakathi emthanjeni ojikeleze ityhubhu. Oku kunokubangela ukudumba kunye nentlungu engalweni.
- Ukuvaleka kombhobho: Amahlwili egazi anokwenzakala ngaphakathi kombhobho aze awuvale.
- Ityhubhu ingaphuma okanye iye kwenye indawo: Ukuba ayifakwanga kakuhle, ityhubhu ingaphuma kancinci okanye iye kwenye indawo ngaphakathi komthambo.
- Ukonakala komthambo: Kunqabile kakhulu, inaliti ingabetha umthambo okanye umthambo okufutshane ngexesha lokufakwa.
Ezi ngozi ziphantsi kakhulu, kodwa kubalulekile ukuqaphela oku nokuqaphela iimpawu zosulelo.
Ufanele uye nini kugqirha ngoko nangoko?
Ziqaphele ezi mpawu. Zisenokuba ziimpawu zesifo esinzulu.
| Iimeko Ezingxamisekileyo - Yiya kwiSebe Lezonyango Ezingxamisekileyo (ETU) elikufutshane ngoko nangoko | |
|---|---|
| - Umkhuhlane okanye ukubanda | - Ubunzima bokuphefumla okanye ukukhohlela |
| - Ukuba nesiyezi okanye ukuphelelwa zingqondo | - Ukuba igazi okanye olunye ulwelo luvuza kwindawo yomgca we-PICC |
| - Intlungu okanye ukudumba ebusweni, engalweni, okanye esifubeni | - Ezi zisenokuba ziimpawu ze -sepsis . |
| Thetha nogqirha wakho. | |
| - Ukuba indawo apho umgca we-PICC ufakwe khona ibomvu, ivakala ishushu, okanye ivakala ngathi yiqhuma . | - Ukuba ityhubhu iphuma kwaye ibonakala ngathi itshintshile ubude . |
| - Ukuba uziva ungenazintloni okanye urhawuzelelwa esandleni okanye kwiminwe ecaleni apho kukho umgca we-PICC. | - Ukuba uziva iintlungu xa unika amayeza ngetyhubhu. |
Umgca we-PICC yindlela yokwenza unyango lwakho lube lula kakhulu kwaye ikusindise ekubeni ufumane inaliti rhoqo. Kuthatha ixesha ukuqhela. Ungaziva ungakhululekanga xa abantu bekujonga baze babuze imibuzo ngako. Kodwa khumbula, unelungelo lokugqiba ukuba uxelele nabani na ngako okanye hayi. Ungakugubungela nangempahla enemikhono emide ukuba uyathanda. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- Umgca we-PICC yityhubhu ekhethekileyo esetyenziselwa ukwenza lula unyango lwexesha elide kunye nokuthintela izinti zeenaliti rhoqo.
- Ukuthintela usulelo yeyona nto ibalulekileyo, ngoko hlala ugcina ibhandeji apho kufakwe khona umgca we-PICC licocekile kwaye lomile .
- Xa uhlamba, qiniseka ukuba uyigquma kakuhle loo ndawo ukuze ingangeni manzi.
- Qaphela iimpawu ezilumkisayo ezinje ngomkhuhlane, ukubanda, ubunzima bokuphefumla, kunye nokudumba kwezandla. Ukuba kukho nayiphi na kwezi, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Landela imiyalelo enikiweyo ngugqirha wakho kunye nabasebenzi bomongikazi ngokuchanekileyo. Ungathandabuzi ukubabuza ukuba unemibuzo.
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