Ngaba wena okanye umntu omaziyo wakha kwafuneka afumane amayeza e-intravenous (IV) kangangeentsuku, iiveki, okanye iinyanga? Okanye wakha wafuna ukutsalwa igazi rhoqo? Sonke siyayazi intlungu, ukungonwabi, kunye nomonakalo wemithambo-luvo oza nokutshintsha i-cannula rhoqo emva kweentsuku ezimbini ukuya kwezintathu, kunye nokugqobhoza umthambo rhoqo kuba ungawufumani. Kwabo bafuna unyango lwexesha elide, kwaye kufuneka batsalwe igazi rhoqo, umgca we-PICC yindlela ekhethekileyo nelula yokunciphisa ukungonwabi kwezi zithuba.
Yintoni kanye kanye umgca wePICC?
Ngamafutshane, umgca we-PICC (Peripherally Inserted Central Catheter) yityhubhu (i-catheter) efakwa emthanjeni. Kodwa ayifani ne-cannula encinci esiyibona rhoqo esihlahleni . Yityhubhu yeplastiki ende kakhulu, encinci, eguquguqukayo kakhulu, nethambileyo.
Oku kudla ngokufakwa kumthambo ongalweni yakho, ngaphezulu nje kwengqiniba yakho, uze emva koko udibanise loo mthambo kancinci uye kumthambo omkhulu osesifubeni sakho. Nje ukuba ufakwe, yityhubhu encinci kuphela ebonakala ngesikhumba sengalo yakho. Le tyhubhu ingasetyenziselwa ukunika amayeza e-IV, ulwelo, kunye neesampuli zegazi ezingenabuhlungu.
Uyifaka njani le PICC line?
Le yinkqubo enzima ngakumbi kunokufaka i-cannula eqhelekileyo, ngoko ke yenziwa ngugqirha okanye umongikazi ofumene uqeqesho olukhethekileyo ngale njongo. Khawuthelekelele ukuba ucwangciselwe ukufakwa komgca we-PICC. Emva koko kwenzeka into efana nale.
1. Ukuchongwa kwemithambo: Okokuqala, ugqirha usebenzisa umatshini okhethekileyo wokuskena, umatshini we-ultrasound, ukuze afumane imithambo enzulu engalweni yakho engasentla. Oku kunceda ekufumaneni imithambo ngokuchanekileyo kwaye kunciphisa iimpazamo.
2. Ukucoca: Emva koko, ukukhusela indawo apho umgca uza kufakwa khona kwiintsholongwane, indawo iyacocwa kakuhle ize igqunywe ngelaphu elicocekileyo. Oku kubaluleke kakhulu ukuthintela usulelo.
3. Ukungaziva buhlungu: Kufakwa iyeza elincinci kwindawo apho ityhubhu ifakwa khona ukuze ungabi nantlungu. Oku kuthetha ukuba awuyi kuva ntlungu ingako xa intambo ifakwa.
4. Ukufaka umgca: Ngoku ekubeni indawo ingasasebenzi kakuhle, umbhobho omncinci ufakwa kancinci emthanjeni, uye phezulu kumthambo omkhulu esifubeni. Nangona oku kunokuvakala ngathi kukutyhala kancinci, uninzi lwezigulane aluziva ntlungu ingako okanye ukungakhululeki.
5. Indawo kunye nokuqinisekiswa: Nje ukuba umgca ufakwe kakuhle, ubotshelelwa engalweni ngohlobo oluthile lweplasta ukuze ungashukumi kwaye ugutyungelwe ngebhandeji elingenazintsholongwane ukuze likhuseleke kwiintsholongwane. Okokugqibela, kwenziwa i-x-ray yesifuba ukuqinisekisa ukuba ityhubhu ikwindawo efanelekileyo ngokupheleleyo.
6.Ukusebenza njengesiqhelo: Nje ukuba konke oku kugqityiwe, uya kukwazi ukugoba, ukwandisa, nokwenza imisebenzi eqhelekileyo ngaphandle komgca we-PICC.
Zithini iingenelo zokusebenzisa umgca we-PICC?
Eyona nzuzo iphambili yokusebenzisa umgca we-PICC kukuba kulula ukuwunika umntu ofumana unyango lwexesha elide.
- Ukukhululeka kwiintonga zeenaliti ezihlala zisetyenziswa: Ungakhululeka ngokupheleleyo kwisidingo sokufaka ii-cannula ngokuphindaphindiweyo kangangeentsuku okanye iiveki. Nje ukuba umgca we-PICC ufakwe, ungashiywa endaweni yawo kangangeeveki, kwaneenyanga.
- Ukukhusela imithambo: Amanye amayeza aqatha e-IV ayacaphukisa kakhulu imithambo. Xa la mayeza enikwa rhoqo, imithambo ingonakalisa kwaye idumbe. Ekubeni umgca we-PICC uqhagamshelwe ngqo kumthambo omkhulu, uthintela umonakalo kwimithambo emincinci.
- Ukulungela: Oku kungasetyenziswa ezibhedlele, nakwezinye iimeko kwabo bafumana unyango ekhaya (`ukhathalelo lwasekhaya`).
- Iindlela ezininzi zokusetyenziswa: Ingasetyenziselwa ukunika iintlobo ezahlukeneyo zonyango lwe-IV, kunye nokufumana iisampuli zegazi ngaphandle kwentlungu phantse kulo naluphi na uvavanyo lwegazi.
Zithini iingozi zoku?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci ezibandakanyekayo ekufakweni nasekusetyenzisweni komgca we-PICC. Kubalulekile ukuzazi ezi zinto.
Khumbula, uninzi lwale mingcipheko ayiqhelekanga, kwaye iqela lakho lezonyango liqeqeshwe ukuyilawula.
| Umngcipheko | Inkcazo |
|---|---|
| Intlungu/ukungonwabi | Ungaziva ungakhululekanga kancinci xa ufaka umgca. |
| Ukopha | Kusenokubakho ukopha kancinci kwindawo apho umgca ufakwe khona. |
| Ihlwili legazi emthanjeni (iThrombosis) | Kunqabile kakhulu ukuba kubekho ihlwili legazi ngaphakathi emthanjeni ojikeleze ityhubhu. Oku kunokubangela ukudumba kunye nentlungu engalweni. |
| I-Phlebitis | Oku kunokwenzeka nangayiphi na i-IV line. Umthambo unokuba bomvu kwaye ube buhlungu. |
| Usulelo | Iintsholongwane zingangena egazini okanye kwindawo apho umgca ufakwe khona. Oku kungathintelwa ngokugcina ibhandeji licocekile. |
| Umgca ophumayo/utshintsho lwendawo | Ukuba ayifakwanga kakuhle, umgca ungaphuma kancinci okanye ngokupheleleyo. Isenokutshintsha indawo yayo emthanjeni. Ukuba oku kuyenzeka, kuya kufuneka ibekwe ngokutsha okanye isuswe. |
| Umgca uvaliwe. | Ngamanye amaxesha umgca ungavalwa lihlwili legazi okanye amayeza. Amayeza angasetyenziselwa ukuwuvula kwakhona. |
Zeziphi ezinye iindlela ezikhoyo ngaphandle komgca we-PICC?
Kukho ezinye iindlela ezininzi zonyango lwe-IV. Ugqirha wakho uya kugqiba eyona ndlela ifanelekileyo kwimeko yakho.
- Ii-catheter ezimfutshane ezine-IV: Ezi zii-cannula eziqhelekileyo esizaziyo sonke. Zifakwa emthanjeni engalweni okanye esandleni. Ezi kufuneka zitshintshwe rhoqo emva kweentsuku ezimbalwa. Azifanelekanga nakwiimithi ezinamandla.
- Ii-catheter zemithambo ephakathi: Ezi zifakwa emthanjeni entanyeni, esifubeni esingaphezulu, okanye emqolo. Zilungele ukusetyenziswa okwethutyana nje kuphela (ngaphantsi kweeveki ezi-2) kwaye zisetyenziswa kuphela esibhedlele.
- Ii-catheter ezisisigxina: Ii-catheter ezisisigxina, ezifana nee-catheter zikaHickman kunye nee-ports, zifakwa kwigumbi lotyando. Ezi zisetyenziselwa abantu abafuna unyango ixesha elide kakhulu.
Okokugqibela, ukuba ufuna ukufumana unyango lwe-IV ixesha elide, umgca we-PICC lukhetho oluluncedo kakhulu nolulula. Ungaze ungathandabuzi ukuxoxa ngokukhululekileyo ngayo nayiphi na imibuzo, uloyiko, okanye iinkxalabo onazo ngayo nogqirha wakho .
Umyalezo Wokuya Ekhaya
- Umgca we-PICC yityhubhu ekhethekileyo, ende, nebhityileyo esetyenziselwa ukunika amayeza e-IV okanye izondlo zexesha elide kunye nokutsala igazi.
- Oku kunokunceda ukuthintela ukufakwa rhoqo kwe-cannula kunye nomonakalo kwimithambo yegazi.
- Oku kudla ngokwenziwa ngaphandle kwentlungu ngugqirha okanye umongikazi oqeqeshwe ngokukodwa.
- Njengakwezinye iinkqubo zonyango, kukho iingozi ezinokubakho, ezinje ngosulelo kunye nokuqhekeka kwegazi, kodwa azixhaphakanga kakhulu.
- Thetha nogqirha wakho malunga nokuba umgca we-PICC ukulungele na wena kunye nezinto ezilungileyo nezingalunganga ukuze wenze isigqibo esifanelekileyo.
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