Okudingeka ukwazi nge-Peripheral IV

Wake waya esibhedlela? Uma kunjalo, into eyodwa okuzodingeka ubhekane nayo ukufaka i-cannula engalweni yakho. Ngamagama avamile, "iyinaliti engalweni." Isetshenziselwa izinto eziningi, okuhlanganisa ukunikeza usawoti, ukunikeza ama-antibiotic, ukunikeza igazi... Ngakho-ke yilokhu esikubiza ngokwezokwelapha ngokuthi i -peripheral IV . Lokhu empeleni kuyinto evamile kakhulu. Cishe ama-80% eziguli ezingeniswe ezibhedlela emhlabeni wonke kufanele zifakwe i-IV ngale ndlela. Ngakho ake sixoxe ngakho konke lokhu namuhla.

Kalula nje, iyini i-Peripheral IV?

I-peripheral IV iyipayipi elincane, eliguquguqukayo lepulasitiki elifakwa komunye wemithambo yakho. Thina odokotela sikubiza ngokuthi i-catheter . Lifakwa emthanjeni kusetshenziswa inalithi encane. Uma inalithi isisemzimbeni, inalithi iyasuswa, kushiye kuphela ipayipi elincane lepulasitiki elingaphakathi emthanjeni. Lelo yipayipi elinamathiselwe engalweni yakho nge-plaster.

Lokhu kubizwa ngokuthi "i-peripheral" ngoba kunikezwa imithambo ekude kakhulu nesikhungo somzimba wethu (isifuba), njengaleyo esezingalweni nasemilenzeni. Lena yindlela yokwelapha ngemithambo yegazi esetshenziswa kakhulu emhlabeni.

Lokhu kubizwa ngamanye amagama amaningana:

• I-catheter ye-peripheral IV
• I-catheter yemithambo yegazi engaphandle
• Umugqa we-Peripheral IV

Kungani sidinga ukufaka i-Peripheral IV?

Udokotela noma umhlengikazi uzokufaka ku-IV ngezizathu ezimbalwa eziyinhloko. Kuvumela igazi ukuthi likhishwe ngayo, futhi kuvumela nokwelashwa ukuthi kunikezwe ngqo egazini lakho. Lokhu kuvumela ukuthi umuthi umunceke ngokushesha futhi kukusize ukuthi ululame ngokushesha.

Izimo eziyinhloko lapho kusetshenziswa khona i-IV yilezi:

• Nikeza uketshezi lwe-IV: Lokhu yilokho esikubiza ngokuthi usawoti. Kusetshenziselwa ukunikeza uketshezi emzimbeni ngokushesha ezimweni ezifana nokuphelelwa amanzi emzimbeni, okungukuthi, lapho kungekho manzi anele emzimbeni.
• Phatha imithi: Imithi edinga ukusebenza ngokushesha, ikakhulukazi ama-antibiotic, inikezwa ngemithambo yegazi. Ama-painkiller neminye imithi ekhethekile inganikezwa ngale ndlela.
• Ukumpontshelwa igazi: Uma umuntu edinga igazi, igazi linikezwa ngalo mugqa we-IV.
• Nikeza ukudla okumanzi: Le ndlela isetshenziselwa ukunikeza ukudla okunomsoco ngqo emthanjeni weziguli ezingakwazi ukudla ngomlomo noma ukumunca ukudla ngamathumbu. Lokhu sikubiza ngokuthi ukudla okunempilo okuphelele (i-TPN) .

Izindawo ezivame kakhulu zokufaka i-IV yingemuva lengalo, ingaphakathi lendololwane, futhi ngezinye izikhathi umlenze. Ezinganeni ezincane, imithambo emincane ekhanda ngezinye izikhathi isetshenziswa, njengoba kulula ukuyithola.

Uyini umehluko phakathi kwezinye izinhlobo ze-IV kanye ne-Peripheral IV?

Cishe uke wezwa amagama afana nomugqa we-PICC kanye nomugqa ophakathi. Lawa ahlukile kancane ku-Peripheral IV. Ake sibheke ukuthi umehluko uyini.

Kalula nje, i-peripheral IV iyindlela elula, ephephile, futhi elula ukuyifaka. Futhi ayibuhlungu kakhulu.

Inqubo yokufaka i-IV yenzeka kanjani?

Kulungile, manje ake sibone ukuthi kwenzekani uma i-cannula ifakwa engalweni yakho. Akekho othanda ukuhlatshwa, kodwa ukwazi inqubo kuzokusiza ukunciphisa ukwesaba kwakho kancane.

1. Ukulungiselela

Okokuqala, umhlengikazi noma udokotela uzokucela igama lakho kanye neminye imininingwane ukuqinisekisa ukuthi ungumuntu omuhle. Uma wesaba izinaliti, mtshele ngakho. Bazokusiza uphumule. Bese bekucela ukuthi ubeke isandla sakho entweni ekhululekile, njengomcamelo.

2. Ukuthola umthambo

Isinyathelo esilandelayo ukuthola umthambo omuhle. Umhlengikazi uzogeza izandla zakhe, agqoke amagilavu, bese ehlola ingalo yakho. Bazofuna umthambo oqondile ongabheki ngaphakathi, ongahlumi, futhi omkhulu kancane.

• Cishe uke wabona ibhande lerabha ( i-tourniquet ) lifakwa engalweni engenhla. Lokhu kwenzelwa ukwenza imithambo igcwale igazi futhi ibonakale ngokucacile.
• Bese bekutshela ukuthi uxhawulane.
• Phequlula umthambo ngeminwe yakho ukuze ubone ukuthi muhle kangakanani nokuthi uyahamba yini.
• Ngezinye izikhathi, uma kunzima ukuthola umthambo, kungasetshenziswa ithuluzi elikhethekile lokuthola imithambo.

3. Ukufaka i-cannula

Uma sekutholakale umthambo omuhle, umuthi wokubulala izinzwa osetshenziswa endaweni ungasetshenziswa ukuze kunciphe indawo. Lokhu kuwusizo kakhulu ezinganeni ezincane. Ibhande lerabha liyasuswa ngaleso sikhathi, njengoba kuthatha cishe imizuzu engama-30 ukuthi umuthi wokubulala izinzwa usebenze.

Ngemuva kwalokho, indawo ihlanzwa kahle ngesibulala-magciwane bese ibhande lerabha liqiniswa futhi.

Manje yingxenye ebaluleke kakhulu. Umhlengikazi uzodonsa isikhumba sengalo yakho siqine ngesandla esisodwa. Vimbela umthambo ukuthi ungashukumi. Ngesinye isandla, bazobamba inaliti kanye nepayipi lepulasitiki (i-cannula) elizungezile. Bazokutshela ukuthi, "Inaliti izofakwa," bese befaka inaliti esikhumbeni bese ingena emthanjeni nge-engeli engajulile kakhulu.

Uma inaliti ingena emthanjeni, kuphuma ithonsi elincane legazi ngemuva kwe-cannula. Lokho kusho ukuthi isebenza kahle. Ngemuva kwalokho , njengoba inaliti ikhishwa kancane, ipayipi lepulasitiki licindezelwa kancane emthanjeni. Ekugcineni, inaliti isuswa ngokuphelele, bese ibhande lerabha lisuswa.

4. Ukuvikela

Manje, okusele ngaphakathi emthanjeni yilelo payipi elincane lepulasitiki. Indawo ihlanzwa kahle futhi imbozwe ngebhandeshi elibonakalayo. Ngemuva kwalokho, i-cannula inamathiselwa esikhumbeni ukuze ingashukumi. Ekugcineni, usuku nesikhathi i-cannula efakwe ngaso kubhaliwe kubhandeshi.

Ngemuva kwalokho, uma kudingeka, kuthathwa igazi elithile ukuze kuhlolwe igazi, bese kuthunyelwa i-saline flush ngomugqa we-saline ukuze kuhlolwe ukuthi umugqa usebenza kahle yini.

Lonke lolu hlelo, uma umthambo ungatholakala kalula, luthatha isikhathi esingaphansi komzuzu.

Yiziphi izingozi nezinkinga zalokhu?

Nakuba ukubeka i-peripheral IV kuyinqubo ephephile kakhulu, ngezinye izikhathi kungaba nezinkinga ezincane. Kodwa-ke, lezi azivamile.

• Ukutheleleka:Amagciwane angangena egazini ngendawo yokufaka i-cannula, yingakho kubalulekile ukugcina indawo ihlanzekile.
• Ukopha noma iHematoma: Kungase kube nokopha okuncane endaweni yokubhoboza, noma igazi lingaqoqana ngaphansi kwesikhumba bese liphenduka libe luhlaza okwesibhakabhaka.
• I-Thrombosis: Kungase kwakheke ihlule legazi ngaphakathi emthanjeni ozungeze i-cannula.
• I-Phlebitis: Umthambo uyatheleleka futhi ungase ube bomvu futhi ube buhlungu.
• Umthambo ovuvukile: Uma inaliti idlula emthanjeni bese iyibhoboza, umuthi noma i-saline ingavuza iphume emthanjeni iye esicutshini, okubangela ukuba indawo ivuvuke.
• Ukulimala kwemizwa noma imithambo: Lokhu akuvamile kakhulu.

Ingabe wonke umuntu angayithola kalula i-IV?

Cha. Ngezinye izikhathi akunakwenzeka ukufaka i-cannula okokuqala. Ucwaningo lukhombisile ukuthi phakathi kuka-65% no-86% wamacala ayaphumelela ekuzameni kokuqala. Kodwa-ke, phakathi kuka-8% no-23% wamacala, kungaba nzima ukuyifaka.

Kunezizathu eziningana zokuthi kungani kungaba nzima ukufaka i-IV:

• Umlando: Uma wake waba nobunzima bokuthola i-IV esikhathini esidlule.
• Ukuphelelwa amanzi emzimbeni: Uma umzimba ungenawo amanzi, imithambo yegazi iyancipha futhi kube nzima ukuyithola.
• Uhlobo lwemithambo: Imithambo yabanye abantu ayibonakali ngamehlo enyama, noma mincane kakhulu.
• Umbala wesikhumba: Ngezinye izikhathi kungaba nzima ukuthola imithambo yabantu abanesikhumba esimnyama.
• Ezinye izimbangela: Kungaba nzima ukuthola imithambo yegazi ngenxa yezici ezifana nokusetshenziswa kwezidakamizwa, izibazi ezivela ekuhlinzweni, izimo zezokwelapha ezifana nesifo sikashukela, umdlavuza, ukwehla noma ukukhuluphala kwesisindo, kanye ne-chemotherapy.

Futhi, idatha ikhombisa ukuthi kungaba nzima kancane ngabesifazane ukuthola i-IV kunabesilisa.

Kungashiywa isikhathi esingakanani ku-IV eyodwa?

Ngokuvamile, ngokwenqubomgomo yesibhedlela, i-peripheral IV cannula eyodwa ishiywa endaweni yayo amahora angu-72 kuya kwangu-96, okungaba yizinsuku ezingu-3-4. Uma kudingeka ukwelashwa isikhathi esingaphezu kwalokho, i-cannula endala iyasuswa bese kufakwa i-cannula entsha endaweni entsha ukuze kuncishiswe ingozi yokutheleleka.