Mhlawumbe wena noma othile emndenini wakho utshelwe udokotela wakho ukuthi udinga ukufaka umugqa we-PICC. Ukuzwa lelo gama kungenzeka kukwenze wesaba kancane, waba nelukuluku, futhi waba novalo. Kungenzeka ukuthi uke wacabanga, "Kuyini lokhu okusha?" Kodwa ungesabi. Namuhla, sizoxoxa ngendlela elula kakhulu nenobungane ngokuthi uyini umugqa we-PICC, ukuthi wenzani, nokuthi ungawunakekela kanjani ngokucophelela.
Kalula nje, uyini umugqa we-PICC?
Umugqa we-PICC (i-Peripherally Inserted Central Catheter) uyipayipi elincane kakhulu, eliguquguqukayo, elide. Ufana nomugqa we-saline (umugqa we-IV/i-cannula) okungenzeka ukuthi uwubonile engalweni yakho. Kodwa mude kancane, unamandla, futhi ungahlala emzimbeni wakho isikhathi eside.
Lokhu kufakwa emthanjeni ongalweni yakho engenhla, kanti olunye uhlangothi lwepayipi lufakwe emthanjeni omkhulu eduze kwenhliziyo yakho. Uhlangothi lwangaphandle lwepayipi lubonakala ngengalo yakho engenhla. Lokhu kukuvumela ukuthi uthole imithi yesikhathi eside, ukudla okunomsoco, nezinye izinto ngqo emthanjeni omkhulu.
Kukuziphi izimo lapho kudingeka khona umugqa we-PICC?
Udokotela uvame ukunquma ukubeka umugqa we-PICC uma udinga ukwelashwa ngomthambo isikhathi eside. Lokhu kungenxa yokuthi ukuba ne-cannula engalweni yakho nsuku zonke kungalimaza imithambo. Futhi, eminye imithi enamandla (isibonelo, imithi yokulwa nomdlavuza) kunzima ukuyibekezelela imithambo emincane.
Nazi ezinye izinto ezisetshenziselwa umugqa we-PICC:
- Ama-antibiotic esikhathi eside: Ezimweni zokutheleleka, ama-antibiotic angadinga ukuthathwa amasonto amaningana.
- Ukwelashwa komdlavuza (i-Chemotherapy): Nikeza imithi yokubulala amangqamuzana omdlavuza ngqo emthanjeni omkhulu.
- Ukumpontshelwa Igazi: Kweziguli ezidinga ukumpontshelwa igazi njalo.
- Uketshezi lwe-IV: Uma udinga ukuqhubeka nokunikeza izinto ezifana nosawoti.
- Ukudla Okuphelele Kwabazali: Nikeza ukudla okuphelele ngemithambo yegazi ezigulini ezingakwazi ukudla ngomlomo futhi ezingakwazi ukumunca izakhamzimba emathunjini.
- Ukuthatha isampula yegazi: Ngaphandle kokuhlaba umunwe wakho njalo, ungathatha isampula yegazi kuleli payipi bese ulithumela ukuze lihlolwe.
Kalula nje, umugqa we-PICC usetshenziselwa ukuvikela imithambo yakho ezintini zezinaliti ezivame ukutholakala kanye nokuhlinzeka ngokwelashwa kalula nangokuphephile.
Kwenzekani ngaphambi kokuba kubekwe umugqa we-PICC?
Udokotela wakho uzohlola izinto ezimbalwa ngaphambi kokukunikeza lokhu.
- Udinga ukumtshela ngayo yonke imithi namavithamini owasebenzisayo njengamanje.
- Udokotela uzobuza ngomlando wakho wezokwelapha ophelele, ikakhulukazi uma uke waba nomdlavuza webele, ukuhlukaniswa kwama-lymph node e-axillary, amadivayisi afakwe (isib., ama-pacemaker), izinkinga zesigqi senhliziyo (i-atrial fibrillation), noma isifo sezinso esingamahlalakhona.
- Ungase uhlolwe igazi kaningana ukuze uhlole ukuthi igazi lakho lijiya kangakanani nokuthi izinso zakho zisebenza kahle kangakanani.
- Ngezinye izikhathi, ukuhlolwa kwesithombe kungenziwa ukuze kubonwe kahle ukuthi imithambo ikuphi engalweni.
Indlela yokufaka umugqa we-PICC (Inqubo)
Lokhu kuvame ukuthatha cishe ihora futhi akubuhlungu kakhulu. Cabanga ukuthi lokhu kwenziwa kanjani.
1. Ukulungiselela: Uzokwenziwa ulale embhedeni futhi uxhunywe kwisikrini ukuze uqaphe izinto ezifana nokushaya kwenhliziyo yakho kanye nomfutho wegazi.
2. Ukuthola umthambo: Udokotela uzosebenzisa umshini we-ultrasound ukuthola umthambo ojulile nofaneleka kakhulu engalweni yakho engaphezulu.
3. Ukuhlanza nokufaka izinzwa: Indawo ihlanzwa kahle futhi imbozwe ngendwangu ehlanzekile ukuvimbela ukutheleleka. Ngemuva kwalokho, kufakwa umuthi wokufaka izinzwa endaweni ukuze uyifake izinzwa. Ngakho ngeke uzwe ubuhlungu.
4. Ukufakwa kwepayipi: Okulandelayo, umugqa we-PICC ufakwa ngokucophelela emthanjeni usuka endaweni engenalutho bese uqondiswa ku -Superior Vena Cava, umthambo wegazi omkhulu ngaphezu kwenhliziyo.
5. Isivikelo: Uma ipayipi selikhona, ingxenye eveziwe iboshelwa engalweni ngohlobo olukhethekile lweplasta bese imbozwa ngebhandeji elihlanzekile (ibhandeshi) ukuze livikeleke kumagciwane.
Uma usuqedile ngalokhu, ungaya ekhaya ngalolo suku.
Ungawunakekela kanjani umugqa we-PICC ekhaya? Lena yinto ebaluleke kakhulu!
Uma une-PICC line, kubalulekile ukuyinakekela kahle ukuze uvimbele ukutheleleka. Udokotela wakho kanye nabasebenzi bobuhlengikazi bazokufundisa ngalokhu. Nazi ezinye izinto ezijwayelekile okufanele uzikhumbule.
Ukunakekela i-dressing
Indwangu emboze umugqa we-PICC kufanele ihlale ihlanzekile, yomile, futhi inamathele kahle esikhumbeni . Uma imanzi, iphuma, noma ingcolile, kufanele ishintshwe ngokushesha. Le ndwangu ivame ukushintshwa kanye ngesonto. Lokhu kwenziwa umhlengikazi noma umuntu oqeqeshiwe. Ungalokothi ufake ama-cream noma ama-lotion ngaphansi kwendwangu.
Qaphela lapho ugeza.
Akuyona into enhle ukuvumela amanzi angene ekhabetheni uma ugeza. Into engcono kakhulu ongayenza ukumboza indawo kahle ukuze ingangeni manzi.
- Kunezembozo ezikhethekile ezingangeni manzi ongazithenga emakhemisi.
- Ngaphandle kwalokho, ungabeka indwangu ehlanzekile, eyomile phezu kwengubo, uyisonge nge-cling wrap, bese uyibopha nge-tape engangeni manzi phezulu nangaphansi.
Ukuhlanza Umugqa
Ukuze uvimbele ukwakheka kwamahlule egazi ngaphakathi kwepayipi, udinga ukuligcina lihlanzekile bese uligeza nge-saline ehlanzekile ngezikhathi ezithile. Isibhedlela sizokutshela ukuthi ungakwenza kanjani lokhu. Landela leyo miyalelo kahle.
Izinzuzo kanye nokungalungi kokuba nomugqa we-PICC
Ungenza imisebenzi yakho eminingi yansuku zonke njengenjwayelo ngenkathi unomugqa we-PICC. Kodwa-ke, kunezinto ezimbalwa okufanele uziqaphele.
| Izinto Okufanele Uzigweme | Izinto ezilungile |
|---|---|
| Ukuphakamisa okungaphezu kuka-4.5 kg (10 lbs) ngengalo enomugqa we-PICC. | Izinto ezifana nokugoba, ukwelula, ukubhala, nokudla ngendlela evamile. |
| Ukubhukuda, imidlalo yasemanzini. | Ukuzivocavoca okulula njengokuhamba. |
| Imidlalo ehilela ukunyakaza kwezandla okusheshayo (isib. igalofu, i-bowling, i-vacuum cleaner). | Ukusebenzisa esinye isandla kunoma yimuphi umsebenzi njengenjwayelo. |
| Xhumana nezemidlalo. | Xhumana nodokotela wakho bese wenza imisebenzi evunyelwe. |
| Ukuvivinya umzimba ngokweqile okubangela ukujuluka emakhwapheni futhi kungabangela ukuthi ibhandeji libe manzi. | Khuluma nodokotela wakho ngezinto ozithandayo bese uthola iseluleko sokuthi ungazisebenzisa kanjani ngokuphephile. |
Yiziphi izingozi ngomugqa we-PICC?
Nakuba umugqa we-PICC unezinzuzo eziningi, kunezinye izingozi ezingavamile kakhulu okubalulekile ukuziqaphela.
- Ukutheleleka: Amagciwane angangena egazini esuka endaweni yokufakwa kwepayipi. Lena ingozi enkulu. Uma ukutheleleka kuba kubi kakhulu, kungaholela esimweni esisongela ukuphila esibizwa ngokuthi i-sepsis .
- I-Thrombosis: Ihlule legazi lingakheka ngaphakathi komthambo ozungeze ipayipi. Lokhu kungabangela ukuvuvukala nobuhlungu engalweni.
- Ukuvaleka kwepayipi: Amahlule egazi angakheka ngaphakathi kwepayipi futhi alivale.
- Ipayipi lingaphuma noma lithuthele kwenye indawo: Uma lingafakwanga kahle, ipayipi lingaphuma kancane noma lithuthele kwenye indawo ngaphakathi komthambo.
- Ukulimala emthanjeni: Akuvamile kakhulu, inaliti ingashaya umthambo noma inzwa eseduze ngesikhathi sokufakwa.
Lezi zingozi ziphansi kakhulu, kodwa kubalulekile ukuqaphela lokhu nokuqaphela izimpawu zokutheleleka.
Kufanele ubonane nodokotela ngokushesha nini?
Qaphela kakhulu lezi zimpawu. Zingaba izimpawu zesimo esibucayi.
| Izimo Eziphuthumayo - Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha | |
|---|---|
| - Umkhuhlane noma ukubanda | - Ubunzima bokuphefumula noma ukukhwehlela |
| - Ukuzungeza noma ukulahlekelwa ukwazi | - Uma igazi noma olunye uketshezi luvuza endaweni yomugqa we-PICC |
| - Ubuhlungu noma ukuvuvukala ebusweni, engalweni, noma esifubeni | - Lezi kungaba izimpawu ze- sepsis . |
| Khuluma nodokotela wakho. | |
| - Uma indawo lapho umugqa we-PICC ufakwe khona ibomvu, ifudumele, noma izwakala sengathi iqhubu . | - Uma ithubhu liphuma futhi libukeka sengathi lishintshile ubude . |
| - Uma uzizwa ungenamizwa noma uzwa ukuqaqamba esandleni noma eminweni ohlangothini lapho kukhona khona umugqa we-PICC. | - Uma uzwa ubuhlungu lapho unikeza umuthi ngepayipi. |
Umugqa we-PICC uyindlela yokwenza ukwelashwa kwakho kube lula kakhulu futhi kukusindise ekutholeni imijovo njalo. Kuthatha isikhathi ukujwayela. Ungase uzizwe ungakhululekile lapho abantu bekubuka futhi bebuza imibuzo ngakho. Kodwa khumbula, unelungelo lokunquma ukuthi uzotshela noma cha nganoma yini ngakho. Ungamboza ngisho nangezingubo ezinemikhono emide uma uthanda. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Umlayezo Wokuya Nawe Ekhaya
- Ulayini we-PICC uyipayipi elikhethekile elisetshenziselwa ukwenza lula ukwelashwa kwesikhathi eside nokuvimbela izinti zezinaliti ezivame ukwenzeka.
- Ukuvimbela ukutheleleka kuyinto ebaluleke kakhulu, ngakho-ke gcina njalo indwangu lapho kufakwe khona umugqa we-PICC ihlanzekile futhi yomile .
- Uma ugeza, qiniseka ukuthi uyimboza kahle indawo ukuze ingangeni manzi.
- Qaphela izimpawu eziyisixwayiso ezifana nomkhuhlane, ukubanda, ubunzima bokuphefumula, kanye nokuvuvukala kwezandla. Uma kwenzeka noma yikuphi kwalokhu, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Landela imiyalelo enikezwe udokotela wakho kanye nabasebenzi bobuhlengikazi ngqo. Ungangabazi ukubabuza uma unemibuzo.
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