Ingabe wena noma othile omaziyo wake wadinga ukuthola imithi ye-intravenous (IV) izinsuku, amasonto, noma izinyanga? Noma wake wadinga ukukhishwa igazi njalo? Sonke siyazi ubuhlungu, ukungakhululeki, kanye nomonakalo wezinzwa okuhambisana nokushintsha i-cannula njalo ezinsukwini ezimbili kuya kwezintathu, kanye nokubhoboza umthambo ngokuphindaphindiwe ngoba awukwazi ukuwuthola. Kulabo abadinga ukwelashwa isikhathi eside, futhi okumele bakhishwe igazi njalo, umugqa we-PICC uyindlela ekhethekile nelula yokunciphisa ukungakhululeki kwalezi zibhobo.
Uyini ngempela umugqa we-PICC?
Kalula nje, umugqa we-PICC (Peripherally Inserted Central Catheter) uyipayipi (i-catheter) elifakwa emthanjeni. Kodwa alifani ne-cannula encane esivame ukuyibona esihlakaleni . Liyipayipi lepulasitiki elide kakhulu, elincane, eliguquguqukayo kakhulu, elithambile.
Lokhu kuvame ukufakwa emthanjeni ongalweni yakho, ngaphezu nje kwengqiniba yakho, bese kufakwa kancane kancane lowo mthambo uye emthanjeni omkhulu esifubeni sakho. Uma usufakiwe, kubonakala ithubhu elincane kuphela ngesikhumba sengalo yakho. Leli thubhu lingasetshenziswa ukukunikeza imithi ye-IV, uketshezi, kanye namasampula egazi angenabuhlungu.
Uyifaka kanjani le ntambo ye-PICC?
Lena inqubo eyinkimbinkimbi kancane kunokufaka i-cannula evamile, ngakho-ke yenziwa udokotela noma umhlengikazi othole ukuqeqeshwa okukhethekile ngale njongo. Ake sithi uhlelelwe ukufakwa umugqa we-PICC. Bese kwenzeka into efana nale.
1. Ukuhlonza Imithambo: Okokuqala, udokotela usebenzisa umshini wokuskena okhethekile, umshini we-ultrasound, ukuthola imithambo ejulile engalweni yakho engaphezulu. Lokhu kusiza ukuthola imithambo ngokunembile futhi kunciphisa amaphutha.
2. Ukuhlanza: Bese, ukuze kuvikelwe indawo lapho kuzofakwa khona umugqa kumagciwane, indawo ihlanzwa kahle futhi imbozwe ngendwangu engcolile. Lokhu kubaluleke kakhulu ukuvimbela ukutheleleka.
3. Ukuba ndikindiki: Kufakwa umuthi omncane endaweni lapho kufakwa khona ipayipi ukuze ungabi ndikindiki ukuze ungezwa ubuhlungu. Lokhu kusho ukuthi ngeke uzwe ubuhlungu obukhulu lapho kufakwa umugqa.
4. Ukufaka umugqa: Njengoba indawo isindindi, ipayipi elincane lifakwa kancane kancane emthanjeni, liye phezulu emthanjeni omkhulu esifubeni. Nakuba lokhu kungase kuzwakale njengokusunduza okuncane, iziguli eziningi azizizwa ubuhlungu obukhulu noma ukungakhululeki.
5. Indawo kanye nokuqinisekiswa: Uma umugqa usufakwe kahle, uboshelwa engalweni ngohlobo olukhethekile lweplasta ukuze uvimbele ukuthi ungahambi futhi umbozwe ngebhandeshi elihlanzekile ukuze livikeleke kumagciwane. Ekugcineni, kwenziwa i-x-ray yesifuba ukuqinisekisa ukuthi ithubhu lisendaweni efanele ngokuphelele.
6.Ukusebenza njengokujwayelekile: Uma konke lokhu sekuqediwe, uzokwazi ukugoba, ukwelula, nokwenza imisebenzi evamile ngaphandle komugqa we-PICC.
Yiziphi izinzuzo zokusebenzisa umugqa we-PICC?
Inzuzo eyinhloko yokusebenzisa umugqa we-PICC ukuthi unikeza umuntu othola ukwelashwa kwesikhathi eside lula.
- Ukukhululeka ezintini zezinaliti ezivamile: Ungakhululeka ngokuphelele esidingweni sokufaka ama-cannula ngokuphindaphindiwe izinsuku noma amasonto. Uma umugqa we-PICC usufakiwe, ungashiywa endaweni yawo amasonto, ngisho nezinyanga.
- Ukuvikelwa kwemithambo: Eminye imithi ye-IV enzima iyacasula kakhulu imithambo. Uma le mithi inikezwa njalo, imithambo ingonakalisa futhi ivuvuke. Njengoba umugqa we-PICC uxhumene ngqo nomthambo omkhulu, kuvimbela ukulimala kwemithambo emincane.
- Ubulula: Lokhu kungasetshenziswa ezibhedlela, kanye nakwezinye izimo kulabo abathola ukwelashwa ekhaya (`ukunakekelwa ekhaya`).
- Ukusetshenziswa okuningi: Ingasetshenziswa ukunikeza izinhlobo ezahlukene zokwelapha nge-IV, kanye nokuthola amasampula egazi ngaphandle kobuhlungu cishe kunoma yikuphi ukuhlolwa kwegazi.
Ziyini izingozi zalokhu?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane ezihilelekile ekufakweni nasekusetshenzisweni komugqa we-PICC. Kubalulekile ukuqaphela lokhu.
Khumbula, iningi lalezi zingozi alivamile, futhi ithimba lakho lezokwelapha liqeqeshwe ukuzilawula.
| Ingozi | Incazelo |
|---|---|
| Ubuhlungu/ukungakhululeki | Ungase uzizwe ungakhululekile kancane lapho ufaka umugqa. |
| Ukopha | Kungase kube nokopha okuncane okuvela endaweni lapho umugqa ufakwe khona. |
| Ukuqhekeka kwegazi emthanjeni (i-Thrombosis) | Akuvamile kakhulu ukuthi kube nehlule legazi ngaphakathi komthambo ozungeze ipayipi. Lokhu kungabangela ukuvuvukala nobuhlungu engalweni. |
| I-Phlebitis | Lokhu kungenzeka nganoma yimuphi umugqa we-IV. Umthambo ungase ube bomvu futhi ube buhlungu. |
| Ukutheleleka | Amagciwane angangena egazini noma endaweni lapho umugqa ufakwe khona. Lokhu kungavinjelwa ngokugcina ibhandeji lihlanzekile. |
| Umugqa ophumayo/ushintsho lwendawo | Uma ingafakwanga kahle, umugqa ungaphuma ingxenye noma ngokuphelele. Ingase ishintshe ngisho nendawo yayo emthanjeni. Uma lokhu kwenzeka, kuzodingeka ibekwe kabusha noma isuswe. |
| Umugqa uvinjiwe. | Ngezinye izikhathi umugqa ungavinjelwa yi-blood clot noma umuthi. Imithi ingasetshenziswa ukuyivula kabusha. |
Yiziphi ezinye izinketho ezikhona ngaphandle komugqa we-PICC?
Empeleni kunezinye izindlela eziningana zokwelapha nge-IV. Udokotela wakho uzonquma indlela efanele kakhulu yesimo sakho.
- Ama-catheter amafushane e-IV: Lawa ama-cannula avamile esiwajwayele sonke. Afakwa emthanjeni engalweni noma esandleni. Lawa adinga ukushintshwa njalo ezinsukwini ezimbalwa. Akufanele futhi eminye imithi enamandla.
- Ama-catheter emithambo yegazi ephakathi: Lawa afakwa emthanjeni entanyeni, esifubeni esingaphezulu, noma embotsheni. Afanele ukusetshenziswa isikhathi esifushane kuphela (ngaphansi kwamasonto ama-2) futhi asetshenziswa esibhedlela kuphela.
- Ama-catheter ahlala njalo: Ama-catheter ahlala njalo, njenge-catheter nama-ports kaHickman, afakwa ekamelweni lokuhlinzwa. Lawa asetshenziswa kubantu abadinga ukwelashwa isikhathi eside kakhulu.
Okokugcina, uma udinga ukuthola ukwelashwa nge-IV isikhathi eside, umugqa we-PICC uyindlela ewusizo kakhulu futhi elula. Ungalokothi unqikaze ukuxoxa ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukukhathazeka onakho ngakho nodokotela wakho .
Umlayezo Wokuya Nawe Ekhaya
- Umugqa we-PICC uyipayipi elikhethekile, elide, elincane elisetshenziselwa ukunikeza imithi ye-IV yesikhathi eside noma ukudla okunomsoco kanye nokukha igazi.
- Lokhu kungasiza ekuvimbeleni ukufakwa njalo kwe-cannula kanye nokulimala kwemithambo yegazi.
- Lokhu kuvame ukwenziwa ngaphandle kobuhlungu ngudokotela noma umhlengikazi oqeqeshwe ngokukhethekile.
- Njengazo zonke izinqubo zezokwelapha, kunezingozi ezingaba khona, njengokutheleleka kanye nokuqhekeka kwegazi, kodwa azivamile kakhulu.
- Khuluma nodokotela wakho mayelana nokuthi umugqa we-PICC ukulungele yini nokuthi yiziphi izinzuzo nezingozi zawo ukuze wenze isinqumo esingcono kakhulu.
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