Okufanele Ukwazi Nge-PICC Line Ukufaka, Ukususwa, Izingozi, Nezinzuzo
Umzila we-PICC, noma i-Percutaneously Inserted Catheter Central, iyisidingo sezokwelapha esibekwe emvuthweni ukuze kuvunyelwe ukufinyelela kwegazi. Ukubizwa ngokuthi "pick", umugqa uwuhlobo lwedivaysi yokufinyelela e-vascular evumela ukuthi uketshezi nemithi kunikezwe isiguli.
Njengomugqa ojwayelekile IV, umugqa we-PICC uvumela imithi ukuthi ingene emgodleni wegazi, kodwa i-PICC inokwethenjelwa futhi ihlala njalo.
Kungasetshenziselwa ukuhlinzeka ngamanzi amaningi amachiza kanye nemithi ecasula kakhulu ukuze izicubu zinikezwe ngezinga elijwayelekile IV.
Kungani Umzila We-PICC Usetshenziswa
Umzila we-PICC usetshenziselwa izinhlobonhlobo zezinhloso, ikakhulukazi ezigulini ezilindeleke ukuba zidinga imithi ye-IV amasonto amaningana noma ngaphezulu. I-PICC ingahlala indawo izinyanga uma nje ukutheleleka kungekhona esiteshini somugqa.
I-PICC ingasetshenziswa uma isiguli 'sinamathela kanzima' futhi ithimba lezokunakekelwa kwezempilo alikwazi ukubeka i-IV naphezu kwemizamo ephindaphindiwe. Kungase futhi isetshenziswe ukuvikela imithwalo yegazi emithini yemithi edala futhi ingase ingalimaza isikhumba nxazonke ze-IV, noma idale umonakalo emithonjeni yegazi, njenge-chemotherapy.
Umzila we-PICC usetshenziselwa ukuvimbela isiguli ukuba singanamathela ngokuphindaphindiwe, isibonelo, izinhlobo ezithile zokutheleleka zidinga ama-antibiotic e-IV nsuku zonke amaviki ayisithupha noma ngaphezulu. Umugqa we-PICC ungafakwa futhi uma kungabikho izinkinga, kungahlala endaweni yamaviki ayisithupha ephelele yokwelashwa.
Izakhiwo eziningi zivumela kuphela i-standard IV ukuba ihlale ezindaweni ezingu-3-4 ngaphambi kokuthi isuswe futhi kubekwe entsha, ngaphezu kwamasonto amaningi i-PICC inganciphisa kakhulu inani leziguli okufanele libekezelelwe i-IV.
Imigqa ye-PICC ingasetshenziselwa ukudweba igazi. Iziguli ezinzima ukudweba igazi, noma ukubekezelela igazi, zingaphinde zithole, zingase zibe ne-PICC ukuze zivikeleke nsuku zonke (noma ngaphezulu) zezinaliti.
Imigqa ye-PICC ingasetshenziselwa imithi eminingi ngesikhathi esisodwa. Uma imithi emibili ingavumelani futhi idinga ukunikezwa ngesikhathi esifanayo, izindawo ezimbili ze-IV ziyadingeka. Umzila we-PICC ungaba namachweba amaningi, okuvumela imithi engahambelani ukuba inikezwe emachwebeni ahlukene. Nakuba bobabili bangena emgqeni we-PICC, imishanguzo ayixube emgqeni we-PICC futhi ifaka igazi emaphuzu ahlukene, okuvumela ukuba bobabili banikezwe ngesikhathi esifanayo ngokusebenzisa isayithi elilodwa.
Indlela Line PICC efakiwe
Imigqa ye-PICC imiswe ngabahlengikazi (RN), abasizi bezokwelapha (PA) noma Abahlengikazi Abahlengikazi (NP). Le nqubo ivame ukwenziwa embhedeni uma isiguli esesibhedlela, noma njengendlela yokuphulukisa iziguli kwabanye abantu.
Umzila we-PICC uqobo uyishubhu elide elinomshini wokuqondisa ngaphakathi ukuze ugxilise ithubhu ukuze kube lula ukugxilisa emthanjeni. I-vein ikhethiwe, futhi umugqa we-PICC unganconywa ubude obufushane uma kunesidingo, ikakhulu uma isiguli sincane. Ubude obuhle buvumela umugqa ukuba wande kusukela kusayithi lokufaka kuya lapho iphoyinti ihlala khona esitsheni segazi ngaphandle kwenhliziyo.
Isiza sokufaka ngokujwayelekile sivaliwe nomjovo. Indawo iyahlanzwa kahle futhi ukucubungula okuncane kuyenzeka ukufinyeleleka emthanjeni, ngokuvamile engalweni.
Esebenzisa izinqubo ezibolile, umugqa we-PICC uthungiswa kahle ngomkhumbi. Ihamba kancane kancane futhi igxile emzimbeni wegazi, lapho ikhuphuka ingalo bese yenza indlela yayo enhliziyweni. Ezimweni eziningi, umshini we-ultrasound usetshenziselwa ukukhomba indawo engcono kakhulu yokubekwa kwe-PICC, okunganciphisa inani lezikhathi isiguli "sinyathele" ngenkathi sibeka umugqa.
Uma i-PICC isendaweni efanele, ingavikeleka esikhumbeni ngaphandle kwesayithi lokufaka. Imigqa eminingi ye-PICC iqhutshwa endaweni efanele, okusho ukuthi i-tubing kanye nechweba elihlala ngaphandle kwesikhumba ligcinwe endaweni ngokugxila.
Lokhu kuvimbela i-PICC ukuthi ingasuswa ngengozi noma ihambele enhliziyweni.
Uma i-PICC isendaweni, i-x-ray yenziwa ukuze inqume ukuthi umugqa usendaweni efanele endaweni yesitsha segazi. Uma ingekho endaweni efanele, ingase iqhutshekwe phambili emzimbeni noma ibuyiswe kancane.
Uma ukubekwa kuqinisekiswa ukuthi ucingo luyasuswa futhi umugqa uphephile ukuyisebenzisa.
Ukususwa komugqa we-PICC
Ukususwa komugqa we-PICC kuyashesha futhi kungenabuhlungu. I-sutures ebambe umugqa endaweni efanele isuswe, futhi umugqa uhanjiswe kahle kusuka engalweni. Iningi leziguli lithi lizizwa lingalindelekile ukuthi lisusiwe, kodwa akusizi kahle noma libuhlungu.
Uma i-PICC iphume, ukuphela komugqa, okwakungaphakathi kwesiguli, kuhlolwa. Kumele kubonakale okufana nalokho okwenzile uma kufakwa, kungekho zicucu ezingekho ezingase zishiye ngaphakathi komzimba.
I-bandage encane ingafakwa phezu kwesayithi uma kukhona ukuphapha okwamanje okuzohlala endaweni 2 noma 3 izinsuku ngenkathi isilonda siphulukisa.
Izingozi zomugqa we-PICC
Izingozi zokuba nomugqa we-PICC zihlanganisa:
- Ukutheleleka: Ukutheleleka kungase kwakha endaweni yokufaka indawo, umcimbi osenesikhathi eside umzila we-PICC uhlala endaweni.
- I-Blood Clot: Ama-clots egazi angase abekwe engxenyeni yomugqa we-PICC, uma lezi zingxenyana zihlukana zingakwazi ukuhamba enhliziyweni emaphashini, isimo esibizwa ngokuthi i- Pulmonary Embolism (PE) . Bangakwazi futhi ukwakha ngengalo ezungeze umugqa.
- Ukungasebenzi: Imigqa ye-PICC ingavalwa. Imithi iyatholakala ukuzama ukusula umugqa, kodwa ayihlali njalo isebenza futhi ingabangela ukususwa komugqa.
- Ukuthukuthela kwenhliziyo: Uma umugqa usondelene kakhulu nenhliziyo, noma enhliziyweni, kungacasula inhliziyo futhi kubangele izinkinga ngesigqi senhliziyo. Uma inkinga ingatholakali ngokushesha, umugqa we-PICC ukubhoboza ngokunyakaza okuqhubekayo kwenhliziyo kungabangela umonakalo kumisipha yenhliziyo noma amagagasi.
Ukunakekela umzila we-PICC
Imigqa ye-PICC idinga ukunakekelwa okuvamile, kufaka phakathi izinguquko zokugqoka ezibophayo, ukuhlanza uketshezi oluyinyumba nokuhlanza amachibi. Iziguli eziningi zimboza isayithi labo le-PICC nge-plastic packaging noma ibhande lokungena emanzini lokungena. Akufanele uthole indawo yakho ye-PICC emanzi, ngakho ukugoqa ingalo yakho ekugeza noma ukubhukuda akukwaziswa. Ukuvimbela ukutheleleka kuyisihluthulelo, okusho ukugcina isayithi ihlanzekile, ukugcina ibhande elihle esimweni esihle, nokugeza izandla ngaphambi kokuthinta amachibi.
Shayela umhlinzeki wakho wezempilo uma:
- I-port yakho ngeke ihlwithe noma ifake
- I-PICC yakho ivuza
- I-PICC yakho iyathutha, futhi ingxenye engaphandle kwesikhumba sakho ngokuzumayo ide kunokuba isetshenziswe ukuba ibe (ukuthunya okunye kwe-PICC kunezinombolo ezibonakalayo futhi zisebenza njengomhlahlandlela obonakalayo)
- Unezibonakaliso noma izimpawu zokutheleleka
- Unezibonakaliso zezimpawu ze-clot yegazi
- Udinga izinguquko zokugqoka ngaphambi kokuguqulwa kokugqoka okuhleliwe (ngaphandle kokuthi uzishintshe ngokwakho)
> Umthombo
> Ngaphandle kokufaka i-Catheter Central ukugqoka izinguquko. I-Medline Plus. Ifinyelele ngoDisemba > 2015. https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000462.htm