Inkcazo ephezulu China peripherally Inserted Central Picc Line

Sicinga ukuba abathengi bacinga ntoni, ukungxamiseka kongxamiseko ukwenza oko kufunwa ngumthengi womgaqo-siseko, ukuvumela umgangatho ophezulu ophezulu, ukuhla kweendleko zokusetyenzwa, uluhlu lwamaxabiso lusengqiqweni ngakumbi, luphumelele amathemba amatsha nabalupheleyo benkxaso kunye noqinisekiso lwenkcazo ePhakamileyo yaseChina eFakelweyoPiccUmgca, Ngoluhlu olubanzi, umgangatho ophezulu, iintlawulo ezifanelekileyo kunye noyilo lwesitayela, izinto zethu zisetyenziswa kakhulu kula mashishini kunye namanye amashishini.
Sicinga ukuba abathengi bacinga ntoni, ukungxamiseka kokungxamiseka kokuthatha amanyathelo kwizinto ezinomdla womthengi womgaqo-siseko, ukuvumela umgangatho ophezulu ophezulu, ukuhla kweendleko zokusetyenzwa, uluhlu lwamaxabiso lusengqiqweni ngakumbi, luphumelele amathemba amatsha kunye nabadala ukuxhaswa kunye nokuqinisekiswa.China Picc Line, Picc, Sijongene namandla okumanyana kwezoqoqosho kwihlabathi jikelele, siqinisekile ngeemveliso zethu ezikumgangatho ophezulu kunye nenkonzo enyanisekileyo kubo bonke abathengi bethu kwaye sinqwenela ukuba sinokusebenzisana nawe ukudala ikamva eliqaqambileyo.

Ividiyo

Iinkcukacha zeMveliso

USHWANKATHELO
I-CATHTONG ™ II PICC Catheter yenzelwe ukufikelela kwi-peripheral emfutshane okanye ixesha elide kwinkqubo ye-venous ephakathi ukuze kufakwe, unyango lwe-intravenous, isampuli yegazi, i-injection yamandla yemidiya eyahlukileyo, ukulawulwa kolwelo, amayeza kunye nezondlo, kwaye ivumela ukubeka iliso kwi-venous ephakathi. I-CATHTONG™ II PICC Catheter iboniswe ixesha lokuhlala elifutshane okanye ngaphezulu kweentsuku ezingama-30.

UKUTOFA KWAMANDLA
I-CATHTONG ™ II Catheter iyilwe ngendlela yokuTofa amandla. Isitofu samandla sivumela ukutofwa kweendaba ezichaseneyo ngesantya se-5.0 mL/sec. Eli nqaku livumela umgca we-PICC ukuba usetyenziswe kwi-Contrast-Enhanced CT (CECT) Imaging.

UYILO LUMEN EZIMBINI
Uyilo lwe-lumen oluphindwe kabini luvumela ukusetyenziswa kweentlobo ezimbini zonyango ngaxeshanye ngaphandle kokufaka i-catheter ezininzi. Ukongeza, iCATHTONG ™ II ineemitha ezahlukeneyo zelumen ukunika uluhlu olubanzi lweereyithi zokuhamba.

Iimbonakalo

Ipharamitha

IKHITHI YEPICC Ibandakanya

• Umgca wePICC
• Isixhobo sokuZinzisa iCatheter
• Ulwazi lokusetyenziswa (IFU)
• IV Catheter w/ Inaliti
• I-scalpel, ukhuseleko
• Inaliti yokwazisa
• Ufikelelo oluncinci ngeDilatator
• Guidewire
• I-MicroClave®

Malunga ne-PICC

Ukuba usebenzisa i-PICC, kufuneka uqaphele ukuba ungashukumisi iingalo zakho kakhulu okanye ngamandla kakhulu ngexesha lokusetyenziswa ukukhusela i-catheter ekuweni okanye ukuphuka; ukongeza, gubha ityhubhu kwaye utshintshe inwebu kanye ngeveki (ngumongikazi), kwaye uzame ukusebenzisa ishawa ukuhlamba. I-membrane ekhululekile kufuneka itshintshwe kwangethuba ukukhusela i-catheter ukuba ivalwe okanye usulelo lwesikhumba kunye nemithambo yegazi kwindawo apho i-catheter ibekwe khona. Ukuba i-PICC igcinwe kakuhle, ingasetyenziselwa ngokubanzi iminyaka engaphezu kwe-1, eyaneleyo ukuyigcina kude kube sekupheleni kwe-chemotherapy.

1. Ukukhetha imithambo

I-PICC catheters idla ngokufakwa kwimithanjeni ebiza kakhulu ye-cubital fossa, i-median cubital vein, kunye ne-cephalic vein. I-catheter ifakwe ngqo kwi-vena cava ephezulu. Kufuneka ukhethe isitya segazi ngokuguquguquka okulungileyo kunye nokubonakala.

2. Iimpawu zePICC intubation

(1) Abo bafuna ukufakwa emthanjeni ixesha elide, kodwa imeko yomthambo ongaphezulu weperipheral imbi kwaye akukho lula ukugqobhoza ngempumelelo;
(2) Kuyimfuneko ukuba ngokuphindaphindiweyo igalelo iziyobisi stimulant, ezifana chemotherapy amayeza;
(3) Igalelo lexesha elide leziyobisi ezinokugqithisa okuphezulu okanye i-viscosity ephezulu, njengoshukela ophezulu, i-emulsion ye-fat, i-amino acids, njl.;
4
(5) Ukutofelwa ngokuphindaphindiweyo kweemveliso zegazi, njengegazi elipheleleyo, isiyilelo-gazi, iiplatelets, njl.;
(6) Abo bafuna iimvavanyo zegazi ezininzi ngosuku.

3. Ukuchasana kwe-PICC catheterization

(1) Imeko yomzimba yesigulana ayinakukwazi ukumelana notyando lokuthubeleza, olufana nomqobo wendlela yokudibanisa igazi, yaye abo bacinezelekileyo bamele bayisebenzise ngononophelo;
(2) Abo baziwayo okanye abarhanelwa ukuba bachasene nezinto eziqulethwe kwi-catheter;
(3) Imbali ye-radiotherapy kwindawo ehleliweyo ye-intubation kwixesha elidlulileyo;
(4) Imbali yangaphambili ye-phlebitis kunye ne-venous thrombosis, imbali yokulimala, kunye nembali yotyando lwe-vascular kwindawo ehleliweyo ye-intubation;
(5) Izinto zezicubu zendawo ezichaphazela ukuzinza okanye i-patency ye-catheter.

4. Indlela yokusebenza

Isigulane sithatha isikhundla esiphezulu kwaye silinganisa ubude besigulane ukusuka kwindawo yokubhoboza ukuya kwi-vena cava ephezulu kunye ne-tape yokulinganisa. Ngokuqhelekileyo yi-45 ~ 48cm. Emva kokuba indawo ye-puncture ikhethiwe, i-tourniquet iboshwe kwaye ihlanjululwe i-disinfected. I-PICC catheter puncture ye-venous yenziwa ngokwemiyalelo, kwaye igcinwa ngokwemeko yesigulane. Ubude be-catheter, ifilimu ye-X-ray emva kwe-puncture, ingasetyenziselwa emva kokuqinisekisa ukuba ikwi-vena cava ephezulu.

Izinto ezilungileyo zePICC

(1) Ngenxa yokuba i-puncture point in the peripheral superficial vein xa i-PICC ifakiwe, akuyi kubakho iingxaki ezisongela ubomi ezifana ne-pneumothorax yegazi, i-blood vessel perforation, usulelo, i-air embolism, njl. Ukushukuma kwamalungu kwindawo yokugqobhoza akuthintelwanga.
(2) Inokunciphisa intlungu ebangelwa izigulane ngenxa ye-venipuncture ephindaphindiweyo, indlela yokusebenza ilula kwaye ilula, kwaye ayikhawulelwanga ngexesha kunye nendawo, kwaye inokusebenza ngokuthe ngqo kwiwadi.
(3) Izinto ze-PICC zecatheter zenziwe nge-polyurethane ekhethekileyo, ene-histocompatibility efanelekileyo kunye nokuthotyelwa. I-catheter ithambile kakhulu kwaye akufanele yophulwe. Inokushiywa emzimbeni kwiinyanga ezi-6 ukuya kwi-1 ngonyaka. Imikhwa yokuphila yezigulane emva kwe-catheterization ayisayi kuchaphazeleka.
(4) Ngenxa yokuba i-catheter inokungena ngokuthe ngqo kwi-vena cava ephezulu, apho ukuhamba kwegazi kukhulu, kunokunciphisa ngokukhawuleza uxinzelelo lwe-osmotic okanye intlungu yendawo, i-necrosis, kunye ne-phlebitis ebangelwa ngamachiza e-chemotherapy.
Izigulana ezihamba nge-intubation kwangethuba aziyi kufumana umonakalo we-venous ngexesha le-chemotherapy, ukuqinisekisa ukuba kukho indawo efanelekileyo ye-venous ngexesha le-chemotherapy kwaye i-chemotherapy inokugqitywa ngempumelelo. Ibe lufikelelo olulula, olukhuselekileyo, olukhawulezayo nolusebenzayo kwi-intravenous lwexesha elide lwenkxaso yesondlo kunye namayeza kwizigulana ezigula kakhulu kunye ne-chemotherapy.

Lahla umqobo

Ukuba umbhobho wePICC uvalwe ngempazamo, indlela yoxinzelelo olungalunganga ingasetyenziselwa ukutofwa i-urokinase exutyiweyo eyi-5000u/ml, 0.5ml kwi-lumen ye-PICC, hlala imizuzu eyi-15-20 kwaye emva koko urhoxe ngesirinji. Ukuba igazi likhutshwe, lithetha ukuba i-thrombosis iphumelele. Ukuba akukho gazi litsalwayo, olu tyando lungentla lunokuphindaphindwa ngokuphindaphindiweyo ukwenza i-urokinase ihlale kwi-catheter kangangexesha elithile de kutsalwe igazi. Kufuneka kuqatshelwe ukuba inani elipheleleyo le-urokinase akufanele lidlule i-15000u. Emva kokuba i-catheter ivaliwe, khupha i-5ml yegazi ukuqinisekisa ukuba onke amayeza kunye namahlwili ayarhoxiswa.

Ukugcinwa ngokubanzi

Ukunxiba kufuneka kutshintshwe kwiiyure ezingama-24 zokuqala. Emva kokuba isilonda siphole kakuhle kwaye kungabikho usulelo okanye ukopha, tshintsha indlela yokunxiba qho ngeentsuku ezisi-7. Ukuba ukunxitywa kwenxeba kukhululekile kwaye kumanzi, yitshintshe nanini na. Ukuba indawo ye-puncture inobomvu, i-rash, i-exudation, i-allergies kunye nezinye iimeko ezingaqhelekanga, ixesha lokugqoka lingancitshiswa, kwaye utshintsho lwendawo kufuneka lugcinwe ngokuqhubekayo. Yenza ngokungqongqo utyando lwe-aseptic ngalo lonke ixesha ukutshintshwa kwempahla. Ifilimu kufuneka isuswe ukusuka ezantsi ukuya phezulu, kwaye ingqalelo kufuneka ihlawulwe ukulungisa i-catheter ukuyithintela ukuba ingawi. Bhala umhla emva kokutshintshwa. Xa abantwana behlamba, songela indawo yokugqobhoza ngeplastiki, kwaye utshintshe ilokhwe emva kokuhlamba.

Ngaphambi kokusebenzisa i-PICC infusion, sebenzisa i-iodophor cotton swab ukosula i-heparin cap imizuzwana engama-30. Ngaphambi nasemva konyango, sebenzisa isirinji engekho ngaphantsi kwe-10ml ukutsala ityuwa eqhelekileyo yokugungxula ilume. Emva kokumpontshelwa kwe-high-concentration liquids njengemveliso yegazi kunye nezisombululo zezondlo, i-pulse flushing ye-tube kunye ne-20ml ye-saline eqhelekileyo. Ukuba izinga lokungena licotha okanye ixesha elide, ityhubhu kufuneka ihlanjululwe nge-saline eqhelekileyo ngexesha lokusetyenziswa ukukhusela ityhubhu ukuba ivalwe.

Sicinga ukuba abathengi bacinga ntoni, ungxamiseko longxamiseko lokuthatha amanyathelo kwizinto ezinomdla womthengi womgaqo, ukuvumela umgangatho ophezulu, ukuhla kweendleko zokusetyenzwa, uluhlu lwamaxabiso lusengqiqweni ngakumbi, luphumelele amathemba amatsha kunye nabadala benkxaso kunye noqinisekiso lwenkcazo ePhakamileyo yaseTshayina iFakelwe uMphakathi wePicc Line, Ngoluhlu olubanzi, umgangatho ophezulu, iintlawulo ezisetyenzisiweyo kunye noyilo olubanzi, iintlawulo ezisetyenziswayo kunye noyilo olubanzi. amashishini.
Ingcaciso ephezuluChina Picc Line, I-Picc, Sijongene namandla okuhlangana kwezoqoqosho kwihlabathi jikelele, siqinisekile ngeemveliso zethu ezikumgangatho ophezulu kunye nenkonzo enyanisekileyo kubo bonke abathengi bethu kwaye sinqwenela ukuba sinokusebenzisana nawe ukudala ikamva eliqaqambileyo.