Malunga PICC ityhubhu

Malunga PICC ityhubhu

Malunga PICC ityhubhu

Ityhubhu yePICC, okanye iperipherally efakwe phakathi catheter (ngamanye amaxesha ibizwa ngokuba yi-percutaneously inserted central catheter) sisixhobo sonyango esivumela ufikelelo oluqhubekayo kumjelo wegazi ngexesha ukuya kwiinyanga ezintandathu.Ingasetyenziselwa ukuhambisa i-intravenous (IV) ulwelo okanye iziyobisi, ezifana ne-antibiotics okanye i-chemotherapy, kunye nokutsala igazi okanye utofelo-gazi.
Ukubizwa ngokuthi "khetha", intambo idla ngokufakwa kwi-vein kwingalo engaphezulu kwaye emva koko ifakwe kumthambo omkhulu ophakathi kufuphi nentliziyo.
Uninzi lwezibonelelo zivumela kuphela ii-IV ezisemgangathweni ukuba zigcinwe iintsuku ezintathu ukuya kwezine phambi kokuba zisuse kwaye zibeke ii-IV ezintsha.Kwisithuba seeveki ezininzi, i-PICC inokunciphisa kakhulu inani le-venipuncture ekufuneka unyamezele ukufakwa ngomthambo.
Njengamajojo aqhelekileyo e-intravenous, umgca we-PICC uvumela ukuba iziyobisi zifakwe egazini, kodwa i-PICC inokwethenjelwa kwaye yomelele.Ingasetyenziselwa ukubonelela ngezixa ezikhulu zolwelo kunye neziyobisi ezicaphukisa kakhulu kwiithishu ukuba zilawulwe ngeenaliti eziqhelekileyo ze-intravenous.
Xa umntu elindeleke ukuba afumane amayeza emithanjeni ixesha elide, umgca wePICC ungasetyenziselwa iinjongo ezininzi.Umgca wePICC unokucetyiswa kolu nyango lulandelayo:
Ucingo lwe-PICC ngokwalo luyityhubhu enocingo lwesikhokelo ngaphakathi ukuze uqinise ityhubhu kwaye wenze kube lula ukungena kwi-vein.Ukuba kuyimfuneko, intambo yePICC inokunqunyulwa ibe mfutshane, ngakumbi ukuba umncinci.Ubude obufanelekileyo buvumela ucingo ukuba lunwebe ukusuka kwindawo yokufakela ukuya apho incam ikwimithambo yegazi ngaphandle kwentliziyo.
Umgca we-PICC udla ngokubekwa ngumongikazi (RN), umncedisi wogqirha (PA) okanye unesi (NP).Utyando luthatha malunga neyure kwaye luqhele ukwenziwa ecaleni kwesibhedlele okanye indawo yokhathalelo lwexesha elide, okanye inokuba lutyando lwezigulana ezingaphandle.
Khetha umthambo, ngokuqhelekileyo ngesitofu ukuze unciphise indawo yofakelo.Coca indawo ngokucokisekileyo kwaye wenze i-incision encinci ukufikelela kwi-vein.
Usebenzisa ubuchule be-aseptic, faka ngobunono ucingo lwePICC kwisikhongozeli.Ingena kancinane emithanjeni yegazi, inyuse ingalo, ize ingene entliziyweni.Kwiimeko ezininzi, i-ultrasound (i-ultrasound) isetyenziselwa ukumisela indawo efanelekileyo yokubeka i-PICC, enokunciphisa inani lezihlandlo "ozinamathele" ngexesha lokubeka umgca.
Emva kokuba i-PICC isendaweni, inokukhuselwa esikhumbeni ngaphandle kwendawo yokufaka.Uninzi lwemisonto ye-PICC i-sutured endaweni, oku kuthetha ukuba iityhubhu kunye namazibuko abekwe ngaphandle kwesikhumba abanjwe kwindawo nge-sutures.Oku kuthintela i-PICC ekubeni ihambe okanye isuswe ngempazamo.
Emva kokuba i-PICC isendaweni, i-X-ray iyenziwa ukufumanisa ukuba intambo ikwindawo efanelekileyo kwisitya segazi.Ukuba ayikho endaweni, inokutyhalelwa ngakumbi emzimbeni okanye itsalwe umva kancinci.
Imigca yePICC inemingcipheko ethile yeengxaki, kubandakanywa nezo zinzulu kwaye zinokubeka ubomi esichengeni.Ukuba umgca we-PICC uphuhlisa iingxaki, unokufuna ukususwa okanye ukulungiswa, okanye unyango olongezelelweyo lunokufuneka.
Ityhubhu yePICC ifuna ukugcinwa rhoqo, kubandakanywa ukutshintshwa rhoqo kwezinxibo ezingenazintsholongwane, ukugungxulwa ngolwelo olungenazintsholongwane, kunye nokucocwa kwamazibuko.Ukuthintela usulelo ngundoqo, oku kuthetha ukugcina indawo icocekile, ukugcina amabhandeji ekwimeko entle, kunye nokuhlamba izandla phambi kokuba ubambe amazibuko.
Ukuba ufuna ukutshintsha ukugqoka ngaphambi kokuba ucebe ukutshintsha ukugqoka (ngaphandle kokuba utshintshe ngokwakho), nceda uqhagamshelane nomboneleli wakho wezempilo ngokukhawuleza.
Umboneleli wakho wezempilo uya kukwazisa ukuba yeyiphi imisebenzi kunye nemidlalo omele uyiphephe, njengokuphakamisa ubunzima okanye ukudibanisa imidlalo.
Kuya kufuneka ugqume isikhululo sabo sePICC ngesisongelo seplastiki okanye ibhandeji elingangenwa manzi xa uhlamba.Akufanele umanzise indawo yePICC, ngoko ke ukuqubha okanye ukuntywiliselwa iingalo zakho ebhafini akukhuthazwa.
Ukususwa kwentambo yePICC kukhawuleza kwaye ngokuqhelekileyo akubuhlungu.Susa intambo ye-suture ebambe umsonto endaweni, uze uwukhuphe ngobunono umsonto engalo.Uninzi lwezigulana zithi ivakala ingaqhelekanga ukuyisusa, kodwa ayikhululeki okanye ibuhlungu.
Nje ukuba i-PICC iphume, ukuphela komgca wemveliso kuya kujongwa.Ifanele ibukeke ifana naleyo ifakiweyo, ingabi namalungu angekhoyo anokuthi ahlale emzimbeni.
Ukuba kukho ukopha, faka ibhandeji elincinane kwindawo leyo kwaye uyigcine iintsuku ezimbini ukuya kwezintathu ngelixa inxeba liphola.
Nangona imigca ye-PICC ngamanye amaxesha ineengxaki, iingenelo ezinokuthi zibekho zihlala ziwodlula umngcipheko, kwaye ziyindlela ethembekileyo yokubonelela ngamayeza kunye nokubeka iliso kwimpilo.Ukucaphuka okuphindaphindiweyo kwe-acupuncture okanye uvakalelo ukuze ufumane unyango okanye utsalwe igazi ukuze uvavanywe.
Bhalisela incwadana yethu yeeNgcebiso zeMpilo yosuku ukufumana iingcebiso zemihla ngemihla ukukunceda uphile obona bomi busempilweni.
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Ixesha lokuposa: Nov-11-2021