Oko Kumelwe Ukwazi Ngomgca we-PICC, UkuSuswa, iingozi, kunye neNzuzo
Umgca we-PICC, okanye i-Percutaneously Inserted Cathter Central, yicandelo lonyango elifakwe kwisithambiso sokuvumela ukufikelela kwigazi. Ukubhengezwa ngokuthi "khetha", umgca luhlobo lwesiphelo sokufikelela kwi-vascular evumela ukuba amanzi kunye namachiza anikwe isiguli.
Njengomgangatho oqhelekileyo IV, umgca we-PICC uvumela ukuba amayeza afakwe kwigazi, kodwa i-PICC inokuthenjwa ngakumbi kwaye ihlala ihlala ihlala ihlala ihlala ihlala ihlala ihlala ikhona.
Ingasetyenziselwa ukunika imiqulu emininzi yamanzi kunye namachiza anomsindo kakhulu kwimizimba yokunikezela nge-IV standard.
Kutheni kusetyenziswe umgca wePICC
Umgca wePICC usetyenziselwa iinjongo ezahlukeneyo, ngokuqhelekileyo kwizigulane ezilindeleke ukuba zifune imithi ye-IV iiveki okanye ngaphezulu. I-PICC inokuhlala kwiinyanga kangangokuba intsholongwane ayifumanekanga kwisayithi yomgca.
I-PICC inokusetyenziswa xa isigulane "sisinyonga esinzima" kwaye iqela lezononophelo lonyango alikwazi ukubeka i-IV ngaphandle kwemizamo ephindaphindiweyo. Ingasetyenziselwa ukukhusela imilambo yegazi kwimichiza ekhuselekileyo kwaye inokulimaza ulusu nge-IV indawo, okanye yenza umonakalo kwimithambo yegazi, njenge-chemotherapy.
Umgca wePICC usetyenziselwa ukunqanda isigulane ukuba singanyanzelwanga ngokuphindaphindiweyo, umzekelo, iintlobo ezithile zokutheleleka zifuna iintsholongwane zemihla ngemihla kwiiveki ezingama-6 okanye ngaphezulu. Umgca wePICC unokufakwa kunye kwaye ukuba akukho zinkathazo ezivela, unokuhlala kwindawo yeeveki ezi-sixhenxe zonyango.
Uninzi lwezibonelelo zivumela kuphela umgangatho we-IV ukuba uhlale kwindawo 3-4 iintsuku ngaphambi kokuba ususwe kwaye enye entsha ibekwe, ngaphezu kweeveki ezininzi i-PICC inokunciphisa kakhulu inani lexesha isigulane kufuneka linyamezele i-IV.
Imigca ye-PICC ingasetyenziselwa ukufaka igazi. Izigulane ezilukhuni ukugawula igazi, okanye ukunyamezela igazi zidonsa kakuhle, zinokuba nePICC ukuba zibagcine zonke iintsuku (okanye ngaphezulu) zeenaliti.
Imigca yePICC ingasetyenziselwa amayeza amaninzi ngexesha elinye. Ukuba amayeza emibini awahambelani kwaye kufuneka awanikwe ngexesha elinye, ii-IV zindawo ziyimfuneko. Umgca wePICC unokuba neeports ezininzi, ukuvumela ukuba imichiza engahambelaniyo inikwe kwiichweba ezahlukeneyo. Nangona bobabini bangena kumgca wePICC, amayeza awaxubeki kumgca wePICC kwaye afaka igazi kwiindawo ezihlukeneyo, ezivumela ukuba zombini zinikezwe ngexesha elifanayo kwisayithi enye.
Indlela i-PICC Line ifakwa ngayo
Imigca ye-PICC ibanjelwe ngabahlengikazi (RN), abancedisi bamayeza (PA) okanye abaNikazi abaNtsapho (NP). Inkqubo iqhutyelwa kwiphepha lokulala xa isigulane sisesibhedlele, okanye njengenkqubo yokuphululela abanye abantu.
Umgca we-PICC ngokwayo ityhuba ende enomnatha wechungechunge ngaphakathi ukuze unamathele ityhubhu ukwenzela ukuba kube lula ukugqithisa. I-vein ikhethiweyo, kwaye umgca wePICC unokuthi unqunywe ubude obufutshane xa kuyimfuneko, ngakumbi ukuba isiguli sisincinane. Ubude obude buvumela umgca ukwandisa kwi-site yokungena apho iphofu ihlala kwisitya segazi ngaphandle kwentliziyo.
Isiza sokufakwa sivamisekile nge-injection. Ummandla uhlambulukile ngokucacileyo kwaye udidi oluncinci lwenziwe luya kufakwa kwi-vein, ngokuqhelekileyo kwingalo.
Ukusebenzisa ubuqhetseba, umgca wePICC ufakwe ngenyameko kwisitya. Ihamba ngokukhawuleza kwaye ihamba phambili kwisitya segazi, apho iya kunyuka ingalo ize ibone indlela yayo entliziyweni. Kwiimeko ezininzi, umatshini we-ultrasound usetyenziselwa ukuchonga indawo engcono kakhulu yokubeka indawo ye-PICC, enokunciphisa inani lamaxesha "isigxina" xa ubeka umgca.
Xa i-PICC isendaweni efanelekileyo, inokukhuselwa kwesikhumba ngaphandle kwesiza sokufakwa. Ininzi imigca yePICC ixutywa endaweni, nto leyo ithetha ukuba i-tubing kunye ne-port ehlala ngaphandle kwesikhumba iqhutywe endaweni.
Oku kuvimbela i-PICC ukuba isuswe ngengozi okanye ishukumele entliziyweni.
Emva kokuba i-PICC isendaweni, i-x-ray iyenziwa ukuze kuqinisekiswe ukuba umgca uhlala kwindawo efanelekileyo kwisikhumba segazi. Ukuba akusiyo kwindawo efanelekileyo, inokuphinda iqhutywe emzimbeni okanye ifakwe kwakhona.
Xa ukubekwa kuqinisekiswa ukuba ucingo lwenkxaso luyakususwa kwaye umgca ukhuselekile ukuyisebenzisa.
Ukususwa komgca wePICC
Ukususwa komgca wePICC kukhawuleza kwaye ngokungekho buhlungu. I-sutures ibambe umgca kwindawo efanelekileyo isuswe, kwaye umgca uthathwa ngenyameko kwisandla. Uninzi lwezigulane zithetha ukuba ziyamangalisa ukuba zisuswe, kodwa aluxhatshazi okanye zibuhlungu.
Emva kokuba i-PICC iphume, ukuphela komgca, okwakungaphakathi kwesigulane, kuhlolwa. Kufuneka ibonakale njengokuba yenzayo xa ifakiwe, kungekho zicatshulwa ezingasenakunqunywa ngaphakathi emzimbeni.
I-bandage encinci ingafakwa phezu kwesiza ukuba kukho ukuphuma kwegazi okuya kuhlala kwindawo 2 okanye kwiintsuku ezintathu xa isilonda siphulukisa.
Iingozi zePICC Line
Izingozi zokuba nomgca wePICC ziquka:
- Usuleleko: Usulelo luya kufaka kwisayithi yokungeniswa, isiganeko esona sikhulu ukuba umgca wePICC uhleli.
- I-Blood Clot: Amacwecwe egazi angakha kwi-tip ye-PICC, ukuba loo misonto iphuma ikhululekile bayakwazi ukuhamba ngentliziyo kumphunga, imeko ebizwa ngokuba yi- Pulmonary Embolism (PE) . Baya kufaka kwakhona ngengalo ejikeleze umgca.
- Ukungasebenzi: Imigca ye-PICC inokugqitywa. Amayeza ayatholakala ukuze azame ukucima umgca, kodwa ahlale esebenzayo kwaye angabangela ukususwa komgca.
- Ukuthukuthela kwentliziyo: Ukuba umgca usondele kakhulu entliziyweni, okanye entliziyweni, kunokucaphukisa intliziyo kwaye kubangele iingxaki ngesantya sentliziyo. Ukuba ingxaki ayifumananga ngokukhawuleza, umgca wePICC ukuxubha ngokuqhubekayo kwentliziyo inokubangela umonakalo kwimisipha yeentliziyo okanye iigraves.
Ukunyamekelwa komgca wePICC
Imigca ye-PICC idinga ukugcinwa rhoqo, kuquka ukuguqulwa okungaqhelekanga kwengubo yokugqoka, ukuxubha nge-striil fluid kunye nokucocwa kweechweba. Izigulane ezininzi zimboza isayithi yabo yePICC nge-plastiki okanye i-bandage engenawo amanzi okuhambisa. Akufanele ufumane indawo yakho ye-PICC emanzi, ngoko ukugoba ingalo yakho ebhafini okanye ukubhukuda akucebisi. Ukuthintela ukusuleleka kukubalulekileyo, oku kuthetha ukugcina indawo ecocekileyo, ukugcina ibhanji enemeko emihle, nokuhlamba izandla ngaphambi kokuba uthinte amachweba.
Biza umnonophelo wakho wezempilo ukuba:
- Ichweba lakho aliyi kuluphazamisa okanye lingenise
- I-PICC yakho ivuza
- I-PICC yakho ihamba, kwaye inxalenye engaphandle kwesikhumba sakho ngokukhawuleza ide kunokuba isetyenziswayo (i-tubic PICC inamanani abonakalayo kwaye isebenza njengesikhokelo sokubonwa)
- Unempawu okanye iimpawu zentsholongwane
- Unemiqondiso yeempawu zegazi le-clot
- Udinga ukuguqulwa kwengubo phambi kokuguqulwa kokugqoka (ngaphandle kokuba utshintshe ngokwakho)
> Umthombo
> Ngaphantsi Ufake iCatheter Central ukugqoka inguqu. Medline Plus. Kufumaneka ngoDisemba > 2015. https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000462.htm