Central catheter venous - ukugungxula

Unendawo yokuhambisa umbhobho oyintloko esembindini. Le yityhubhu engena emthanjeni esifubeni sakho kwaye iphele entliziyweni yakho. Inceda ukuthwala izakhamzimba okanye amayeza emzimbeni wakho. Isetyenziselwa ukuthatha igazi xa ufuna ukuvavanywa igazi.

Kufuneka uhlambe i-catheter emva kwayo yonke into oyisebenzisayo. Oku kubizwa ngokuba kukugungxula. Ukugungxula kunceda ekugcineni i-catheter icocekile. Ikwanqanda namahlwili egazi ekuthinteleni ipayipi.

Iicatheters ezinamazinyo asembindini zisetyenziswa xa abantu befuna unyango ixesha elide.

• Unokufuna i-antibiotics okanye amanye amayeza iiveki ukuya kwiinyanga.
• Ungadinga isondlo esongezelelekileyo kuba izibilini zakho azisebenzi ngokuchanekileyo.
• Unokufumana i-dialysis yezintso.

Landela imiyalelo yomboneleli wakho wezempilo malunga nendlela yokugungxula i-catheter yakho. Ilungu losapho, umhlobo, okanye umnonopheli unokukwazi ukukunceda ngokugungxula. Sebenzisa eli phepha ukukunceda ukukhumbuza amanyathelo.

Umboneleli wakho uya kukunika iyeza lezinto oza kuzidinga. Ungazithenga ezivenkileni. Kuya kuba luncedo ukwazi igama le-catheter yakho kunye nenkampani eyenzileyo. Bhala olu lwazi phantsi kwaye ugcine uluncedo.

Ukucoca i-catheter yakho, kuya kufuneka:

• Ukucoca iitawuli zamaphepha
• Iisaliti zesaline (icacile), kwaye mhlawumbi iiserinji zeheparin (tyheli)
• Utywala uyosula
• Iiglavu engenazintsholongwane
• Isikhongozelo se-Sharps (isikhongozeli esikhethekileyo seesirinji kunye neenaliti ezisetyenzisiweyo)

Ngaphambi kokuba uqale, jonga iilebhile kwiisaliti zesaline, iiserinji, okanye iisirinji zamayeza. Qinisekisa ukuba amandla kunye nedosi zichanekile. Jonga umhla wokuphelelwa. Ukuba isirinji ayifakwanga, zola inani elichanekileyo.

Uya kugungxula i-catheter yakho ngendlela ecocekileyo (ecoceke kakhulu). Landela la manyathelo:

1. Hlamba izandla zakho kangangemizuzwana engama-30 ngesepha namanzi. Qiniseka ukuba uhlamba phakathi kweminwe yakho naphantsi kweenzipho zakho. Susa bonke ubucwebe kwiminwe yakho ngaphambi kokuba uhlambe.
2. Yoma ngetawuli yephepha ecocekileyo.
3. Misela izinto zakho kwindawo ecocekileyo kwitawuli entsha yephepha.
4. Nxiba iiglavu ezingenazintsholongwane.
5. Susa ikepusi kwisirinji yesaline kwaye usete ikepusi phantsi kwetawuli yephepha. Sukuvumela isiphelo esingavalwanga sesirinji sibambe itawuli yephepha okanye enye into.
6. Susa isiqhobosho kwisiphelo se-catheter kwaye usule isiphelo se-catheter ngokusula utywala.
7. Gweba isirinji yesaline kwi-catheter ukuyincamathisela.
8. Faka isitofu kancinci kwi-catheter ngokucofa ngobunono kwiplunger. Yenza kancinci, uyeke, emva koko wenze ezinye. Fakela yonke i-saline kwi-catheter. Musa ukunyanzela. Fowunela umnikezeli wakho ukuba ayisebenzi.
9. Xa ugqibile, khulula isirinji uyibeke kwisitya sakho esibukhali.
10. Coca isiphelo se-catheter kwakhona ngesinye isiselo esinxilisayo.
11. Beka i-clamp kwi-catheter ukuba ugqibile.
12. Susa iiglavu kwaye uhlambe izandla zakho.

Buza umboneleli wakho ukuba ufuna ukucoca i-catheter yakho ngeheparin. IHeparin liyeza elinceda ukuthintela amahlwili egazi. Landela la manyathelo ukuba wenza:

1. Namathisela isirinji ye-heparin kwi-catheter yakho, ngendlela efanayo naleyo uncamathisele ngayo isirinji yesaline.
2. Gungxula ngokucothayo ngokutyhala kwiplunger kwaye utofe kancinci ngexesha, ngendlela efanayo naleyo uyenzileyo ityuwa.
3. Khulula isirinji ye-heparin kwi-catheter yakho. Yibeke kwisitya sakho esibukhali.
4. Coca isiphelo se-catheter yakho ngokosula utywala ngokutsha.
5. Beka i-clamp emva kwe-catheter yakho.

Gcina zonke izinto ezibambe ikheetter zivaliwe ngalo lonke ixesha. Luluvo olulungileyo ukutshintsha iminqwazi ekupheleni kwekhetsheyitha lakho (elibizwa ngokuba yi "claves") xa utshintsha ukunxitywa kwekathetha nasemva kokuba uthathiwe igazi. Umboneleli wakho uya kukuxelela ukuba ungayenza njani le nto.

Buza umboneleli wakho xa unokuhlamba okanye uhlambe. Xa usenza njalo, qiniseka ukuba ukunxitywa kukhuselekile kwaye indawo yakho ye-catheter ihlala yomile. Musa ukuvumela indawo yokubethela ithumbu ukuba ihambe phantsi kwamanzi ukuba untywila ebhafini.

Fowunela umnikezeli wakho ukuba:

• Ngaba unengxaki yokugungxula ikatheyitha yakho
• Ukuphuma kwegazi, ubomvu, okanye ukudumba kwindawo ye-catheter
• Isaziso siyavuza, okanye i-catheter iyanqunyulwa okanye iyaqhekeka
• Yiba neentlungu kufutshane nesiza okanye entanyeni yakho, ebusweni, esifubeni, okanye engalweni
• Unempawu zosulelo (umkhuhlane, ukubanda)
• Banokuphefumla kancinci
• Uziva unesiyezi

Fowunela umnikezeli wakho ukubangaba i-catheter yakho:

• Iphuma emithanjeni yakho
• Kubonakala kuvaliwe

Isixhobo sokufikelela kwi-venous central - ukugungxula; ICVAD - ukugungxula

USmith SF, uDuell DJ, uMartin BC, uAebersold M, uGonzalez L. Izixhobo zokufikelela kwimithambo esembindini. Ku: Smith SF, uDuell DJ, uMartin BC, uGonzalez L, uAebersold M, ii-eds. Izakhono zoLondolozo lwezeKlinikhi: ezisisiseko kwizakhono eziPhambili. Umhla we-9. ENew York, NY: Pearson; I-2016: isahluko 29.

• Ukutsalwa komongo wethambo

• Emva kwe-chemotherapy - ukukhutshwa
• Ukopha ngexesha lonyango lomhlaza
• Ukutsalwa komongo wethambo - ukukhupha
• I-catheter esembindini yemithambo-yokunxiba utshintsho
• Ukufakwa ngokuthe gca kwe-catheter esembindini - ukugungxula
• Inkqubo eyinyumba
• Unonophelo lwenxeba lotyando - luvulekile

• Umhlaza Chemotherapy
• Unonophelo olubalulekileyo
• Uxilongo
• Inkxaso yeZondlo