Ukufakwa ngokujikeleze i-catheter-enxibe utshintsho

I-catheter esembindini efakwe ngaphakathi (PICC) yityhubhu ende, ebhityileyo engena emzimbeni wakho ngomthambo wengalo yakho ephezulu. Isiphelo sale catheter singena emthanjeni omkhulu kufutshane nentliziyo yakho.

Ekhaya kuyakufuneka utshintshe ukunxiba okukhusela indawo ye-catheter. Umongikazi okanye umntu osebenza ngezobuchwephesha uya kukubonisa indlela yokutshintsha indlela onxiba ngayo. Sebenzisa olu lwazi lungezantsi ukukunceda ukukhumbuza amanyathelo.

I-PICC ithwala izakhamzimba kunye namayeza emzimbeni wakho. Ingasetyenziselwa ukutsala igazi xa ufuna kuvavanyo lwegazi.

Ukunxiba ibhandeji ekhethekileyo ethintela iintsholongwane kwaye igcina indawo yakho yecatheter yomile kwaye icocekile. Kufuneka utshintshe ukunxiba kube kanye ngeveki. Kuya kufuneka uyitshintshe kwangoko ukuba iyaxola okanye iba manzi okanye imdaka.

Kuba iPICC ibekwe kwenye yeengalo zakho kwaye udinga izandla zozibini ukutshintsha indlela onxiba ngayo, kungcono ukuba umntu akuncede ngenguquko. Umongikazi wakho uya kukufundisa indlela yokutshintsha indlela onxiba ngayo. Yiba nomntu okuncedayo ajonge kwaye amamele imiyalelo yomongikazi okanye yegcisa.

Ugqirha wakho ukunike iyeza lezinto ozifunayo. Ungazithenga ezi zinto kwivenkile ehambisa amayeza. Kuyanceda ukwazi igama le-catheter yakho kunye nenkampani eyenzayo. Bhala olu lwazi phantsi kwaye ugcine uluncedo.

Olu lwazi lungezantsi luchaza amanyathelo okutshintsha indlela onxiba ngayo. Landela nayiphi na imiyalelo eyongezelelweyo umboneleli wakho wezempilo akunike yona.

Ukutshintsha ukunxiba, kuya kufuneka:

• Iiglavu engenazintsholongwane.
• Imaski yobuso.
• Isisombululo sokucoca (njenge-chlorhexidine) kwisicelo esinye esincinci.
• Iiponji ezikhethekileyo okanye iisuli ezinesixhobo sokucoca, njenge-chlorhexidine.
• Isiziba esikhethekileyo esibizwa ngokuba yiBiopatch.
• Isibambiso esicacileyo somqobo, nokuba yiTegaderm okanye iCovaderm.
• Iziqwenga ezintathu ze-intshi enye ye-intshi (2.5 iisentimitha) itheyiphu ebanzi, iisentimitha ezi-4 (iisentimitha ezili-10) ubude (zineziqwenga ezi-1 eziqwengqwe ngesiqingatha, ngobude.)

Ukuba unikwe ikhithi yenguqu yokugqoka, landela imiyalelo yokusebenzisa izixhobo kwikhithi yakho.

Lungiselela ukutshintsha indlela onxiba ngayo ngendlela engenazintsholongwane (icoceke kakhulu):

• Hlamba izandla zakho kangangemizuzwana engama-30 ngesepha namanzi. Qiniseka ukuba uhlamba phakathi kweminwe yakho naphantsi kweenzipho zakho.
• Yomisa izandla zakho ngetawuli yephepha ecocekileyo.
• Misela izinto kwindawo ecocekileyo, kwitawuli entsha yephepha.

Susa isinxibo kwaye ujonge ulusu lwakho:

• Nxiba imaski yobuso kunye neiglavu ezingenazintsholongwane.
• Cima ngobunono isinxibo esidala kunye neBiopatch. Sukuyitsala okanye uyichukumise ipayipi apho iphuma khona engalweni.
• Lahla into yokunxiba endala neeglavu.
• Hlamba izandla zakho kwaye unxibe iigloves ezintsha ezingenazintsholongwane.
• Jonga ulusu lwakho ukuba bomvu, ukudumba, ukopha, okanye nawuphina omnye umjelo wamanzi ojikeleze i-catheter.

Coca indawo kunye necatheter:

• Sebenzisa ukosula okukodwa ukucoca i-catheter.
• Sebenzisa enye into yokusula ukucoca i-catheter, ngokuthe chu usebenza kude nalapho iphuma khona engalweni.
• Coca ulusu lwakho kwisiza kunye nesiponji kunye nesisombululo sokucoca imizuzwana engama-30.
• Vumela umoya wommandla wome.

Ukubeka isinxibo esitsha:

• Beka iBiopatch entsha kwindawo apho i-catheter ingena khona esikhumbeni. Gcina igridi ecaleni phezulu kwaye icala elimhlophe lichukumisa ulusu.
• Ukuba uxelelwe ukuba wenze njalo, sebenzisa ulusu lolusu apho imiphetho yesinxibo iyakuba khona.
• Coil ipayipi. (Oku akunakwenzeka ngazo zonke iicatheters.)
• Chuba ukuxhaswa kwi-bandage ecacileyo yeplastiki (iTegaderm okanye iCovaderm) kwaye ubeke ibandage ngaphezulu kwecatheter.

Tape i-catheter ukuyikhusela:

• Beka isiqwenga setyhubhu e-1-intshi (2.5 iisentimitha) phezu kwecatheter emaphethelweni ebhandeji ecacileyo yeplastiki.
• Beka esinye isiqwenga seteyipu ejikeleze i-catheter kwipateni yebhathane.
• Beka isiqwenga sesithathu setheyipu ngaphezulu kwephatheni yebhathane.

Lahla imaski yobuso kunye neiglavu kwaye uhlambe izandla xa ugqibile. Bhala phantsi umhla owatshintshe ngawo ukunxiba kwakho.

Gcina zonke izinto ezibambe ikheetter zivaliwe ngalo lonke ixesha. Ukuba uyalelwe, tshintsha iminqwazi (amazibuko) ekupheleni kwecatheter xa utshintsha indlela onxiba ngayo nasemva kokuba utsale igazi.

Ihlala ilungile ukuthatha iishawa kunye neebhafu kwiintsuku ezininzi emva kokuba ibhetri yakho ibekiwe. Buza umboneleli wakho ukuba ulinde ixesha elingakanani. Xa uhlamba okanye uhlamba, qiniseka ukuba ukunxiba kukhuselekile kwaye indawo yakho yecatheter ihlala yomile. SUKUVUMELA ukuba indawo ye-catheter ihambe phantsi kwamanzi ukuba untywila ebhafini.

Fowunela umnikezeli wakho ukuba unayo:

• Ukopha, ubomvu, okanye ukudumba kwindawo
• Ukuba nesiyezi
• Umkhuhlane okanye ubanda
• Ukuphefumla ixesha elinzima
• Ukuvuza kwi-catheter, okanye i-catheter iyanqunyulwa okanye iqhekeke
• Ubuhlungu okanye ukudumba kufutshane nendawo ye-catheter, okanye entanyeni yakho, ebusweni, esifubeni, okanye engalweni
• Ingxaki yokuhlutha i-catheter yakho okanye ukutshintsha indlela onxiba ngayo

Fowunela umnikezeli wakho ukubangaba i-catheter yakho:

• Iphuma engalweni yakho
• Kubonakala kuvaliwe

I-PICC-yokunxiba utshintsho

USmith SF, uDuell DJ, uMartin BC, uGonzalez L, uAebersold M. 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.

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