Unyango lwe-IV ekhaya

Wena okanye umntwana wakho nizakugoduka esibhedlele kungekudala. Umboneleli wezempilo umisele amayeza okanye ezinye iindlela zonyango ekufuneka wena okanye umntwana wakho uzithathe ekhaya.

IV (efakwa ngaphakathi) kuthetha ukunika amayeza okanye ulwelo ngenaliti okanye ityhubhu (ithumbu) elingena emthanjeni. Umbhobho okanye i-catheter inokuba yenye yezi zinto zilandelayo:

• Icatheter esembindini yemithambo
• Central catheter yemithambo-yezibuko
• Ukufakwa ngokuthe gca kwecatheter esembindini
• Ngesiqhelo IV (enye ifakwe kumthambo ongezantsi kwesikhumba sakho)

Unyango lweKhaya IV yindlela yokuba wena okanye umntwana wakho ufumane amayeza e-IV ngaphandle kokuba usesibhedlele okanye uye eklinikhi.

Unokufuna iidosi eziphezulu ze-antibiotics okanye i-antibiotics ongenakukuthatha ngomlomo.

• Unokuba uqale i-IV antibiotics esibhedlele ofuna ukuyifumana ixesha elide emva kokuphuma esibhedlele.
• Umzekelo, usulelo kwimiphunga, amathambo, ingqondo, okanye amanye amalungu omzimba anokunyangwa ngale ndlela.

Olunye unyango lwe-IV onokulufumana emva kokuba uphumile esibhedlele lubandakanya:

• Unyango lokusilela kwehomoni
• Amayeza okubangela isicaphucaphu esiqatha esinokubangelwa ngumhlaza chemotherapy okanye ukukhulelwa
• I-analgesia elawulwa sisigulana (i-PCA) yeentlungu (eli liyeza le-IV elinikwa zizigulana)
• I-Chemotherapy ukunyanga umhlaza

Wena okanye umntwana wakho unokufuna isondlo esipheleleyo somzali (TPN) emva kokuhlala esibhedlele. I-TPN yifomula yesondlo enikezelwa ngomthambo.

Wena okanye umntwana wakho unokufuna ulwelo olongezelelekileyo nge-IV.

Rhoqo, abongikazi bokhathalelo lwempilo ekhaya baya kuza ekhayeni lakho ukuze bakunike amayeza. Ngamanye amaxesha, ilungu losapho, umhlobo, okanye wena ngokwakho unganika iyeza le-IV.

Umongikazi uya kujonga ukuqinisekisa ukuba i-IV isebenza kakuhle kwaye akukho zimpawu zosulelo. Emva koko umongikazi uya kunika amayeza okanye olunye ulwelo. Iya kunikwa ngenye yezi ndlela zilandelayo:

• I-bolus ekhawulezayo, oko kuthetha ukuba iyeza linikwa ngokukhawuleza, zonke ngaxeshanye.
• Ukufakwa kancinci, oko kuthetha ukuba iyeza linikwa kancinci ixesha elide.

Emva kokuba ufumene amayeza akho, umongikazi uya kulinda ukuba abone ukuba akukho mpendulo imbi kuye. Ukuba uyaphila, umongikazi uza kulishiya ikhaya lakho.

Iinaliti ezisetyenzisiweyo kufuneka zilahlwe kwisitya senaliti (sharps). Ukusetyenziswa kwe-IV tubing, iingxowa, iiglavu, kunye nezinye izinto ezilahlayo zinokungena kwingxowa yeplastiki kwaye zibekwe emgqomeni.

Jonga ezi ngxaki:

• Umngxuma kulusu apho kukho i-IV. Iyeza okanye ulwelo lunokungena kwithishu ejikeleze umthambo. Oku kungonakalisa ulusu okanye izicwili.
• Ukudumba komthambo. Oku kunokukhokelela kwigazi (elibizwa ngokuba yi-thrombophlebitis).

Ezi ngxaki zinqabileyo zinokubangela iingxaki zokuphefumla okanye zentliziyo:

• Ibhola lomoya lingena emthanjeni kwaye lihambe liye entliziyweni okanye kwimiphunga (ebizwa ngokuba yi-embolism yomoya).
• Ukungaziphathi kakuhle okanye enye impendulo enzulu kwiyeza.

Amaxesha amaninzi, abongikazi abakhathalela impilo ekhaya bafumaneka iiyure ezingama-24 ngosuku. Ukuba kukho ingxaki nge-IV, ungatsalela umnxeba i-arhente yokhathalelo lwempilo ekhaya.

Ukuba i-IV iphuma emthanjeni:

• Kuqala, beka uxinzelelo ekuvulekeni apho bekukho i-IV de kuyeke ukopha.
• Emva koko fowunela i-arhente yokhathalelo lwempilo yasekhaya okanye ugqirha ngoko nangoko.

Fowunela umboneleli wakho wezempilo ukuba wena okanye umntwana wakho unazo naziphi na iimpawu zosulelo, ezinje:

• Ubomvu, ukudumba, okanye ukugruzuka kwindawo apho inaliti ingena emthanjeni
• Intlungu
• Ukopha
• Umkhuhlane we-100.5 ° F (38 ° C) okanye ngaphezulu

Tsalela umnxeba inombolo yakho yongxamiseko yasekuhlaleni, enje nge-911, ngoko nangoko ukuba unayo:

• Naziphi na iingxaki zokuphefumla
• Inqanaba lentliziyo elikhawulezayo
• Ukuba nesiyezi
• Iintlungu zesifuba

Unyango lwasekhaya lokuthintela intsholongwane; Central catheter venous - ikhaya; Umda wecatheter yemithambo yegazi-ekhaya; Izibuko - ikhaya; Umgca we-PICC-ekhaya; Ukumnika unyango - ekhaya; Ukhathalelo lwempilo yasekhaya-unyango lwe-IV

UChu CS, uRubin SC. Imigaqo esisiseko yekhemotherapy. Ku: I-DiSaia PJ, iCreasman WT, iMannel RS, iMcMeekin DS, iMutch DG, ii-eds. Iiklinikhi zeGynecologic Oncology. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 17.

Igolide HS, LaSalvia MT. Unyango lwabazali lwe-antimicrobial. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 53.

IPong AL, uBradley JS. Unyango lwangaphandle lwe-antimicrobial yonyango olusulelayo. Ku: UCherry JD, uHarrison GJ, uKaplan SL, uSteinbach WJ, uHotez PJ, ii-eds. Incwadi kaFeigin kunye neCherry yezifo ezosulelayo zabantwana. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 238.

• Amayeza