Ukufakwa kwamaphepha catheter asembindini ngexesha-iintsana

I-catheter esembindini efakwe ngaphakathi (PICC) yityhubhu ende, ebhityileyo, ethambileyo yeplastiki efakwa kwisitya esincinci segazi kwaye ifikelela nzulu kwisitya segazi esikhulu. Eli nqaku lijongana neePICC kwiintsana.

KUTHENI KUSETYENZISWA IPICC?

I-PICC isetyenziswa xa usana lufuna ulwelo lwe-IV okanye iyeza ixesha elide. Ii-IVs eziqhelekileyo zihlala kuphela iintsuku ezi-1 ukuya kwezi-3 kwaye kufuneka zitshintshwe. I-PICC inokuhlala iiveki ezi-2 ukuya kwezi-3 nangaphezulu.

Ii-PICC zihlala zisetyenziswa kwiintsana ezizelwe ngaphambi kwexesha ezingakwaziyo ukondla ngenxa yeengxaki zamathumbu okanye ezifuna amayeza e-IV ixesha elide.

IPICC IFAKWA NJANI?

Umboneleli wezempilo uya:

• Nika umntwana iyeza leentlungu.
• Coca ulusu lomntwana ngamayeza okubulala iintsholongwane (i-antiseptic).
• Yenza ukusika okuncinci kwaye ubeke inaliti engenamngxunya kumthambo omncinci engalweni okanye emlenzeni.
• Hambisa i-PICC ngenaliti uye kwi-vein enkulu (embindini), ubeke incam yayo kufutshane (kodwa hayi ngaphakathi) entliziyweni.
• Thatha i-x-ray ukubeka inaliti.
• Susa inaliti emva kokubekwa kwe-catheter.

ZIYIPHI IINGOZI ZOKUBA NEPICC?

• Iqela lokhathalelo lwempilo kungafuneka ukuba lizame ngaphezu kwesihlandlo esinye ukubeka iPICC. Ngamanye amaxesha, i-PICC ayinakubekwa ngokufanelekileyo kwaye kunyango olwahlukileyo kuya kufuneka.
• Kukho umngcipheko omncinci wosulelo. Ixesha elide i-PICC ikhona, umngcipheko mkhulu.
• Ngamanye amaxesha, i-catheter inokuluchitha udonga lomthambo wegazi. Ulwelo lwe-IV okanye amayeza anokuvuza kwiindawo ezikufuphi zomzimba.
• Kunqabile kakhulu, i-PICC inokulugungxula udonga lwentliziyo. Oku kunokubangela ukopha kakhulu kunye nokungasebenzi kakuhle kwentliziyo.
• Kunqabile kakhulu, i-catheter inokuqhekeka ngaphakathi komthambo wegazi.

I-PICC - iintsana; PQC - iintsana; I-pic line - iintsana; I-Per-Q cath - iintsana

IPasala S, iSaqhwithi EA, iStroud MH, et al. Ukufikelela kwe-vascular vascular and centeses. Ku: UFuhrman BP, uZimmerman JJ, ii-eds. Inkathalo yabantwana. Umhla we-5. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 19.

I-Santillanes G, uClaudius I. Ukufikelela kubantwana emithanjeni kunye neendlela zokulinganisa iisampulu. Ku: Roberts J, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 19.

Amaziko eMelika oLawulo lweZifo kwiKomiti yeNgcebiso ngoLawulo lweNtsholongwane. Izikhokelo zika-2011 zokuthintela usulelo olunxulumene ne-catheter ye-intravascular. www.cdc.gov/infectioncontrol/pdf/guidelines/bsi-guidelines-H.pdf. Ukuhlaziywa kwe-Okthobha ye-2017. Ifikeleleke ngo-Okthobha 24, 2019.