Umda wokujikeleza kwemithambo - iintsana

Umgca we-peripheral arterial line (PAL) yincinci, emfutshane, i-catheter yeplastiki efakwa ngesikhumba kwi-artery yengalo okanye yomlenze. Ababoneleli ngempilo ngamanye amaxesha bakubiza ngokuba "ngumgca wobugcisa." Eli nqaku lijongana ne-PALs kwiintsana.

KUTHENI KUSETYENZISWA IPAL?

Ababoneleli basebenzisa i-PAL ukujonga uxinzelelo lwegazi lomntwana wakho. I-PAL ingasetyenziselwa ukuthatha iisampuli zegazi rhoqo, kunokuba kufuneke ukhe igazi kusana rhoqo. I-PAL ihlala ifuneka ukuba umntwana:

• Isifo esibuhlungu semiphunga kwaye sikumatshini wokuphefumla
• Iingxaki zoxinzelelo lwegazi kwaye zikwimithi yazo
• Ukugula ixesha elide okanye ukungakhuli kufuna uvavanyo lwegazi rhoqo
  

IFAKWA NJANI IPAL?

Okokuqala, umboneleli ucoca ulusu lomntwana ngamayeza okubulala iintsholongwane (i-antiseptic). Emva koko i-catheter encinci ifakwa kwimithambo. Emva kokuba iPAL ingenile, idityaniswe kwingxowa ye-IV fluid kunye nokujonga uxinzelelo lwegazi.

ZINTONI IINGOZI ZEPAL?

Iingozi zibandakanya:

• Umngcipheko omkhulu kukuba i-PAL iyeke igazi ukuba lingayi kwisandla okanye elunyaweni. Ukuvavanywa ngaphambi kokuba i-PAL ibekwe kunokuthintela le ngxaki kwiimeko ezininzi. Abahlengikazi be-NICU baya kujonga ngononophelo umntwana wakho kule ngxaki.
• Ii-PAL zinomngcipheko omkhulu wokopha kunee-IVs eziqhelekileyo.
• Kukho umngcipheko omncinci wosulelo, kodwa ungaphantsi komngcipheko ovela kwi-IV esemgangathweni.

I-PAL - iintsana; Umgca wobugcisa - iintsana; Umgca we-Arterial-neonatal

• Umda wokujikeleza kwemithambo

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Iingcebiso zika-2017 malunga nokusetyenziswa kwe-chlorhexidine-yokufaka okokuthintela ukuthintela usulelo olunxulumene ne-catheter ye-intravascular: uhlaziyo kwizikhokelo zika-2011 zokuthintela usulelo olunxulumene ne-catheter ye-intravascular evela kumaziko oLawulo lweZifo noThintelo. www.cdc.gov/infectioncontrol/pdf/guidelines/c-i-dressings-H.pdf. Ukuhlaziywa ngoJulayi 17, 2017. Ifikeleleke ngoSeptemba 26, 2019.

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 JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahluko 19.

Ingwamza EK. Unyango lokungaphumeleli kwe-cardiorespiratory kwi-neonate. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine: Izifo ze-Fetus kunye neentsana. Ngomhla we-11. IPhiladelphia, PA: Elsevier Saunders; 2020: isahluko 70.