Umgca we-venous central - iintsana

Umgca we-venous central ityhubhu ende, ethambileyo, yeplastiki efakwa kumthambo omkhulu esifubeni.

KUTHENI KUSETYENZISWA UMGANGATHO OBALULEKILEYO?

Umgca we-venous central uhlala ubeka xa umntwana engenakufumana i-catheter ephakathi (PICC) okanye i-midline central catheter (MCC). Umgca we-venous central ungasetyenziselwa ukunika izakhamzimba okanye amayeza kusana. Ifakwa kuphela xa iintsana zifuna izondlo ze-IV okanye amayeza ixesha elide.

UXHOTYWA NJANI UMGANGATHO OBALULEKILEYO?

Umgca we-venous central ufakwa esibhedlele. Umboneleli wezempilo uya:

• Nika umntwana iyeza leentlungu.
• Coca ulusu esifubeni ngesisombululo sokubulala iintsholongwane (i-antiseptic).
• Yenza utyando oluncinci esifubeni.
• Beka into encinci yesinyithi ukwenza itonela emxinwa phantsi kolusu.
• Beka i-catheter ngale tonela, phantsi kolusu, ungene emthanjeni.
• Phusha i-catheter kude kube incam isondele entliziyweni.
• Thatha i-x-reyi ukuqinisekisa ukuba umgca we-venous central ukwindawo elungileyo.

ZIYIPHI IINGOZI ZOMGANGATHO OBALULEKILEYO?

Iingozi zibandakanya:

• Kukho umngcipheko omncinci wosulelo. Sekude umgca we-venous line, umngcipheko omkhulu.
• Amahlwili egazi anokuvela kwimithambo ekhokelela entliziyweni.
• Iicatheters zinokuluchitha udonga lomthambo wegazi.
• Ulwelo lwe-IV okanye amayeza anokuvuza kwamanye amalungu omzimba. Oku kunqabile, kodwa oku kunokubangela ukopha kakhulu, iingxaki zokuphefumla, kunye neengxaki zentliziyo.

Ukuba umntwana unazo naziphi na kwezi ngxaki, umgca we-venous central ungakhutshwa. Thetha nomboneleli wakho womntwana malunga nobungozi bomgca we-venous central.

I-CVL - iintsana; I-catheter esembindini- iintsana- zibekwe ngotyando

• Icatheter esembindini yemithambo

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Izikhokelo zokuthintela usulelo olunxulumene ne-catheter enxulumene nemithambo yegazi, 2011. www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Ukuhlaziywa kwe-Okthobha ye-2017. Ifikeleleke ngoSeptemba 26, 2019.

IDenne SC. Isondlo sabazali somngcipheko ophezulu kakhulu. Ku: Gleason CA, Juul SE, ii-eds. Izifo zika-Avery Zomntwana osandul 'ukuzalwa. Ngomhla we-10. IPhiladelphia, PA: Elsevier; I-2018: isahluko 69.

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.