Iicathet ze Umbilical

I-placenta ikhonkco phakathi kukamama nosana ngexesha lokukhulelwa. Imithambo emibini kunye nomthambo omnye kwimbambo yesibeleko uhambisa igazi ulibuyisela emva naphambili. Ukuba usana olusandul 'ukuzalwa luyagula kanye emva kokuzalwa, kunokufakwa i-catheter.

I-catheter yityhubhu ende, ethambileyo, engenanto. I-umbilical artery catheter (UAC) ivumela igazi ukuba lithathwe kusana ngamaxesha ahlukeneyo, ngaphandle kweenaliti eziphindaphindwayo. Ingasetyenziselwa ukubeka esweni ngokuqhubekayo uxinzelelo lwegazi lomntwana.

I-catheter ye-umbilical artery isetyenziswa rhoqo ukuba:

• Usana lufuna uncedo lokuphefumla.
• Usana ludinga iigesi zegazi kunye noxinzelelo lwegazi.
• Usana lufuna amayeza awomeleleyo kuxinzelelo lwegazi.

I-umbilical venous catheter (UVC) ivumela ulwelo kunye namayeza ukuba anikwe ngaphandle kokufaka endaweni yomgca we-intravenous (IV).

Isetyenziswa ekubetheni i-catheter ye-umbilical venous catheter ukuba:

• Usana luzelwe ngaphambi kwexesha.
• Usana luneengxaki zamathumbu ezithintela ukondla.
• Usana lufuna amayeza anamandla kakhulu.
• Usana lufuna ukutofelwa igazi.

ZIFAKWA NJANI IINKCUKACHA ZOMBUSO?

Ngokwesiqhelo kukho imithambo emibini yeembilini kunye nomthambo omnye wembambo. Emva kokuba unqunyulwe umbhobho, umboneleli wezempilo unokuyifumana le mithambo yegazi. Iicatheters zibekwa kwisitya segazi, kwaye kuthathwa i-x-ray ukumisela indawo yokugqibela. Nje ukuba i-catheters zikwindawo elungileyo, zigcinwa endaweni yazo ngentambo yesilika. Ngamanye amaxesha, i-catheters ifakwa kwindawo yesisu somntwana.

ZIYIPHI IINGOZI ZIKAMAKHAYA?

Iingxaki zibandakanya:

• Ukuphazanyiswa kokuhamba kwegazi kwilungu (amathumbu, izintso, isibindi) okanye ilungu (umlenze okanye isiphelo esingasemva)
• Igazi elijikeleze icatheter
• Usulelo

Ukuhamba kwegazi kunye neengxaki ze-clot yegazi zingasongela ubomi kwaye zifuna ukususwa kwe-UAC. Abongikazi be-NICU bajonge ngononophelo usana lwakho kwezi ngxaki zinokwenzeka.

I-UAC; UVC

• I-catheter ye-Umbilical

UMiller JH, uMoake M. Iinkqubo. Ku: Isibhedlele saseJohn Hopkins; IHughes HK, Kahl LK, ii-eds. Isibhedlele saseJohns Hopkins: Incwadana yeHarriet Lane. Umhla wama-21. IPhiladelphia, PA: Elsevier; I-2018: isahluko 3.

I-Santillanes G, uClaudius I. Ukufikelela kwabantwana kwimithambo yegazi kunye neesampulu zegazi. Ku: Roberts JR, Custalow CB, Thomsen TW, eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 19.

Umbuzo CH. I-catheterization yenqanawa ye-Umbilical. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 165.