Yintoni i-catheter ye-PICC, yintoni eyenzelwe kunye nokhathalelo

Umxholo

• Yenzelwe ntoni
• Kwenziwa njani
• Unonophelo oluphambili
• Iingxaki ezinokwenzeka

I-catheter esembindini efakwe ngaphakathi, eyaziwa ngokuba yi-PICC catheter, ityhubhu eguqukayo, ebhityileyo kwaye ende ende ye-silicone, phakathi kwe-20 ukuya kwi-65 cm ubude, efakwa kumthambo wengalo ide ifike kwimithambo yentliziyo kwaye isebenzela ukulawulwa amayeza afana ne-antibiotics, chemotherapy kunye ne-serum.

I-PICC luhlobo lwe-catheter oluhlala ukuya kwiinyanga ezi-6 kwaye lwenziwa kubantu abafumana unyango lwexesha elide, ngamayeza atofwayo, kwaye abafuna ukuqokelela igazi amatyeli aliqela. Inkqubo yokumiliselwa kwe-PICC yenziwa phantsi kwe-anesthesia yendawo kwikliniki yezigulana ezingalaliswayo kwaye umntu lowo angaya ekhaya ekupheleni kwenkqubo.

Yenzelwe ntoni

I-catheter ye-PICC iyacetyiswa kubantu abafuna ukwenza uhlobo oluthile lonyango oluhlala ixesha elide, kuba emva kokubekwa, inokuhlala ukuya kwiinyanga ezi-6. Luhlobo lwecatheter ethintela umntu ekuthatheni izinto ezininzi, kwaye inokusetyenziselwa:

• Unyango lomhlaza: isetyenziselwa ukusebenzisa i-chemotherapy ngqo kwi-vein;
• Isondlo sabazali: kukubonelelwa kwezondlo ezingamanzi ngokusebenzisa umthambo, umzekelo, kubantu abaneengxaki kwinkqubo yokwetyisa;
• Unyango lwezifo ezinzulu: Iqukethe ukulawulwa kwee-antibiotics, i-antifungals okanye i-antivirals ngokusebenzisa umthambo;
• Uvavanyo lokwahlulahlula: isetyenziselwa ukulawula umahluko phakathi kwe-iodine, i-gadolinium okanye i-barium;
• Ukuqokelelwa kwegazi: ukwenza uvavanyo lwegazi kubantu abaneemithambo ezibuthathaka engalweni;

I-PICC inokusetyenziselwa ukutofelwa igazi okanye iplatelet, ukuba nje ugqirha uyigunyazisile kwaye nokhathalelo lwenziwa, njengokuhlamba isisombululo seasaline.

Olu hlobo lwe-catheter aluboniswanga kubantu abaneengxaki zokugungqa, ukungalunganga kwimithambo, izinto zokwenza iintliziyo zentliziyo, ukutsha okanye amanxeba apho ziya kufakwa khona. Ukongeza, abantu abane-mastectomy, okt abasuse ibele, baya kuba nakho ukusebenzisa i-PICC kwelinye icala apho babekhe benza utyando ngaphambili. Bona ngakumbi malunga nokubuyiselwa emva kokususwa kwebele.

Kwenziwa njani

Ukufakwa kwe-Catheter ye-PICC kunokwenziwa ngugqirha wentliziyo okanye umongikazi ofanelekileyo, kuhlala umndilili weyure enye kwaye kungenziwa kwiklinikhi yezigulana ezingalaliswayo, kungekho mfuneko yokwamkelwa esibhedlele. Phambi kokuba aqale inkqubo, umntu lowo uhlala ebhedini, kufuneka agcine iingalo zakhe zithi nkqo.

Emva koko, i-antisepsis yenziwa ukucoca ulusu kunye ne-anesthesia ifakwe kwindawo apho i-catheter iya kufakwa khona, ethi, kwimeko ezininzi, ikummandla wengalo engalawulekiyo, kufutshane nesibaya. Ugqirha okanye umongikazi unokusebenzisa i-ultrasound kuyo yonke inkqubo ukujonga indlela kunye nobungakanani bomthambo.

Emva koko, inaliti ifakwa emthanjeni kwaye ngaphakathi kuyo kufakwa ityhubhu eguqukayo, eya emthanjeni wentliziyo, ingabangeli zintlungu emntwini. Emva kokungeniswa kwetyhubhu, kunokwenzeka ukuba uqinisekise ukuba kukho ulwandiso oluncinci ngaphandle, kulapho ziya kuhanjiswa khona iziyobisi.

Ekugqibeleni, i-X-ray iyakwenziwa ukuqinisekisa indawo ekuyo i-catheter kwaye kunxitywa ulusu ukuthintela usulelo, njengoko kusenziwa emva kokuba kwenziwe i-catheter ye-venous central. Funda ngakumbi malunga nokuba yintoni i-catheter eyi-venous central.

Unonophelo oluphambili

I-catheter ye-PICC inokusetyenziswa ngabantu abafumana unyango lwangaphandle, ke abantu bahlala begoduka bephethe i-catheter engalweni yabo. Nangona kunjalo, ezinye iindlela zokukhusela ziyafuneka, ezinje:

• Ngexesha lokuhlamba, kufuneka ukhusele ummandla we-catheter ngefilimu yeplastiki;
• Sukusebenzisa amandla ngengalo yakho, ukunqande ukubamba okanye ukuphosa iinjongo ezinzima;
• Musa ukuntywila elwandle okanye echibini;
• Sukujonga uxinzelelo lwegazi engalweni apho ikatala ifumaneka khona;
• Jonga ubukho begazi okanye ukhuseleko kwindawo ye-catheter;
• Soloko ugcine ukunxiba kumile.

Ukongeza, xa i-catheter ye-PICC isetyenziswa esibhedlele okanye eklinikhi ukunyanga, ukhathalelo lwenziwa liqela labongikazi, njengokuhlamba ngetyuwa, ukujonga ukubuya kwegazi nge-catheter, ukujonga imiqondiso ebonisa usulelo, ukutshintsha ikepusi incam icatheter kwaye utshintshe unxibe yonke imihla esi-7.

Iingxaki ezinokwenzeka

I-catheter ye-PICC ikhuselekile, nangona kunjalo, kwezinye iimeko, iingxaki zinokubakho, njengokuphuma kwegazi, i-arrhythmia yentliziyo, amahlwili egazi, i-thrombosis, usulelo okanye isithintelo. Ezi ngxaki zinokunyangwa, kodwa rhoqo, ugqirha ucebisa ngokususa i-PICC catheter ukunqanda ezinye iingxaki zempilo ukuba zingaveli.

Ke ngoko, ukuba kukho nayiphi na kwezi mpawu, okanye ukuba unefiva, ukuphefumla kancinci, ukubetha, ukudumba kuloo ndawo okanye ukuba ingozi yenzekile kwaye nenxalenye yecatheter iyaphuma, kufuneka unxibelelane nogqirha ngoko nangoko.