I-Central Venous Catheters: Imigca yePICC xa ithelekiswa namazibuko

Umxholo

• Uthini umgca wePICC?
• Yintoni izibuko?
• I-PICC vs. izibuko

Malunga neecathetous venous

Isigqibo esinye onokufuna ukuba usenze ngaphambi kokuba uqale i-chemotherapy luhlobo luni lwe-catheter ye-venous central (CVC) ofuna ukuba i-oncologist yakho ifake unyango lwakho. I-CVC, ngamanye amaxesha ibizwa ngokuba ngumgca ophakathi, ifakwe kumthambo omkhulu esifubeni okanye engalweni ephezulu.

Iicatheters zinde, zityhubhu yeeplastiki ezenza kube lula ukubeka amayeza, iimveliso zegazi, izakha mzimba, okanye ulwelo ngqo kwigazi lakho. I-CVC inokwenza kube lula ukuthatha iisampulu zegazi kuvavanyo.

Ugqirha wakho oncologist unokuthatha isigqibo sokuba i-CVC iyimfuneko ukuba kuya kufuneka:

• ukumnika ngokuqhubekayo i-chemotherapy
• Unyango oluhlala iiyure ezingama-24 okanye nangaphezulu
• unyango ngelixa usekhaya

Amanye amayeza e-chemotherapy athathwa ngokuba ayingozi xa evuza ngaphandle kwemithambo. Ezi zibizwa ngokuba zii-vesicants okanye i-irritants. Ugqirha wakho oncologist unokucebisa i-CVC ukuthintela oku kungenzeki.

Ii-CVCs zithathwa njengezinokulawulwa ngakumbi kune-catheter ye-intravenous (IV) eqhelekileyo kuba inokuhlala emzimbeni wakho ixesha elide. Ezinye ii-CVCs zinokushiyeka emzimbeni wakho:

• iiveki
• iinyanga
• iminyaka

I-catheter ye-IV eqhelekileyo inokuhlala kuphela iintsuku ezimbalwa. Oku kuthetha ukuba i-oncologist okanye umongikazi kuya kufuneka aphinde afake ii-IVs ezininzi emithanjeni yakho ngexesha lonyango lwakho olunokonakalisa imithambo emincinci ngokuhamba kwexesha.

Kukho iintlobo ezahlukeneyo zeeCVCs. Ezona zixhaphakileyo zifakwa ecaleni, okanye kwimigca ye-PICC, kunye namazibuko. Uhlobo lwe-CVC oya kuyidinga luxhomekeke kwezi zinto zilandelayo, kubandakanya ukuba yeyiphi i-oncologist yakho oyithandayo:

• Kude kube nini uyakufuna ichemotherapy
• Kuthatha ixesha elingakanani ukungenisa iidosi zakho ze-chemotherapy
• Zingaphi iziyobisi oza kuzifumana ngaxeshanye
• Nokuba unazo naziphi na iingxaki zonyango ezinje ngegazi okanye ukudumba

Uthini umgca wePICC?

Umgca we-PICC ufakwa kumthambo omkhulu engalweni yi-oncologist yakho okanye umongikazi oqeqeshwe ngokukodwa. Ukufakwa akudingi utyando. Nje ukuba i-PICC ibekhona, ityhubhu ye-catheter iya kunamathela esikhumbeni sakho. Ezi ziyaziwa njenge "imisila" okanye ukukhanya, kwaye unokuba ngaphezulu kwesinye.

Ukuba ne-catheters, kubandakanya ii-PICCs, ngaphandle komzimba wakho kubeka umngcipheko wosulelo.

Ukunciphisa umngcipheko, kuya kufuneka unakekele ngokukodwa ityhubhu kunye nesikhumba esijikeleze indawo apho kufakwe khona umgca. Iityhubhu nazo kufuneka zigalelwe yonke imihla ngesisombululo esinyumba ukuthintela ukuvaleka.

Yintoni izibuko?

Izibuko ligubu elincinci elenziwe ngeplastikhi okanye ngentsimbi enetywina elifana nerabha ngaphezulu. Ityhubhu ebhityileyo, umgca, usuka kwigubu uye emthanjeni. Izibuko zifakwa phantsi kolusu esifubeni sakho okanye kwingalo ephezulu ngugqirha wotyando okanye ugqirha weradiologist.

Emva kokuba izibuko libekwe endaweni, unokuqaphela kuphela iqhuma elincinci. Akuyi kubakho umsila we-catheter ngaphandle komzimba. Xa ilixesha lokusetyenziswa kwezibuko, ulusu lwakho luza kuba ndindisholo ngekhrim kwaye inaliti ekhethekileyo iya kufakwa kulusu kufakwe itywina lerabha. (Oku kubizwa ngokuba kukungena kwizibuko.)

I-PICC vs. izibuko

Nangona imigca ye-PICC kunye namazibuko anenjongo enye, kukho umahluko phakathi kwawo:

• Imigca ye-PICC inokuhlala iiveki okanye iinyanga ezininzi. Izibuko lingahlala ixesha elide ufuna unyango, ukuya kuthi ga kwiminyaka eliqela.
• Imigca ye-PICC ifuna ukucocwa kunye nokugungxulwa mihla le. Kuncinci ukukhathalelwa ngamazibuko kuba aphantsi kolusu. Izibuko likwafuna ukugungxwa kube kanye ngenyanga ukuthintela ukujiya.
• Imigca ye-PICC akufuneki ivunyelwe ukuba imanzi. Kuya kufuneka uyigubungele ngezinto ezingangeni manzi xa uhlamba, kwaye ngekhe ukwazi ukuya kudada. Ngezibuko, unokuhlamba kwaye uqubha xa indawo iphile ngokupheleleyo.

Ukukunceda ufumane umbono ongcono wokuba kunokuba ne-CVC kuthetha ntoni kuwe, unokufuna ukubuza le oncologist yakho le mibuzo:

• Kutheni le nto ucebisa ukuba kufuneka ndibenekathetha okanye izibuko?
• Zeziphi iingxaki ezinokubakho ngePICC okanye izibuko?
• Ngaba ukufaka i-catheter okanye i-port kubuhlungu?
• Ngaba i-inshurensi yam yezempilo iya kuzihlawula zonke iindleko ezifunekayo ngesi sixhobo?
• I-catheter okanye izibuko ziya kushiyeka ixesha elingakanani?
• Ndiyikhathalela njani i-catheter okanye izibuko?

Sebenza neqela lakho lonyango lwe-oncology ukuqonda zonke izibonelelo kunye nomngcipheko wezixhobo zeCVC.