Central venous catheter - kupfeka shanduko

Iwe une chepakati venous catheter. Iyi chubhu inopinda mutsinga iri muchipfuva chako uye inogumira pamoyo wako. Inobatsira kutakura zvinovaka muviri kana mushonga mumuviri wako. Inoshandiswa zvakare kutora ropa kana iwe uchida kuongororwa ropa.

Kupfekedza mabhandeji akakosha anovhara utachiona uye anochengetedza yako catheter saiti kuoma uye kuchena. Ichi chinyorwa chinotsanangura maitiro ekuchinja kupfeka kwako.

Central venous catheters anoshandiswa kana vanhu vachida kurapwa kwenguva yakareba.

• Ungangoda maantibayoti kana mimwe mishonga kwemavhiki kusvika kumwedzi.
• Ungangoda zvekuwedzera zvekudya nekuti ura hwako hausi kushanda nemazvo.
• Unogona kunge uri kugamuchira itsvo dialysis.
• Unogona kunge uri kugamuchira kenza zvinodhaka.

Iwe unozofanirwa kuchinja kupfeka kwako kazhinji, kuitira kuti utachiona usapinde mune yako catheter uye urware. Tevedza rairo yemubatsiri wako wehutano pakushandura kupfeka kwako. Shandisa iri pepa kuti ubatsire kukuyeuchidza nezvematanho.

Iwe unofanirwa kuchinja kupfeka kamwechete pasvondo. Iwe unozofanirwa kuchinjisa iyo nekukurumidza kana ikava yakasununguka kana ikanyorova kana yakasviba. Mushure mekumwe kuita, zvinozova nyore. Shamwari, nhengo yemhuri, muchengeti, kana chiremba wako anogona kukwanisa kukubatsira.

Mupiki wako anokuudza iwe kana iwe uchigona kugeza kana kugeza mushure mekuvhiyiwa. Paunoita, ita shuwa kuti kupfeka kwakachengeteka uye yako catheter saiti iri kugara yakaoma. Usarega catheter saiti ichienda pasi pemvura kana uri kunyura mubhavhu.

Wako mupi achakupa mushonga wezvinhu zvauchazoda. Unogona kuzvitenga kuchitoro chekurapa. Zvichava zvinobatsira kuziva zita rekateti yako uye nekambani yakaigadzira. Nyora iyi ruzivo pasi uye chengeta iri nyore.

Kana yako catheter yaiswa panzvimbo, mukoti anokupa chinyorwa chinokuudza iwe kugadzira kwecatheter. Chengeta izvi kuitira paunotenga zvinhu zvako.

Kuti uchinje kupfeka kwako, iwe uchada:

• Magiravhosi asina kuchena
• Kuchenesa mhinduro
• Chipanji chakakosha
• Chikwata chakakosha, chinonzi Biopatch
• Bhenji yakajeka yekuvhara, senge Tegaderm kana Covaderm

Iwe unozoshandura kupfeka kwako nenzira isina kuchena (yakachena kwazvo). Tevedza nhanho idzi:

1. Geza maoko ako kwemasekondi makumi matatu nesipo nemvura. Ive neshuwa yekugeza pakati peminwe yako uye pasi pezvipikiri zvako. Bvisa zvishongo kubva paminwe yako usati washamba.
2. Dry pamwe netauro rakachena remapepa.
3. Gadzira zvaunopa pane yakachena pamusoro pane nyowani pepa tauro.
4. Pfeka maparagi akachena.
5. Zvinyoro bvisa iro rekare kupfeka uye Biopatch. Rasa marokwe ekare nemagurovhosi.
6. Pfeka peya nyowani yemagloves asina kubereka.
7. Tarisa ganda rako kutsvuka, kuzvimba, kana chero kubuda ropa kana imwe drainage yakatenderedza catheter.
8. Chenesa ganda nesiponji uye nekuchenesa mhinduro. Mhepo yakaoma mushure mekuchenesa.
9. Isa Biopatch nyowani pamusoro penzvimbo iyo iyo catheter inopinda paganda rako. Chengetedza gridhi kumusoro uye kupatsanurana kunogunzva.
10. Bvisa kutsigirwa kubva kune yakajeka bandeji repurasitiki (Tegaderm kana Covaderm) uye woiisa pamusoro pecatheter.
11. Nyora pasi musi wawakachinja kupfeka kwako.
12. Bvisa magirovhosi uye geza maoko ako.

Chengetedza zvese zvinosungisa pane yako catheter yakavharwa nguva dzese. Izano rakanaka kushandura nguwani dziri kumagumo kwekateti yako (inonzi "maburi") paunoshandura kupfeka kwako. Wako mupi achakutaurira maitiro ekuita izvi.

Fonera mupiki wako kana iwe:

• Uri kunetsekana kuchinja madhirezi ako
• Iva nekubuda ropa, kutsvuka kana kuzvimba panzvimbo iyi
• Cherekedza kubuda, kana iyo catheter inotemwa kana kutsemuka
• Iva nemarwadzo padyo nenzvimbo kana mumutsipa wako, kumeso, chifuva, kana ruoko
• Iva nezviratidzo zvehutachiona (fever, chills)
• Vanoshaya mweya wekufema
• Inzwa dzungu

Danaidzawo mupi kana yako catheter:

• Iri kubuda mutsinga yako
• Inoita kunge yakavharirwa, kana iwe haugone kuiburitsa

Central venous access kifaa - kupfeka shanduko; CVAD - kupfeka shanduko

Smith SF, Duell DJ, Martin BC, Aebersold ML, Gonzalez L. Central midziyo yekushandisa. Mune: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold ML, eds. Unyanzvi hweKiriniki hweKiriniki: Huru kune Hwepamberi Hunyanzvi. 9th ed. New York, NY: Pearson; 2017: chitsiko 29.

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