Central venous catheter - kubhururuka

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.

Unofanirwa kusuka catheter mushure mekushandisa kwese. Uku ndiko kunonzi kupuruzira. Kugeza kunobatsira kuti catheter igare yakachena. Iyo zvakare inodzivirira kuwanda kweropa kubva pakuvhara iyo catheter.

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.

Tevedza rairo yemubatsiri wako wezvehutano nezvekuti ungaburitsa sei catheter yako. Nhengo yemhuri, shamwari, kana muchengeti anogona kunge achikwanisa kukubatsira nekusveta. Shandisa iri pepa kuti ubatsire kukuyeuchidza nezvematanho.

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.

Kuti ubudise catheter yako, iwe unoda:

• Chenesa mapepa matauro
• Saline majekiseni (akajeka), uye pamwe heparin majekiseni (yero)
• Doro rinopukuta
• Magiravhosi asina kuchena
• Sharps mudziyo (yakasarudzika mudziyo wemasirinji uye tsono)

Usati watanga, tarisa mavara pane majekiseni esaline, heparin majekiseni, kana majekiseni emishonga. Ita shuwa kuti simba uye dhizeti zvakaringana. Tarisa zuva rekupera. Kana sirinji ikasadirwa, dhonza huwandu hwakaringana.

Iwe uchapuruzira catheter yako nenzira chena (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 peya yegurovhosi.
5. Bvisa kapu pasirinji yesaline woisa chivharo pasi pajira repepa. Usarega magumo esirinji asina kubatwa achibata tauro repepa kana chero chinhu.
6. Svinura chinosunga pamucheto wekateti uye pukuta kumagumo kwekateti pamwe nedoro pukuta.
7. Sikuruwa sirinji sirinji kune catheter kuti uibatanidze.
8. Baya jekiseni munyu zvishoma nezvishoma kupinda mu catheter nekusveta zvinyoro-nyoro papombi. Ita zvishoma, wobva wamira, wozoita zvimwezve. Baya jekiseni munyu wose. Usamanikidze. Fonera mupiki wako kana isiri kushanda.
9. Paunenge wapedza, sunungura sirinji uiise mumudziyo wako unopinza.
10. Chenesa kupera kwecatheter zvakare neimwe doro pukuta.
11. Isa simbi pane catheter kana wapedza.
12. Bvisa magirovhosi uye geza maoko ako.

Kumbira mupiki wako kana iwe zvakare uchida kumesa catheter yako ne heparin. Heparin mushonga unobatsira kudzivirira kugwamba kweropa. Tevera nhanho idzi kana iwe uchiita:

1. Sunga iyo heparin sirinji kune yako catheter, nenzira imwecheteyo iwe yawakanamatira iyo saline sirinji.
2. Flush zvishoma nezvishoma nekusundira pane plunger uye jekiseni zvishoma pane imwe nguva, nenzira imwechete yawakaita saline.
3. Bvisa heparin sirinji kubva pane yako catheter. Zviise mumudziyo wako unopinza.
4. Chenesa magumo epa catheter yako new doro pukuta.
5. Dzorera simbi yacho pane yako catheter.

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

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

Fonera mupiki wako kana iwe:

• Uri kunetseka kufambisa yako catheter
• Iva neropa, kutsvuka, kana kuzvimba panzvimbo yecatheter
• 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 wako kana catheter yako:

• Iri kubuda mutsinga yako
• Inoita kunge yakavharika

Central venous access device - kuputika; CVAD - kufashaira

Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L. Central midziyo yekushandisa. Muna: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, eds. Unyanzvi hweKiriniki hweKiriniki: Huru kune Hwepamberi Hunyanzvi. 9th ed. New York, NY: Pearson; 2016: chitsiko 29.

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