Percutaneously yakaiswa pakati catheter - vacheche

Catheter yepakati inoiswa mukati mega (PICC) ipurasitiki refu, yakatetepa, yakapfava iyo inoiswa mumudziyo weropa uye inosvika pakadzika muropa reropa rakakura. Ichi chinyorwa chinotaura nezvePICC muvacheche.

NEI PICC INOSHANDISWA?

PICC inoshandiswa apo mucheche anoda IV emvura kana mushonga kwenguva yakareba. Yakajairwa IVs inongopedza 1 kusvika 3 mazuva uye inoda kuchinjwa. PICC inogona kugara mukati memavhiki maviri kana matatu kana kupfuura.

MaPICC anowanzo shandiswa muvacheche vasati vazvarwa vasingakwanise kufudza nekuda kwematambudziko euviri kana vanoda mishonga yeIV kwenguva refu.

PICC INOITWA SEI?

Anopa hutano anozo:

• Ipa mwana mushonga wekurwadziwa.
• Chenesa ganda remwana nemushonga wekuuraya utachiona (antiseptic).
• Gadzira chidimbu chidiki chekuvhiya woisa tsono isina mhodzi mutsinga diki yeruoko kana gumbo.
• Fambisa iyo PICC kuburikidza netsono kupinda mune yakakura (yepakati) tsinga, uchiisa muromo wayo padyo (asi kwete mukati) pamoyo.
• Tora x-ray kuisa tsono.
• Bvisa tsono mushure mokunge catheter yaiswa.

NDEZVIPI Ngozi dzekuva nePICC YAKAISWA?

• Chikwata chekuchengetedza hutano chingangofanira kuedza kanopfuura kamwe chete kuti vaise PICC. Mune zvimwe zviitiko, PICC haigone kumisikidzwa zvakanaka uye mumwe mushonga unodikanwa.
• Pane njodzi diki yekutapukirwa. Iyo yakareba iyo PICC irimo, zvakanyanya njodzi.
• Dzimwe nguva, iyo catheter inogona kupfeka kurera kweropa remadziro. IV fluid kana mushonga unogona kudonhera munzvimbo dziri padyo nemuviri.
• Kashoma kwazvo, iyo PICC inogona kupfeka kumadziro emoyo. Izvi zvinogona kukonzera kubuda ropa kwakakomba uye kusashanda kwemoyo basa.
• Kashoma kwazvo, iyo catheter inogona kupaza mukati meropa reropa.

PICC - vacheche; PQC - vacheche; Pic mutsetse - vacheche; Per-Q cath - vacheche

Pasala S, Dutu EA, Stroud MH, et al. Chiremba vascular kuwana uye centeses. Mune: Fuhrman BP, Zimmerman JJ, eds. Chiremba Kukosha Kuchengetedza. 5 ed. Philadelphia, PA: Elsevier; 2017: chitsiko 19.

Santillanes G, Claudius I. Pediatric vascular kuwana uye neropa sampling maitiro. Muna: Roberts J, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 19.

United States Nzvimbo dzeDaily Control Healthcare Infection Kudzora Maitiro Ekupa mazano Komiti. 2011 nhungamiro yekudzivirira hutachiona hwehutachiona hwehutachiona. www.cdc.gov/infectioncontrol/pdf/guidelines/bsi-guidelines-H.pdf. Yakagadziridzwa Gumiguru 2017. Yakasvika Gumiguru 24, 2019.