Chii chinonzi PICC catheter, ndeyei uye hanya

Zvemukati

• Chii ichochi
• Zvinoitwa sei
• Kutarisirwa kukuru
• Zvinogona kuitika

Iyo yekumucheto yakaiswa yepakati venous catheter, inozivikanwa zviri nani sePICC catheter, inochinjika, yakatetepa uye yakareba silicone chubhu, iri pakati pe20 kusvika 65 cm pakureba, inoiswa mukati meruoko kusvika yasvika mutsinga yemoyo uye inoshanda kune manejimendi mishonga yakadai semishonga inorwisa mabhakitiriya, chemotherapy uye serum.

PICC imhando yecatheter inogara kusvika kumwedzi mitanhatu uye inoitwa kune vanhu vari kurapwa kwenguva refu, nemishonga inobaya jekiseni, uye vanoda kutora ropa kakati wandei. Iyo PICC yekumisikidza maitiro inoitwa pasi peinesthesia yemuno mukiriniki yevarwere uye munhu anogona kuenda kumba panopera maitiro.

Chii ichochi

Iyo PICC catheter inokurudzirwa kune vanhu vanofanirwa kuita imwe mhando yekurapa iyo inogara kwenguva yakareba, nekuti mushure mekuiswa, inogona kutora kusvika kumwedzi mitanhatu. Iyo mhando yekateti iyo inodzivirira munhu kubva pakutora akati wandei kuruma, uye inogona kushandiswa kune:

• Cancer kurapwa: inoshandiswa kuisa chemotherapy yakananga kune tsinga;
• Parenteral chikafu: ndiko kugoverwa kwemanyowa emvura kuburikidza nemutsinga, semuenzaniso, mune vanhu vane dambudziko rekugaya system;
• Kurapa kwezvirwere zvakakomba: inoumbwa nekutungamirwa kwemishonga inorwisa mabhakitiriya, antifungals kana antivirals kuburikidza nemutsinga;
• Musiyano bvunzo: inoshandiswa kupa jekiseni misiyano yeodini, gadolinium kana barium;
• Kuunganidzwa kweropa: kuongorora ropa kune vanhu vane mitsipa isina kusimba muruoko;

Iyo PICC inogona zvakare kushandiswa kweropa kana platelet kuwedzerwa, chero bedzi chiremba achizvitendera uye kuti kuchengetwa kwevanamukoti kunoitwa, sekuwachisa nesaline solution.

Rudzi urwu rwe catheter haruratidzwe kune vanhu vane matambudziko e coagulation, kusagadzikana mukati mutsinga, kugadzikana kwepamoyo, kupisa kana maronda kwaachaiswa. Uye zvakare, vanhu vakave nemastectomy, ndiko kuti, vakabvisa chipfuva, vanozokwanisa chete kushandisa PICC kune rimwe divi rakatarisana uko kwavakavhiyiwa kare. Ona zvimwe nezve kupora mushure mekubviswa zamu.

Zvinoitwa sei

Kuiswazve kwePICC catheter kunogona kuitwa nachiremba wemwoyo kana mukoti anokwanisa, inotora avhareji yeawa rimwe uye inogona kuitwa mukiriniki yekurapa, pasina chikonzero chekupinda muchipatara. Asati atanga maitiro, munhu anogariswa pakamubhedha, achifanira kuchengeta maoko avo akatwasuka.

Mushure meizvozvo, antisepsis inoitwa kuchenesa ganda uye anesthesia inoiswa kunzvimbo ichaiswa catheter, iyo, kazhinji, iri munharaunda yeasina kunyanya kutonga, padyo nepadanga. Chiremba kana mukoti anogona kushandisa ultrasound mukati memuitiro kuti atarise nzira uye neyakaenzana yeiyo tsinga.

Ipapo, tsono inopinzwa mutsinga uye mukati mayo chubhu inochinjika inoiswa, inoenda kutsinga yemoyo, isingakonzere kurwadziwa kumunhu. Mushure mekuunzwa kweiyo chubhu, zvinokwanisika kuongorora kuti pane diki yekuwedzera kunze, ndipo panotarisirwa mishonga.

Pakupedzisira, X-ray ichaitwa kuratidza nzvimbo yekateti uye yekupfeka inoiswa paganda kudzivirira hutachiona, sezvazvinoitwa mushure mechetereji yepakati inoitwa. Dzidza zvakawanda nezve iyo yepakati venous catheter.

Kutarisirwa kukuru

PICC catheter inogona kushandiswa nevanhu vari kurapwa kunze, saka vanhu vanowanzoenda kumba nekateti muruoko. Nekudaro, zvimwe zvekuzvidzivirira zvakakosha, senge:

• Panguva yekugeza, zvakakosha kuchengetedza dunhu rekateti nefirimu repurasitiki;
• Usashandise simba neruoko rwako, uchidzivirira kubata kana kukanda zvinangwa zvinorema;
• Usanyura mugungwa kana mudziva;
• Usatarise BP muruoko pane pane catheter;
• Tarisa uone kuvapo kweropa kana kusevha pane catheter saiti;
• Nguva dzose chengetedza kupfeka kuome.

Uye zvakare, apo catheter yePICC inoshandiswa muchipatara kana kukiriniki kurapwa, kuchengetwa kunoitwa nechikwata chevanamukoti, sekushambidza nesaline, kutarisa kudzoka kweropa kuburikidza nekateti, kucherechedza zviratidzo zvinoratidza hutachiona, kushandura chivharo iyo tip iyo catheter uye chinja kupfeka mazuva ese manomwe.

Zvinogona kuitika

PICC catheter yakachengeteka, zvisinei, mune dzimwe nguva, matambudziko anogona kuitika, sekubuda ropa, moyo wemutsipa, kugwamba kweropa, thrombosis, hutachiona kana kutadziswa. Aya matambudziko anogona kurapwa, asi kazhinji, chiremba anokurudzira kubvisa PICC catheter kudzivirira mamwe matambudziko ehutano kubva.

Naizvozvo, kana chimwe chezviratidzo ichi chikaonekwa, kana ukasangana nefivhiri, kufema zvishoma, kurova marwadzo, kuzvimba munzvimbo iyi kana tsaona ikaitika uye chikamu checatheter chabuda, unofanirwa kubata chiremba nekukasira.