PICC tubing, kana peripherally yakaiswa nechepakati catheter (dzimwe nguva inodaidzwa kuti percutaneously inserted central catheter) mudziyo wekurapa unobvumira kuenderera mberi kwekuyerera kweropa panguva inosvika mwedzi mitanhatu. Inogona kushandiswa kuendesa intravenous (IV) zvinwiwa kana zvinodhaka, zvakaita semishonga inorwisa mabhakitiriya kana chemotherapy, uye kutora ropa kana kuwedzera ropa.
Rinodaidzwa kuti “nhonga”, shinda iyi inowanzopinzwa nemutsinga iri kuruoko rwepamusoro pozopinda nemutsinga mukuru wepakati pedyo nemwoyo.
Zvizhinji zvezvivakwa zvinongobvumira mastandard IVs kuchengetwa kwemazuva matatu kusvika mana asati abvisa nekuisa maIV matsva. Mukufamba kwemavhiki mazhinji, PICC inogona kuderedza zvakanyanya huwandu hwevenipuncture yaunofanirwa kushivirira kuiswa kwemutsinga.
Kufanana nejekiseni remutsinga, mutsara wePICC unobvumira mishonga kuti iiswe muropa, asi PICC inonyanya kuvimbika uye yakasimba. Inogonawo kushandiswa kupa huwandu hwakakura hwemvura uye zvinodhaka zvakanyanya kugumbura kune tishu kuti zvipiwe kuburikidza neyakajairwa intravenous jekiseni.
Kana munhu anotarisirwa kugamuchira mishonga inopinza kwenguva yakareba, mutsara wePICC unogona kushandiswa kune zvinangwa zvakawanda. Iyo PICC mutsetse inogona kukurudzirwa kune anotevera marapirwo:
Iyo PICC waya pachayo ichubhu ine dhairekitori newaya mukati kuti isimbise chubhu uye kuti zvive nyore kupinda mutsinga. Kana zvichidikanwa, tambo yePICC inogona kupfupikiswa, kunyanya kana uri mudiki. Hurefu hwakakodzera hunobvumira kuti waya iwedzere kubva panzvimbo yekupinza kusvika pane iyo tip iri mutsinga yeropa kunze kwemoyo.
Mutsara wePICC unowanzoiswa nemukoti (RN), chiremba mubatsiri (PA) kana mukoti chiremba (NP). Kuvhiya kunotora nguva ingangoita awa uye kunowanzoitwa padivi pemubhedha wechipatara kana nzvimbo yekugara kwenguva refu, kana kungava kuvhiyiwa kwevarwere vari kunze.
Sarudza tsinga, kazhinji nejekiseni kuti riveveve nzvimbo yekuisa. Chenesa nzvimbo yacho uye ita diki diki kuti uwane tsinga.
Uchishandisa aseptic technique, isa zvinyoro nyoro waya yePICC mumudziyo. Inopinda mutsinga yeropa zvishoma nezvishoma, yokwidza ruoko, yobva yapinda mumwoyo. Muzviitiko zvakawanda, ultrasound (ultrasound) inoshandiswa kuona nzvimbo yakanakisisa yekuiswa kwePICC, iyo inogona kuderedza nhamba yenguva dza "wakanamatira" panguva yekuiswa kwemutsara.
Kana iyo PICC iripo, inogona kuchengetedzwa kune ganda kunze kwenzvimbo yekuisa. Mazhinji shinda dzePICC dzakaiswa panzvimbo, zvinoreva kuti machubhu uye zviteshi zviri kunze kweganda zvinobatwa munzvimbo nema sutures. Izvi zvinodzivirira PICC kufamba kana kubviswa netsaona.
Kana imwe nguva PICC iripo, X-ray inoitwa kuti ione kana tambo iri panzvimbo yakakodzera mumudziyo weropa. Kana isiri panzvimbo, inogona kusundidzirwa mberi mumuviri kana kudhonzwa kumashure zvishoma.
Mitsetse yePICC ine dzimwe njodzi dzezvinetso, kusanganisira izvo zvakakomba uye zvinogona kuisa upenyu pangozi. Kana mutsara wePICC ukaita zvinetso, zvingada kubviswa kana kugadziriswa, kana kuwedzerwa kurapwa kunogona kudiwa.
PICC tubing inoda kugadziridzwa nguva nenguva, kusanganisira kudzokororwa kwezvipfeko zvisina kuchena, kugezeswa nemvura isina utachiona, uye kuchenesa madoko. Kudzivirira kutapukirwa ndicho chinhu chakakosha, zvinoreva kuchengetedza nzvimbo yakachena, kuchengeta mabhandiji ari muchimiro chakanaka, uye kugeza maoko musati mabata zviteshi.
Kana iwe uchida kuchinja kupfeka usati waronga kuchinja kupfeka (kunze kwekuti iwe uchinje iwe pachako), tapota taura nemutarisiri wako wehutano pakarepo.
Mutariri wako wehutano achakuzivisawo kuti ndezvipi zviitiko nemitambo yekudzivisa, senge kusimudza uremu kana kusangana nemitambo.
Iwe unozofanirwa kuvhara yavo PICC chiteshi nepurasitiki kuputira kana bhandi remvura kuti vageze. Iwe haufanirwe kunyorovesa nzvimbo yePICC, saka kushambira kana kunyudzwa kwemaoko ako mubhavhu hakukurudzirwe.
Kubviswa kwePICC thread inokurumidza uye kazhinji hairwadzi. Bvisa shinda yesuture yakabata shinda panzvimbo, uye zvinyoro nyoro dhonza shinda kubva paruoko. Varwere vazhinji vanoti zvinonzwa zvinoshamisa kuibvisa, asi haina kugadzikana kana kurwadza.
Kamwe PICC yabuda, kupera kwemutsara wekugadzira kuchatariswa. Inofanira kutaridzika zvakafanana neyayakaiswa, isina nhengo dzinoshayikwa dzinogona kuramba dziri mumuviri.
Kana ropa richibuda, isa bhandeji diki panzvimbo yacho worichengeta kwemazuva maviri kana matatu ronda richipora.
Kunyange zvazvo mitsara yePICC dzimwe nguva iine matambudziko, zvingangobatsira zvinowanzopfuura njodzi, uye inzira yakavimbika yekupa mishonga uye kutarisa hutano. Kudzokororwa acupuncture irritation kana kunzwa kuitira kuti ugamuchire kurapwa kana kutora ropa rekuongororwa.
Nyora kune yedu Daily Health Mazano enhau tsamba kuti ugamuchire matipi emazuva ese ekukubatsira iwe kurarama hupenyu hune hutano.
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Centers for Disease Prevention and Control. Mibvunzo inowanzo bvunzwa nezve catheters. Yakagadziridzwa muna Chivabvu 9, 2019.
Zarbock A, Rosenberger P. Njodzi dzine chokuita nekupinzwa kweperipheral kwepakati catheter. Lancet. 2013;382(9902):1399-1400. doi:10.1016/S0140-6736(13)62207-2
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Velissaris D, Karamouzos V, Lagadinou M, Pierrakos C, Marangos M. Kushandiswa kweperipherally yakaiswa central catheters uye zvirwere zvakabatana mumakiriniki maitiro: zvinyorwa zvinyorwa. J Clinical Medical Research. 2019;11(4):237-246. doi:10.14740/jocmr3757
Nguva yekutumira: Nov-11-2021