Peripherally anaikapo chapakati catheter - flushing

Muli ndi catheter yapakati (PICC) yozungulira. Ichi ndi chubu chomwe chimalowa mumtsempha m'manja mwanu. Zimathandiza kunyamula zakudya kapena mankhwala m'thupi lanu. Amagwiritsidwanso ntchito kutenga magazi mukafunika kuyesa magazi.

Muyenera kutsuka catheter mukatha kugwiritsa ntchito. Izi zimatchedwa kuthamanga. Kutsuka kumathandiza kuti catheter ikhale yoyera. Zimatetezeranso magazi kuundana kuti atseke catheter.

Tsatirani malangizo a omwe amakupatsani zaumoyo wa momwe mungasinthire catheter yanu. Wachibale, mnzanu, kapena womusamalira atha kukuthandizani pakuchotsa. Gwiritsani ntchito pepala ili kukuthandizani kukukumbutsani masitepewo.

Wopereka wanu adzakupatsani mankhwala azomwe mungafune. Mutha kugula izi kumsika wogulitsa. Zikhala zothandiza kudziwa dzina la catheter yanu ndi kampani yomwe idapanga. Lembani izi ndikusunga.

Kuti muchotse catheter yanu, mufunika:

• Sambani matawulo oyera
• Mitsempha yamchere yamchere (yeretsani), ndipo mwina ma syringe a heparin (achikaso)
• Mowa kapena chlorhexidine amapukuta
• Magolovesi osabala
• Chidebe cha Sharps (chidebe chapadera cha ma syringe ndi singano zogwiritsidwa ntchito)

Musanayambe, yang'anani zilembo pamilingo yamchere yamchere yamchere yamchere, heparin, kapena ma syringe a mankhwala. Onetsetsani kuti mphamvu ndi mlingo ndizolondola. Onani tsiku lothera ntchito. Ngati syringe siyiyendetsedwa bwino, lembani ndalama zokwanira.

Mutha kutsitsa catheter yanu m'njira yosabala (yoyera kwambiri). Izi zikuthandizani kukutetezani ku matenda. Tsatirani malangizo awa:

1. Sambani manja anu kwa masekondi 30 ndi sopo. Onetsetsani kuti mwasamba pakati pa zala zanu komanso pansi pa misomali yanu. Chotsani zodzikongoletsera zala zanu musanatsuke.
2. Youma ndi chopukutira chaukhondo.
3. Ikani zinthu zanu pamalo oyera papepala latsopano.
4. Valani magolovesi osabala.
5. Chotsani kapu pa syringe ya saline ndikuyikapo kapuyo pa chopukutira pepala. Musalole kuti kumapeto kwa sirinji kukhudze chopukutira pepala kapena china chilichonse.
6. Tsegulani cholumikizira kumapeto kwa catheter ndikupukuta kumapeto kwa catheter ndikufufuta mowa.
7. Dulani syringe ya saline ku catheter kuti muyike.
8. Jekeseni mchere pang'onopang'ono mu catheter mwa kukankhira pang'onopang'ono pa plunger. Chitani pang'ono, kenako imani, kenako chitani zina. Jekeseni mchere wonse mu catheter. Osakakamiza. Itanani omwe akukuthandizani ngati sakugwira ntchito.
9. Mukamaliza, tulutsani jakisoniyo ndikuyiyika mu chidebe chanu chakuthwa.
10. Sambani kumapeto kwa catheter yanu ndikupukuta kwatsopano.
11. Ikani chingwe pa catheter mukamaliza.
12. Chotsani magolovesi ndikusamba m'manja.

Funsani omwe akukuthandizani ngati mukufunikanso kuthira catheter yanu ndi heparin. Heparin ndi mankhwala omwe amathandiza kuteteza magazi kuundana.

Tsatirani izi:

1. Onetsetsani jekeseni wa heparin ku catheter yanu, momwemo momwe munamangirira sirinji.
2. Sambani pang'onopang'ono pobayira jekeseni pang'ono, momwemonso munathirira saline.
3. Chotsani sirinji ya heparin kuchokera ku catheter yanu. Ikani mu chidebe chanu chakuthwa.
4. Sambani kumapeto kwa catheter yanu ndikupukuta mowa watsopano.
5. Bweretsani chingwecho pa catheter.

Sungani zomata zonse pa catheter wanu nthawi zonse. Ndibwino kusintha zipewa kumapeto kwa catheter yanu (yotchedwa "claves") mukasintha mavalidwe anu komanso magazi atatengedwa. Wothandizira anu adzakuuzani momwe mungachitire izi.

Funsani omwe akukuthandizani nthawi yomwe mungasambe kapena kusamba. Mukamachita izi, onetsetsani kuti mavalidwe ndi otetezeka ndipo tsamba lanu la catheter limakhala louma. Musalole kuti catheter ipite pansi pamadzi ngati mukukwera mu bafa.

Itanani omwe akukuthandizani ngati:

• Mukuvutikira kuthamangitsa catheter yanu
• Khalani ndi magazi, kufiira kapena kutupa pamalopo
• Khalani ndi kutupa m'manja pansi pa catheter
• Zindikirani kutuluka, kapena catheter imadulidwa kapena kung'ambika
• Khalani ndi ululu pafupi ndi tsambalo, kapena m'khosi mwanu, nkhope, chifuwa, kapena mkono
• Khalani ndi zizindikilo za matenda (malungo, kuzizira)
• Akupuma movutikira
• Muzimva chizungulire

Itanani omwe akukupatsani ngati catheter yanu:

• Akutuluka mu mtsempha wanu
• Zikuwoneka zotsekedwa

PICC - kutsuka

Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L. Peripherally adaikapo catheter yapakati (PICC). Mu: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, olemba. Luso la Unamwino Wachipatala: Zofunikira ku Luso Lapamwamba. 9th ed. New York, NY: Pearson; 2017: mutu 29.6.

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