Kutsekedwa kwapakatikati kwa catheter - kusintha kwa mavalidwe

Catheter yapakatikati yolowetsedwa (PICC) ndi chubu lalitali, lopyapyala lomwe limalowa mthupi lanu kudzera mumitsempha yam'mwamba. Mapeto a catheter awa amalowa mumtsinje waukulu pafupi ndi mtima wako.

Kunyumba muyenera kusintha mavalidwe omwe amateteza tsamba la catheter. Namwino kapena waluso akuwonetsani momwe mungasinthire mavalidwe. Gwiritsani ntchito zomwe zili pansipa kukuthandizani kukukumbutsani masitepewo.

PICC imanyamula michere ndi mankhwala m'thupi lanu. Itha kugwiritsidwanso ntchito kutulutsa magazi mukafuna kuyesa magazi.

Kuvala ndi bandeji yapadera yomwe imatseka majeremusi ndikusunga tsamba lanu la catheter louma komanso loyera. Muyenera kusintha kavalidwe kamodzi pa sabata. Muyenera kusintha posachedwa mukayamba kutayirira kapena kunyowa kapena uve.

Popeza PICC yayikidwa m'manja mwanu ndipo mukusowa manja awiri kuti musinthe mavalidwe, ndibwino kuti wina azikuthandizani kusintha. Namwino wanu akuphunzitsani momwe mavalidwe anu ayenera kusinthidwira. Khalani ndi munthu amene amakuthandizani kuti ayang'anenso ndikumvera malangizo a namwino kapena waluso.

Dokotala wanu wakupatsani mankhwala pazomwe mukufuna. Mutha kugula zinthuzi kumsika wogulitsa. Zimathandiza kudziwa dzina la catheter yanu komanso kampani yomwe imapanga. Lembani izi ndikusunga.

Zomwe zili pansipa zikufotokoza njira zosinthira mavalidwe anu. Tsatirani malangizo ena owonjezera omwe akukuthandizani.

Kuti musinthe mavalidwe, muyenera:

• Magolovesi osabala.
• Chovala kumaso.
• Njira yoyeretsera (monga chlorhexidine) mukamagwiritsa ntchito kamodzi.
• Masiponji apadera kapena zopukuta zomwe zimakhala ndi zoyeretsera, monga chlorhexidine.
• Chigamba chapadera chotchedwa Biopatch.
• Bandeji yotchinga bwino, mwina Tegaderm kapena Covaderm.
• Zidutswa zitatu za 1-inch (2.5 sentimita) zokulirapo, mainchesi 4 (10 sentimita) kutalika (ndi 1 chidutswa chimodzi chang'ambika pakati, kutalika.)

Ngati mwapatsidwa chida chosinthira, tsatirani malangizo ogwiritsira ntchito zomwe zili mchikwama chanu.

Konzekerani kusintha kavalidwe kanu m'njira yoyera (yoyera kwambiri):

• Sambani manja anu kwa masekondi 30 ndi sopo. Onetsetsani kuti mwasamba pakati pa zala zanu komanso pansi pa misomali yanu.
• Yanikani manja anu ndi chopukutira chaukhondo.
• Khazikitsani zinthuzo pamalo oyera, pa pepala latsopano.

Chotsani mavalidwe ndikuyang'ana khungu lanu:

• Valani chigoba cha nkhope ndi magolovesi osabala.
• Pewani modekha kavalidwe kakale ndi Biopatch. MUSAKWELE kapena kukhudza kathetesi pomwe kamatuluka m'manja mwanu.
• Ponyani zovala zakale ndi magolovesi.
• Sambani m'manja ndi kuvala magulovu atsopano osabala.
• Onetsetsani khungu lanu kuti ndi lofiira, kutupa, kutuluka magazi, kapena ngalande ina iliyonse kuzungulira catheter.

Sambani malowa ndi catheter:

• Gwiritsani ntchito chopukutira chapadera kutsuka catheter.
• Gwiritsani ntchito chopukutira china kuyeretsa catheter, pang'onopang'ono kugwira ntchito kutali ndi komwe imachokera m'manja mwanu.
• Sambani khungu lanu mozungulira malowa ndi chinkhupule ndi njira yoyeretsera masekondi 30.
• Lolani kuti m'deralo mpweya uume.

Kuyika mavalidwe atsopano:

• Ikani Biopatch yatsopano pamalo pomwe catheter imalowa pakhungu. Sungani gridi mbali yoyera ndikukhudza khungu.
• Ngati mwauzidwa kuti muchite izi, lembani khungu lanu m'mbali mwake.
• Sungani catheter. (Izi sizotheka ndi ma catheters onse.)
• Peel the backing from the clear plastic bandage (Tegaderm or Covaderm) and set the bandage upon the catheter.

Lembani catheter kuti muteteze:

• Ikani chidutswa chimodzi cha tepi imodzi-inchi (2.5 masentimita) pamwamba pa catheter m'mphepete mwa bandeji womveka bwino wa pulasitiki.
• Ikani chidutswa china cha tepi mozungulira catheter mu kapangidwe ka gulugufe.
• Ikani chidutswa chachitatu cha tepi pamtundu wa gulugufe.

Ponyani chigoba cha nkhope ndi magolovesi ndikusamba m'manja mukamaliza. Lembani tsiku lomwe mudasintha mavalidwe anu.

Sungani zotchinga zanu zonse pa catheter yanu nthawi zonse. Mukalangizidwa, sinthani zisoti (madoko) kumapeto kwa catheter mukasintha mavalidwe anu komanso magazi akatuluka.

Nthawi zambiri zimakhala bwino kusamba osamba patatha masiku angapo catheter yanu itayikidwa. Funsani omwe akukuthandizani kuti adikire nthawi yayitali bwanji. Mukasamba kapena kusamba, onetsetsani kuti mavalidwe anu ndi otetezeka ndipo tsamba lanu la catheter limakhala louma. Musalole kuti catheter isambe pansi pamadzi ngati mukukwera mu bafa.

Itanani omwe akukuthandizani ngati muli ndi:

• Kutuluka magazi, kufiira, kapena kutupa patsambalo
• Chizungulire
• Malungo kapena kuzizira
• Kupuma kovuta
• Kutuluka kuchokera ku catheter, kapena catheter kudulidwa kapena kusweka
• Ululu kapena kutupa pafupi ndi tsamba la catheter, kapena m'khosi mwako, nkhope, chifuwa, kapena mkono
• Kuvuta kutsuka catheter yanu kapena kusintha kavalidwe kanu

Itanani omwe akukupatsani ngati catheter yanu:

• Akutuluka m'manja mwanu
• Zikuwoneka zotsekedwa

PICC - kusintha kosintha

Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. Central zida zofikira. 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; 2016: chap 29.

• Chisamaliro Chachikulu
• Thandizo Labwino