Matenda apakati - zipatala
Muli ndi mzere wapakati. Iyi ndi chubu yayitali (catheter) yomwe imalowa mumtsinje pachifuwa, mkono, kapena kubuula kwanu ndipo imathera pamtima panu kapena mumtsinje waukulu nthawi zambiri pafupi ndi mtima wanu.
Mzere wanu wapakati umanyamula zakudya ndi mankhwala m'thupi lanu. Itha kugwiritsidwanso ntchito kutenga magazi mukafunika kuyesa magazi.
Matenda apakati ndi oopsa kwambiri. Amatha kukudwalitsani ndikuwonjezerani nthawi yomwe mukukhala mchipatala. Mzere wanu wapakati umafunikira chisamaliro chapadera kuti mupewe matenda.
Mutha kukhala ndi mzere wapakati ngati:
- Mukufuna maantibayotiki kapena mankhwala ena kwa milungu kapena miyezi
- Amafuna zakudya zabwino chifukwa matumbo anu sakugwira ntchito moyenera ndipo samamwa zakudya zokwanira ndi zopatsa mphamvu
- Muyenera kulandira magazi kapena madzimadzi ambiri mwachangu
- Muyenera kutengera zitsanzo zamagazi kangapo patsiku
- Ayenera dialysis ya impso
Aliyense amene ali ndi mzere wapakati amatha kutenga matenda. Chiwopsezo chanu chimakhala chachikulu ngati:
- Ali m'chipinda cha anthu odwala mwakayakaya (ICU)
- Khalani ndi chitetezo chamthupi chofooka kapena matenda akulu
- Mukukhala ndi mafupa kapena chemotherapy
- Khalani ndi mzere kwa nthawi yayitali
- Khalani ndi mzere wapakati m'miyendo yanu
Ogwira ntchito pachipatala adzagwiritsa ntchito luso la aseptic pamene mzere wapakati waikidwa m'chifuwa kapena m'manja. Njira ya Aseptic imatanthauza kusunga chilichonse ngati chosabala (chopanda majeremusi) momwe zingathere. Adzachita:
- Sambani m'manja
- Valani chigoba, chovala, kapu, ndi magolovesi osabala
- Sambani malo omwe mzere wapakati udzaikidwe
- Gwiritsani ntchito chivundikiro chosabereka cha thupi lanu
- Onetsetsani kuti zonse zomwe amakhudza pakuchita izi ndizosabala
- Phimbani ndi catheter ndi gauze kapena tepi yoyera bwino ikangokhala
Ogwira ntchito kuchipatala amayenera kuyang'ana mzere wanu wapakati tsiku lililonse kuti awonetsetse kuti ali pamalo oyenera ndikuyang'ana ngati ali ndi matenda. Chovalacho kapena tepi yomwe ili patsamba lino iyenera kusinthidwa ngati ili yakuda.
Onetsetsani kuti musakhudze mzere wanu wapakati pokhapokha mutasamba m'manja.
Uzani namwino wanu ngati mzere wanu wapakati:
- Imaipitsidwa
- Akutuluka mu mtsempha wanu
- Ikutuluka, kapena catheter imadulidwa kapena kung'ambika
Mutha kusamba dokotala atakuuzani kuti zili bwino kutero. Namwino wanu amakuthandizani kuphimba mzere wanu wapakati mukasamba kuti ukhale woyera komanso wouma.
Mukawona zina mwazizindikiro za matendawa, uzani dokotala kapena namwino nthawi yomweyo:
- Kufiira pamalopo, kapena mizere yofiira kuzungulira tsambalo
- Kutupa kapena kutentha pamalowo
- Ngalande yachikaso kapena yobiriwira
- Zowawa kapena zovuta
- Malungo
Matenda apakati okhudzana ndimizere; CLABSI; Peripherally anaikapo chapakati catheter - matenda; PICC - matenda; Catheter yapakati - matenda; CVC - matenda; Chapakati venous chipangizo - matenda; Kulimbana ndi matenda - matenda opatsirana; Nosocomial matenda - chapakati mzere matenda; Chipatala chidapeza matenda - chapakati mzere matenda; Chitetezo cha wodwala - matenda apakati
Webusaiti ya Agency for Healthcare Research ndi Quality. Zowonjezera 2. Chikwangwani Chachikulu Chokhudzana Ndi Matenda A m'magazi. ahrq.gov/hai/clabsi-tools/appendix-2.html. Idasinthidwa pa Marichi 2018. Idapezeka pa Marichi 18, 2020.
Beekman SE, Henderson DK. Matenda omwe amayambitsidwa ndi makina am'mimba. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: mutu 300.
Bell T, O'Grady NP. Kupewa matenda opatsirana am'magazi. Kutenga Dis Clin North Am. 2017; 31 (3): 551-559. PMID: 28687213 pubed.ncbi.nlm.nih.gov/28687213/.
Zamatsenga DP. Kupewa ndi kuwongolera matenda okhudzana ndiumoyo. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 266.
- Kuteteza Matenda