Mankhwala a IV kunyumba
Inu kapena mwana wanu mupita kunyumba kuchokera kuchipatala posachedwa. Wothandizira zaumoyo wakupatsani mankhwala kapena mankhwala ena omwe inu kapena mwana wanu muyenera kumwa kunyumba.
IV (intravenousous) kumatanthauza kupereka mankhwala kapena madzi kudzera mu singano kapena chubu (catheter) yomwe imalowa mumtsempha. Chubu kapena catheter ikhoza kukhala chimodzi mwazinthu izi:
- Catheter wapakati
- Catheter wapakati - doko
- Makina oyikapo catheter apakati
- Normal IV (imodzi imalowetsedwa mumtsempha pansi pa khungu lanu)
Chithandizo cha Home IV ndi njira yoti inu kapena mwana wanu mulandire mankhwala a IV popanda kupita kuchipatala kapena kupita kuchipatala.
Mungafunike kuchuluka kwa maantibayotiki kapena maantibayotiki omwe simungamwe pakamwa.
- Muyenera kuti mwayambitsa maantibayotiki a IV kuchipatala omwe muyenera kupitiriza kwa kanthawi mutachoka kuchipatala.
- Mwachitsanzo, matenda m'mapapu, mafupa, ubongo, kapena ziwalo zina za thupi atha kuchiritsidwa motere.
Mankhwala ena a IV omwe mungalandire mutachoka kuchipatala ndi awa:
- Chithandizo cha kuchepa kwa mahomoni
- Mankhwala osokoneza bongo omwe khansa chemotherapy kapena mimba imatha kuyambitsa
- Odwala omwe amalamulidwa ndi odwala (PCA) amamva zowawa (iyi ndi mankhwala a IV omwe odwala amadzipatsa okha)
- Chemotherapy yochizira khansa
Inu kapena mwana wanu mungafune zakudya zokwanira za makolo (TPN) mukakhala kuchipatala. TPN ndi njira yopatsa thanzi yomwe imaperekedwa kudzera mumitsempha.
Inu kapena mwana wanu mungafunenso madzi owonjezera kudzera mu IV.
Nthawi zambiri, anamwino othandizira azaumoyo amabwera kunyumba kwanu kudzakupatsirani mankhwala. Nthawi zina, wachibale, mnzanu, kapena inu nokha mutha kupereka mankhwala a IV.
Namwino adzafufuza kuti awonetsetse kuti IV ikuyenda bwino ndipo palibe zisonyezo zakutenga kachiromboka. Kenako namwino amapatsa mankhwalawo kapena madzimadzi ena. Idzaperekedwa m'njira imodzi mwanjira izi:
- Bolus yachangu, zomwe zikutanthauza kuti mankhwala amaperekedwa mwachangu, zonse mwakamodzi.
- Kulowetsedwa pang'onopang'ono, zomwe zikutanthauza kuti mankhwala amaperekedwa pang'onopang'ono kwa nthawi yayitali.
Mukalandira mankhwala anu, namwino amayembekezera kuti awone ngati mukukumana ndi vuto lililonse. Ngati muli bwino, namwino adzachoka pakhomo panu.
Masingano omwe agwiritsidwa ntchito ayenera kutayidwa mu chidebe cha singano (sharps). Machubu a IV ogwiritsidwa ntchito, matumba, magolovesi, ndi zinthu zina zotayika zimatha kulowa mthumba la pulasitiki ndikuziyika mu zinyalala.
Yang'anirani mavuto awa:
- Bowo pakhungu pomwe IV ili. Mankhwala kapena madzimadzi amatha kulowa minyewa mozungulira mtsempha. Izi zitha kuwononga khungu kapena minofu.
- Kutupa kwa mtsempha. Izi zitha kubweretsa magazi (otchedwa thrombophlebitis).
Mavuto osowawa amatha kupuma kapena mavuto amtima:
- Mpweya wa mpweya umalowa mumtsempha ndikupita kumtima kapena m'mapapu (otchedwa embolism).
- An matupi awo sagwirizana kapena zina anachita mankhwala.
Nthawi zambiri, anamwino azachipatala kunyumba amapezeka maola 24 patsiku. Ngati pali vuto ndi IV, mutha kuyimbira foni kuchipatala kuti akuthandizeni.
Ngati IV imatuluka mumtsempha:
- Choyamba, ikani mpweya pamalo otsegulira IV kufikira magazi atasiya.
- Kenako itanani foni kunyumba kapena kuchipatala nthawi yomweyo.
Imbani wothandizira zaumoyo wanu ngati inu kapena mwana wanu muli ndi zizindikiro zilizonse za matenda, monga:
- Kufiira, kutupa, kapena kufinya pamalo pomwe singano ilowa mumtsinje
- Ululu
- Magazi
- Kutentha kwa 100.5 ° F (38 ° C) kapena kupitilira apo
Itanani nambala yanu yadzidzidzi, monga 911, nthawi yomweyo ngati muli:
- Mavuto aliwonse opumira
- Kugunda kwa mtima
- Chizungulire
- Kupweteka pachifuwa
Kunyumba kwamitsempha maantibayotiki mankhwala; Catheter wapakati - kunyumba; Zotumphukira venous catheter - kunyumba; Port - kunyumba; Mzere wa PICC - kunyumba; Kulowetsedwa mankhwala - kunyumba; Thandizo lanyumba - chithandizo cha IV
Chu CS, Rubin SC. Mfundo zoyambira chemotherapy. Mu: DiSaia PJ, Creasman WT, Mannel RS, McMeekin DS, Mutch DG, olemba. Chipatala cha Gynecologic Oncology. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 17.
Golide HS, LaSalvia MT. Mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogonana. 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: chap 53.
Pong AL, Bradley JS. Kuchiza mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana opatsirana pogonana. Mu: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, olemba. Feigin ndi Cherry's Bookbook of Pediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 238.
- Mankhwala