Anayika ma catheter apakati - makanda

Catheter yapakatikati yolowetsedwa (PICC) ndi chubu lalitali, lowonda kwambiri, lofewa lomwe limayikidwa mumtsuko wawung'ono wamagazi ndikufika mkatikati mwa mtsempha wamagazi wokulirapo. Nkhaniyi imalankhula za PICC m'makanda.

N'CHIFUKWA CHIYANI PICC IMAGWIRITSITSA?

PICC imagwiritsidwa ntchito ngati mwana amafunikira madzi amadzimadzi a IV kapena mankhwala kwa nthawi yayitali. IVs yokhazikika imangotsala masiku 1 mpaka 3 ndipo imafunika kusinthidwa. PICC imatha kukhala milungu iwiri kapena itatu kapena kupitilira apo.

Ma PICC nthawi zambiri amagwiritsidwa ntchito kwa ana akhanda asanabadwe omwe sangathe kudya chifukwa cha mavuto am'mimba kapena omwe amafunikira mankhwala a IV kwa nthawi yayitali.

KODI PICC INAYikidwa BWANJI?

Wothandizira zaumoyo:

• Mpatseni mankhwala azitsamba.
• Sambani khungu la mwana ndi mankhwala opha majeremusi (antiseptic).
• Pangani kachidutswa kakang'ono ka opaleshoni ndikuyika singano yopanda kanthu mumitsempha yaying'ono ya mkono kapena mwendo.
• Yendetsani PICC kudzera mu singano kulowa mumtambo wokulirapo (wapakati), ndikuyika nsonga yake pafupi (koma osati mkati) yamtima.
• Tengani x-ray kuti muyike singano.
• Chotsani singano pambuyo pa catheter itayikidwa.

KODI NDI CHIWopsezo CHIYANI CHOKHALA NDI PICC?

• Gulu lazachipatala lingafunike kuyesa kangapo kuti ayike PICC. Nthawi zina, PICC siyingakhale pamalo oyenera ndipo pangafunike chithandizo china.
• Pali chiopsezo chochepa chotenga matenda. PICC ikadalipo, chiopsezo chimakhala chachikulu.
• Nthawi zina, catheter imatha kuwononga khoma la mtsempha wamagazi. Vuto la IV kapena mankhwala amatha kulowa m'malo oyandikira thupi.
• Kawirikawiri, PICC imatha kuwononga khoma la mtima. Izi zimatha kuyambitsa magazi ochulukirapo komanso kusagwira bwino ntchito kwa mtima.
• Kawirikawiri, catheter imatha kusweka mkati mwamitsempha yamagazi.

PICC - makanda; PQC - makanda; Chithunzi mzere - makanda; Per-Q cath - makanda

Pasala S, Mkuntho EA, Stroud MH, et al. Kufikira kwa ana ndi mitsempha. Mu: Fuhrman BP, Zimmerman JJ, olemba. Chisamaliro Chachikulu cha Ana. 5th ed. Philadelphia, PA: Elsevier; 2017: mutu 19.

Santillanes G, Claudius I. Kufikira kwamankhwala kwa ana ndi njira zosankhira magazi. Mu: Roberts J, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 19.

United States Center for Disease Control Healthcare Infection Control Practices Committee. Malangizo a 2011 oletsa kupewa matenda okhudzana ndi catheter okhudzana ndi mitsempha. www.cdc.gov/infectioncontrol/pdf/guidelines/bsi-guidelines-H.pdf. Idasinthidwa mu Okutobala 2017. Idapezeka pa Okutobala 24, 2019.