Mzere wapakati wapakati - makanda
Mzere wapakati ndi chubu lalitali, lofewa, la pulasitiki lomwe limayikidwa mumtsinje waukulu pachifuwa.
N'CHIFUKWA CHIYANI NTCHITO YOFUNIKA KWAMBIRI YOKHUDZITSIDWA?
Mzere wapakati wama venous nthawi zambiri umayikidwa pomwe mwana sangathe kupeza catheter (PICC) kapena midline central catheter (MCC). Mzere wapakati ungagwiritsidwe ntchito kupatsa mwana zakudya zopatsa thanzi kapena mankhwala. Amangowayika pomwe makanda amafunikira michere kapena mankhwala a IV kwa nthawi yayitali.
KODI MALO OGWIRITSIRA NTCHITO AMAKHALA BWANJI?
Mzere wapakati wa venous umayikidwa mchipatala. Wothandizira zaumoyo:
- Mpatseni mankhwala azitsamba.
- Sambani khungu lanu pachifuwa ndi mankhwala ophera majeremusi (antiseptic).
- Pangani kudula pang'ono pachifuwa.
- Ikani kachidutswa kakang'ono kazitsulo kuti mupange ngalande yocheperako pakhungu.
- Ikani catheter kudzera mumphangayo, pansi pa khungu, mumtsempha.
- Kankhirani catheter mpaka nsonga ili pafupi ndi mtima.
- Tengani x-ray kuti muwonetsetse kuti venous line ili pamalo oyenera.
KODI NDI CHIYANI CHIYANI CHOOPSA CHA NJIRA YAKAPAKATI YAKUTI?
Zowopsa ndi izi:
- Pali chiopsezo chochepa chotenga matenda. Kutalika kwa mzere wapakati pakati, kumakhala pachiwopsezo chachikulu.
- Kuundana kwamagazi kumatha kupangika m'mitsempha yolowera mumtima.
- Ma catheters amatha kuvuta khoma la mitsempha yamagazi.
- Madzi amtundu wa IV kapena mankhwala amatha kulowa m'magulu ena amthupi. Izi ndizochepa, koma izi zimatha kuyambitsa magazi, kupuma, komanso mavuto amtima.
Ngati mwanayo ali ndi mavuto awa, chingwe cha venous chapakati chimatha kutulutsidwa. Lankhulani ndi wothandizira mwana wanu za kuopsa kwa mzere wapakati wa venous.
CVL - makanda; Catheter wapakati - makanda - oyikidwa opareshoni
- Catheter wapakati
Malo Othandizira Kuteteza ndi Kuteteza tsamba lawebusayiti. Malangizo popewa matenda opatsirana pogwiritsa ntchito catheter, 2011. www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Idasinthidwa mu Okutobala 2017. Idapezeka pa Seputembara 26, 2019.
Denne SC. Chakudya cha makolo cha omwe ali pachiwopsezo chachikulu. Mu: Gleason CA, Juul SE, olemba. Matenda a Avery a Mwana Wongobadwa kumene. 10th ed. Philadelphia, PA: Elsevier; 2018: mutu 69.
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.