Katemera wa Midline venous - makanda

Catheter yapakatikati ya venous ndi yaying'ono (3 mpaka 8 mainchesi, kapena masentimita 7 mpaka 20) yopyapyala, pulasitiki yofewa yomwe imayikidwa mumtsuko wawung'ono wamagazi. Nkhaniyi imalankhula za ma catheters amkati mwa makanda.

N'CHIFUKWA CHIYANI NTCHITO YA MIDLINE VENOUS CATHETER IMAGWITSIDWA?

Catheter yapakatikati ya venous imagwiritsidwa ntchito khanda likafuna madzi a IV kapena mankhwala kwa nthawi yayitali. IVs yokhazikika imatenga masiku 1 mpaka 3 ndipo imafunika kusinthidwa nthawi zambiri. Ma catheters a Midline amatha kukhala milungu iwiri kapena 4.

Ma catheters a Midline tsopano amagwiritsidwa ntchito m'malo mwa:

• Ma kateti a umbilical, omwe amatha kuikidwa atangobadwa, koma amakhala ndi zoopsa
• Mizere yapakatikati, yomwe imayikidwa mumtsinje waukulu pafupi ndi mtima, koma imakhala ndi zoopsa
• Anayika ma catheters apakati (PICCs), omwe amafikira pafupi ndi mtima, koma amakhala ndi zoopsa

Chifukwa mahatchi a midline samafika kupyola khwapa, amadziwika kuti ndi otetezeka. Komabe, pakhoza kukhala mankhwala ena a IV omwe sangatumizidwe kudzera mu catheter wapakatikati. Komanso, kukoka magazi mwachizolowezi sikulangizidwa kuchokera ku catheter yapakatikati, mosiyana ndi mitundu yapakatikati ya ma catheters oyipa.

KODI MALO OGULITSIRA ACHINYAMATA AMAYikidwa BWANJI?

Catheter yapakatikati imayikidwa mumitsempha ya mkono, mwendo, kapena, nthawi zina, khungu la khanda.

Wothandizira zaumoyo:

• Ikani khandalo patebulopo
• Landirani thandizo kuchokera kwa ogwira ntchito ena ophunzitsidwa omwe angathandize kukhazika mtima pansi komanso kutonthoza khanda
• Lembani malo omwe aikidwa catheter
• Sambani khungu la khanda ndi mankhwala opha majeremusi (antiseptic)
• Pangani kachidutswa kakang'ono ka opareshoni ndikuyika singano yopanda kanthu mumitsempha yaying'ono pamanja, mwendo, kapena pamutu
• Ikani catheter wapakatikati kudzera mu singano mumtambo waukulu ndikuchotsa singano
• Mangani malo omwe aikapo catheter

KODI NDI CHIWopsezo CHIYANI CHOKHALA NDI MIDLINE CATHETER?

Zowopsa za catheterization yapakati ya venous:

• Matenda. Zowopsa ndizochepa, koma zimawonjezera nthawi yomwe catheter yapakatikati imakhala m'malo mwake.
• Kuthira magazi ndi mabala pamalo ophatikizira.
• Kutupa kwa mtsempha (phlebitis).
• Kusuntha kwa catheter kunja kwa malo, ngakhale kunja kwa mitsempha.
• Kutuluka kwamadzimadzi kuchokera ku catheter kupita kumatumba kumatha kubweretsa kutupa ndi kufiira.
• Kuswa kwa catheter mkati mwa mtsempha (chosowa kwambiri).

Katemera wamkati - makanda; MVC - makanda; Katemera wa Midline - makanda; Catheter ya ML - makanda; ML - makanda

Malo Othandizira Kuteteza ndi Kuteteza tsamba lawebusayiti. Malangizo popewa matenda opatsirana a catheter (2011). www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Idasinthidwa mu Julayi 2017. Idapezeka pa Julayi 30, 2020.

Chenoweth KB, Guo JW, Chan B. Kuchulukitsa kwa zotumphukira kwamitsempha yotchinga ndi njira ina yolowera mkati mwa NICU. Adv Neonatal Care. 2018; 18 (4): 295-301. PMID: 29847401 pubed.ncbi.nlm.nih.gov/29847401/.

Wopanga SH, Carr CM, Krywko DM. Kukhazikitsa zida zopezera mitsempha: kufikira kwadzidzidzi ndi kasamalidwe. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chap 24.