Catheter ya PICC ndi chiyani, ndi chiyani chisamaliro chake?

Zamkati

• Ndi chiyani
• Zatheka bwanji
• Chisamaliro chachikulu
• Zovuta zotheka

Catheter yapakati yomwe imalowetsedwa pakati, yotchedwa Catheter ya PICC, ndi chubu chosasunthika, chochepa thupi komanso chachitali chotalikira, pakati pa 20 mpaka 65 masentimita kutalika, komwe kumalowetsedwa mumtambo wa mkono mpaka kufika pamitsempha ya mtima ndikugwiranso ntchito yoyang'anira mankhwala monga maantibayotiki, chemotherapy ndi seramu.

PICC ndi mtundu wa catheter womwe umatha mpaka miyezi isanu ndi umodzi ndipo umachitika kwa anthu omwe akuchiritsidwa kwa nthawi yayitali, ndi mankhwala ojambulidwa, komanso omwe amafunika kusonkhanitsa magazi kangapo. Njira yokhazikitsira PICC imachitika pansi pa mankhwala oletsa ululu kuchipatala cha odwala ndipo munthuyo amatha kupita kwawo kumapeto kwa njirayi.

Ndi chiyani

Catheter ya PICC ikulimbikitsidwa kwa anthu omwe amafunikira chithandizo chamtundu wina chomwe chimatenga nthawi yayitali, chifukwa atayikidwa, amatha miyezi isanu ndi umodzi. Ndi mtundu wa catheter womwe umalepheretsa munthu kuti alume kangapo, ndipo atha kugwiritsidwa ntchito:

• Chithandizo cha khansa: amagwiritsidwa ntchito kugwiritsa ntchito chemotherapy mwachindunji pamtsempha;
• Chakudya cha makolo ndiko kupezeka kwa michere yamadzimadzi kudzera mumitsempha, mwachitsanzo, mwa anthu omwe ali ndi mavuto am'magazi;
• Chithandizo cha matenda akulu: Zimakhala ndi kuperekedwa kwa maantibayotiki, ma antifungals kapena antivirals kudzera mumitsempha;
• Mayeso osiyanitsa: imagwiritsidwa ntchito kupatsa kusiyanitsa kwa jakisoni wa ayodini, gadolinium kapena barium;
• Kutolera magazi: kuyesa magazi kwa anthu okhala ndi mitsempha yosalimba m'manja;

PICC itha kugwiritsidwanso ntchito kuthira magazi kapena kupatsidwa magazi othandiza magazi kuundana, bola ngati dokotala akuvomerezerani komanso kusamalira unamwino, monga kutsuka ndi madzi amchere.

Catheter yamtunduwu sichiwonetsedwa kwa anthu omwe ali ndi vuto la kugundana, kusokonekera m'mitsempha, zopangira mtima, zotentha kapena mabala komwe adzaikidwe. Kuphatikiza apo, anthu omwe adachitapo kachilomboka, ndiye kuti, omwe adachotsa bere, azitha kugwiritsa ntchito PICC mbali inayo komwe adachitidwapo opaleshoni kale. Onani zambiri za kuchira pambuyo pochotsa bere.

Zatheka bwanji

Kukhazikika kwa catheter ya PICC kumatha kuchitika ndi dokotala wamtima kapena namwino woyenerera, kumatha pafupifupi ola limodzi ndipo kumatha kuchitika kuchipatala cha odwala, osafunikira kulowa kuchipatala. Asanayambe ndondomekoyi, munthuyo amakhala pogona, ndikuwongolera manja awo.

Pambuyo pake, mankhwala opatsirana pogonana amachitidwa kuti ayeretse khungu ndipo anesthesia amagwiritsidwa ntchito pamalo pomwe katetiyo idzaikidwenso, yomwe nthawi zambiri, imakhala m'chigawo champhamvu kwambiri, pafupi ndi khola. Dokotala kapena namwino amatha kugwiritsa ntchito ultrasound munjira yonse kuti awone njira ndi momwe mitsempha ilili.

Kenako, singano imalowetsedwa mumtsempha ndipo mkati mwake chubu chosinthika chimalowetsedwa, chomwe chimapita kumitsempha ya mtima, osamupweteka munthuyo. Pambuyo poyambitsa chubu, ndizotheka kutsimikizira kuti pali zochulukirapo, komwe ndi komwe mankhwalawo adzaperekedwe.

Pamapeto pake, X-ray idzachitika kuti mutsimikizire komwe kuli catheter ndipo kuvala kumayikidwa pakhungu kuti muteteze matenda, monganso momwe zimachitikira pambuyo poti catheter yapakati imachitika. Phunzirani zambiri za zomwe catheter yapakati imakhala.

Chisamaliro chachikulu

Catheter ya PICC itha kugwiritsidwa ntchito ndi anthu omwe akuchipatala akuchipatala, chifukwa chake anthu nthawi zambiri amapita kunyumba atanyamula catheter m'manja. Komabe, zodzitetezera zina ndizofunikira, monga:

• Pakusamba, m'pofunika kuteteza dera la catheter ndi filimu ya pulasitiki;
• Osagwiritsa ntchito mphamvu ndi mkono wanu, popewa kugwira kapena kuponyera zolinga zolemera;
• Musalowe munyanja kapena padziwe;
• Osayang'ana kuthamanga kwa magazi pamanja pomwe pali catheter;
• Onetsetsani kupezeka kwa magazi kapena katulutsidwe pamalo opangira katemera;
• Nthawizonse sungani zokometsera.

Kuphatikiza apo, catheter ya PICC ikagwiritsidwa ntchito kuchipatala kapena kuchipatala kuchipatala, chisamaliro chimachitidwa ndi gulu la anamwino, monga kutsuka ndi mchere, kuwunika kubwerera kwa magazi kudzera mu catheter, kuwona zizindikilo zosonyeza matenda, kusintha kapu pa nsonga catheter ndikusintha mavalidwe masiku aliwonse 7.

Zovuta zotheka

Catheter ya PICC ndiyotetezeka, komabe, nthawi zina, zovuta zimatha kuchitika, monga kutuluka magazi, mtima wamtima, magazi kuundana, thrombosis, matenda kapena kutsekeka. Zovuta izi zitha kuchiritsidwa, koma nthawi zambiri, adotolo amalimbikitsa kuti achotse catheter wa PICC kuti ateteze mavuto ena azaumoyo.

Chifukwa chake, ngati zina mwazizindikirozi zikuwonekera, kapena ngati mukumva malungo, kupuma movutikira, kupweteka kwam'mimba, kutupa m'deralo kapena ngati ngozi itachitika ndipo gawo la catheter likutuluka, muyenera kufunsa dokotala nthawi yomweyo.