Central Venous Catheters: Ma PICC motsutsana ndi Madoko

Zamkati

• Kodi mzere wa PICC ndi uti?
• Kodi doko ndi chiyani?
• PICC vs. doko

Pafupi ndi ma catheters apakati

Chisankho chimodzi chomwe mungafunike musanapange chemotherapy ndi mtundu wanji wa catheter yapakati (CVC) yomwe mukufuna kuti oncologist wanu aikepo mankhwala anu. CVC, yomwe nthawi zina imatchedwa mzere wapakati, imayikidwa mumtsinje waukulu pachifuwa kapena kumtunda.

Catheters ndi machubu apulasitiki ataliatali, opanda pake omwe zimapangitsa kuti zikhale zosavuta kuyika mankhwala, zopangira magazi, zopatsa thanzi, kapena zamadzimadzi m'magazi anu. CVC itha kupangitsanso kukhala kosavuta kutenga zitsanzo zamagazi kukayezetsa.

Katswiri wanu wa oncologist atha kusankha kuti CVC ndiyofunikira ngati mungafunike:

• kupitiriza kulowetsedwa chemotherapy
• chithandizo chomwe chimatenga maola 24 kapena kupitilira apo
• chithandizo kunyumba

Mankhwala ena a chemotherapy amawawona ngati owopsa ngati atuluka kunja kwa mitsempha yanu. Izi zimatchedwa zotsekemera kapena zonyansa. Katswiri wanu wa zamankhwala angakulimbikitseni CVC kuti izi zisachitike.

Ma CVC amaonedwa kuti ndiwosavuta kuposa catheter waminyewa (IV) chifukwa amatha kukhala mthupi lanu nthawi yayitali. Ma CVC ena amatha kutsalira mthupi lanu kuti:

• masabata
• miyezi
• zaka

Catheter yokhazikika ya IV imangokhala masiku ochepa. Izi zikutanthauza kuti oncologist wanu kapena namwino amayenera kuyikanso ma IV ambiri m'mitsempha yanu panthawi yamankhwala anu omwe angawononge mitsempha yaying'ono pakapita nthawi.

Pali mitundu yosiyanasiyana ya ma CVC. Chofala kwambiri ndizomwe zimayikidwa pakatikati mwa catheters, kapena mizere ya PICC, ndi madoko. Mtundu wa CVC womwe mungafune umadalira pazifukwa zingapo izi, kuphatikiza yomwe oncologist wanu amakonda:

• Mpaka liti mufunika chemotherapy
• Zimatenga nthawi yayitali bwanji kuti mulowetse mankhwala anu a chemotherapy
• Ndi mankhwala angati omwe mungalandire nthawi imodzi
• Kaya muli ndi zovuta zina zamankhwala monga kuundana kwamagazi kapena kutupa

Kodi mzere wa PICC ndi uti?

Mzere wa PICC umayikidwa mumtambo waukulu m'manja ndi oncologist wanu kapena namwino wophunzitsidwa bwino. Kulowetsa sikutanthauza opaleshoni. PICC ikangokhala, chubu ya catheter imatuluka pakhungu lanu. Izi zimadziwika ngati "michira" kapena zowunikira, ndipo mutha kukhala nazo zoposa imodzi.

Kukhala ndi ma catheters, kuphatikiza ma PICC, kunja kwa thupi lanu kumatha kutenga chiopsezo.

Kuti muchepetse chiopsezo, muyenera kusamala kwambiri chubu ndi khungu lomwe limazungulira dera lomwe mzerewo walowetsedwa. Machubu amafunikanso kuthiridwa tsiku lililonse ndi njira yolera yopewera kutseka.

Kodi doko ndi chiyani?

Doko ndi ng'oma yaying'ono yopangidwa ndi pulasitiki kapena chitsulo yokhala ndi chidindo chonga mphira pamwamba pake. Kachubu kocheperako, mzerewu, umachokera pagubuli kupita mumitsempha. Madoko amalowetsedwa pansi pa khungu pachifuwa kapena m'manja mwanu ndi dotolo kapena radiologist.

Doko litaikidwa, mutha kungowona bampu yaying'ono. Sipadzakhala mchira wa catheter kunja kwa thupi. Nthawi yakufika kuti doko ligwiritsidwe ntchito, khungu lanu lidzachita dzanzi ndi zonona ndipo singano yapadera imalowetsedwa kudzera pakhungu pachisindikizo cha mphira. (Izi zimatchedwa kufikira doko.)

PICC vs. doko

Ngakhale mizere ndi madoko a PICC ali ndi cholinga chofanana, pali zosiyana zingapo pakati pawo:

• Mizere ya PICC imatha kukhala milungu ingapo kapena miyezi ingapo. Madoko amatha kukhalabe momwe mungafunire chithandizo, mpaka zaka zingapo.
• Mizere ya PICC imafuna kuyeretsa ndi kutsuka kwapadera tsiku lililonse. Pali zochepa zoti musamalire ndi madoko popeza ali pansi pa khungu. Madoko amafunikanso kuthiriridwa kamodzi pamwezi kuti asamateteze.
• Mizere ya PICC siyenera kuloledwa kunyowa. Muyenera kuphimba ndi zinthu zopanda madzi mukasamba, ndipo simudzatha kusambira. Ndi doko, mutha kusamba ndikusambira kamodzi malowo atachira.

Kuti muthandize kudziwa bwino tanthauzo la kukhala ndi CVC kwa inu, mungafune kufunsa katswiri wanu wa oncologist mafunso awa:

• Chifukwa chiyani mukundilangiza kuti ndiyenera kukhala ndi patheter kapena doko?
• Ndi zovuta ziti zomwe zingachitike ndi PICC kapena doko?
• Kodi kuyika kateti kapena doko kumapweteka?
• Kodi inshuwaransi yanga itha kulipira zonse zomwe ndilipira?
• Kodi catheter kapena doko zidzasiyidwa mpaka liti?
• Kodi ndimasamala bwanji catheter kapena doko?

Gwirani ntchito ndi gulu lanu la oncology kuti mumvetsetse zabwino zonse ndi zoopsa za zida za CVC.