I-PICC tubing, noma i-peripherally catheter central (ngezinye izikhathi ebizwa ngokuthi i-percutaneously inserted central catheter) iyisisetshenziswa sezokwelapha esivumela ukufinyelela okuqhubekayo emgudwini wegazi ngesikhathi esingafika ezinyangeni eziyisithupha. Ingasetshenziselwa ukuletha uketshezi olufakwa emthanjeni (IV) noma izidakamizwa, njengemithi elwa namagciwane noma i-chemotherapy, kanye nokudonsa igazi noma ukumpontshelwa igazi.
Ebizwa ngokuthi "khetha", intambo ivame ukufakwa emthanjeni osengalweni engenhla bese kuthi ngomthambo omkhulu ophakathi nendawo eduze kwenhliziyo.
Izikhungo eziningi zivumela kuphela ama-IV ajwayelekile ukuthi agcinwe izinsuku ezintathu kuya kwezine ngaphambi kokukhipha nokubeka ama-IV amasha. Ngokuhamba kwamaviki amaningi, i-PICC inganciphisa kakhulu inani lokuphuzwa kweveni okufanele ubekezelele ukufakwa ngomthambo.
Njengomjovo ojwayelekile wokufakwa emthanjeni, ulayini we-PICC uvumela izidakamizwa ukuthi zijovwe egazini, kodwa i-PICC ithembekile futhi ihlala isikhathi eside. Ingase futhi isetshenziselwe ukunikeza amanani amakhulu oketshezi kanye nezidakamizwa ezicasula kakhulu izicubu ukuze zinikezwe ngemijovo evamile yomjovo.
Uma umuntu kulindeleke ukuthi athole imishanguzo efakwa emthanjeni isikhathi eside, ulayini we-PICC ungasetshenziselwa izinhloso eziningi. Ulayini we-PICC ungase unconyelwe kulezi zindlela zokwelapha ezilandelayo:
Intambo ye-PICC ngokwayo iyishubhu enocingo oluqondisayo ngaphakathi ukuze iqinise ishubhu futhi yenze kube lula ukungena emthanjeni. Uma kunesidingo, intambo ye-PICC ingase inqanyulwe, ikakhulukazi uma umncane. Ubude obufanelekile buvumela intambo ukuthi inwebe isuka endaweni yokushutheka iye lapho ichopho lisemthanjeni wegazi ngaphandle kwenhliziyo.
Ulayini we-PICC uvame ukubekwa umhlengikazi (RN), umsizi kadokotela (PA) noma umhlengikazi (NP). Ukuhlinzwa kuthatha cishe ihora futhi ngokuvamile kwenziwa eduze kombhede wesibhedlela noma isikhungo sokunakekela isikhathi eside, noma kungaba ukuhlinzwa kwesiguli esingalaliswanga.
Khetha umthambo, ngokuvamile ngomjovo ukuze uvale indawo yokufaka ndikindiki. Hlanza indawo kahle bese usika kancane ukuze ufinyelele emthanjeni.
Usebenzisa indlela ye-aseptic, faka ngobumnene intambo ye-PICC esitsheni. Ingena kancane kancane emithanjeni yegazi, inyuse ingalo, bese ingena enhliziyweni. Ezimweni eziningi, i-ultrasound (i-ultrasound) isetshenziselwa ukunquma indawo engcono kakhulu yokubekwa kwe-PICC, enganciphisa inani lezikhathi "onamathele" ngazo ngesikhathi sokubekwa komugqa.
Uma i-PICC isisendaweni, ingavikelwa esikhumbeni ngaphandle kwendawo yokushutheka. Izintambo eziningi ze-PICC zishuthelwe endaweni, okusho ukuthi amashubhu namachweba atholakala ngaphandle kwesikhumba abanjwe amashubhu. Lokhu kuvimbela i-PICC ukuthi inganyakazi noma isuswe ngephutha.
Uma i-PICC isisendaweni, kwenziwa i-X-ray ukuze kunqunywe ukuthi intambo isendaweni efanele yini emithanjeni yegazi. Uma ingekho endaweni, ingase iphushelwe kakhulu emzimbeni noma ihlehliselwe emuva kancane.
Imigqa ye-PICC inezingozi ezithile zezinkinga, okuhlanganisa nalezo ezibucayi nezingase zibeke ukuphila engozini. Uma ulayini we-PICC uba nezinkinga, kungase kudingeke ukuthi ususwe noma ulungiswe, noma ukwelashwa okwengeziwe kungase kudingeke.
Amashubhu e-PICC adinga ukunakekelwa okuvamile, okuhlanganisa ukushintshwa okujwayelekile kwezingubo eziyinyumba, ukushaywa ngoketshezi oluyinyumba, nokuhlanza amachweba. Ukuvimbela ukutheleleka kuyisihluthulelo, okusho ukugcina indawo ihlanzekile, ukugcina amabhandeshi esesimweni esihle, nokugeza izandla ngaphambi kokuthinta amachweba.
Uma udinga ukushintsha okokugqoka ngaphambi kokuthi uhlele ukushintsha ingubo (ngaphandle uma uzishintshela wena), sicela uxhumane nomhlinzeki wakho wezempilo ngokushesha.
Umhlinzeki wakho wokunakekelwa kwezempilo uzokwazisa futhi ukuthi yimiphi imisebenzi nemidlalo okufanele uyigweme, njengokuphakamisa izinsimbi noma imidlalo yokuxhumana.
Uzodinga ukumboza isiteshi sabo se-PICC ngokugoqa ngepulasitiki noma ibhandishi elingangeni manzi ukuze ugeze. Akufanele umanzise indawo ye-PICC, ngakho-ke ukubhukuda noma ukucwiliswa kwezingalo zakho kubhavu akunconywa.
Ukususwa kochungechunge lwe-PICC kuyashesha futhi ngokuvamile akubuhlungu. Susa intambo ye-suture ebambe intambo endaweni, bese udonsa ngobumnene intambo engalweni. Iziguli eziningi zithi kuzwakala kuxakile ukuyisusa, kodwa ayiphatheki kabi noma ibuhlungu.
Uma i-PICC isiphumile, ukuphela komugqa wokukhiqiza kuzobhekwa. Kufanele ibukeke ifana naleyo ifakiwe, kungabikho zingxenye ezingekho ezingase zihlale emzimbeni.
Uma kunokopha, faka ibhandishi elincane endaweni bese uligcina izinsuku ezimbili kuya kwezintathu ngesikhathi isilonda saphola.
Nakuba imigqa ye-PICC ngezinye izikhathi inezinkinga, izinzuzo ezingaba khona zivame ukudlula ubungozi, futhi ziyindlela ethembekile yokuhlinzeka ngemithi kanye nokuqapha impilo. Ukucasuka okuphindaphindiwe kwe-acupuncture noma ukuzwela ukuze uthole ukwelashwa noma udonswe igazi ukuze lihlolwe.
Bhalisela iphephandaba lethu lamathiphu ezempilo wansuku zonke ukuze uthole amathiphu ansuku zonke angakusiza uphile impilo enempilo.
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Isikhathi sokuthumela: Nov-11-2021