Zvaunofanira Kuziva Pamusoro pePICC Mutsara Kuisa, Kubviswa, Njodzi, uye Makomborero
PICC mutsara, kana kuti Percutaneously Inowanikwa Central Catheter, inoshandiswa mune mishonga inogadziriswa muvheya kubvumira kupinda muropa. Inoshandurwa kuti "sarudza", mutsara ndiwo rudzi rwevascular access device inobvumira mvura uye mishonga kuti ipiwe kune murwere.
Kufanana nechiyero IV, mutsetse wePICC unobvumira mishonga kuiswa muropa, asi PICC inonyanya kuvimbika uye yakasimba.
Inogonawo kushandiswa kupa huwandu hwemvura uye mishonga inonyangadza kuti mhuka dzipiwe kuburikidza nemuenzaniso IV.
Chikonzero nei Mutsara wePICC Unoshandiswa
Mushonga wePICC unoshandiswa nokuda kwezvinangwa zvakasiyana-siyana, kazhinji kune varwere vanotarisirwa kudiwa mishonga yeVIV kwevhiki dzinoverengeka kana kupfuura. PICC inogona kuramba ichigara kwemwedzi kwenguva yakareba kana utachiona husingaitiki panzvimbo yepeji.
PICC inogona kushandiswa kana murwere ari "tsvimbo yakaoma" uye boka rehutano rezvehutano harigoni kuisa IV pasinei nekudzoka zvakare. Inogonawo kushandiswa kuchengetedza midziyo yeropa kubva kumishonga iyo inokonzera uye inogona kukuvadza ganda rakapoteredza nzvimbo yeI IV, kana kukonzera kukanganisa kwemidyo yeropa, yakadai sedhemotherapy.
Mushonga wePICC unoshandiswawo kuitira kuti murwere arege kuramba akabatanidzwa, somuenzaniso, mamwe marudzi ehutachiona anoda zuva rega roga ma antibiotics kwevhiki 6 kana kupfuura. Mutsara wePICC unogona kuiswa uye kana pasina zvinetso zvingavapo, zvinogona kuramba zviri panzvimbo yevhiki dzese dzese dzokurapa.
Zvizhinji zvezvivako zvinongobvumira mutemo IV kuramba uchigara munzvimbo 3-4 mazuva asati abviswa uye imwe itsva igoiswa, pamusoro pemavhiki akawanda PICC inogona kuderedza zvakanyanya nhamba dzenguva murwere anofanira kushivirira an IV kuiswa.
Mitsara yePICC inogona kushandiswawo kuteura ropa. Varwere vanooma kubudisa ropa kubva, kana kusabvumira ropa kunowedzera zvakanaka, vanogona kuva nePICC kuti vadzivirire zuva rega rega (kana zvimwe) zvinyorwa zvetsono.
Mitsara yePICC inogonawo kushandiswa kwemishonga yakawanda panguva imwechete. Kana mishonga miviri isingabvumirwi uye inoda kupiwa panguva imwe chete, mairi eI IV anodiwa. PICC mutsara unogona kuva nezvikwata zvakawanda, zvichibvumira kusawirirana kwemishonga kunopiwa mune zvikepe zvakasiyana. Kunyange zvazvo vari vaviri vari kupinda muPICC mutsara, mishonga haisi kusanganiswa mumutsara wePICC uye inopinda ropa muzvikamu zvakasiyana, izvo zvinovabvumira zvose kuti zvipiwe panguva imwechete kuburikidza neimwe nzvimbo.
Nzira iyo PICC Line inowanikwa
Mitsara yePICC inowanzoiswa nevanesi (RN), vatsigiri vechiremba (PA) kana Mukoti Practitioners (NP). Nzira yacho inowanzoitwa pamubhedha kana mubhedha ari muchipatara, kana sechirongwa chekunze kwevamwe vanhu.
Iyo PICC mutsara pachayo ndeye yakareba tube inotungamira firi mukati mukati kuti iomesa tipe kuitira kuti zvive nyore kupinda mukati mutsva. Mutsara unosarudzwa, uye mutsara wePICC unogona kugadzirirwa kusvika kwenguva shoma kana zvichidiwa, kunyanya kana murwere ari muduku. Iyo yakareba kureba inobvumira mutsetse kuti uwedzere kubva pane kuisa nzvimbo yekuti nzvimbo yacho inogara muropa remudziyo kunze kwemoyo.
Nzvimbo yekunyorera inowanzokanganiswa nejisi. Nzvimbo yacho yakacheneswa zvakakwana uye kusungirirwa kuduku kunoshandiswa pakuwana mutsara, kazhinji muruoko.
Achishandisa nzira isina kuchena, iyo PICC mutsara inonyatsopindirwa mumudziyo. Iyo inononoka uye yakanyatsopfuurira ichienda muropa remudziyo, uko inokwira ruoko uye inoita nzira yayo kumoyo. Muzviitiko zvizhinji, mishonga inonzi ultrasound inoshandiswa kuzivisa nzvimbo yakanakisisa yePICC kuiswa, iyo inogona kuderedza nhamba yenguva apo murwere "akaoma" paanenge achiisa mutsetse.
Kana imwe nguva PICC iri munzvimbo yakakodzera, inogona kuchengetedzwa paganda kunze kwekuisa nzvimbo. Mitsara yakawanda yePICC inogadziriswa panzvimbo, zvinoreva kuti kubha uye gomba rinosara kunze kweganda rinoshandiswa munzvimbo nechekuita.
Izvi zvinodzivisa PICC kuti ibve yabviswa zvisina ngozi kana kufamba kune mwoyo.
Kamwe apo PICC iri munzvimbo, x-ray inoitwa kuti ione kana mutsara uri munzvimbo yakakodzera muropa rekushandisa. Kana iyo isiri panzvimbo yakakodzera, inogona kuendeswa mberi mumuviri kana kutora zvishoma.
Kamwe kuiswa kunosimbiswa kuti foni yechirongwa inobviswa uye mutsetse wakachengeteka kushandisa.
Kubviswa kweChino chePICC
Kubviswa kwePICC mutsara inokurumidza uye isinganzwisisiki. I-sutures inobata mutsara munzvimbo yakakodzera inobviswa, uye mutsetse wacho unobviswa zvinyoro kubva paruoko. Vazhinji varwere vanoti zvinonzwa zvisingazivikanwi kuti zvakabviswa, asi hazvisi kunetseka kana zvinorwadza.
Kamwe apo PICC iri kunze, kuguma kwemutsara, waiva mukati memurwere, kunoongororwa. Inofanira kutarisa yakafanana neyakaita paakaiswa, isina zvidimbu zvingasara zvingasara mukati memuviri.
Bhenji shomanana inogona kuiswa pamusoro penzvimbo iyo kana kuine ropa riripo iro richaramba riri panzvimbo 2 kana 3 mazuva apo ronda rinoporesa.
Ngozi dzeMutsetse wePICC
Ngozi dzekuva nePICC Line dzinosanganisira:
- Utachiona: Utachiona hunogona kuiswa panzvimbo yekuisa, chiitiko chinonyanyove chakanyanya kuti PICC inoramba iripo.
- Ropa Chivharo: Ropa rinogona kuumbwa pamucheto wePICC, kana zvivhara izvi zvikasununguka vanogona kufamba nemwoyo kusvika kumapapu, chiitiko chinonzi Pulmonary Embolism (PE) . Vanogonawo kuumba muhuni zvakapoteredza mutsara.
- Kusakosha: Mitsara yePICC inogona kuvharwa. Mishonga inowanikwa kuedza kuchenesa mutsara, asi haisi nguva dzose inoshanda uye inogona kuguma nekubvisa mutsara.
- Kutsamwa Kwomwoyo: Kana mutsara uri pedyo zvikuru nemwoyo, kana mumoyo, unogona kutsamwisa mwoyo uye unokonzera matambudziko nechirwere chemoyo. Kana dambudziko racho risina kuongororwa zvakakurumidza, mutsara wePICC unobvongodza pamusoro pekutenderera kwemoyo nguva dzose kunogona kukanganisa mwoyo musumbu kana magetsi.
Kutarisira kwePICC Line
Mitsara yePICC inoda kuchengetedzwa nguva dzose, kusanganisira chimiro chisina kuchena kupfeka kushanduka, kuputika nesero isina kuchena nekuchenesa kwezvikepe. Varwere vakawanda vanovhara nzvimbo yavo yePICC neupurasitiki kana bhenji risina mvura yekuisa. Iwe haufaniri kuwana nzvimbo yako yePICC yakanyorova, saka kuvhara ruoko rwako mukushambidza kana kushambi hazvikurudzirwi. Kudzivirira utachiona chinhu chikuru, izvo zvinoreva kuchengetedza nzvimbo yakachena, kuchengetedza bhanji muhutano hwakanaka, uye kushambidza maoko ako usati wasvika pamahombekombe.
Danaidza mupiro wako wehutano kana:
- Nzvimbo yako yegwenga haigoni kuvhiringidza kana kuisa
- PICC yako inodonha
- PICC yako inofamba, uye chikamu chisiri kunze kweganda rako kamwe chete chakareba kudarika zvaimbova (zvimwe PICC tubing ine nhamba dzinooneka uye dzinoshanda semutungamiri anoona)
- Iwe une zviratidzo kana zviratidzo zvehutachiona
- Iwe une zviratidzo zvezviratidzo zveropa rinoputika
- Iwe unoda kupfeka kushandura pamberi pekugadzirisa kupfekedzwa kwekushandura (kunze kwekuti iwe uchichinja iwe pachako)
> Source
> Peripherally Akaiswa Central Catheter Kupfeka Kuchinja. Medline Plus. Yakasvika muna December > 2015. https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000462.htm