PICC tubing, cyangwa yinjizwamo peripheri hagati ya catheteri (rimwe na rimwe bita percutaneously inserthed catheter) ni igikoresho cyubuvuzi cyemerera gukomeza kugera kumaraso icyarimwe mugihe cyamezi atandatu. Irashobora gukoreshwa mugutanga imiyoboro y'amaraso (IV) cyangwa imiti, nka antibiotique cyangwa chimiotherapie, no kuvoma amaraso cyangwa guterwa amaraso.
Kuvuga "gutora", ubusanzwe urudodo rwinjizwa mumitsi mumaboko yo hejuru hanyuma unyuze mumitsi minini yo hagati hafi yumutima.
Ibikoresho byinshi byemerera gusa IV bisanzwe kubikwa muminsi itatu cyangwa ine mbere yo gukuraho no gushyira IV nshya. Mugihe cyibyumweru byinshi, PICC irashobora kugabanya cyane umubare wimitsi ugomba kwihanganira kwinjiza imitsi.
Kimwe no gutera inshinge zisanzwe, umurongo wa PICC utuma imiti yinjizwa mumaraso, ariko PICC yizewe kandi iramba. Irashobora kandi gukoreshwa mugutanga amazi menshi nibiyobyabwenge birakaza cyane ingirangingo zidashobora gutangwa hakoreshejwe inshinge zisanzwe.
Iyo umuntu ategerejweho kwakira imiti yimitsi igihe kirekire, umurongo wa PICC urashobora gukoreshwa mubikorwa byinshi. Umurongo wa PICC urashobora gusabwa kubuvuzi bukurikira:
Umugozi wa PICC ubwawo ni umuyoboro ufite insinga iyobora imbere kugirango ushimangire umuyoboro kandi byoroshye kwinjira mumitsi. Nibiba ngombwa, umugozi wa PICC urashobora guca bugufi, cyane cyane niba uri petite. Uburebure bwiza butuma insinga ishobora kuva aho yinjirira ikagera aho isonga riri mumitsi yamaraso hanze yumutima.
Umurongo wa PICC ubusanzwe ushyirwaho numuforomo (RN), umufasha wumuganga (PA) cyangwa umuforomo (NP). Kubaga bifata isaha imwe kandi mubisanzwe bikorerwa kumuriri wibitaro cyangwa mubitaro byigihe kirekire, cyangwa birashobora kuba ibikorwa byo hanze.
Hitamo umutsi, mubisanzwe ukoresheje inshinge kugirango ucecekeshe urubuga. Sukura ahantu neza kandi ukore agace gato kugirango ugere kumitsi.
Ukoresheje tekinike ya aseptic, shyiramo witonze insinga ya PICC muri kontineri. Buhoro buhoro bwinjira mu mitsi y'amaraso, buzamura ukuboko, hanyuma bwinjira mu mutima. Mubihe byinshi, ultrasound (ultrasound) ikoreshwa mukumenya ahantu heza hashyirwa PICC, ishobora kugabanya inshuro "watsimbaraye" mugihe cyo gushyira umurongo.
PICC imaze kuba, irashobora gushirwa kuruhu hanze yikibanza. Imitwe myinshi ya PICC idoda ahantu, bivuze ko imiyoboro nicyambu giherereye hanze yuruhu bifatirwa mukibanza. Ibi birinda PICC kwimuka cyangwa gukurwaho kubwimpanuka.
PICC imaze gushyirwaho, hakorwa X-ray kugirango hamenyekane niba urudodo ruhagaze neza mumitsi yamaraso. Niba bidahari, birashobora gusunikwa cyane mumubiri cyangwa bigasubira inyuma gato.
Imirongo ya PICC ifite ibyago bimwe byingutu, harimo nibikomeye kandi bishobora guhitana ubuzima. Niba umurongo wa PICC uteza ibibazo, birashobora gukurwaho cyangwa guhindurwa, cyangwa hashobora gukenerwa ubundi buvuzi.
Imiyoboro ya PICC isaba kubungabungwa buri gihe, harimo gusimbuza buri gihe imyambarire idasanzwe, koza amazi meza, no gusukura ibyambu. Kwirinda kwandura ni urufunguzo, bivuze ko isuku ikomeza kugira isuku, kugumisha bande neza, no gukaraba intoki mbere yo gukora ku byambu.
Niba ukeneye guhindura imyambarire mbere yuko uteganya guhindura imyambarire (keretse uyihinduye wenyine), nyamuneka hamagara umuganga wawe.
Abatanga ubuvuzi bazakumenyesha ibikorwa na siporo ugomba kwirinda, nko guterura ibiremereye cyangwa siporo.
Uzakenera gupfundika sitasiyo yabo ya PICC hamwe nigitambaro cya pulasitike cyangwa igitambaro kitagira amazi kugirango woge. Ntugomba guhanagura agace ka PICC, kubwibyo koga cyangwa kwibiza amaboko mu bwogero ntibisabwa.
Gukuraho umugozi wa PICC birihuta kandi mubisanzwe bitababaza. Kuraho umugozi wa suture ufashe urudodo mu mwanya, hanyuma witonze ukure umugozi mu kuboko. Abarwayi benshi bavuga ko kuyikuramo bidasanzwe, ariko ntibyoroshye cyangwa bibabaza.
PICC namara gusohoka, iherezo ryumurongo wumusaruro rizasuzumwa. Igomba kumera nkaho yashizwemo, nta bice byabuze bishobora kuguma mu mubiri.
Niba hari amaraso, shyira igitambaro gito kuri ako gace hanyuma ugumane iminsi ibiri cyangwa itatu mugihe igikomere gikira.
Nubwo imirongo ya PICC rimwe na rimwe igira ibibazo, inyungu zishobora kuba nyinshi kurenza ingaruka, kandi nuburyo bwizewe bwo gutanga imiti no gukurikirana ubuzima. Gusubiramo acupuncture inshuro nyinshi cyangwa sensitivite kugirango ubashe kwivuza cyangwa kuvoma amaraso yo kwipimisha.
Iyandikishe kumakuru yacu yubuzima bwa buri munsi kugirango wakire inama za buri munsi zagufasha kubaho ubuzima bwiza.
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McDiarmid S, Scrivens N, Carrier M, nibindi. CMAJ Gufungura. 2017; 5 (3): E535-E539. doi: 10.9778 / cmajo.20170010
Ibigo bishinzwe gukumira no kurwanya indwara. Ibibazo bikunze kubazwa kubyerekeye catheters. Yavuguruwe ku ya 9 Gicurasi 2019.
Zarbock A, Rosenberger P. Ingaruka zijyanye no kwinjiza periferique ya catheter yo hagati. Lancet. 2013; 382 (9902): 1399-1400. doi: 10.1016 / S0140-6736 (13) 62207-2
Ibigo bishinzwe gukumira no kurwanya indwara. Centrine ijyanye n'indwara zandurira mu maraso: umutungo w'abarwayi n'abashinzwe ubuzima. Yavuguruwe ku ya 7 Gashyantare 2011.
Velissaris D, Karamouzos V, Lagadinou M, Pierrakos C, Marangos M. Gukoresha catheteri yinjizwamo periferique hamwe nindwara zifitanye isano mubikorwa byubuvuzi: kuvugurura ibitabo. J Ubushakashatsi bwubuvuzi. 2019; 11 (4): 237-246. doi: 10.14740 / jocmr3757
Igihe cyo kohereza: Ugushyingo-11-2021