Izinto Eziyisi-7 Eziyinhloko Zokukhetha Imbobo Efakelwayo vs Ulayini we-PICC

Ukwelashwa komdlavuza ngokuvamile kudinga ukufinyelela kwe-venous isikhathi eside ukuze uthole ukwelashwa ngamakhemikhali, ukudla okunomsoco, noma ukumnika imithi. Izisetshenziswa ezimbili ezivame kakhulu zokufinyelela emithanjeni ezisetshenziselwa lezi zinhloso yileI-Peripherally Catheter Ephakathi(umugqa we-PICC) kanye ne-Imbobo Engatshalwa(eyaziwa nangokuthi imbobo ye-chemo noma i-port-a-cath).

Zombili zisebenza ngendlela efanayo - zinikeza umzila onokwethenjelwa wemithi engena egazini - kodwa zihluka kakhulu ngokwesikhathi, ukunethezeka, ukunakekelwa, kanye nobungozi. Ukuqonda lo mehluko kusiza iziguli nabahlinzeki bezempilo ukuthi bakhethe inketho efaneleke kakhulu.

Ayini ama-PICC kanye namachweba angatshalwa? Iyiphi Engcono?

Ulayini we-PICC yikhethetha ende, eguquguqukayo efakwe ngomthambo osengalweni engenhla bese iqhubekela emthanjeni omkhulu oseduze nenhliziyo. Inikeza ukufinyelela okuqondile ekujikelezeni okumaphakathi futhi ingaphandle ngokwengxenye, nengxenye ebonakalayo yeshubhu ngaphandle kwesikhumba. Imigqa ye-PICC ivamise ukusetshenziselwa ukwelashwa kwesikhathi esifushane kuya kwelimaphakathi, okufana nama-antibiotics, umsoco we-IV, noma i-chemotherapy ethatha amasonto ambalwa kuya ezinyangeni ezimbalwa.

Imbobo efakelwayo iyisisetshenziswa sezokwelapha esincane esibekwe ngokuphelele ngaphansi kwesikhumba, ngokuvamile esisesifubeni esingenhla. Iqukethe i-reservoir (ichweba) exhunywe ku-catheter engena emthanjeni ophakathi. Ichweba lifinyelelwa nge-Inaliti ye-Huberlapho kudingeka imithi noma igazi lidonsa futhi lihlala livaliwe futhi lingabonakali ngaphansi kwesikhumba uma lingasetshenziswa.

Uma uqhathanisa imbobo efakelwayo vs ulayini we-PICC, ulayini we-PICC unikeza ukubekwa nokususwa kalula ukuze uthole ukwelashwa kwesikhashana, kuyilapho imbobo efakelwayo inikeza ukunethezeka okungcono, ubungozi obuphansi bokutheleleka, nokuqina kwesikhathi eside kokwelashwa okuqhubekayo okufana nokwelapha ngamakhemikhali.

Izinto Eziyisi-7 Eziyinhloko Zokukhetha Imbobo Efakelwayo vs Ulayini we-PICC

1. Isikhathi Sokufinyelela: Isikhathi Esifushane, Isikhathi Esimaphakathi, Isikhathi Eside

Ubude besikhathi sokwelashwa obulindelwe yisici sokuqala okufanele sicatshangelwe.

Ulayini we-PICC: Ilungele ukufinyelela kwesikhathi esifushane ukuya kweliphakathi, ngokuvamile kufika ezinyangeni eziyisithupha. Kulula ukuyifaka, ayidingi ukuhlinzwa, futhi ingakhishwa eduze kombhede.
Imbobo Efakelwayo: Ilungele ukwelashwa kwesikhathi eside, izinyanga ezihlala njalo noma iminyaka. Ingahlala itshalwe ngokuphepha isikhathi eside, iyenze ifaneleke ezigulini ezithola imijikelezo yokwelashwa ngamakhemikhali ephindaphindiwe noma ukumnika imithi yesikhathi eside.

Ngokuvamile, uma ukwelashwa kulindeleke ukuthi kuthathe isikhathi esingaphezu kwezinyanga eziyisithupha, imbobo efakelwayo iyisinqumo esingcono.

2. Ukugcinwa Kwansuku zonke

Izidingo zokunakekela zihluka kakhulu phakathi kwalezi zisetshenziswa ezimbili zokufinyelela emithanjeni.

Ulayini we-PICC: Idinga ukuguquguquka okujwayelekile nokugqoka, imvamisa kanye ngesonto. Ngenxa yokuthi inengxenye yangaphandle, iziguli kufanele zigcine indawo yomile futhi ivikelekile ukuze zigweme ukutheleleka.
Imbobo Efakelwayo: Idinga ukunakekelwa okuncane uma ukusika sekupholile. Uma ingasetshenziswa, idinga kuphela ukushaywa njalo emavikini angu-4-6. Njengoba ifakwe ngokugcwele ngaphansi kwesikhumba, iziguli zinemikhawulo embalwa yansuku zonke.

Ezigulini ezifuna ukunethezeka nokunakekelwa okuphansi, imbobo efakelwayo iphakeme ngokusobala.

3. Indlela Yokuphila Nenduduzo

Umthelela wendlela yokuphila ungenye into ecatshangelwayo ebalulekile lapho ukhetha phakathi kwedivayisi yokufinyelela ye-PICC kanye nembobo efakelwayo.

I-PICC Line: Ishubhu yangaphandle ingakhawulela imisebenzi efana nokubhukuda, ukugeza, noma ezemidlalo. Ezinye iziguli zikuthola kungakhululekile noma ukuzicabangela ngenxa yokubonakala nezidingo zokugqoka.
Imbobo Efakelwayo: Inikeza ukunethezeka okukhulu nenkululeko. Uma usuphulukisiwe, awubonakali ngokuphelele futhi awuphazamisi imisebenzi eminingi yansuku zonke. Iziguli zingakwazi ukugeza, ukubhukuda, nokuzivocavoca ngaphandle kokukhathazeka ngomshini.

Ezigulini ezazisa ukunethezeka kanye nendlela yokuphila esebenzayo, ichweba elifakelwayo linikeza inzuzo ecacile.

4. Ingozi Yokutheleleka

Ngenxa yokuthi zombili izisetshenziswa zinikeza ukufinyelela okuqondile egazini, ukulawula ukutheleleka kubalulekile.

Ulayini we-PICC: Unobungozi obukhulu bokutheleleka, ikakhulukazi uma usetshenziswa isikhathi eside. Ingxenye yangaphandle ingethula amagciwane egazini.
Imbobo Efakelwayo: Inengozi ephansi yokutheleleka ngenxa yokuthi imbozwe ngokuphelele isikhumba, enikeza umgoqo wokuvikela wemvelo. Ucwaningo lwezokwelapha lubonise ukuthi amachweba anezifo ezimbalwa kakhulu zegazi ezihlobene ne-catheter kunama-PICC.

Ngokusetshenziswa isikhathi eside, imbobo efakelwayo ithathwa njengenketho ephephile.

5. Izindleko Nomshuwalense

Ukucatshangelwa kwezindleko kuhlanganisa kokubili ukubekwa kokuqala kanye nokugcinwa kwesikhathi eside.

Ulayini we-PICC: Ngokuvamile ishibhile ukuwufaka njengoba ungadingi ukuhlinzwa. Kodwa-ke, izindleko eziqhubekayo zokulungisa - okuhlanganisa izinguquko zokugqoka, ukuvakashela emtholampilo, nokushintshwa kwempahla - zingakhula ngokuhamba kwesikhathi.
Imbobo Efakelwayo: Inezindleko eziphezulu zangaphambili ngoba idinga ukufakelwa okuncane kokuhlinzwa, kodwa ibiza kakhulu ekwelashweni kwesikhathi eside ngenxa yezidingo ezincishisiwe zokunakekela.

Iningi lezinhlelo zomshwalense limboza womabili amadivaysi njengengxenye yezindleko zedivayisi yezokwelapha ye-chemotherapy noma yokwelashwa kwe-IV. Ingqikithi yokuphumelela kwezindleko incike ekutheni idivayisi izodingeka isikhathi esingakanani.

6. Inombolo yamaLumens

Inani lama-lumens linquma ukuthi mingaki imithi noma uketshezi olungalethwa ngesikhathi esisodwa.

Imigqa ye-PICC: Itholakala ngezinketho zelumen eyodwa, ekabili, noma kathathu. Ama-PICC ane-lumen eminingi alungele iziguli ezidinga ukujova okuningi noma ukudonsa igazi njalo.
Izimbobo Ezifakelwayo: Imvamisa ilumen eyodwa, nakuba amachweba ane-lumen ekabili ayatholakala ngemithi eyinkimbinkimbi ye-chemotherapy.

Uma isiguli sidinga ukuthakwa kwezidakamizwa eziningi ngesikhathi esisodwa, i-PICC enamalume amaningi ingase ibe ngcono. Ngokwelashwa kwamakhemikhali okujwayelekile, imbobo ye-lumen eyodwa efakelwayo ngokuvamile yanele.

7. I-Catheter Diameter

I-diameter ye-catheter ithinta ijubane lokumnika uketshezi kanye nokunethezeka kwesiguli.

Imigqa ye-PICC: Ivamise ukuba nobubanzi obukhudlwana bangaphandle, obungabangela ukucasuka kwemithambo noma kunciphise ukugeleza kwegazi uma kusetshenziswa isikhathi eside.
Izimbobo Ezifakelwayo:Sebenzisa i-catheter encane futhi ebushelelezi, engacasuli imithambo futhi evumela ukusetshenziswa okunethezekile kwesikhathi eside.

Ezigulini ezinemithambo emincane noma lezo ezidinga ukwelashwa isikhathi eside, imbobo efakelwayo ivamise ukuhambisana kakhulu futhi ingaphazamisi kakhulu.

Isiphetho

Ukukhetha phakathi komugqa we-PICC kanye nembobo efakelwayo kuncike ezintweni ezimbalwa zomtholampilo nezomuntu siqu - ubude besikhathi sokwelashwa, ukunakekelwa, ukunethezeka, ubungozi bokutheleleka, izindleko, kanye nezimfuneko zokwelapha.

Ulayini we-PICC ungcono kakhulu ekwelapheni kwesikhathi esifushane noma esimaphakathi, okunikeza ukubekwa okulula kanye nezindleko zangaphambili eziphansi.
Imbobo efakelwayo ingcono yokwelashwa ngamakhemikhali yesikhathi eside noma ukufinyelela njalo kwemithambo, enikeza ukunethezeka okuphezulu, ukunakekelwa okuncane, kanye nezinkinga ezimbalwa.

Zombili zibalulekileamadivaysi okufinyelela kwemithamboezithuthukisa izinga lokunakekelwa kwesiguli. Isinqumo sokugcina kufanele senziwe ngokubonisana nochwepheshe bezokunakekelwa kwempilo, kuqinisekiswe ukuthi idivayisi ihambisana nezidingo zezokwelapha kanye nempilo yesiguli.