Yethula:
Ukufinyelela emthanjeni wokubeletha kungaba inselele uma ubhekene nenkinga yezempilo edinga imithi njalo noma ukwelashwa isikhathi eside. Ngenhlanhla, intuthuko yezokwelapha iholele ekuthuthukisweni kweamachweba angatshalwa(eyaziwa nangokuthi izimbobo zokujova amandla) ukuze kuhlinzekwe okuthembekile nokusebenza kahleukufinyelela kwemithambo. Kule bhulogi, sizohlola umhlaba wezimbobo zokufakelwa, okuhlanganisa imisebenzi yazo, izinzuzo, nezinhlobo ezahlukene ezitholakala emakethe.
Yini iimbobo engatshalwa?
Imbobo yokufakelwa incaneidivayisi yezokwelaphaefakwa ngaphansi kwesikhumba ngokuhlinzwa, ngokuvamile esifubeni noma engalweni, ukuze ochwepheshe bezokunakekelwa kwempilo bakwazi ukufinyelela kalula egazini lesiguli. Iqukethe ithubhu elincane le-silicone (elibizwa ngokuthi i-catheter) elixhuma kwi-reservoir. I-reservoir ine-septum ye-silicone ezivala futhi ijova umuthi noma uketshezi kusetshenziswa inaliti ekhethekile ebizwa ngokuthiInaliti ye-Huber.
Umjovo Wamandla:
Enye yezinzuzo eziyinhloko zamachweba afakelwayo amandla azo okujova amandla, okusho ukuthi angakwazi ukumelana nengcindezi eyengeziwe ngesikhathi sokulethwa kwezidakamizwa noma imidiya yokuqhathanisa ngesikhathi sokuthwebula. Lokhu kunciphisa isidingo sezindawo zokufinyelela ezengeziwe, kukhulula isiguli ezintini zenaliti eziphindaphindiwe, futhi kunciphisa ingozi yezinkinga.
Izinzuzo zokutshala izimbobo:
1. Ukunethezeka okungeziwe: Izimbobo ezifakelwayo zikhululeke kakhudlwana esigulini kunamanye amadivaysi njengama-catheter amaphakathi afakwe nge-peripherally (imigqa ye-PICC). Zibekwe ngaphansi kwesikhumba, okunciphisa ukucasuka kwesikhumba futhi kuvumela isiguli ukuba sihambe ngokukhululeka.
2. Ingozi encishisiwe yokutheleleka: I-silicone septum egxiliwe ezifaka uphawu iqeda isidingo sokuxhuma okuvulekile, inciphisa kakhulu ingozi yokutheleleka. Kudinga futhi ukulungiswa okuncane, okwenza kube lula ezigulini.
3. Impilo ende: Ichweba elitshaliwe lenzelwe ukuhlinzeka ukufinyelela kwemithambo yesikhathi eside ngaphandle kwesidingo sezinti eziningi zezinaliti ezigulini ezidinga ukwelashwa okuqhubekayo. Lokhu kuthuthukisa umuzwa wesiguli futhi kuthuthukisa izinga lempilo yaso.
Izinhlobo zezimbobo ezitshaliwe:
1. Amachweba okwelapha ngamakhemikhali: La machweba aklanyelwe ngokukhethekile iziguli ezinomdlavuza ezilashwa ngamakhemikhali. Ama-Chemoports avumela ukuphathwa okuphumelelayo kwemithamo ephezulu yezidakamizwa kanye nokwelashwa okunolaka kuyilapho kunciphisa ubungozi bokweqisa.
2. Imbobo ye-PICC: Imbobo ye-PICC ifana nolayini we-PICC ovamile, kodwa yengeza umsebenzi wembobo engaphansi kwesikhumba. Lezi zinhlobo zamachweba atshaliwe zivame ukusetshenziswa ezigulini ezidinga ama-antibiotic esikhathi eside, ukondliwa kwabazali, noma eminye imithi engase icasule imithambo ye-peripheral.
Ekuphetheni:
Izimbobo zomjovo ezifakelwayo noma ezinamandla ziguqule umkhakha wokufinyelela emithanjeni, ukuhlinzeka iziguli ngendlela enethezekile nephumelelayo yokuthola imithi noma ukwelashwa. Ngamakhono abo omjovo wamandla, ingozi encishisiwe yokutheleleka, ukukhula isikhathi eside kanye nezinhlobonhlobo zezinhlobo ezikhethekile, amachweba afakelwayo abe yingxenye ebalulekile yezimo eziningi zezokwelapha, ukuqinisekisa ukunakekelwa kwesiguli okuphelele nokuthuthukisa imiphumela yokwelashwa iyonke. Uma wena noma othile omaziyo engenela ukungenelela kwezokwelapha okuvamile, kungase kudingeke ukuthi uhlole amachweba atshaliwe njengesixazululo esisebenzayo sokwenza lula ukufinyelela kwemithambo.
Isikhathi sokuthumela: Aug-16-2023