Imiba esi-7 ePhambili yokuKhetha iZibuko eliFakelayo vs umgca wePICC

Unyango lomhlaza luhlala lufuna ukufikelela kwi-venous ixesha elide kwi-chemotherapy, isondlo, okanye ukufakwa kwamayeza. Ezona zixhobo zimbini zixhaphakileyo zokufikelela kwimithambo ezisetyenziselwa ezi njongo zeziI-Peripheraly efakwe kwi-Central Catheter(umgca wePICC) kunye neIzibuko elifakelwayo(ekwaziwa njengezibuko le-chemo okanye i-port-a-cath).

Bobabini basebenza umsebenzi ofanayo - ukubonelela ngendlela ethembekileyo yonyango kwigazi - kodwa bahluke kakhulu ngokwexesha elide, induduzo, ukugcinwa kunye nomngcipheko. Ukuqonda lo mahluko kunceda izigulane kunye nababoneleli bezempilo bakhethe eyona ndlela ifanelekileyo.

Ziziphi ii-PICC kunye namaZibuko aFakelayo? Yeyiphi Engcono?

Umgca wePICC yicatheter ende, eguquguqukayo efakwe ngomthambo kwingalo engaphezulu kwaye ihambele kumthambo omkhulu okufutshane nentliziyo. Inika ukufikelela ngokuthe ngqo kumjikelezo ophakathi kwaye iyingxenye yangaphandle, kunye necandelo elibonakalayo le-tubing ngaphandle kwesikhumba. Imigca ye-PICC iqhele ukusetyenziselwa unyango lwexesha elifutshane ukuya kweliphakathi, olunje ngamayeza okubulala iintsholongwane, isondlo se-IV, okanye ichemotherapy ethatha iiveki ezininzi ukuya kwiinyanga ezimbalwa.

Ichweba elifakelwayo sisixhobo esincinci sonyango esibekwe ngokupheleleyo phantsi kwesikhumba, ngokuqhelekileyo kwisifuba esiphezulu. Iquka indawo yokugcina amanzi (izibuko) eqhagamshelwe kwi-catheter engena kumthambo osembindini. Izibuko liyafikelelwa ngeInaliti yeHuberxa kufuneka iyeza okanye igazi litsala kwaye lihlala livaliwe kwaye lingabonakali phantsi kwesikhumba xa lingasetyenziswa.

Xa uthelekisa i-port efakelweyo vs umgca we-PICC, umgca we-PICC unikezela ngokubeka lula kunye nokususwa kunyango lwexesha elifutshane, ngelixa i-port efakelwayo inika intuthuzelo engcono, ingozi ephantsi yosulelo, kunye nokuqina kwexesha elide kunyango oluqhubekayo njenge-chemotherapy.

Imiba esi-7 ePhambili yokuKhetha iZibuko eliFakelayo vs umgca wePICC

1. Ixesha lokuFikelela: Ixesha elifutshane, eliPhakathi, ixesha elide

Ubude bexesha elilindelekileyo lonyango yinto yokuqala ekufuneka iqwalaselwe.

I-PICC Line: Ilungele ukufikelela kwixesha elifutshane ukuya kweliphakathi, ngokuqhelekileyo ukuya kwiinyanga ezintandathu. Kulula ukuyifaka, ayifuni utyando, kwaye inokususwa ecaleni kwebhedi.
Isibuko esifakelwayo: Eyona ilungileyo kunyango lwexesha elide, iinyanga ezihlala okanye iminyaka. Ingahlala ifakwe ngokukhuselekileyo ixesha elongeziweyo, iyenza ifaneleke kwizigulana eziphinda ziphinde zenzeke imijikelo yechemotherapy okanye i-infusions yamayeza exesha elide.

Ngokubanzi, ukuba unyango kulindeleke ukuba luhlale ixesha elide kuneenyanga ezintandathu, izibuko elifakelwayo lolona khetho lungcono.

2. ULondolozo lweMihla

Iimfuno zokugcina zihluke kakhulu phakathi kwezi zixhobo zimbini zokufikelela kwi-vascular.

I-PICC Line:Ifuna ukugungxulwa rhoqo kunye nokutshintsha ukunxiba, ngesiqhelo kanye ngeveki. Ngenxa yokuba inenxalenye yangaphandle, izigulane kufuneka zigcine indawo yomile kwaye ikhuselwe ukuphepha usulelo.
Isibuko esiFakelwayo:Ifuna ulondolozo oluncinci nje ukuba ulwakhiwo lupholile. Xa ingasetyenziswa, ifuna kuphela ukugungxulwa rhoqo kwiiveki ezi-4-6. Kuba ifakwe ngokupheleleyo phantsi kwesikhumba, izigulana zinezithintelo ezimbalwa zemihla ngemihla.

Kwizigulane ezifuna ukulungeleka kunye nokugcinwa okuphantsi, i-port efakelwayo iphezulu ngokucacileyo.

3. Indlela yokuphila kunye neNtuthuzelo

Impembelelo yendlela yokuphila yenye into ephambili yokuqwalaselwa xa ukhetha phakathi kwesixhobo sokufikelela kwi-PICC kunye nezibuko elifakelweyo.

Umgca wePICC: Ityhubhu yangaphandle inokunciphisa imisebenzi efana nokuqubha, ukuhlamba, okanye imidlalo. Ezinye izigulana ziyifumanisa ingonwabanga okanye iyazicingela ngenxa yokubonakala kunye neemfuno zokunxiba.
Isibuko esifakelwayo: Ibonelela ngentuthuzelo enkulu kunye nenkululeko. Xa sele iphilisiwe, ayibonakali ngokupheleleyo kwaye ayiphazamisi imisebenzi emininzi yemihla ngemihla. Izigulana zinokuhlamba, ukuqubha, kunye nokuzilolonga ngaphandle kokukhathazeka ngesixhobo.

Kwizigulane ezixabisa induduzo kunye nendlela yokuphila esebenzayo, i-port efakelwayo inika inzuzo ecacileyo.

4. Umngcipheko woSulelo

Ngenxa yokuba zombini izixhobo zibonelela ngokufikelela ngokuthe ngqo kwigazi, ulawulo losulelo lubalulekile.

Umgca we-PICC: Unomngcipheko ophezulu wosulelo, ngakumbi ukuba usetyenziswe ixesha elide. Inxalenye yangaphandle inokwazisa ibhaktheriya egazini.
Isibuko esiFakelwayo:Inomngcipheko osezantsi wokosuleleka kuba igqunywe ngokupheleleyo lusu, inika umqobo okhuselayo wendalo. Uphononongo lwezonyango lubonise ukuba amazibuko anosulelo oluncinci lwegazi olunxulumene ne-catheter kune-PICC.

Ukusetyenziswa kwexesha elide, i-port efakelwayo ithathwa njengokhetho olukhuselekileyo.

5. Iindleko kunye ne-Inshurensi

Iindleko zokuqwalaselwa ziquka kokubili ukubekwa kokuqala kunye nokugcinwa kwexesha elide.

Umgca we-PICC: Kutshiphu gabalala ukuwufaka kuba awufuni lutyando. Nangona kunjalo, iindleko eziqhubekayo zokulondoloza - kubandakanywa utshintsho lokunxiba, ukutyelelwa kweklinikhi, kunye nokutshintshwa kokubonelela - kunokunyuka ngokuhamba kwexesha.
Isibuko esiFakelwayo: Ineendleko eziphezulu ngaphambili kuba ifuna utyando lofakelo oluncinci, kodwa lunendleko ezithe kratya kunyango lwexesha elide ngenxa yeemfuno zolondolozo ezicuthiweyo.

Uninzi lwezicwangciso ze-inshurensi zigubungela zombini izixhobo njengenxalenye yeendleko zesixhobo zonyango kwi-chemotherapy okanye unyango lwe-IV. Iyonke indleko-esebenzayo ixhomekeke ekubeni isixhobo siya kufuneka ixesha elingakanani.

6. Inani leLumens

Inani le-lumens limisela ukuba mangaphi amayeza okanye ulwelo olunokuhanjiswa ngaxeshanye.

Imigca yePICC: Ifumaneka ngokhetho olulodwa, kabini, okanye kathathu. Ii-PICC ze-Multi-lumen zilungele izigulane ezifuna ukutofelwa kaninzi okanye ukutsalwa kwegazi rhoqo.
Amazibuko afakelwayo: Ngokuqhelekileyo i-lumen enye, nangona izibuko ezine-lumen ezimbini ziyafumaneka kwiirejimeni zechemotherapy ezintsonkothileyo.

Ukuba isigulana sifuna ukufakwa kweziyobisi ezininzi ngaxeshanye, i-PICC ene-lumen emininzi inokukhethwa. Kwichemotherapy eqhelekileyo, izibuko elifakelweyo le-lumen enye ngokuqhelekileyo lanele.

7. I-Catheter Diameter

I-catheter diameter ichaphazela isantya sokufakelwa kwamanzi kunye nokuthuthuzela kwesigulane.

Imigca ye-PICC: Ngokuqhelekileyo inobubanzi obungaphandle obukhulu, obunokuthi ngamanye amaxesha bubangele ukucaphuka kwe-vein okanye ukunciphisa ukuhamba kwegazi xa kusetyenziswe ixesha elide.
Amazibuko afakelwayo: Sebenzisa i-catheter encinci kunye negudileyo, engacaphuki kangako kwi-vein kwaye ivumela ukusetyenziswa kwexesha elide ngokukhululeka.

Kwizigulana ezinemithambo emincinci okanye ezo zifuna unyango ixesha elide, izibuko elifakelweyo lithande ukuhambelana kwaye lingangeneleli.

Ukuqukumbela

Ukukhetha phakathi komgca wePICC kunye nezibuko elifakelweyo kuxhomekeke kwizinto ezininzi zeklinikhi kunye nezomntu-ubude bonyango, ukugcinwa, ukuthuthuzela, umngcipheko wosulelo, iindleko, kunye neemfuno zonyango.

Umgca we-PICC ulungile kunyango lwexesha elifutshane okanye eliphakathi, olunikezela ngokubekwa lula kunye neendleko eziphantsi zangaphambili.
Ichweba elifakelwayo lingcono kwi-chemotherapy yexesha elide okanye ukufikelela rhoqo kwi-vascular, enikeza intuthuzelo ephezulu, ukugcinwa okuncinci, kunye neengxaki ezimbalwa.

Zombini zibalulekileizixhobo zokufikelela kwimithamboeziphucula umgangatho wokhathalelo lwezigulane. Ukhetho lokugqibela kufuneka lwenziwe ngokubonisana nabasebenzi bezempilo, ukuqinisekisa ukuba isixhobo sihambelana neemfuno zonyango kunye nendlela yokuphila yesigulana.