Xa izigulana zifuna unyango lwe-intravenous lwexesha elide, iinkuni zeenaliti eziphindaphindiweyo zinokuba buhlungu kwaye ziphazamise. Ukujongana nalo mceli mngeni, iingcali zezempilo zihlala zicebisaisixhobo sokufikelela kwimithambo esifakelwayo, eyaziwa njengePort a Cath. Esi sixhobo sonyango sibonelela ngokuthembekileyo, ukufikelela kwi-venous ixesha elide kunyango olufana ne-chemotherapy, amayeza e-IV, okanye inkxaso yesondlo. Kweli nqaku, siza kuphonononga ukuba yintoni iPort a Cath, ukusetyenziswa kwayo, ukuba ihluke njani kwi-PICC Line, inokuhlala ixesha elingakanani emzimbeni, kunye nokungonakali.
Ingaba iBhayi isetyenziselwa ntoni?
A IPort a Cath, ekwabizwa ngokuba yi-port implantable port, sisixhobo esincinci sonyango esibekwe phantsi kwesikhumba, ngokuqhelekileyo kwindawo yesifuba. Isixhobo sidibanisa kwi-catheter efakwe kwi-vein enkulu, ngokuphindaphindiweyo i-high vena cava.
Injongo ephambili yePort a Cath kukubonelela ngokukhuselekileyo, ukufikelela kwi-venous ixesha elide ngaphandle kwesidingo sokuhlatywa kweenaliti ngokuphindaphindiweyo. Isetyenziswa ngokubanzi kwiimeko apho izigulana zifuna unyango rhoqo okanye oluqhubekayo lwe-intravenous, njenge:
I-Chemotherapy kwizigulane ezinomhlaza
Unyango lwexesha elide lwe-antibiotic kwizifo ezingapheliyo
Isondlo sabazali kwizigulana ezingakwaziyo ukutya ngomlomo
Ukutsalwa kwegazi eliphindaphindiweyo kuvavanyo lwaselabhoratri
Ukufakwa kwamayeza e-IV kwiiveki okanye iinyanga
Ngenxa yokuba i-port ifakwe phantsi kwesikhumba, ayibonakali kancinci kwaye inomngcipheko omncinci wosulelo xa kuthelekiswa ne-catheters yangaphandle. Nje ukuba ifikeleleke ngenaliti ekhethekileyo yeHuber, abasebenzi bezonyango banokufaka ulwelo okanye batsale igazi ngokungonwabi kancinci.
Uthini Umahluko phakathi komgca wePICC kunye nePort a Cath?
Zombini i-PICC Line (i-Peripherally Inserted Central Catheter) kunye ne-Port a Cath zizixhobo zokufikelela kwi-vascular eyenzelwe ukuhambisa amayeza okanye ukutsalwa kwegazi. Nangona kunjalo, kukho iiyantlukwano eziphambili ekufuneka izigulane kunye neekliniki ziqwalasele xa ukhetha phakathi kwezi zimbini.
1. Ukubekwa kunye nokubonakala
Umgca we-PICC ufakwa kwi-vein engalweni kwaye udlulele kwi-vein ephakathi kufuphi nentliziyo. Ihlala ngaphandle komzimba, kunye ne-tubing yangaphandle efuna ukunakekelwa kwansuku zonke kunye neenguqu zokunxiba.
I-Port a Cath, ngokuchaseneyo, ifakwe ngokupheleleyo phantsi kwesikhumba, iyenza ingabonakali xa ingafikeleleki. Oku kuyenza ilumke ngakumbi kwaye kube lula ukuyilawula kubomi bemihla ngemihla.
2. Ixesha lokusetyenziswa
Imigca yePICC ilungele ukusetyenziswa kwexesha eliphakathi, ngokwesiqhelo iiveki ezimbalwa ukuya kwiinyanga ezimbalwa.
I-Port a Caths inokuhlala kwindawo ixesha elide, ngamanye amaxesha iminyaka, ukuba akukho zingxaki.
3. Isondlo
Umgca wePICC ufuna ukugungxulwa rhoqo kunye nokutshintsha ukunxiba kuba inxalenye yesixhobo ingaphandle.
IPort a Cath ifuna ukulungiswa okuncinci njengoko ifakiwe, kodwa isafuna ukugungxulwa rhoqo ukunqanda ukujiya.
4. Impembelelo yendlela yokuphila
Ngomgca wePICC, imisebenzi efana nokuqubha kunye nokuhlamba ithintelwe kuba umgca wangaphandle kufuneka ugcinwe womile.
NgePort a Cath, izigulana ziyakwazi ukuqubha, ishawa, okanye umthambo ngokukhululekileyo xa izibuko lingafikelelwanga.
Isishwankathelo, ngelixa zombini izixhobo zisebenza ngeenjongo zonyango ezifanayo, iPort a Cath ibonelela ngesisombululo sexesha elide, solondolozo oluphantsi xa kuthelekiswa nomgca wePICC, ngakumbi kwizigulane ezidinga unyango olongezelelweyo.
Ingaba iZibuko lingahlala ixesha elingakanani?
Ubomi bePort a Cath buxhomekeke kwizinto ezininzi, kuquka uhlobo lonyango, impilo yesigulana, kunye nemeko yesixhobo. Nje:
IPort a Cath inokuhlala ikhona kangangeenyanga ukuya kwiminyaka, ngokufuthi ukuya kuthi ga kwiminyaka emi-5 nangaphezulu.
Ngethuba nje izibuko lisebenza ngokufanelekileyo, alisuleleki, kwaye lingabangeli iingxaki, akukho xesha lingqongqo lokususwa.
Isixhobo sinokususwa ngotyando xa singasafuneki.
Abaguli abanomhlaza, umzekelo, banokugcina izibuko labo elifakelweyo ngalo lonke ixesha le-chemotherapy, kwaye ngamanye amaxesha nakude ukuba kulandele unyango olulindelekileyo.
Ukuqinisekisa ubomi obude, i-port kufuneka ihlanjululwe nge-saline okanye isisombululo se-heparin ngamaxesha aqhelekileyo (ngokuqhelekileyo kanye ngenyanga xa ingasetyenziswa) ukukhusela izithintelo.
Yintoni engalunganga yePort a Cath?
Ngelixa i-Port a Cath ibonelela ngeenzuzo ezininzi, kubandakanywa lula, intuthuzelo, kunye nokunciphisa umngcipheko wosulelo xa kuthelekiswa nemigca yangaphandle, ayikho ngaphandle kokungalungi.
1. Kufuneka inkqubo yoTyando
Isixhobo kufuneka sifakwe phantsi kwesikhumba kwinkqubo yotyando encinci. Oku kuthwala imingcipheko efana nokopha, usulelo, okanye ukwenzakala kwimithambo yegazi ekufutshane.
2. Ingozi yokusuleleka okanye i-Clotting
Nangona umngcipheko ungaphantsi kune-catheters yangaphandle, usulelo kunye ne-thrombosis enxulumene ne-catheter isengenzeka. Unyango olukhawulezileyo luyafuneka ukuba iimpawu ezinjengomkhuhlane, ububomvu, okanye ukudumba ziyavela.
3. Ukungonwabi xa Kufikelelwe
Ngalo lonke ixesha ichweba lisetyenzisiwe, kufuneka lifikeleleke ngenaliti ye-Huber engena-coring, enokubangela intlungu encinci okanye ukungahambi kakuhle.
4. Iindleko
Amazibuko afakelwayo abiza kakhulu kunePiCC Lines ngenxa yokubekwa kotyando, iindleko zesixhobo, kunye nokugcinwa. Kwiinkqubo zokhathalelo lwempilo kunye nezigulana, oku kunokuba ngumda.
5. Iingxaki ngokuhamba kwexesha
Ukusetyenziswa kwexesha elide kunokukhokelela kwiingxaki zoomatshini ezifana nokuvalwa kwecatheter, ukwaphuka, okanye ukufuduka. Kwiimeko ezinqabileyo, isixhobo sinokudinga ukutshintshwa kwangaphambili kunokuba bekulindelwe.
Ngaphandle kwezi zinto zingeloncedo, izibonelelo zePort a Cath zihlala zizodlula iingozi, ngakumbi kwizigulana ezifuna unyango ixesha elide.
Ukuqukumbela
IPort a Cath sisixhobo sonyango esiyimfuneko kwizigulana ezifuna ufikelelo lwevenous ixesha elide. Njengechweba elifakelweyo, libonelela ngesisombululo esithembekileyo nesilumkileyo se-chemotherapy, amayeza e-IV, isondlo, kunye nokutsalwa kwegazi. Xa kuthelekiswa nomgca wePICC, iPort a Cath ifaneleka ngakumbi ukusetyenziswa okwandisiweyo, ifuna ukugcinwa okuncinci kwemihla ngemihla, kwaye ivumela indlela yokuphila esebenzayo.
Nangona ibandakanya ukubekwa kotyando kwaye ithwala imingcipheko efana nosulelo okanye i-clotting, izibonelelo zayo zenza kube lukhetho olukhethwayo kwizigulana ezininzi kunye nababoneleli bezempilo.
Ekugqibeleni, isigqibo phakathi kwe-PICC Line kunye nePort a Cath kufuneka senziwe liqela lezonyango, liqwalasela isicwangciso sonyango lwesigulane, iimfuno zendlela yokuphila, kunye nempilo yonke.
Ngokuqonda indima yesixhobo sokufikelela kwi-vascular e-implantable, izigulane zinokwenza ukhetho olunolwazi malunga nokunyamekela kwazo kwaye zizive zizithembe ngakumbi ngexesha lohambo lwazo lonyango.
Ixesha lokuposa: Sep-29-2025