Catunƙun cikin katakon katakon ciki - flushing

Kuna da babban catheter na gefe (PICC) Wannan bututun da ke shiga jijiya a cikin hannunka. Yana taimakawa daukar kayan abinci ko magani a jikinka. Hakanan ana amfani dashi don ɗaukar jini lokacin da kake buƙatar yin gwajin jini.

Kuna buƙatar tsarkake catheter bayan kowane amfani. Wannan shi ake kira flushing. Flushing yana taimaka wajan tsarkake catheter. Hakanan yana hana daskarewar jini daga toshe catheter.

Bi umarnin likitocin kiwon lafiya kan yadda za'a wanke catheter dinka. Wani dan dangi, aboki, ko mai kula dashi na iya taimaka muku da ruwa. Yi amfani da wannan takardar don taimaka maka tunatar da ku matakan.

Mai ba ku sabis zai ba ku takardar sayan magani don kayan da kuke buƙata. Kuna iya siyan waɗannan a shagon sayar da magani. Zai taimaka sosai sanin sunan catheter dinka da kuma kamfanin da suka yi shi. Rubuta wannan bayanin a ƙasa kuma adana shi da sauƙi.

Don zubar da catheter ɗin ku, kuna buƙatar:

• Tsabta tawul din takarda
• Sirinji na Saline (a sarari), kuma wataƙila sirinji na hanta (rawaya)
• Alkahol ko chlorhexidine yana gogewa
• Safar hannu bakararre
• Sharps ganga (akwati na musamman don sirinji da allurai da aka yi amfani da su)

Kafin farawa, bincika alamun akan sirinjin ruwan gishiri, sirinjin heparin, ko sirinjin magani. Tabbatar cewa ƙarfin da kashi daidai ne. Duba ranar karewa. Idan sirinji ba'a cika shi ba, zana daidai adadin.

Zaku wanke catheter dinku ta wata bakararre (tsafta sosai). Wannan zai taimaka kariya daga kamuwa da cuta. Bi waɗannan jagororin:

1. Wanke hannuwanku na dakika 30 da sabulu da ruwa. Tabbatar da wankewa tsakanin yatsunku da ƙasan farcenku. Cire dukkan kayan ado daga yatsunku kafin wanka.
2. Bushe da tawul mai tsabta.
3. Kafa kayanka a farfajiya mai tsabta akan sabon tawul na takarda.
4. Sanya safofin hannu guda biyu na bakararre
5. Cire hular kan sirinjin salin kuma saita hular kan tawul ɗin takarda. Kada a bar ƙarshen sirinji da ba a buɗe ba ya taɓa tawul ɗin takarda ko wani abu.
6. Cire abin da yake a ƙarshen catheter ɗin ka goge ƙarshen catheter ɗin da mai shaye-shaye.
7. Sanya sirinjin gishiri zuwa catheter don haɗa shi.
8. Sanya allurar cikin ruwan sannu a hankali cikin bututun ta hanyar turawa a hankali. Yi kadan, sannan a tsaya, sannan a kara wasu. Yi allurar allurar cikin gishirin. Kar ku tilasta shi. Kirawo mai baka idan baya aiki.
9. Idan kin gama, sai ki kwance sirinjin ki saka shi a cikin kwalliyar ki.
10. Sake tsarkake ƙarshen catheter ɗinka tare da sabon gogewa.
11. Saka matsa a catheter idan kun gama.
12. Cire safar hannu ka wanke hannunka.

Tambayi mai ba ku sabis idan kuma kuna buƙatar zubar da catheter ɗin ku tare da heparin. Heparin magani ne wanda ke taimakawa hana daskarewar jini.

Bi waɗannan matakan:

1. Haɗa sirinji na heparin zuwa catheter ɗinka, kamar yadda kuka haɗa sirinjin gishiri.
2. Zuba a hankali ta hanyar yin allurar kadan kadan lokaci daya, kamar yadda kuka yi gishirin.
3. Cire sirinji na heparin daga catheter dinka. Sanya shi a cikin akwatin ka
4. Tsaftace ƙarshen catheter ɗinka da sabon goge giya.
5. Sake mayar da ƙwanƙarar a kan catheter.

Kiyaye dukkan matatun da ke jikin catheter dinka a kowane lokaci. Yana da kyau ka canza iyakokin a ƙarshen catheter ɗinka (wanda ake kira "claves") lokacin da ka canza suturarka kuma bayan an ɗiba jini. Mai ba ku sabis zai gaya muku yadda ake yin wannan.

Tambayi mai baka lokacin da zaka yi wanka ko wanka. Lokacin da ka yi haka, ka tabbata cewa suturar sun kasance amintattu kuma rukunin catheter dinka yana bushe. Kada a bari sashin catheter ya shiga ruwa idan kana jika a cikin bahon wanka.

Kira mai ba ku sabis idan kun:

• Shin kuna fama da matsalar wanke catheter din ku
• Yi jini, ja ko kumburi a wurin
• Ci gaba kumburi a hannu a ƙarƙashin catheter
• Sanarwa da zubewa, ko kuma an katse catheter din ko kuma ya fashe
• Yi zafi kusa da wurin, ko a wuyanka, fuska, kirji, ko hannu
• Yi alamun kamuwa da cuta (zazzabi, sanyi)
• Suna da ƙarancin numfashi
• Jin jiri

Har ila yau kira mai ba ka idan catheter naka:

• Yana fitowa daga jijiya
• Ganin an katange

PICC - wankewa

Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L. Peripherally saka catheter na tsakiya (PICC). A cikin: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, eds. Kwarewar Nursing na Asibiti: Asali zuwa Cigaban Kwarewa. 9th ed. New York, NY: Pearson; 2017: babi na 29.6.

• Dashen qashi

• Bayan chemotherapy - fitarwa
• Zubar jini yayin maganin cutar kansa
• Marashin kashin kashi - fitarwa
• Tsarin catheter na tsakiya - canjin canji
• Tsarin katako na tsakiya - flushing
• Dabarar bakararre
• Kula da rauni na tiyata - a buɗe

• Ciwon daji Chemotherapy
• Kulawa mai mahimmanci
• Tallafin abinci