Cututtukan layin tsakiya - asibitoci
Kuna da layin tsakiya. Wannan dogon bututu ne (catheter) wanda yake shiga wata jijiya a kirjinka, hannu, ko makwancinka kuma ya ƙare a zuciyar ka ko kuma a wata babbar jijiya galibi kusa da zuciyar ka.
Layinku na tsakiya yana ɗauke da abubuwan gina jiki da magani a jikinku. Hakanan za'a iya amfani dashi don ɗaukar jini lokacin da kake buƙatar yin gwajin jini.
Cututtukan layin tsakiya suna da tsananin gaske. Zasu iya baka cuta kuma su kara maka tsawon lokacin da kake a asibiti. Layinku na tsakiya yana buƙatar kulawa ta musamman don hana kamuwa da cuta.
Kuna iya samun layin tsakiya idan kun:
- Ana buƙatar maganin rigakafi ko wasu magunguna na makonni ko watanni
- Ana buƙatar abinci mai gina jiki saboda hanjinku baya aiki daidai kuma baya shan isasshen abubuwan gina jiki da adadin kuzari
- Ana buƙatar karɓar adadi mai yawa na jini ko ruwa da sauri
- Ana buƙatar ɗaukar samfuran jini fiye da sau ɗaya a rana
- Ana buƙatar maganin koda
Duk wanda ke da layin tsakiya zai iya kamuwa da cuta. Haɗarin ku ya fi girma idan kun:
- Kuna cikin sashin kulawa mai ƙarfi (ICU)
- Yi rauni ko kuma rashin lafiya mai ƙarfi
- Shin kuna da dusar ƙashin kashi ko chemotherapy
- Shin layin na dogon lokaci
- Kasance da layin tsakiya a makwancinka
Ma'aikatan asibitin za su yi amfani da dabarar aseptic lokacin da aka saka layin tsakiya a kirjinku ko hannu. Fasahar tsinkaye tana nufin kiyaye komai azaman bakararre (ba tare da ƙwayoyin cuta ba). Za su:
- Wanke hannuwansu
- Sanya abin rufe fuska, riga, hula, da safofin hannu marasa amfani
- Tsaftace shafin inda za'a sanya layin tsakiya
- Yi amfani da murfin bakararre don jikinku
- Tabbatar duk abin da suka taɓa yayin aikin bakararre ne
- Rufe catheter din da gauze ko bayyanannen teburin roba idan ya samu wuri
Yakamata maaikatan asibiti su rika duba layinka na tsakiya kowace rana don tabbatar da cewa yana wurin da ya dace kuma su nemi alamun kamuwa da cutar. Ya kamata a canza faren gashi ko tef a shafin idan yayi datti.
Tabbatar cewa karka taɓa layin ka na tsakiya sai dai idan ka wanke hannuwan ka.
Ka faɗa wa m idan your tsakiyar layin:
- Samun datti
- Yana fitowa daga jijiya
- Yana malalewa, ko catheter din yana yanke ko fashe
Kuna iya yin wanka lokacin da likitanku ya ce ba laifi a yi haka. M nas zai taimake ka ka rufe tsakiyar layinka lokacin da kake wanka don tsaftace shi da bushe.
Idan ka lura da daya daga cikin wadannan alamun kamuwa da cutar, ka fada wa likitanka ko nas nan da nan:
- Redness a shafin, ko ja streaks a kusa da shafin
- Kumburi ko dumi a wurin
- Yellow ko kore lambatu
- Jin zafi ko rashin jin daɗi
- Zazzaɓi
Tsarin jini mai hade da layin tsakiya; CLABSI; Catunƙun katheter da aka saka ta gefe - kamuwa da cuta; PICC - kamuwa da cuta; Magungunan catheter na tsakiya - kamuwa da cuta; CVC - kamuwa da cuta; Kayan aiki na tsakiya - kamuwa da cuta; Ikon kamuwa da cuta - layin tsakiyar layi; Kamuwa da cuta na asibiti - kamuwa da layin tsakiya; Asibiti ya sami kamuwa da cuta - cutar layin tsakiya; Tsaro na haƙuri - kamuwa da layin tsakiya
Hukumar Kula da Lafiya da Yanar gizo mai inganci. Rataye 2. Layin Tsakanin-Hannun Cutar Cututtukan Jini. ahrq.gov/hai/clabsi-tools/appendix-2.html. An sabunta Maris 2018. An shiga Maris 18, 2020.
Beekman SE, Henderson DK. Cututtukan da ke faruwa ta hanyar na'urorin intravascular percutaneous. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 300.
Bell T, O'Grady NP. Rigakafin cututtukan jini da ke hade da layin tsakiya. Ciwon Cutar Arewa Am. 2017; 31 (3): 551-559. PMID: 28687213 pubmed.ncbi.nlm.nih.gov/28687213/.
Calfee DP. Rigakafin da kula da cututtukan da ke tattare da kiwon lafiya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 266.
- Kamuwa da cuta