An shigar da jariri ta hanyar amfani da jariri sosai - jarirai

Babban catheter (PICC) wanda aka saka ta gajeru doguwa ce, siriri, bututun roba mai taushi wanda aka saka a cikin ƙaramin jijiyar jini kuma ya isa zurfin cikin jijiyar jini mafi girma. Wannan labarin yana magance PICCs a cikin jarirai.

ME YASA AKE AMFANI DA PICC?

Ana amfani da PICC lokacin da jariri ke buƙatar ruwa mai yawa na IV ko magani na dogon lokaci. IVs na yau da kullun yana wuce kwana 1 zuwa 3 kawai kuma yana buƙatar maye gurbinsa. PICC na iya zama na sati 2 zuwa 3 ko ya fi tsayi.

Ana amfani da PICC a cikin jariran da ba su iya ciyarwa ba saboda matsalolin hanji ko kuma waɗanda suke buƙatar magungunan IV na dogon lokaci.

YAYA AKE SAMUN PICC?

Mai ba da kiwon lafiya zai:

• Bawa jaririn maganin ciwo.
• Tsaftace fatar jaririn da maganin kashe kwayoyin cuta (antiseptic).
• Yi ƙaramin yankewar tiyata kuma sanya allura mara kyau a cikin wata ƙaramar jijiya a hannu ko kafa.
• Matsar da PICC ta cikin allura zuwa jijiya mafi girma (tsakiya), sa bakinsa kusa (amma ba cikin) zuciya ba.
• Anauki x-ray don sanya allurar.
• Cire allurar bayan an sanya catheter.

MENE NE HATSARI NA SAMUN PICC?

• Careungiyar kiwon lafiya na iya gwadawa fiye da sau ɗaya don sanya PICC. A wasu lokuta, PICC ba za a iya sanya shi yadda ya dace ba kuma za a buƙaci wani magani na daban.
• Akwai ƙananan haɗarin kamuwa da cuta. Tsawon lokacin da PICC ke aiki, mafi girman haɗarin
• Wani lokaci, catheter na iya rufe bangon jijiyoyin jini. Ruwan ruwa na IV ko magani na iya zubowa zuwa sassan jiki na kusa.
• Da wuya sosai, PICC na iya kawar da bangon zuciya. Wannan na iya haifar da zub da jini mai tsanani da rashin aikin zuciya.
• Da wuya ƙwarai, catheter na iya fasa cikin jijiyoyin jini.

PICC - jarirai; PQC - jarirai; Layin hoto - jarirai; Per-Q cath - jarirai

Pasala S, Storm EA, Rikicin MH, et al. Hanyoyin jijiyoyin yara da kuma cibiyoyin. A cikin: Fuhrman BP, Zimmerman JJ, eds. Kulawa mai mahimmanci na yara. 5th ed. Philadelphia, PA: Elsevier; 2017: babi na 19.

Santillanes G, Claudius I. Ilimin likitan yara da dabarun samfurin jini. A cikin: Roberts J, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 19.

Cibiyoyin Kula da Cututtuka na Kula da Cututtukan Kula da Cututtuka na Kula da Cututtuka na Kwamitin Shawara na Amurka. Sharuɗɗan 2011 don rigakafin cututtukan da suka danganci catheter. www.cdc.gov/infectioncontrol/pdf/guidelines/bsi-guidelines-H.pdf. An sabunta Oktoba 2017. An shiga Oktoba 24, 2019.