Midline venous catheters - jarirai

Hearamin catheter mai tsaka-tsaki yana da tsayi (inci 3 zuwa 8, ko kuma centimita 7 zuwa 20) na bakin ciki, mai laushi mai laushi wanda aka saka a cikin ƙaramin jijiyoyin jini. Wannan labarin yana magana da catheters na tsakiya a cikin jarirai.

ME YA SA AKA YI AMFANI DA KATSINA MAI KYAUTA?

Ana amfani da catheter na tsakiya a lokacin da jariri ke buƙatar ruwa mai yawa na IV ko magani na dogon lokaci. IVs na yau da kullun yana ɗaukar kwanaki 1 zuwa 3 kawai kuma yana buƙatar maye gurbin sau da yawa. Midhe catheters na iya zama na sati 2 zuwa 4.

Ana amfani da catheters na tsakiya a yanzu a madadin:

• Magungunan umbilical, waɗanda ana iya sanya su jim kaɗan bayan haihuwa, amma suna da haɗari
• Lines na tsakiyar jini, waɗanda aka sanya a cikin babbar jijiya kusa da zuciya, amma suna da haɗari
• An shigar da catheters na tsakiya (PICCs), wanda ya kusanci zuciya, amma yana da haɗari

Saboda catheters masu matsakaiciya ba sa isa bayan hamata, ana ɗaukar su mafi aminci. Koyaya, za'a iya samun wasu magungunan IV waɗanda baza'a iya kawo su ta hanyar catheter na tsakiya ba. Hakanan, ba a ba da shawara game da jan jini na yau da kullun daga catheter na tsakiya, sabanin nau'ikan tsakiya na catheters.

YAYA AKE SATAR BABBAN KATSIYA?

Ana saka catheter na tsakiya a cikin jijiyoyin hannu, kafa, ko, lokaci-lokaci, fatar kan jariri.

Mai ba da kiwon lafiya zai:

• Sanya jariri akan teburin binciken
• Karɓi taimako daga wasu horarrun ma'aikata waɗanda zasu taimaka nutsuwa da ta'azantar da jariri
• Rage yankin da za a sanya catheter ɗin
• Tsaftace fatar jariri da maganin kashe kwayoyin cuta (maganin kashe kwayoyin cuta)
• Yi ƙaramin yankewar tiyata kuma sanya allura mara kyau a cikin wata ƙaramar jijiya a hannu, kafa, ko fatar kan mutum
• Sanya catheter na tsakiya ta cikin allurar cikin babbar jijiya ka cire allurar
• Bande wurin da aka sanya catheter

MENE NE HATSARI NA SAMUN KATSINA NA FARKO?

Haɗarin haɗarin ƙwayar jijiyoyin ciki:

• Kamuwa da cuta. Haɗarin ƙananan ne, amma yana ƙaruwa tsawon lokacin da catheter na tsakiya zai kasance a wurin.
• Zub da jini da rauni a wurin sakawa.
• Kumburin jijiya (phlebitis).
• Motsi na catheter daga wuri, koda daga jijiyar.
• Ruwan ruwa daga catheter cikin kyallen takarda na iya haifar da kumburi da redness.
• Rushewar catheter a cikin jijiya (mai matukar wuya).

Magungunan medial catheter - jarirai; MVC - jarirai; Midline catheter - jarirai; ML catheter - jarirai; ML - jarirai

Cibiyoyin Kula da Cututtuka da Rigakafin yanar gizo. Sharuɗɗa don rigakafin cututtukan da ke da alaƙa da inthevascular (2011). www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. An sabunta Yuli 2017. Samun damar Yuli 30, 2020.

Chenoweth KB, Guo JW, Chan B. extendedarin madaidaiciyar ƙwararriyar katako ita ce hanya madaidaiciya ta NICU samun damar shiga cikin jijiyoyi. Kulawa da Kula da Lafiyar yara. 2018; 18 (4): 295-301. PMID: 29847401 pubmed.ncbi.nlm.nih.gov/29847401/.

Witt SH, Carr CM, Krywko DM. Devicesaddamar da na'urori masu amfani da jijiyoyin jini: samun damar gaggawa da gudanarwa. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 24.