Menene katakon katako na PICC, menene don shi da kulawa

Wadatacce

• Menene don
• Yaya ake yi
• Babban kulawa
• Matsaloli da ka iya faruwa

Kitsen tsakiyar jijiyoyin da aka sanya ta gefe, wanda aka fi sani da PICC catheter, bututun siliki ne mai sassauƙa, mai tsayi da tsayi, tsakanin 20 zuwa 65 cm a tsayi, wanda aka saka a jijiyar hannu har sai da ya isa jijiyar zuciya kuma ya yi aiki don gudanar da magunguna kamar su maganin rigakafi, chemotherapy da magani.

PICC wani nau'in bututu ne wanda yake daukar tsawon watanni 6 kuma ana yin sa ne akan mutanen da ke shan magani na dogon lokaci, tare da magungunan allura, kuma waɗanda ke buƙatar karɓar jini sau da yawa. Hanyar dasa PICC ana yin ta ne a karkashin maganin rigakafin cikin gida a asibitin marasa lafiya kuma mutum na iya komawa gida a karshen aikin.

Menene don

An ba da shawarar katifa na PICC ga mutanen da suke buƙatar yin wani irin magani wanda zai ɗauki dogon lokaci, saboda bayan sanya shi, zai iya ɗaukar tsawon watanni 6. Yana da nau'in catheter wanda ke hana mutum daga shan cizon da yawa, kuma ana iya amfani dashi don:

• Ciwon daji ana amfani dashi don amfani da chemotherapy kai tsaye zuwa jijiya;
• Abincin abinci na iyaye: shine samar da sinadarai masu amfani da ruwa ta cikin jijiya, misali, a cikin mutane masu matsalar tsarin narkewar abinci;
• Jiyya na cututtuka masu tsanani: ya ƙunshi gudanarwar maganin rigakafi, antifungals ko antivirals ta jijiya;
• Gaban gwaje-gwaje: ana amfani dashi don gudanar da allurar rigakafin iniodine, gadolinium ko barium;
• Tarin jini: yin gwajin jini a kan mutane masu larurar jijiyoyi a hannu;

Hakanan za'a iya amfani da PICC don jini ko ƙarin jini, idan dai likita ya ba da izini kuma ana yin aikin jinya, kamar wanka da ruwan gishiri.

Wannan nau'in catheter ba a nuna shi ga mutanen da ke da matsalar coagulation, nakasassu a jijiyoyin jini, bugun zuciya ba, ƙonawa ko raunuka inda za a saka shi. Bugu da kari, mutanen da suka yiwa aikin gyaran fuska, wato, wadanda suka cire nono, za su iya amfani da PICC din ne a wani bangare na daban inda suka yi aikin tiyatar a baya. Duba ƙarin game da murmurewa bayan cire nono.

Yaya ake yi

Za'a iya yin dasasshen catheter na PICC ta likitan zuciya da ƙwararren likita ko ƙwararren likita, ya ɗauki kimanin awa ɗaya kuma za'a iya yin shi a asibitin marasa lafiya, ba tare da buƙatar shiga asibiti ba. Kafin fara aikin, ana kwantar da mutumin a kan shimfiɗa, dole ne ya riƙe hannayensa a miƙe.

Bayan haka, ana yin maganin rigakafin fata don tsabtace fata kuma ana amfani da maganin sa barci zuwa wurin da za a saka catheter, wanda, a mafi yawan lokuta, yana yankin yankin hannu mara rinjaye, kusa da ninka. Dikita ko nas na iya amfani da duban dan tayi a duk lokacin da ake gudanar da aikin don duba hanya da kuma yanayin jijiya.

Bayan haka, ana saka allurar a cikin jijiyar kuma a ciki an saka bututu mai sassauci, wanda ke zuwa jijiyar zuciya, ba tare da haifar da ciwo ga mutum ba. Bayan gabatarwar bututun, yana yiwuwa a tabbatar cewa akwai ƙaramin faɗaɗa waje, wanda anan ne za a gudanar da magungunan.

A karshen, za a yi wa mutum hoto dan tabbatar da wurin da catheter din yake sannan a sanya mayafin a fatar don kare kamuwa daga cututtuka, kamar dai yadda ake yi bayan an yi wa wata babbar jijiya mara jini. Ara koyo game da abin da catheter mai saurin jijiya yake.

Babban kulawa

Mutanen da ke shan magani a asibiti suna iya amfani da katakon na PICC, saboda haka mutane sukan je gida tare da catheter ɗin a hannu. Koyaya, wasu kariya suna da mahimmanci, kamar:

• A lokacin wanka, ya zama dole don kare yankin catheter da fim ɗin filastik;
• Kar ayi amfani da karfi da hannunka, gujewa kamawa ko jefa maƙasudai masu nauyi;
• Kada ku nitse cikin teku ko tafkin ruwa;
• Kar a duba karfin jini a hannu inda catheter yake;
• Bincika kasancewar jini ko ɓoyewa a wurin mashigar catheter;
• Koyaushe sanya suturar ta bushe.

Bugu da kari, idan aka yi amfani da PICC catheter a cikin asibiti ko asibiti don magani, ana kulawa da ƙungiyar masu jinya, kamar wanka da ruwan gishiri, duba dawowar jini ta cikin catheter, lura da alamun da ke nuna kamuwa da cuta, canza kwalliyar a bakin tip catheter kuma canza sutura kowane kwana 7.

Matsaloli da ka iya faruwa

PICC catheter yana da aminci, kodayake, a wasu yanayi, rikitarwa na iya faruwa, kamar zub da jini, bugun zuciya, ƙwanƙwasa jini, thrombosis, kamuwa da cuta ko toshewa. Wadannan rikitarwa ana iya magance su, amma sau da yawa, likita yana bada shawarar cire cathoter na PICC don hana wasu matsalolin lafiya daga tasowa.

Sabili da haka, idan ɗayan waɗannan alamun sun bayyana, ko kuma idan kun sami zazzaɓi, ƙarancin numfashi, bugun zuciya, kumburi a yankin ko kuma idan haɗari ya faru kuma wani ɓangare na catheter ya fito, dole ne ku tuntuɓi likita nan da nan.