Zinthu 7 Zazikulu Zosankhira Mzere Woyikira Wotsekera vs PICC Line

Chithandizo cha khansa nthawi zambiri chimafuna mwayi wofikira kwa nthawi yayitali wa chemotherapy, zakudya, kapena kulowetsedwa kwamankhwala. Zida ziwiri zomwe zimagwiritsidwa ntchito kwambiri pazifukwa izi ndiKatheta Yapakati Yoyikidwa Pamphepete(PICC mzere) ndiPort Yokhazikika(yomwe imadziwikanso kuti doko la chemo kapena port-a-cath).

Zonsezi zimagwira ntchito yofanana - kupereka njira yodalirika ya mankhwala m'magazi - koma zimasiyana kwambiri malinga ndi nthawi, chitonthozo, kusamalira, ndi chiopsezo. Kumvetsetsa kusiyana kumeneku kumathandiza odwala ndi othandizira azaumoyo kusankha njira yoyenera kwambiri.

Kodi ma PICC ndi Ma Port Osakhazikika Ndi Chiyani? Ndi Iti Yabwino?

Mzere wa PICC ndi katheta wautali, wosinthika womwe umalowetsedwa kudzera mumtsempha wakumtunda kwa mkono ndikupita ku mtsempha wawukulu womwe uli pafupi ndi mtima. Amapereka mwayi wopita kumayendedwe apakati ndipo ali kunja pang'ono, ndi gawo lowoneka la chubu kunja kwa khungu. Mizere ya PICC imagwiritsidwa ntchito kwambiri pazithandizo zanthawi yayitali, monga maantibayotiki, zakudya za IV, kapena chemotherapy yomwe imatha milungu ingapo mpaka miyezi ingapo.

Doko loyika ndi kachipangizo kakang'ono kachipatala komwe kamayikidwa pansi pa khungu, nthawi zambiri pachifuwa chapamwamba. Amakhala ndi chosungira (doko) cholumikizidwa ndi catheter yomwe imalowa mumtsempha wapakati. Doko limafikiridwa ndi aHuber singanopakafunika mankhwala kapena magazi amakoka ndipo amakhalabe otsekedwa ndi osadziwika pansi pa khungu pamene sakugwiritsidwa ntchito.

Poyerekeza doko lotsekeka ndi mzere wa PICC, mzere wa PICC umapereka kuyika kosavuta komanso kuchotsedwa kwa chithandizo kwakanthawi kochepa, pomwe doko lokhazikitsidwa limapereka chitonthozo chabwinoko, chiwopsezo chochepa cha matenda, komanso kukhazikika kwanthawi yayitali kwamankhwala opitilira ngati chemotherapy.

Zinthu 7 Zazikulu Zosankhira Mzere Woyikira Wotsekera vs PICC Line

1. Nthawi Yofikira: Nthawi Yaifupi, Yapakatikati, Yanthawi Yaitali

Kutalika kwa nthawi ya chithandizo ndi chinthu choyamba choyenera kuganizira.

Mzere wa PICC: Woyenera kufikira kwakanthawi kochepa, nthawi zambiri mpaka miyezi isanu ndi umodzi. Ndi zophweka kuyika, sizifuna opaleshoni, ndipo zikhoza kuchotsedwa pambali pa bedi.
Port Yokhazikika: Yabwino kwambiri pamankhwala anthawi yayitali, miyezi yokhalitsa kapena zaka. Itha kubzalidwa motetezedwa kwa nthawi yayitali, ndikupangitsa kuti ikhale yoyenera kwa odwala omwe akubwereza chemotherapy kapena kulowetsedwa kwamankhwala kwanthawi yayitali.

Nthawi zambiri, ngati chithandizo chikuyembekezeka kukhala chotalikirapo kuposa miyezi isanu ndi umodzi, doko lokhazikitsidwa ndi njira yabwinoko.

2. Kusamalira Tsiku ndi Tsiku

Zofunikira zosamalira zimasiyana kwambiri pakati pa zida ziwirizi zofikira mitsempha.

Mzere wa PICC: Pamafunika kusintha pafupipafupi ndi kuvala, nthawi zambiri kamodzi pa sabata. Chifukwa ili ndi gawo lakunja, odwala ayenera kusunga malo owuma ndi otetezedwa kuti asatengere matenda.
Port Yokhazikika: Imafunika kukonzedwa pang'ono pokhapokha kudulidwako kuchira. Ikapanda kugwiritsidwa ntchito, imangofunika kuthirira milungu 4-6 iliyonse. Popeza idayikidwa pansi pakhungu, odwala amakhala ndi zoletsa zochepa tsiku lililonse.

Kwa odwala omwe akufuna kusamalidwa bwino komanso kusamalidwa pang'ono, doko lokhazikitsidwa ndilabwino kwambiri.

3. Moyo ndi Chitonthozo

Kukhudzika kwa moyo ndichinthu china chofunikira kwambiri posankha pakati pa chipangizo cholumikizira cha PICC ndi doko lolumikizidwa.

Mzere wa PICC: Machubu akunja amatha kuchepetsa zochitika monga kusambira, kusamba, kapena masewera. Odwala ena amawona kuti sizili bwino kapena amadzimvera chisoni chifukwa cha kuwoneka ndi kuvala zofunika.
Port Yokhazikika: Imapereka chitonthozo chachikulu komanso ufulu. Akachiritsidwa, sawoneka ndipo samasokoneza zochitika zambiri za tsiku ndi tsiku. Odwala amatha kusamba, kusambira, ndi kuchita masewera olimbitsa thupi popanda kuda nkhawa ndi chipangizocho.

Kwa odwala omwe amayamikira chitonthozo ndi moyo wokangalika, doko lokhazikitsidwa limapereka mwayi womveka bwino.

4. Kuopsa kwa Matenda

Chifukwa chakuti zipangizo zonsezi zimapereka mwayi wopita kumagazi, kuwongolera matenda ndikofunikira.

Mzere wa PICC: Umakhala ndi chiopsezo chachikulu chotenga matenda, makamaka ngati ugwiritsidwa ntchito kwa nthawi yayitali. Mbali yakunja imatha kuyambitsa mabakiteriya m'magazi.
Doko Loyika: Lili ndi chiwopsezo chochepa cha matenda chifukwa chakutidwa ndi khungu, kupereka chotchinga chachilengedwe. Kafukufuku wachipatala awonetsa kuti madoko ali ndi matenda ocheperako okhudzana ndi catheter kuposa ma PICC.

Pogwiritsa ntchito nthawi yayitali, doko loyikapo limatengedwa ngati chisankho chotetezeka.

5. Mtengo ndi Inshuwaransi

Kuganizira za mtengo kumaphatikizapo kuyika koyamba komanso kukonza kwa nthawi yayitali.

Mzere wa PICC: Nthawi zambiri zotsika mtengo kuyika chifukwa sizifuna opaleshoni. Komabe, ndalama zolipirira nthawi zonse - kuphatikiza kusintha kwa kavalidwe, kupita kuchipatala, ndi zina zowonjezera - zitha kuwonjezeka pakapita nthawi.
Doko Loyikira: Lili ndi mtengo wapamwamba kwambiri chifukwa umafunika kuyikapo maopaleshoni ang'onoang'ono, koma ndiwotsika mtengo kwambiri pakuchiza kwanthawi yayitali chifukwa cha kuchepa kwa zosowa.

Mapulani ambiri a inshuwaransi amaphimba zida zonse ziwiri ngati gawo lazowonongera zachipatala pamankhwala a chemotherapy kapena IV. Kuchuluka kwa ndalama kumadalira nthawi yomwe chipangizocho chidzafunikire.

6. Chiwerengero cha Lumens

Kuchuluka kwa lumens kumatsimikizira kuchuluka kwa mankhwala kapena madzi omwe angatumizidwe nthawi imodzi.

Mizere ya PICC: Imapezeka mumitundu imodzi, iwiri, kapena katatu. Ma PICC a lumen ambiri ndi abwino kwa odwala omwe amafunikira kulowetsedwa kangapo kapena kukokera magazi pafupipafupi.
Madoko Oyikira: Nthawi zambiri ma lumen amodzi, ngakhale madoko awiri a lumen amapezeka pazamankhwala ovuta a chemotherapy.

Ngati wodwala akufunika kulowetsedwa kwamankhwala angapo nthawi imodzi, PICC yokhala ndi lumen yambiri ingakhale yabwino. Kwa chemotherapy wamba, doko lokhala ndi lumen imodzi ndilokwanira.

7. Catheter Diameter

The awiri catheter zimakhudza liwiro kulowetsedwa madzimadzi ndi chitonthozo wodwala.

Mizere ya PICC: Nthawi zambiri imakhala ndi mainchesi okulirapo akunja, omwe nthawi zina amatha kuyambitsa kukwiya kwa mitsempha kapena kuchepetsa kuthamanga kwa magazi ngati atagwiritsidwa ntchito kwa nthawi yayitali.
Madoko Oyikira: Gwiritsani ntchito catheter yaying'ono komanso yosalala, yomwe siyikwiyitsa kwambiri mtsempha ndipo imalola kugwiritsidwa ntchito momasuka kwa nthawi yayitali.

Kwa odwala omwe ali ndi minyewa yaying'ono kapena omwe amafunikira chithandizo chanthawi yayitali, doko lokhazikitsidwa limakhala logwirizana komanso losasokoneza.

Mapeto

Kusankha pakati pa mzere wa PICC ndi doko lokhazikitsidwa kumadalira zifukwa zingapo zamankhwala komanso zaumwini - kutalika kwa chithandizo, kukonza, kutonthozedwa, kuopsa kwa matenda, mtengo wake, ndi zofunikira zachipatala.

Mzere wa PICC ndi wabwino kwambiri pakuchiza kwakanthawi kochepa kapena kwapakati, kumapereka kuyika kosavuta komanso kutsika mtengo wakutsogolo.
Doko loyikirako ndilobwino kwa nthawi yayitali mankhwala a chemotherapy kapena kupezeka pafupipafupi kwa mitsempha, kumapereka chitonthozo chapamwamba, kukonza pang'ono, ndi zovuta zochepa.

Zonsezo ndi zofunikazida zolowera m'mitsemphazomwe zimapititsa patsogolo chisamaliro cha odwala. Chisankho chomaliza chiyenera kupangidwa pokambirana ndi akatswiri azachipatala, kuonetsetsa kuti chipangizocho chikugwirizana ndi zosowa zachipatala komanso moyo wa odwala.