He aha ka Peripherally Inserted Central Catheter (PICC Line)? Ke Kumu, Ke Kaʻina Hana & Nā Hopena

He paipu lahilahi a maʻalahi ka PICC line a nā kauka e hoʻokomo ai ma o ka vein i kou lima e hiki ai i nā veins nui kokoke i kou puʻuwai. E noʻonoʻo iā ia he laina IV kūikawā e hiki ke noho i kahi no nā pule a i ʻole nā mahina, e maʻalahi ai ka loaʻa ʻana o nā lāʻau lapaʻau a me nā lāʻau lapaʻau me ka ʻole o ka nila pinepine.

Hāʻawi kēia ʻano o ka catheter waena i kahi koho palekana a ʻoluʻolu hoʻi i nā laina waena kuʻuna. ʻAʻole like me nā catheters waena ʻē aʻe e koi ana i ka hoʻokomo ʻana kokoke i kou ʻāʻī a i ʻole ka umauma, hoʻohana nā laina PICC i ke ala maoli o kou mau veins lima e hiki ai i kahi like.

He aha ka laina PICC?

He catheter lōʻihi a lahilahi ka laina PICC e hele ana mai kahi vein i kou lima luna a hiki i nā veins nui kokoke i kou puʻuwai. Hana ʻia ka catheter iho i nā mea palupalu a biocompatible e hiki ai i kou kino ke ʻae no nā manawa lōʻihi.

ʻO ka ʻāpana

Hoʻohana pinepine ʻia nā laina PICC no nā lapaʻau chemotherapy, no ka mea, hiki i kēia mau lāʻau ikaika ke hōʻino i nā veins liʻiliʻi i ka manawa. He mea nui nō hoʻi lākou no ka lāʻau antibiotic lōʻihi, ʻoiai ke pono ʻoe i ka lapaʻau no kekahi mau pule a i ʻole mau mahina.

Eia nā kūlana olakino nui kahi e hōʻoia ai nā laina PICC i ke kōkua nui:

• Chemotherapy a me nā lapaʻau maʻi ʻē aʻe
• Lāʻau antibiotic lōʻihi no nā maʻi koʻikoʻi
• ʻAi parenteral piha ke hiki ʻole iā ʻoe ke ʻai maʻamau
• Nā huki koko pinepine no ka nānā ʻana
• Hoʻoponopono ʻana i nā lāʻau lapaʻau e hoʻonāukiuki i nā veins liʻiliʻi
• Nā kaʻina hana transplantation stem cell
• Lāʻau e koi ana i ka nānā ʻana i ke kaomi venous waena

E loiloi pono kāu hui mālama ola inā ʻo ka laina PICC ke koho maikaʻi loa no kāu hoʻolālā lapaʻau kikoʻī. Noʻonoʻo lākou i nā mea e like me ka lōʻihi o ka lāʻau, ke ʻano o nā lāʻau lapaʻau, a me kou kūlana olakino holoʻokoʻa.

He aha ke kaʻina hana no ka hoʻokomo ʻana i ka laina PICC?

Hoʻokomo pinepine ʻia ka laina PICC ma ke ʻano he kaʻina hana outpatient e nā kahu hānai i hoʻomaʻamaʻa kūikawā ʻia a i ʻole nā ​​radiologists interventional. Lawe maʻamau ke kaʻina hana ma kahi o 30 a 60 mau minuke a hiki ke hana ʻia ma kou wahi moe a i ʻole i loko o kahi lumi kaʻina hana kūikawā.

Ma mua o ka hoʻomaka ʻana o ke kaʻina hana, e loaʻa iā ʻoe kahi anesthetic kūloko e hoʻopōʻino i ka pūnaewele hoʻokomo i kou lima luna. ʻIke ka hapa nui o nā mea maʻi i kēia mea ʻoluʻolu loa ma mua o ka mea i manaʻo ʻia, e wehewehe ana e like me ka huki ʻana i ke koko.

Eia ka mea e hana ʻia i ka wā o ke kaʻina hana hoʻokomo:

1. Hoʻomaʻemaʻe ʻia kou lima a hoʻopaʻa ʻia me nā mea sterile
2. Kōkua ka ultrasound i ka huli ʻana i ka vein maikaʻi loa no ka hoʻokomo ʻana
3. Hoʻokomo ʻia ka anesthetic kūloko e hoʻopōʻino i ka wahi
4. Hoʻokumu kahi nila liʻiliʻi i ke komo ʻana i ka vein
5. Hoʻopili ʻia ka catheter PICC ma ka vein i kou puʻuwai
6. Hōʻoia ka X-ray a i ʻole ka ultrasound i ke kūlana kūpono
7. Hoʻopaʻa ʻia ka catheter me kahi lole kūikawā

I loko o ke kaʻina hana, nānā ka hui mālama ola i ka holomua o ka catheter me ka hoʻohana ʻana i ka ʻenehana kiʻi. E hōʻoia ana kēia i ka hiki ʻana o ka catheter i kahi kūpono kokoke i ka puka o kou puʻuwai.

E noho ala ʻoe i ka wā o ke kaʻina hana holoʻokoʻa, a nui nā mea maʻi i kāhāhā i ka maʻalahi o ka manaʻo o ka ʻike. Hiki i ka wahi hoʻokomo ke ʻeha iki no hoʻokahi a ʻelua paha lā ma hope, akā ʻaʻole maʻamau ka ʻeha nui.

Pehea e hoʻomākaukau ai no kāu hoʻokomo ʻana i ka laina PICC?

ʻO ka hoʻomākaukau ʻana no ka hoʻokomo ʻana i ka laina PICC e pili ana i kekahi mau ʻanuʻu maʻalahi e kōkua i ka hōʻoia ʻana i ka maʻalahi o ke kaʻina hana. E hāʻawi kāu hui mālama ola i nā ʻōlelo kikoʻī, akā ʻo ka hapa nui o ka hoʻomākaukau e kālele ana i ka pale ʻana i ka maʻi a me ka hōʻoia ʻana i ke kiʻi maopopo.

Hiki iā ʻoe ke ʻai a inu maʻamau ma mua o ke kaʻina hana ke ʻole e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo ʻokoʻa. ʻAʻole like me kekahi mau kaʻina hana lapaʻau, ʻaʻole pono ka hoʻokomo ʻana i ka PICC i ka ʻai ʻana.

Eia pehea e hoʻomākaukau pono ai no kāu manawa:

• E ʻauʻau me ke kopa antibacterial i ke kakahiaka o ka hoʻokomo ʻana
• E ʻaʻahu i nā lole ʻoluʻolu me nā lima lima
• Wehe i nā mea nani mai kou mau lima a me nā lima
• E hōʻike i kāu hui e pili ana i nā maʻi āpau a i ʻole nā ​​lāʻau lapaʻau
• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home inā loaʻa iā ʻoe ka sedation
• E lawe mai i kahi papa inoa o kāu mau lāʻau lapaʻau i kēia manawa
• E noho maikaʻi i ka wai i nā lā ma mua o ka hoʻokomo ʻana

Hiki i kāu kauka ke noi iā ʻoe e hooki i kekahi mau lāʻau lapaʻau ma mua o ke kaʻina hana, ʻoi aku hoʻi nā mea lahilahi koko. Mai hooki i nā lāʻau lapaʻau me ka ʻole o nā ʻōlelo kikoʻī mai kāu mea mālama ola.

He mea maʻamau ka manaʻo hopohopo ma mua o ke kaʻina hana. Nui nā mea maʻi i ʻike he mea kōkua ke nīnau i nā nīnau i ka wā o kā lākou kūkākūkā ma mua o ke kaʻina hana e pane i nā hopohopo.

Pehea e heluhelu ai i kāu mau hopena laina PICC?

ʻO nā "hopena" o ka laina PICC e pili ana i ka hōʻoia ʻana i ke kau ʻana a me ka hana pono ʻana ma mua o ka wehewehe ʻana i nā waiwai helu e like me nā hoʻokolohua olakino ʻē aʻe. Hoʻohana kāu hui mālama ola i nā haʻawina kiʻi e hōʻoia i ka hiki ʻana o ka piko catheter i kahi kūpono kokoke i kou puʻuwai.

Hōʻike ka X-ray umauma ma hope koke o ka hoʻokomo ʻana inā aia ka piko laina PICC i kahi kūlana maikaʻi loa i loko o ka vena cava kiʻekiʻe a i ʻole ka atrium ʻākau. Hoʻomaopopo kēia kūlana i ka kahe pono ʻana o nā lāʻau lapaʻau i loko o kou kahe koko.

ʻO ke kau ʻana o ka PICC kūleʻa ke ʻano o nā mea nui no kāu mālama:

• Hiki ka piko catheter i kahi kikowaena i manaʻo ʻia
• Kahe manuahi ke koko ke huki ʻia ma ka laina
• Hiki ke lawelawe ʻia nā lāʻau lapaʻau me ka ʻole o ke kūʻē
• ʻAʻole i loaʻa nā pilikia koke e like me ke kahe ʻana a i ʻole pneumothorax
• ʻIke ʻia ka pūnaewele hoʻokomo me ka maʻemaʻe me ka ʻole o nā hōʻailona o ka trauma

E hōʻike kāu kahu maʻi i ke ʻano o ka hana ʻana o ka laina PICC a me ke ʻano o ka hana maʻamau. E aʻo ʻoe e ʻike i nā hōʻailona e hōʻike ana i ka hana pono ʻana o nā mea a pau i ka wā e pono ai ʻoe i ka lāʻau lapaʻau.

ʻO ka nānā ʻana e pili ana i ka nānā ʻana i nā pilikia e like me ka maʻi, nā koko koko, a i ʻole ka malposition catheter. E aʻo kāu hui mālama ola iā ʻoe i nā hōʻailona hōʻailona e nānā ai ma ka home.

Pehea e mālama ai i kāu laina PICC?

ʻO ka mālama pono ʻana i ka laina PICC e pale i nā maʻi a hōʻoia i ka hana pono ʻana o kāu catheter i kāu mālama ʻana. E hāʻawi kāu hui mālama ola i nā ʻōlelo kikoʻī e pili ana i kou kūlana a me nā pono o ke ola.

ʻO ka mālama ʻana i kēlā me kēia lā e kālele ana i ka mālama ʻana i ka pūnaewele hoʻokomo i ka maʻemaʻe a me ka maloʻo i ka wā e pale ai i ka catheter mai ka pōʻino. Hoʻopili ka hapa nui o nā maʻi i kēia mau hana maʻamau a ʻike iā lākou he hiki ke hoʻokele i kā lākou hana i kēlā me kēia lā.

ʻO nā hana mālama nui e pili ana i kēia mau hana nui:

• E mālama i kahi e hoʻokomo ai i ka maloʻo i ka wā e ʻauʻau ai a i ka wā e ʻauʻau ai
• E hoʻololi i nā ʻaʻahu e like me ka papa manawa o kāu hui mālama ola
• E holoi mau i ka catheter e pale ai i nā ʻōpū koko
• E pale i nā hana e hiki ke hōʻino a i ʻole e hoʻoneʻe i ka catheter
• E nānā i nā hōʻailona o ka maʻi e like me ka ʻulaʻula, ka pehu, a i ʻole ke kuni
• E pale i ka catheter i ka wā e hiamoe ai a me ka hana kino
• E hahai pono i nā alakaʻi hoʻokele lāʻau

Na kāu kahu hānai e aʻo iā ʻoe a i ʻole kāu mea mālama pehea e hana ai i nā hana mālama pono me ka palekana. Manaʻo kekahi poʻe maʻi e ʻoluʻolu ana i ka mālama ʻana i kā lākou mālama ponoʻī, a ʻo nā mea ʻē aʻe makemake lākou i nā lālā o ka ʻohana a i ʻole nā kahu hānai olakino home e kōkua.

Pono e pale ʻia ka ʻauʻau ʻana a me ka hoʻokomo ʻana i ka wai ke ʻole e hāʻawi kāu kauka i ka ʻae kikoʻī. Eia naʻe, hiki iā ʻoe ke ʻauʻau me ka palekana me ka hoʻohana ʻana i nā uhi wai ʻole i hoʻolālā ʻia no nā laina PICC.

He aha nā mea pilikia no nā pilikia laina PICC?

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā pilikia me kahi laina PICC, ʻoiai ʻaʻole maʻamau nā pilikia koʻikoʻi. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua i kāu hui mālama ola e hana i nā hana kūpono a nānā pono iā ʻoe.

Hoʻopili kou mōʻaukala olakino a me ke kūlana olakino i kēia manawa i ka maikaʻi o kou kino e ʻae ai i ka catheter. Hoʻopilikia kekahi mau kūlana i ka hoʻōla ʻana, ka pilikia o ka maʻi, a i ʻole ka hoʻopaʻa ʻana i ke koko, e pili ana i ka palekana laina PICC.

ʻO nā mea pilikia maʻamau e hiki ke hoʻonui i nā helu pilikia e pili ana:

• Diabetes a i ʻole nā ​​kūlana ʻē aʻe e pili ana i ka hana immune
• Mōʻaukala o nā ʻōpū koko a i ʻole nā ​​maʻi clotting
• Nā pilikia mua me nā catheters waena
• Maʻi kīkī a i ʻole ka holo ʻana o ke koko maikaʻi ʻole
• Nā lāʻau lapaʻau maʻi e kāohi ana i ka hana immune
• ʻO ka makahiki kiʻekiʻe a i ʻole ka nāwaliwali
• Nā hoʻokomo catheter mua he nui

ʻO nā mea pilikia ʻaʻole i maʻamau akā ʻoi aku ka koʻikoʻi, ʻo ia nā maʻi genetic e pili ana i ka hoʻopaʻa ʻana o ke koko a i ʻole nā maʻi ʻaʻaʻa pili. E nānā kāu kauka i kāu moʻolelo olakino piha ma mua o ka ʻōlelo ʻana i ka hoʻokomo ʻana i ka laina PICC.

ʻAʻole ia he manaʻo e loaʻa ana nā pilikia inā loaʻa nā mea pilikia. Akā, hoʻohana kāu hui mālama ola i kēia ʻike e hāʻawi i ka nānā ʻana a me ka mālama pale kūpono loa no kou kūlana.

He aha nā pilikia hiki ke loaʻa i nā laina PICC?

ʻOiai he palekana nā laina PICC, e like me nā mea lapaʻau ʻē aʻe, hiki iā lākou ke hana i nā pilikia i kekahi manawa. Hiki ke mālama ʻia ka hapa nui o nā pilikia ke ʻike koke ʻia, ʻo ia ke kumu e aʻo ai kāu hui mālama ola iā ʻoe i nā hōʻailona ʻōlelo aʻo e nānā.

ʻO ka maʻi ke kumu nui o ka pilikia, e hana ana ma kahi o 2-5% o nā maʻi me nā laina PICC. Pane maikaʻi kēia mau maʻi i nā lāʻau antibiotic, ʻoiai ke mālama ʻia i ka wā.

Eia nā pilikia nui e hiki ke hana, i helu ʻia mai ka mea maʻamau a hiki i ka mea liʻiliʻi:

• Maʻi ma kahi i hoʻokomo ʻia ai a i ʻole ka maʻi i loko o ke kahe koko
• Hoʻokumu ʻia nā ʻōpū koko a puni a i loko paha o ka catheter
• ʻAʻole hana pono a i ʻole ke keakea ʻana o ka catheter
• Ka wehe ʻana a i ʻole ka neʻe ʻana o ka catheter
• Ke kahe ʻana a i ʻole ka ʻeha ma kahi i hoʻokomo ʻia ai
• Poino i nā aʻalolo i ka wā e hoʻokomo ʻia ai (ʻaʻole maʻamau)
• Nā pilikia o ka puʻuwai mai ke kūlana o ka piko catheter (ʻaʻole maʻamau)

ʻO nā pilikia koʻikoʻi e like me ke kahe nui ʻana, pneumothorax, a i ʻole ka hōʻeha ʻana i nā kīʻaha koko nui he mea maʻamau loa me nā laina PICC. ʻO kēia ʻano palekana e ʻoi aku ka maikaʻi ma mua o nā ʻano catheter waena ʻē aʻe no nā maʻi he nui.

Nānā kāu hui mālama ola i nā pilikia ma o nā loiloi maʻamau a aʻo iā ʻoe i nā hōʻailona ʻōlelo aʻo e pono ai ka lāʻau lapaʻau koke. ʻO ka ʻike mua a me ka mālama ʻana e pale i ka hapa nui o nā pilikia mai ka lilo ʻana i mea koʻikoʻi.

I ka manawa hea wau e ʻike ai i ke kauka no nā pilikia laina PICC?

Ma ka ʻike ʻana i ka manawa e hoʻokaʻaʻike aku ai i kāu hui mālama ola e pili ana i nā pilikia laina PICC e kōkua i ka pale ʻana i nā pilikia liʻiliʻi mai ka lilo ʻana i nā pilikia koʻikoʻi. Pono kekahi mau hōʻailona i ka lāʻau lapaʻau koke, aʻo nā mea ʻē aʻe hiki ke kali no nā hola ʻoihana maʻamau.

E hilinaʻi i kāu mau manaʻo inā manaʻo ʻoe he hewa me kāu laina PICC a i ʻole kahi e hoʻokomo ai. ʻOi aku ka maikaʻi o ke kelepona ʻana a loaʻa nā pilikia i hoʻoponopono ʻia ma mua o ke kali ʻana a me ka pilikia o nā pilikia.

E hoʻokaʻaʻike koke i kāu mea mālama ola inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona wikiwiki:

• Ka wela o 100.4°F (38°C) a i ʻole ke kiʻekiʻe
• ʻEha nui, ʻulaʻula, a i ʻole pehu ma kahi e hoʻokomo ai
• Pus a i ʻole ka wai ʻano ʻē mai kahi e hoʻokomo ai
• ʻEha umauma a i ʻole ka pilikia o ka hanu
• Ka pehu koke ʻana i kou lima, ʻāʻī, a i ʻole ka maka
• Me he mea lā ua neʻe ka catheter a i ʻole ua hemo
• ʻAʻole hiki ke holoi a i ʻole ke kiʻi ʻana i ke koko mai ka catheter

ʻO nā hōʻailona liʻiliʻi e pono ai ka loiloi olakino e pili ana i ka ʻeha liʻiliʻi, nā mea liʻiliʻi o ka wai maʻemaʻe, a i ʻole nā ​​nīnau e pili ana i ka lawelawe ʻana i ka lāʻau lapaʻau. Hiki i kēia mau pilikia ke kali i nā hola keʻena maʻamau.

Makemake kāu hui mālama ola e kelepona ʻoe me nā nīnau ma mua o ka hopohopo ʻole. Hoʻomaopopo lākou e hiki i ka mālama laina PICC ke manaʻo nui i ka wā mua a makemake e kākoʻo iā ʻoe i kāu mālama ʻana.

Nā nīnau i nīnau pinepine ʻia e pili ana i nā laina PICC

Q.1 He maikaʻi anei ka hoʻāʻo laina PICC no ka mālama lōʻihi?

ʻAe, ua hoʻolālā kūikawā ʻia nā laina PICC no ke komo ʻana i loko o ka intravenous lōʻihi a hiki ke noho palekana ma kahi no nā pule a i nā mahina. ʻOi aku ka maikaʻi o lākou no ka mālama ʻana i ka lōʻihi ma mua o nā laina IV maʻamau, e mau ana no kekahi mau lā.

Hiki i nā laina PICC ke hana pono no 3-6 mahina a i ʻole ka lōʻihi ke mālama pono ʻia. ʻO kēia ka mea kūpono no nā lāʻau lapaʻau e like me nā pōʻai chemotherapy, ka lāʻau antibiotic lōʻihi, a i ʻole ke kākoʻo meaʻai lōʻihi.

Q.2 Ke hana nei ka laina PICC i ka pōʻino mau?

ʻAʻole pinepine nā laina PICC e hana i ka pōʻino mau loa ke hoʻokomo pono ʻia a mālama ʻia. ʻO ka hapa nui o nā mea maʻi e ʻike i ka hoʻōla piha ʻana o ka wahi hoʻokomo ma hope o ka wehe ʻana i ka catheter, me kahi ʻili liʻiliʻi wale nō e koe.

I kekahi manawa, hiki i kekahi poʻe maʻi ke ʻike i nā hopena mau loa e like me ka naʻau o ke aʻa a i ʻole ka ʻili ʻana o nā veins. Eia naʻe, ʻaʻole maʻamau kēia mau pilikia me nā laina PICC i hoʻohālikelike ʻia me nā ʻano catheter waena ʻē aʻe.

Q.3 Hiki iaʻu ke hoʻoikaika kino me kahi laina PICC i kahi?

Hiki ke hoʻoikaika kino māmā a me ka maʻalahi me kahi laina PICC, akā pono ʻoe e pale i nā hana e hiki ke hōʻino a wehe paha i ka catheter. ʻO ka hele wāwae, ka hohola mālie, a me ka hāpai ʻana i nā mea kaumaha māmā me kou lima ʻaʻole PICC e ʻae ʻia.

E pale i nā haʻuki pili, ka hāpai ʻana i nā mea kaumaha me ka lima PICC, a i ʻole nā hana e pili ana i nā neʻe lima pinepine. E hāʻawi kāu hui mālama ola i nā alakaʻi hana kikoʻī e pili ana i kāu mālama ʻana a me nā pono o ke ola.

Q.4 Pehea ka ʻeha o ka hoʻokomo ʻana a me ka wehe ʻana i ka laina PICC?

Hōʻike ka hapa nui o nā mea maʻi i ka hoʻokomo ʻana i ka PICC e like me ka lawe ʻana i ke koko, me ka ʻoluʻolu pōkole wale nō i ka wā o ka injection anesthetic kūloko. ʻAʻole ʻeha ka hana ponoʻī, a ʻo kekahi ʻeha ma hope e hoʻoponopono maʻamau i loko o 1-2 mau lā.

ʻOi aku ka maʻalahi o ka wehe ʻana i ka PICC ma mua o ka hoʻokomo ʻana, i wehewehe pinepine ʻia he manaʻo huki pōkole. He mau minuke wale nō ka hana wehe holoʻokoʻa a ʻaʻole pono ka anesthetic.

Q.5 He aha ka mea e hana ai inā loaʻa ka maʻi i kaʻu laina PICC?

Hiki ke mālama ʻia nā maʻi laina PICC me nā antibiotics, a hiki i nā mea maʻi he nui ke mālama i kā lākou catheter i kahi i ka wā o ka mālama ʻana. E hoʻoholo kāu kauka i ke ala maikaʻi loa e pili ana i ke ʻano a me ke koʻikoʻi o ka maʻi.

I kekahi mau hihia, pono paha e wehe i ka laina PICC e hoʻomaʻemaʻe loa i ka maʻi. Inā hiki kēia, hiki ke hoʻokomo pinepine ʻia kahi catheter hou ke hoʻoponopono ʻia ka maʻi, e ʻae iā ʻoe e hoʻomau i nā lāʻau lapaʻau e pono ai.