Ikhethini ehlanganisiwe ehlombe (PICC)

Ikhethini ehlanganisiwe ehlangothini (PICC), ebizwa nangokuthi ulayini we-PICC, iyithyube elilukhulu, elincane elifakwa ngomqala wegazi engalweni yakho bese liyadluliselwa emithanjeni emikhulu eduze kwenhliziyo yakho. Ngokungaqondakali, ulayini we-PICC ungafakwa omunweni wakho.

Umgxuma we-PICC usetshenziswa ukuletha imithi nezinye izindlela zokwelapha ngqo emithanjeni emikhulu ephakathi eduze kwenhliziyo yakho. Udokotela wakho angakuncoma umgxuma we-PICC uma uhlelo lwakho lokwelapha lufuna ukugaya izimpumputhe njalo ngemithi noma ukuthatha igazi. Umgxuma we-PICC uqondile ukuthi ube yisikhashana futhi ungaba yindlela uma ukwelashwa kwakho kulindeleke ukuthi kuqhubeke kuze kube amasonto ambalwa. Umgxuma we-PICC uvamise ukunconywa ngalokhu okulandelayo: Ukwelashwa komdlavuza. Imithi ehlanganiswa ngomthambo, njengoba kunjalo kwezinye izidakamizwa ze-chemotherapy ne-targeted therapy, inganikezwa ngomgxuma we-PICC. Ukudla okunguketshezi (ukudla okuphelele okungaphansi komzimba). Uma umzimba wakho ungakwazi ukucubungula izondlo ezivela ekudleni ngenxa yezinkinga zesisu, ungadinga umgxuma we-PICC ukuze uthole ukudla okunguketshezi. Ukwelashwa kokutheleleka. Ama-antibiotics nezinye izidakamizwa eziqeda amagciwane zinganikezwa ngomgxuma we-PICC ngezifo ezinkulu. Ezinye izidakamizwa. Ezinye izidakamizwa zingakhungathekisa imithambo emincane, futhi ukunikezwa kwalokhu ukwelashwa ngomgxuma we-PICC kunciphisa leyo ngozi. Imithambo emikhulu esifubeni sakho ithwala igazi eliningi, ngakho-ke imithi ihlanganiswa ngokushesha kakhulu, kunciphisa ingozi yokulimaza imithambo. Uma umgxuma wakho we-PICC usufake, ungasetshenziswa nakwezinye izinto, njengokuthatha igazi, ukuthuthukiswa kwegazi nokuthola izinto ezifanayo ngaphambi kokuhlolwa komfanekiso.

Izinkinga ze-PICC line zingafaka: Ukopha Ukwenzakala kwama-nerve Ukuphazamiseka kwenhliziyo Ukonakala kwezinsimbi zegazi engalweni Izikhonkwane zegazi Ukutheleleka I-PICC line evaliwe noma ephukile Ezinye izinkinga zingaphathwa ukuze i-PICC line yakho ihlale endaweni. Ezinye izinkinga zingadinga ukususwa kwe-PICC line. Kuye ngesimo sakho, udokotela wakho angase akhuthaze ukufakwa kwe-PICC line enye noma ukusebenzisa uhlobo oluhlukile lwe-catheter ye-venous ephakathi. Xhumana nodokotela wakho ngokushesha uma ubona noma yiziphi izimpawu noma izimpawu zezinkinga ze-PICC line, njengokuthi: Indawo ezungezile i-PICC line yakho iyabomvu, ibindi, iphukile noma ifudumele uma uyithinta Uthola ubushushu noma ubunzima bokuthanda Ubude be-catheter eliphuma engalweni yakho liba lide Kunzima ukugeza i-PICC line yakho ngoba kubonakala sengathi ivaliwe Uqaphela ukushintsha ekubetheni kwenhliziyo yakho

Ukulungiselela ukufakwa komugqa wakho we-PICC, ungase ube nokuhlolwa kwegazi. Udokotela wakho angase adinge ukuhlola igazi lakho ukuqinisekisa ukuthi unezakhi zegazi ezanele zokwenza igazi liqine (ama-platelet). Uma ungenawo ama-platelet anele, ungase ube sengozini enkulu yokopha. Imithi noma ukuthuthukiswa kwegazi kungandisa inani lama-platelet egazini lakho. Ukuhlolwa kwezithombe. Udokotela wakho angase akukhuthaze ukuhlolwa kwezithombe, njengoba yi-X-ray ne-ultrasound, ukwenza izithombe zezinzwa zakho ukuhlela inqubo. Ingxoxo ngezimo zakho zezempilo. Tshela udokotela wakho uma uke waba nokuhlinzwa kokususa ubele (mastectomy), njengoba lokho kungase kuchaphazele ukuthi yiliphi ihlombe elisetshenziswayo ekubekweni komugqa wakho we-PICC. Futhi tshela udokotela wakho ngezinhlungu zengaphambili zesandla, ukushisa okukhulu noma ukwelashwa ngomgqomo. Umugqa we-PICC ngokuvamile awunconywa uma kunesihloko sokuthi ungase uzodinga ukuhlanzwa kwegazi ngenxa yokwehluleka kwesibindi, ngakho tshela udokotela wakho uma unembali yesifo sesibindi.

Ukuhlinzwa kokufaka umgca we-PICC kuthatha cishe iwashi elilodwa futhi kungenziwa njengokuhlinzwa kwesiguli sangaphandle, okusho ukuthi ngeke kudingeke uhlale esibhedlela. Ngokuvamile kwenziwa ekamelweni lokuhlinzwa elihlanganisa ubuchwepheshe bokubonisa izithombe, njengemikhiqizo ye-X-ray, ukusiza ekuqondiseni inqubo. Ukufakwa komgca we-PICC kungenziwa yisondo, udokotela noma omunye umhlinzeki wezokwelapha oqeqeshwe kahle. Uma uhlala esibhedlela, inqubo ingase yenziwe ekamelweni lakho lesibhedlela.