Ibintu 7 by'ingenzi byo guhitamo umurongo wa PICC ushobora guterwamo implantable port

Kuvura kanseri akenshi bisaba ko umuntu ahabwa imiti igabanya ubukana bw'imitsi mu gihe kirekire, kugira ngo ahabwe imiti igabanya ubukana bw'imitsi, cyangwa ahabwe imiti igabanya ubukana bw'imitsi. Ibikoresho bibiri bikunze gukoreshwa mu kuvura kanseri niCatheter yo Hagati Ishyizwemo Impande(umurongo wa PICC) hamwe n'umurongoIcyambu gishobora guterwamo(izwi kandi nka chemo port cyangwa port-a-cath).

Byombi bikora akazi kamwe - bitanga inzira yizewe yo kugeza imiti mu maraso - ariko biratandukanye cyane mu gihe imara, ihumure, uburyo ibungabungwa, n'ingaruka zayo. Gusobanukirwa iri tandukaniro bifasha abarwayi n'abatanga serivisi z'ubuvuzi guhitamo uburyo bwiza kurusha ubundi.

PICC n'ibyambu bishobora guterwamo ni iki? Ni ikihe cyiza kurusha ibindi?

Umurongo wa PICC ni catheter ndende kandi yoroshye ishyirwa mu mutsi uri hejuru y'ukuboko ikagera ku mutsi munini wegereye umutima. Itanga uburyo bwo kugera mu nzira yo hagati y'amaraso kandi ikaba iri hanze gato, hamwe n'igice cy'imiyoboro kigaragara hanze y'uruhu. Imirongo ya PICC ikunze gukoreshwa mu kuvura igihe gito cyangwa giciriritse, nko kuvura imiti yica udukoko, imirire ya IV, cyangwa imiti igabanya ubukana bw'indwara ya chimiotherapie imara ibyumweru byinshi kugeza ku mezi make.

Agakoresho gashyirwa mu mubiri ni igikoresho gito gishyirwa munsi y'uruhu rwose, akenshi mu gituza cyo hejuru. Kigizwe n'ikigega (agakoresho) gihujwe na catheter yinjira mu mitsi yo hagati. Agakoresho gashyirwamo hakoreshejweUrushinge rwa HuberIyo bikenewe kugira ngo hakoreshwe imiti cyangwa amaraso, igakomeza gufunga kandi itagaragara munsi y'uruhu iyo idakoreshejwe.

Iyo ugereranyije umurongo wa PICC ushobora gushyirwamo imiti, umurongo wa PICC utanga uburyo bworoshye bwo kuyishyiramo no kuyikuramo mu gihe gito, mu gihe umurongo wa PICC utanga uburyo bworoshye bwo kuyishyiramo, ukagabanya ibyago byo kwandura, kandi ugakomeza igihe kirekire mu kuvura indwara zikomeje nka chimiotherapie.

Ibintu 7 by'ingenzi byo guhitamo umurongo wa PICC ushobora guterwamo implantable port

1. Igihe cyo kubona: Igihe gito, Igihe giciriritse, Igihe kirekire

Igihe cy'ubuvuzi giteganijwe ni cyo kintu cya mbere kigomba kwitabwaho.

Umurongo wa PICC: Ni mwiza cyane ku bantu bamara igihe gito cyangwa giciriritse, akenshi kugeza ku mezi atandatu. Biroroshye gushyiramo, ntibisaba kubagwa, kandi bishobora gukurwa iruhande rw'igitanda.
Ishobora guterwa: Ni nziza ku buvuzi bw'igihe kirekire, bumara amezi cyangwa imyaka. Ishobora kuguma guterwa mu buryo butekanye igihe kirekire, bigatuma ikwiriye abarwayi bakorerwa imiti idasanzwe cyangwa imiti myinshi.

Muri rusange, niba biteganijwe ko ubuvuzi bumara igihe kirenze amezi atandatu, uburyo bwo gutera umuti bushobora guterwa ni bwo bwiza kurusha ubundi.

2. Gutunganya buri munsi

Ibisabwa mu kubungabunga bitandukanye cyane hagati y’ibi bikoresho bibiri bifasha mu mitsi.

Umurongo wa PICC: Usaba koza no guhindura imyenda buri gihe, akenshi rimwe mu cyumweru. Kubera ko ifite igice cyo hanze, abarwayi bagomba kugumisha aho hantu humutse kandi hakirinzwe kugira ngo hirindwe kwandura.
Ingufu ziterwa: Zikenera gusanwa gake iyo incision imaze gukira. Iyo zidakoreshejwe, zisaba gusukurwa buri byumweru 4-6. Kubera ko zishyirwa munsi y'uruhu rwose, abarwayi bafite imbogamizi nke ku munsi.

Ku barwayi bashaka koroherezwa no kudakorerwa isuku nke, uburyo bwo guteramo implantation bugaragara ko ari bwiza.

3. Ubuzima n'Ihumure

Ingaruka ku mibereho ni ikindi kintu cy'ingenzi cyo kwitabwaho mu gihe uhitamo hagati y'igikoresho cya PICC n'icyambu gishobora gushyirwamo.

Umurongo wa PICC: Umuyoboro wo hanze ushobora kugabanya ibikorwa nko koga, koga, cyangwa siporo. Hari abarwayi basanga bitabashimisha cyangwa se bibatera isoni bitewe n'uko umuntu abona ibintu neza kandi akambara imyenda.
Ingomero ishobora guterwa: Itanga ihumure n'ubwisanzure bwinshi. Iyo imaze gukira, ntabwo igaragara na gato kandi ntibangamira ibikorwa byinshi bya buri munsi. Abarwayi bashobora kwiyuhagira, koga, no gukora siporo batitaye ku gikoresho.

Ku barwayi baha agaciro ihumure n'ubuzima bwiza, uburyo bwo gutera imiti butanga akarusho gafatika.

4. Ingaruka zo kwandura

Kubera ko ibyo bikoresho byombi bitanga uburyo bwo kugera ku maraso, kurwanya ubwandu ni ingenzi cyane.

Umurongo wa PICC: Ufite ibyago byinshi byo kwandura, cyane cyane iyo ukoreshejwe igihe kirekire. Igice cyo hanze gishobora kwinjiza bagiteri mu maraso.
Ingomero ishobora guterwa: Ifite ibyago bike byo kwandura kuko itwikiriwe n'uruhu rwose, bigatuma irinda indwara karemano. Ubushakashatsi bwagaragaje ko ingomero zifite ubwandu buke cyane bushingiye ku maraso buterwa na catheter ugereranyije na PICC.

Ku ikoreshwa ry'igihe kirekire, umuyoboro ushobora gushyirwamo ufatwa nk'amahitamo yizewe.

5. Ikiguzi n'ubwishingizi

Ibiciro biri mu byo umuntu agomba kwitaho birimo gushyiramo ibikoresho bya mbere ndetse no kubibungabunga igihe kirekire.

Umurongo wa PICC: Muri rusange bihendutse kuwushyiramo kuko udasaba kubagwa. Ariko, ikiguzi cyo kubungabunga gihoraho - harimo guhindura imyenda, kujya kwa muganga, no gusimbuza ibikoresho - gishobora kwiyongera uko igihe kigenda gihita.
Ingomero ishobora guterwa: Ifite ikiguzi cyo hejuru mbere kuko isaba guterwa icyuma gito, ariko ihendutse cyane ku buvuzi bw'igihe kirekire bitewe n'uko ibura ibikenewe mu kubungabunga.

Gahunda nyinshi z'ubwishingizi zishyura ibikoresho byombi nk'igice cy'amafaranga y'ibikoresho byo kwa muganga mu kuvura kanseri y'imiti cyangwa iy'imitsi. Ikiguzi cyose giterwa n'igihe igikoresho kizakenera.

6. Umubare wa Lumens

Umubare wa lumens ugena umubare w'imiti cyangwa amazi ashobora gutangwa icyarimwe.

Imirongo ya PICC: Iboneka mu buryo bumwe, bubiri, cyangwa butatu. PICC zifite lume nyinshi ni nziza ku barwayi bakeneye guterwa amaraso kenshi cyangwa gukurwamo amaraso kenshi.
Imyanya ishobora guterwa: Ubusanzwe imyanya imwe, nubwo imyanya ibiri iboneka ku miti igoye ya chimiotherapie.

Iyo umurwayi akeneye guterwa imiti myinshi icyarimwe, PICC ifite lumen nyinshi ishobora kuba nziza. Ku miti isanzwe ya chimiotherapie, umuyoboro umwe ushobora guterwa lumen uba uhagije.

7. Diameter ya Catheter

Ubugari bwa catheter bugira ingaruka ku muvuduko w'amazi atangwa n'umurwayi ndetse n'uburyo amererwa neza.

Imirongo ya PICC: Ubusanzwe ifite umurambararo munini wo hanze, rimwe na rimwe ushobora gutera umujinya mu mitsi cyangwa kugabanya amaraso atembera mu gihe ikoreshejwe igihe kirekire.
Ingufu zishobora guterwa: Koresha catheter nto kandi yoroshye, idatera ububabare bwinshi ku mitsi kandi bigatuma ikoreshwa neza igihe kirekire.

Ku barwayi bafite imitsi mito cyangwa abakeneye kuvurwa igihe kirekire, umuyoboro ushobora guterwamo ukunda kuba uhuye neza kandi ntugire icyo ubangamira.

Umwanzuro

Guhitamo hagati y’umurongo wa PICC n’umuyoboro ushobora guterwamo biterwa n’ibintu byinshi by’ubuvuzi n’iby’umuntu ku giti cye — igihe cyo kuvurwa, uburyo bwo kubungabungwa, ihumure, ibyago byo kwandura, ikiguzi, n’ibisabwa mu buvuzi.

Umurongo wa PICC ni mwiza cyane ku buvuzi bw'igihe gito cyangwa giciriritse, bitanga uburyo bworoshye bwo gushyiramo imiti kandi bigatanga ikiguzi gito mbere y'igihe.
Uburyo bwo gutera imiti bushobora guterwa ni bwiza cyane mu gihe kirekire cya chimiotherapie cyangwa mu mitsi ikoreshwa kenshi, butanga ihumure ryiza, budasaba kwitabwaho cyane, kandi bugabanya ingorane.

Byombi ni ingenziibikoresho byo kugera ku mitsibinoza ireme ry’ubuvuzi bw’abarwayi. Amahitamo ya nyuma agomba gukorwa habanje kugishwa inama n’inzobere mu by’ubuzima, hakarebwa ko igikoresho gihuye n’ibyo umurwayi akeneye ndetse n’ubuzima bwe.