Ibintu 7 byingenzi byo guhitamo icyambu cyimurwa vs PICC

Kuvura kanseri akenshi bisaba uburyo bwigihe kirekire bwo kuvura imiti ya chimiotherapie, imirire, cyangwa imiti. Ibikoresho bibiri bikunze gukoreshwa byifashishwa muri izi ntego niByinjijwemo Catheter Hagati(Umurongo wa PICC) naIcyambu cyimurwa(bizwi kandi nk'icyambu cya chemo cyangwa icyambu-a-cath).

Byombi bikora umurimo umwe - utanga inzira yizewe yo kuvura mumaraso - ariko biratandukanye cyane mubihe bimara, ihumure, kubungabunga, hamwe ningaruka. Gusobanukirwa itandukaniro bifasha abarwayi nabashinzwe ubuvuzi guhitamo uburyo bwiza.

Nibiki PICCs hamwe nibyambu byimurwa? Ninde uruta abandi?

Umurongo wa PICC ni catheter ndende, yoroheje yinjizwa mumitsi mumaboko yo hejuru kandi igana imbere yerekeza mumitsi minini hafi yumutima. Itanga uburyo butaziguye bwo kuzenguruka hagati kandi ni igice cyo hanze, hamwe nigice kigaragara cyigituba hanze yuruhu. Imirongo ya PICC isanzwe ikoreshwa mubuvuzi bwigihe gito nigihe giciriritse, nka antibiotike, imirire ya IV, cyangwa chimiotherapie imara ibyumweru byinshi kugeza kumezi make.

Icyambu cyatewe ni igikoresho gito cyubuvuzi gishyizwe munsi yuruhu, mubisanzwe mugituza cyo hejuru. Igizwe n'ikigega (icyambu) gihujwe na catheter yinjira mumitsi yo hagati. Icyambu cyagerwaho na aUrushinge rwa Hubermugihe gikenewe kumiti cyangwa maraso ikurura kandi igakomeza gufunga kandi itagaragara munsi yuruhu mugihe idakoreshwa.

Iyo ugereranije icyambu cyatewe vs umurongo wa PICC, umurongo wa PICC utanga uburyo bworoshye bwo kuyikuramo no kuyikuramo kugirango bivurwe mugihe gito, mugihe icyambu cyatewe gitanga ihumure ryiza, ibyago byo kwandura hasi, hamwe nigihe kirekire kumiti ikomeje nka chimiotherapie.

Ibintu 7 byingenzi byo guhitamo icyambu cyimurwa vs PICC

1. Igihe cyo Kwinjira: Igihe gito, Hagati-Igihe, Igihe kirekire

Igihe giteganijwe cyo kuvura nicyo kintu cya mbere ugomba gusuzuma.

Umurongo wa PICC: Nibyiza kubwigihe gito-giciriritse, mubisanzwe kugeza kumezi atandatu. Nibyoroshye gushiramo, ntibisaba kubagwa, kandi birashobora gukurwaho kuryama.
Icyambu cyimurwa: Ibyiza byo kuvura igihe kirekire, amezi cyangwa imyaka. Irashobora kuguma yatewe neza mugihe kirekire, bigatuma ibereye abarwayi batewe na chimiotherapie inshuro nyinshi cyangwa imiti yigihe kirekire.

Muri rusange, niba ubuvuzi buteganijwe kumara amezi arenga atandatu, icyambu cyatewe nihitamo ryiza.

2. Kubungabunga buri munsi

Ibisabwa byo gufata neza biratandukanye cyane hagati yibi bikoresho byombi byinjira mu mitsi.

Umurongo wa PICC: Bisaba guhinduka no kwambara buri gihe, mubisanzwe rimwe mubyumweru. Kubera ko ifite igice cyo hanze, abarwayi bagomba gukomeza kurubuga kandi bakarindwa kugirango birinde kwandura.
Icyambu cyimurwa: gikeneye kubungabungwa bike iyo incike imaze gukira. Iyo bidakoreshejwe, bisaba gusa koza buri byumweru 4-6. Kubera ko yatewe neza munsi yuruhu, abarwayi bafite ibyo bagabanya buri munsi.

Ku barwayi bashaka ibyoroshye no kubitaho hasi, icyambu cyatewe kirarenze.

3. Imibereho no guhumurizwa

Ingaruka zubuzima nubundi buryo bwingenzi muguhitamo hagati yicyuma cya PICC nicyambu cyatewe.

Umurongo wa PICC: Igituba cyo hanze kirashobora kugabanya ibikorwa nko koga, kwiyuhagira, cyangwa siporo. Bamwe mu barwayi basanga bitorohewe cyangwa kwiyitaho bitewe no kugaragara no kwambara.
Icyambu cyimurwa: Itanga ihumure nubwisanzure. Iyo bimaze gukira, ntibigaragara rwose kandi ntibibangamira ibikorwa byinshi bya buri munsi. Abarwayi barashobora kwiyuhagira, koga, no gukora siporo badahangayikishijwe nigikoresho.

Ku barwayi baha agaciro ihumure nubuzima bukora, icyambu cyatewe gitanga inyungu isobanutse.

4. Ingaruka zo kwandura

Kuberako ibikoresho byombi bitanga uburyo butaziguye bwo kugera kumaraso, kugenzura kwandura ni ngombwa.

Umurongo wa PICC: Itwara ibyago byinshi byo kwandura, cyane cyane iyo bikoreshejwe igihe kinini. Igice cyo hanze kirashobora kwinjiza bagiteri mumaraso.
Icyambu cyimurwa: Ifite ibyago bike byo kwandura kuko bitwikiriwe nuruhu rwose, bitanga inzitizi karemano yo gukingira. Ubuvuzi bwa Clinical bwerekanye ko ibyambu bifite umubare muto w’indwara ziterwa na catheteri kurusha PICCs.

Kubikoresha igihe kirekire, icyambu cyatewe gifatwa nkuguhitamo neza.

5. Igiciro n'Ubwishingizi

Ibiciro bitekerezwaho harimo gushyira muburyo bwambere no kubungabunga igihe kirekire.

Umurongo wa PICC: Mubisanzwe bihendutse gushiramo kuko bidasaba kubagwa. Nyamara, amafaranga yo kubungabunga ahoraho - harimo guhindura imyambarire, gusura amavuriro, no gusimbuza ibintu - birashobora kwiyongera mugihe.
Icyambu cyimurwa: Ifite ikiguzi cyo hejuru kuko gisaba kubagwa byoroheje, ariko birahenze cyane kuvura igihe kirekire kubera kugabanuka kubikenewe.

Gahunda nyinshi zubwishingizi zikubiyemo ibikoresho byombi nkigice cyo gukoresha imiti ya chimiotherapie cyangwa IV ivura. Igiciro cyose-cyiza giterwa nigihe igikoresho kizaba gikenewe.

6. Umubare wa Lumens

Umubare wa lumens ugena umubare wimiti cyangwa amazi ashobora gutangwa icyarimwe.

Imirongo ya PICC: Iraboneka muburyo bumwe, bubiri, cyangwa butatu-lumen. PICCs nyinshi ni nziza kubarwayi bakeneye infusion nyinshi cyangwa kuvoma amaraso kenshi.
Ibyambu byimurwa: Mubisanzwe icyuma kimwe, nubwo ibyambu bibiri-lumen birahari kuri chimiotherapie igoye.

Niba umurwayi akeneye imiti myinshi icyarimwe, PICC-lumen nyinshi irashobora kuba byiza. Kuri chimiotherapie isanzwe, icyambu kimwe-lumen cyatewe mubisanzwe birahagije.

7. Diameter ya Catheter

Diameter ya catheter igira ingaruka kumuvuduko wo kwinjiza amazi no guhumuriza abarwayi.

Imirongo ya PICC: Mubisanzwe ifite diameter nini yo hanze, ishobora rimwe na rimwe gutera imitsi cyangwa kugabanya umuvuduko w'amaraso iyo ikoreshejwe igihe kirekire.
Ibyambu byimurwa: Koresha catheter ntoya kandi yoroshye, itarakara cyane mumitsi kandi itanga uburyo bwiza bwo gukoresha igihe kirekire.

Ku barwayi bafite imitsi mito cyangwa bakeneye ubuvuzi igihe kirekire, icyambu cyatewe gikunda guhuza kandi ntigishobora kwinjira.

Umwanzuro

Guhitamo hagati yumurongo wa PICC nicyambu cyatewe biterwa nibintu byinshi byamavuriro nu muntu ku giti cye - igihe cyo kuvura, kubungabunga, guhumurizwa, ibyago byo kwandura, ikiguzi, nibisabwa kwa muganga.

Umurongo wa PICC nibyiza kubuvuzi bwigihe gito cyangwa buciriritse, butanga uburyo bworoshye hamwe nigiciro cyo hejuru.
Icyambu cyatewe ni cyiza kuri chimiotherapie yigihe kirekire cyangwa kubona imiyoboro y'amaraso kenshi, bitanga ihumure ryiza, kubungabunga bike, hamwe nibibazo bike.

Byombi ni ngombwaibikoresho byinjira mumitsiibyo bizamura ireme ry'ubuvuzi bw'abarwayi. Ihitamo rya nyuma rigomba gukorwa hifashishijwe inama ninzobere mu buvuzi, kureba niba igikoresho gihuye n’ubuvuzi ndetse n’ubuzima bw’abarwayi.