Zvinhu Zvinomwe Zvikuru Pakusarudza Mutsetse Wechiteshi Chinoiswa Mukati Uchienzanisa Nemutsetse wePICC

Kurapwa kwegomarara kunowanzoda kuti munhu awane mishonga kwenguva refu, apiwe mishonga yekurapa kenza, kana kuti apiwe mishonga. Midziyo miviri inonyanya kushandiswa pakurapa kenza ndeiyiCatheter yepakati yakaiswa padivi(mutsetse wePICC) uyeChiteshi Chinoiswa Mukati(inozivikanwawo se chemo port kana port-a-cath).

Ose ari maviri ane basa rimwe chete - kupa nzira yakavimbika yekupinda kwemishonga muropa - asi akasiyana zvikuru maererano neurefu hwemushonga, nyaradzo, kuchengetedza, uye njodzi. Kunzwisisa misiyano iyi kunobatsira varwere nevanotarisira hutano kusarudza sarudzo yakakodzera.

Chii chinonzi PICCs uye Implantable Ports? Ndeipi iri nani?

Mutsetse wePICC iketheta refu, inochinjika inopinzwa netsinga iri pamusoro peruoko yoenda kutsinga hombe iri pedyo nemoyo. Inopa mukana wekupinda zvakananga muropa uye iri kunze zvishoma, ine chikamu chinoonekwa chechubhu kunze kweganda. Mitsetse yePICC inowanzo shandiswa pakurapa kwenguva pfupi kusvika pakati nepakati, senge mishonga inorwisa mabhakitiriya, kudya kunovaka muviri, kana chemotherapy inotora mavhiki akati wandei kusvika kumwedzi mishoma.

Chinoiswa mudumbu chinhu chidiki chinoiswa pasi peganda, kazhinji muchipfuva chepamusoro. Chine nzvimbo inochengeterwa masero (nzvimbo) yakabatana nekatheta inopinda mutsinga yepakati. Chinoiswa mudumbu neTsono yeHuberKana zvichidikanwa kuti zvishandiswe pakurapa kana ropa richitorwa uye rinoramba rakavharika uye risingaonekwe pasi peganda kana risiri kushandiswa.

Kana tichienzanisa mutsetse wePICC unoiswa uye unobviswa zviri nyore kuti ushandiswe kwenguva pfupi, nepo mutsetse wePICC unoiswa uchipa nyaradzo iri nani, njodzi yehutachiona yakaderera, uye kugara kwenguva refu kwekurapwa kuri kuitwa senge chemotherapy.

Zvinhu Zvinomwe Zvikuru Pakusarudza Mutsetse Wechiteshi Chinoiswa Mukati Uchienzanisa Nemutsetse wePICC

1. Nguva Yekuwanikwa: Kwenguva Pfupi, Yepakati, Yenguva Refu

Nguva inotarisirwa kurapwa ndiyo chinhu chekutanga chekufunga nezvacho.

Mutsetse wePICC: Wakanakira kushandiswa kwenguva pfupi kusvika pakati nepakati, kazhinji kusvika kumwedzi mitanhatu. Zviri nyore kuisa, hazvidi kuvhiyiwa, uye zvinogona kubviswa padivi pemubhedha.
Implantable Port: Yakanakira kurapwa kwenguva refu, kwemwedzi kana makore. Inogona kuramba yakaisirwa zvakachengeteka kwenguva yakareba, zvichiita kuti ive yakakodzera varwere vari kurapwa kakawanda kana kuisirwa mishonga kwenguva refu.

Kazhinji, kana kurapwa kuchitarisirwa kuti kugare kwenguva inopfuura mwedzi mitanhatu, chinhu chinogona kuiswa muchibereko ndicho chisarudzo chiri nani.

2. Kugadzirisa Zuva Nezuva

Zvinodiwa pakuchengetedza zvinosiyana zvakanyanya pakati pemidziyo miviri iyi yekubatsira tsinga dzeropa.

Mutsetse wePICC: Unoda kusukwa nekuchinjwa machira nguva nenguva, kazhinji kamwe chete pasvondo. Nekuti ine chikamu chekunze, varwere vanofanira kuchengetedza nzvimbo yacho yakaoma uye yakachengetedzwa kudzivirira hutachiona.
Chinoiswa Mukati: Chinoda kugadziriswa zvishoma kana ganda rapora. Kana risingashandiswe, rinongoda kusukwa mavhiki mana kusvika matanhatu ega ega. Sezvo rakaiswa pasi peganda zvizere, varwere vane zvirambidzo zvishoma pazuva.

Kune varwere vari kutsvaga nyore uye kugadziriswa kushoma, chiteshi chinogona kuiswa chiri nani.

3. Mararamiro uye Kunyaradzwa

Kukanganiswa kwemararamiro ndeimwe pfungwa huru pakusarudza pakati pemudziyo wePICC nemudziyo unoiswa mukati.

Mutsetse wePICC: Chigadziko chekunze chinogona kudzikamisa mabasa akadai sekushambira, kugeza, kana mitambo. Vamwe varwere vanoona zvisina kunaka kana kuti vachizvidya mwoyo nekuda kwezvinodiwa pakuonekwa uye kupfeka.
Chinoiswa Mukati: Chinopa nyaradzo yakakura uye rusununguko. Kana chapora, hachionekwi zvachose uye hachikanganisi mabasa mazhinji ezuva nezuva. Varwere vanogona kugeza, kushambira, uye kurovedza muviri vasina kunetseka nezvechishandiso ichi.

Kune varwere vanokoshesa kunyaradzwa uye mararamiro anoshanda, chiteshi chinoiswa mudumbu chinopa mukana wakajeka.

4. Njodzi yeKutapukirwa

Nekuti michina yese miviri inopa mukana wekupinda muropa zvakananga, kudzora hutachiona kwakakosha.

Mutsetse wePICC: Une njodzi huru yekutapukirwa, kunyanya kana ukashandiswa kwenguva yakareba. Chikamu chekunze chinogona kupinza mabhakitiriya muropa.
Chinoiswa Mukati: Chine njodzi shoma yekutapukira nekuti chakafukidzwa neganda, zvichipa dziviriro yechisikigo. Zvidzidzo zvekiriniki zvakaratidza kuti ma "ports" ane hutachiona hushoma hweropa hunokonzerwa necatheter kupfuura maPICC.

Pakushandiswa kwenguva refu, chinhu chinoiswa mudumbu chinoonekwa sechisarudzo chakachengeteka.

5. Mutengo neInishuwarenzi

Kufunga nezvemutengo kunosanganisira kuiswa kwekutanga uye kugadziriswa kwenguva refu.

Mutsetse wePICC: Kazhinji wakachipa kuisa sezvo usingade kuvhiyiwa. Zvisinei, mari yekuchengetedza inoenderera mberi - kusanganisira kuchinja mapfekero, kuenda kukiriniki, uye kutsiva zvinhu - inogona kuwedzera nekufamba kwenguva.
Chinoiswa Pamuviri: Chinodhura zvakanyanya pakutanga nekuti chinoda kuisirwa dumbu zvishoma, asi chinodhura zvishoma pakurapwa kwenguva refu nekuda kwekushomeka kwekugadzirisa.

Mazhinji ezvirongwa zveinishuwarenzi zvinofukidza michina yese sechikamu chemari yekushandisa michina yekurapa yekurapa nechemotherapy kana IV therapy. Mari yese inoshandiswa zvinoenderana nekuti mudziyo wacho uchadiwa kwenguva yakareba sei.

6. Nhamba yeLumen

Huwandu hwelumens hunosarudza kuti mishonga yakawanda kana mvura inogona kupihwa panguva imwe chete.

Mitsetse yePICC: Inowanikwa mumhando imwe chete, mbiri, kana nhatu. MaPICC ane malume akawanda akanakira varwere vanoda kuisirwa ropa kakawanda kana kutorwa ropa kakawanda.
Mapombi Anopinzwa: Kazhinji ane lumen imwe chete, kunyange zvazvo mapombi ane lumen mbiri anowanikwa kune mishonga yakaoma yechemotherapy.

Kana murwere achida kuisirwa mishonga yakawanda panguva imwe chete, PICC ine lumens dzakawanda ingangove iri nani. Pakurapa chemotherapy, ganda rinoiswa mumasero rimwe chete rinowanzo kukwana.

7. Dhayamita yeCatheter

Kukura kwecatheter kunokanganisa kumhanya kwekuiswa kwemvura mumuviri uye kugadzikana kwemurwere.

Mitsetse yePICC: Kazhinji ine dhayamita yakakura yekunze, iyo dzimwe nguva inogona kukonzera kutsamwa kwetsinga kana kudzikisa kufamba kweropa kana ikashandiswa kwenguva yakareba.
Mapombi Anopinzwa: Shandisa catheter diki uye yakapfava, iyo isinganyanyi kushungurudza tsinga uye inobvumira kushandiswa kwakasununguka kwenguva refu.

Kune varwere vane mitsipa midiki kana avo vanoda kurapwa kwenguva refu, nzvimbo inoiswa mutsinga inowanzo shanda zvakanaka uye isinganyanyi kupindira.

Mhedziso

Kusarudza pakati pemutsetse wePICC nechiteshi chinogona kuiswa mumuviri kunoenderana nezvinhu zvakasiyana-siyana zvekurapa uye zvemunhu - nguva yekurapwa, kuchengetedza, kunyaradzwa, njodzi yekutapukirwa, mutengo, uye zvinodiwa pakurapwa.

Mutsetse wePICC wakanakira kurapwa kwenguva pfupi kana yepakati, zvichiita kuti zvive nyore kuisa mushonga uye mutengo wakaderera wekutanga.
Chinoiswa mudumbu chiri nani pakurapa chemotherapy kwenguva refu kana kuti vascular access kakawanda, zvichipa nyaradzo yakanaka, hazvinyanyi kutarisirwa, uye matambudziko mashoma.

Zvese zvakakoshazvishandiso zvekuwana tsinga dzeropaizvo zvinovandudza kunaka kwekutarisira varwere. Sarudzo yekupedzisira inofanira kuitwa mushure mekubvunzana nenyanzvi dzehutano, kuve nechokwadi chekuti mudziyo uyu unoenderana nezvinodiwa zvehutano uye mararamiro emurwere.