Nā maʻi o ka laina waena - nā haukapila

He laina waena kāu. ʻO kēia kahi paipu lōʻihi (catheter) e hele i loko o kahi aa i kou umauma, lima, a i ʻole ʻūlū a hoʻopau i kou puʻuwai a i ʻole i kahi aa nui ma kahi kokoke i kou puʻuwai.

Lawe kāu laina waena i nā meaola a me nā lāʻau i loko o kou kino. Hiki ke hoʻohana ʻia e lawe i ke koko ke pono ʻoe e hōʻoia i ke koko.

Kūlohelohe loa nā maʻi maʻi o ke kikowaena. Hiki iā lākou ke hōʻeha iā ʻoe a hoʻonui i kou lōʻihi i ka haukapila. Pono kāu laina waena i ka mālama kūikawā e pale ai i ka maʻi.

He laina waena paha kāu inā:

• Pono i nā antibiotic a i ʻole nā ​​lāʻau ʻē aʻe i mau pule a i ʻole mau mahina
• Koi aku i ka meaʻai no ka mea ʻaʻole e holo pono kāu ʻōpū a mai omo ʻole i ka nui o nā meaola a me nā calories
• Pono e loaʻa i kahi nui o ke koko a wai paha me ka wikiwiki
• Pono e lawe i nā laʻana koko ma mua o hoʻokahi manawa i ka lā
• Pono i ka dialysis kidney

ʻO kēlā me kēia mea ka laina waena hiki ke loaʻa i kahi maʻi. ʻOi aku kou makaʻu inā ʻoe:

• Aia i loko o ke keʻena mālama mālama (ICU)
• Loaʻa i kahi ʻōnaehana pale nāwaliwali a i ʻole nā ​​maʻi koʻikoʻi
• Ke loaʻa nei i kahi iwi iwi a chemotherapy paha
• Loaʻa i ka laina no ka manawa lōʻihi
• E loaʻa i kahi laina waena i kāu ʻeha

E hoʻohana nā limahana o ka haukapila i ka hana aseptic ke hoʻokomo ʻia kahi laina waena i kou umauma a i ʻole ka lima. ʻO ke ʻano ʻenehana aseptic ka mālama ʻana i nā mea āpau me he sterile (germ-free) i hiki. E:

• E holoi i ko lākou mau lima
• E kau i kahi pale maka, ʻaʻahu, pāpale, a me nā mīkina lima sterile
• E hoʻomaʻemaʻe i ka pūnaewele kahi e kau ai ka laina waena
• E hoʻohana i kahi uhi sterile no kou kino
• E hōʻoia i nā mea āpau a lākou e hoʻopā ai i ke kaʻina hana he sterile
• Uhi i ka catheter me ka gauze a i ʻole ka leki uila i kahi kūpono

Pono nā limahana o ka haukapila e nānā i kāu laina waena i kēlā me kēia lā e ʻike pono ia ma kahi kūpono a e nānā ai i nā hōʻailona o ka maʻi. Pono e hoʻololi i ke aniani a iʻole ka lepe ma luna o ka pūnaewele inā haumia.

E nānā pono ʻaʻole e hoʻopā i kāu laina waena ke ʻole ʻoe e holoi i kou mau lima.

E haʻi i kāu kahu inā ʻo kāu laina waena:

• E haumia
• Ke hele nei i waho o kou aa
• Ke kulu nei, a ʻoki ʻia a hū paha ka catheter

Hiki iā ʻoe ke ʻauʻau ke ʻōlelo mai kāu kauka he maikaʻi ke hana pēlā. E kōkua kāu kahu iā ʻoe e uhi i kāu laina waena ke ʻauʻau ʻoe e hoʻomaʻemaʻe a maloʻo.

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli o ka maʻi, e haʻi koke i kāu kauka a kahu maʻi paha.

• ʻO ka ʻulaʻula ma ka pūnaewele, a i ʻole nā ​​kaha ʻulaʻula a puni ka pūnaewele
• Ka pehu a i ʻole mehana ma ka pūnaewele
• Kōwai melemele a ʻōmaʻomaʻo paha
• Paʻi a hōʻoluʻolu paha
• Fiva

Maʻi maʻi kahe pili pili waena; CLABSI; Hoʻokomo ʻia peripherally catheter waena - maʻi maʻi; PICC - maʻi maʻi; Catheter venous waena - maʻi maʻi; CVC - maʻi maʻi; Hāmeʻa kikowaena - maʻi maʻi; Kaohi maʻi ʻaʻai - maʻi maʻi kikowaena waena; Maʻi ʻaʻai Nosocomial - maʻi maʻi kū waena; Ua loaʻa ka maʻi i ka haukapila - maʻi maʻi laina waena; Ka palekana o ka mea maʻi - maʻi o ka laina waena

ʻOihana no ka ʻimi noiʻi ola kino a me ka pūnaewele ʻoihana. Pākuʻi 2. ʻO ka laina waena e pili ana i nā maʻi maʻi Bloodstream. ahrq.gov/hai/clabsi-tools/appendix-2.html. Hoʻohou Malaki Malaki 2018. Loaʻa iā Malaki 18, 2020.

Beekman SE, Henderson DK. Nā maʻi i hoʻokumu ʻia e nā polokalamu intravascular percutaneus. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 300.

Bell T, O'Grady NP. Kāohi ʻana i nā maʻi kahe pili pili laina pili waena. Maʻi kīnā ʻole Dis Clin North Am. 2017; 31 (3): 551-559. PMID: 28687213 pubmed.ncbi.nlm.nih.gov/28687213/.

ʻO Calfee DP. Kāohi a me ka kaohi o nā maʻi pili i ka mālama olakino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 266.

• Kaohi maʻi ʻaʻai