Nā Catheters Venous Waena: Nā laina PICC me nā awa

Anter

• He aha ka laina PICC?
• He aha ke awa?
• PICC vs. awa

E pili ana i nā catheters venous kikowaena

Hoʻokahi hoʻoholo āu e pono ai e hana ma mua o ka hoʻomaka ʻana i ka chemotherapy kahi ʻano o catheter venous central (CVC) āu e makemake ai e hoʻokomo i kāu oncologist no kāu lapaʻau. Hoʻokomo ʻia kahi CVC, i kekahi manawa i ka laina waena, i loko o kahi aa nui ma ka umauma a i ka lima luna.

Lōʻihi, pōpoki palolo paipu nā catheters i mea e maʻalahi ai ke kau pono ʻana i nā lāʻau, nā huahana koko, nā meaola, a i ʻole nā ​​wai i loko o kou kahe koko. Hiki i kahi CVC ke maʻalahi hoʻi i ka lawe ʻana i nā laʻana koko no ka hoʻāʻo ʻana.

Hoʻoholo paha kāu oncologist i ka pono o kahi CVC inā pono ʻoe e loaʻa:

• chemotherapy infusion mau
• lapaʻau e mau ana no 24 mau hola a keu
• lapaʻau ʻoiai ma ka home

Manaʻo ʻia he lāʻau ʻino kekahi chemotherapy inā kulu lākou i waho o kou mau uaua. Kapa ʻia kēia mau mea he vesicants a mea hoʻonāukiuki paha. Hiki i kāu oncologist ke paipai iā CVC e pale i kēia mai ka hanana ʻana.

Manaʻo ʻia ʻo CVC ʻoi aku ka hiki ke mālama ʻia ma mua o kahi catheter intravenous (IV) maʻamau no ka mea hiki iā lākou ke noho lōʻihi i kou kino. Hiki ke waiho ʻia kekahi mau CVC i kou kino no:

• pule
• mahina
• makahiki

Hiki i kahi catheter IV maʻamau ke noho i loko no kekahi mau lā. ʻO kēia ke kumu o ka hoʻokomo ʻana o kāu oncologist a kahu hānai paha i nā IV he nui i loko o kou mau uaua ma ke kaʻina o kāu lāʻau e hiki ai ke hōʻino i nā uaua liʻiliʻi i ka manawa.

Aia nā ʻano like ʻole o CVCs. ʻO nā mea maʻamau āpau i hoʻokomo ʻia i nā catheters kikowaena, a i ʻole nā ​​laina PICC, a me nā awa. ʻO ke ʻano o ka CVC āu e makemake ai e pili ana i kekahi o nā kumu aʻe, e like me ka mea e makemake ai kāu oncologist.

• Pehea ka lōʻihi e pono ai ʻoe i ka chemotherapy
• Pehea ka lōʻihi e hoʻokomo ai i kāu mau lāʻau chemotherapy
• Ehia mau lāʻau e loaʻa iā ʻoe i hoʻokahi manawa
• Inā loaʻa paha iā ʻoe kekahi mau pilikia olakino ʻē aʻe e like me ke kahe o ke koko a i ʻole ka pehu ʻana

He aha ka laina PICC?

Hoʻokomo ʻia kahi laina PICC i loko o kahi aa nui ma ka lima e kāu oncologist a i ʻole kahu maʻi hoʻomaʻamaʻa kūikawā. ʻAʻole pono ka hoʻokomo i ke ʻoki. Ke kū pono ka PICC, e hoʻopili ka pahu catheter mai kou ʻili. ʻIke ʻia kēia mau mea he "huelo" a lumens paha, a ʻoi aku paha iā ʻoe ma mua o hoʻokahi.

Loaʻa i nā catheters, me PICCs, ma waho o kou kino e hāpai i kahi maʻi o ka maʻi.

I mea e hōʻemi ai i ka makaʻu, pono ʻoe e mālama pono i ka paipu a me ka ʻili e hoʻopuni ana i ka wahi i hoʻokomo ʻia ka laina. Pono e hamo ʻia nā paipu i kēlā me kēia lā me ka hopena sterile e pale ai i ka palaka.

He aha ke awa?

ʻO kahi awa kahi pahu liʻiliʻi i hana ʻia i ka palakiko a i ʻole ka mea hao me kahi sila e like me ke kāpili ma luna o ka piko. ʻO kahi paipu lahilahi, ʻo ka laina, hele mai ka pahu i loko o ka aa. Hoʻokomo ʻia nā awa ma lalo o ka ʻili i kou umauma a i ʻole ka lima o luna e kahi kauka a radiologist paha.

Ma hope o ke kau ʻana o ke awa, e ʻike wale paha ʻoe i kahi puʻupuʻu liʻiliʻi. ʻAʻole e loaʻa kahi huelo catheter ma waho o ke kino. Ke hiki i ka manawa e hoʻohana ai i ke awa, e hoʻopili ʻia kou ʻili me kahi kalima a e hoʻokomo ʻia kahi nila kuikawa ma o ka ʻili i ka sila o ka lākeke. (Kapa ʻia kēia ke komo ʻana i ke awa.)

PICC vs. awa

ʻOiai he like ke kumu o nā laina PICC a me nā awa, aia kekahi mau ʻokoʻa ma waena o lākou.

• Hiki i nā laina PICC ke noho i loko no kekahi mau pule a mau mahina paha. Hiki i nā awa ke noho i ka wā e pono ai ʻoe i ka lapaʻau, a i mau makahiki.
• Pono nā laina PICC i ka hoʻomaʻemaʻe kūikawā a me ka holoi ʻana i kēlā me kēia lā. Heʻuʻuku ka mālama ʻana me nā awa ʻoiai ma lalo o ka ʻili. Pono e hoʻokuʻu ʻia nā awa i hoʻokahi manawa i ka mahina e pale ai i ka hoʻopili ʻana.
• ʻAʻole ʻae ʻia nā laina PICC e pulu. Pono ʻoe e uhi iā ia me nā mea wai ke ʻauʻau ʻoe, a ʻaʻole hiki iā ʻoe ke hele i ka ʻauʻau. Me kahi awa, hiki iā ʻoe ke ʻauʻau a ʻauʻau ke ola hou kahi.

I mea e loaʻa ai kahi manaʻo maikaʻi aʻe no ka loaʻa ʻana o kahi CVC iā ʻoe, makemake paha ʻoe e nīnau i kāu oncologist i kēia mau nīnau.

• No ke aha ʻoe e paipai nei e loaʻa iaʻu kahi catheter a i ʻole awa?
• He aha nā pilikia e hiki ke hiki mai me PICC a i ʻole awa?
• He ʻeha ka hoʻokomo ʻana i ka catheter a i ʻole awa?
• E uhi anei kaʻu ʻinikua olakino i nā koina a pau no kēlā me kēia hāmeʻa?
• Pehea ka lōʻihi o ka waiho ʻana o ka catheter a i ʻole ke awa?
• Pehea wau e mālama ai i ka catheter a i ʻole awa?

Hana pū me kāu hui hana oncology e hoʻomaopopo i nā pono āpau a me nā pilikia o nā hāmeʻa CVC.