Midline venous catheters - ụmụ ọhụrụ

Ihe nkedo a na-enweta nke etiti bụ ogologo (sentimita 3 ruo 8, ma ọ bụ asaa ruo 7 sentimita 20) nke rọba rọba nke dị n’ime obere arịa ọbara. Isiokwu a na-ekwu banyere catheters midline na ụmụ aka.

GYN IS B IS N’ ISBATRAT N’ATLỌ AKWIDKWỌ AKWIDKWỌ AHID?

A na-eji catheter etiti dị n'etiti etiti mgbe nwa ọhụrụ chọrọ mmiri mmiri IV ma ọ bụ ọgwụ ogologo oge. IVs mgbe nile na-adịgide naanị 1 ruo ụbọchị 3 ma ọ dị mkpa iji dochie ya mgbe mgbe. Midhe catheters nwere ike ịnọ n'ime izu 2 ruo 4.

A na-ejikarị ndị na-elekọta midline eme ihe ugbu a n'ọnọdụ:

• Ihe nhicha n'ime eriri nwa, nke enwere ike idowe obere oge ka amuchara nwa, mana o nwere nsogbu
• Usoro nke ikuku, nke etinye ya na nnukwu akwara dị nso n'obi, mana ọ nwere ihe egwu
• Ejiri etinyere etinyere n'ahịrị (PICCs), nke na-erute nso n'obi, mana ọ nwere ihe egwu

Ebe ọ bụ na ndị catheter dị n’etiti anaghị erute armpi ahụ, a na-ahụta ha ka ọ dị nchebe. Agbanyeghị, enwere ike ịnwe ọgwụ ọgwụ IV anaghị enyere gị aka site na midụ catheter. Ọzọkwa, a naghị adụpụta ọbara na-aga n'ihu na-adụ ọdụ site na catheter midline, ma ọ bụghị ụdị dị iche iche nke catheters.

Kedụ ka esi etinye ụlọ nnabata?

A na-etinye catheter midline n'ime akwara aka, ụkwụ, ma ọ bụ, mgbe ụfọdụ, ntutu nwa ọhụrụ.

Onye nlekọta ahụike ga:

• Debe nwa ọhụrụ ahụ na tebụl nyocha
• Nata enyemaka site na ndi oru ndi ozo zụrụ azụ ndi ga enyere aka mee ka obi nwa ọhụrụ biaru nkasi obi
• Kpọọ ebe a ga-etinye catheter ahụ
• Jiri ọgwụ na-egbu nje (antiseptic) hichaa anụ ahụ nwa ọhụrụ.
• Mee obere ịwa ahụ ma tinye agịga oghere n'ime obere akwara na ogwe aka, ụkwụ, ma ọ bụ isi
• Debe catheter midline site na agịga n'ime eriri buru ibu wee wepu agịga ahụ
• Bandeeji ebe etinyere catheter

GN ARE B THE ihe ọghọm dị n’inwe ụlọ nnụnụ etiti?

Ihe ize ndụ nke midhete catheterization:

• Ofufe Ọrịa. Ihe egwu di obere, ma na abawanye oge midhe catheter na ano.
• Ọbara ọgbụgba na ọnya na saịtị nke ntinye.
• Mbufụt nke akwara (phlebitis).
• Mgbanwe nke catheter a enweghi ebe, obula n’ime akwara.
• Mmiri mmiri si na catheter n'ime anụ ahụ nwere ike ibute ọzịza na ọbara ọbara.
• Gbaji nke catheter n'ime akwara (dị obere).

Medial venous catheter - ụmụ ọhụrụ; MVC - ụmụ ọhụrụ; Midline catheter - umuaka; ML catheter - ụmụ ọhụrụ; ML - ụmụ ọhụrụ

Websitelọ Ọrụ maka Nchịkwa na Mgbochi Ọrịa na ebe nrụọrụ weebụ. Ntuziaka maka igbochi ọrịa ndị metụtara ọrịa catheter (2011). www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Emelitere July 2017. Nweta July 30, 2020.

Chenoweth KB, Guo JW, Chan B. Mgbatị a na-ebipụta n'akụkụ ikuku bụ ụzọ ọzọ nke nnweta intanetị NICU. Adv Neonatal Nlekọta. 2018; 18 (4): 295-301. PMID: 29847401 pubmed.ncbi.nlm.nih.gov/29847401/.

Witt SH, Carr CM, Krywko DM. Wba n'ime ngwaọrụ nnweta: ohere mberede na njikwa. Na: Roberts JR, Custalow CB, Thomsen TW, eds. Usoro ọgwụgwọ Clinical nke Roberts na Hedges na Medicine Mberede na Nnukwu Nlekọta. Nke 7. Philadelphia, PA: Elsevier; 2019: isi 24.