Li-catheters tsa maqhubu a mahareng - masea

Catheter ea maqhubu a mahareng e bolelele ba lisenthimithara tse 3 ho isa ho tse 8, kapa lisenthimithara tse 7 ho isa ho tse 20 e tšesaane, e bonolo ea polasetiki e kenngoang ka sejaneng se senyenyane sa mali. Sengoliloeng sena se bua ka li-catheters tsa midline ho masea.

KE HOBANE'NG HA MOSEBETSI OA MIDLINE VENOUS CATHETER O SEBELISA?

Ho sebelisoa catheter e mahareng ea venous ha lesea le hloka maro a IV kapa moriana nako e telele. Li-IV tse tloaelehileng li nka matsatsi a 1 ho isa ho a 3 feela mme li hloka ho nkeloa sebaka khafetsa. Li-catheters tsa Midline li ka lula libeke tse 2 ho isa ho tse 4.

Li-catheters tsa Midline joale li sebelisoa khafetsa sebakeng sa:

• Li-catheters tsa umbilical, tse ka behoang kapele kamora ho hlaha, empa li na le likotsi
• Litsela tsa maqhubu a bohareng, tse behiloeng mothapong o moholo haufi le pelo, empa li na le likotsi
• Li-catheters tse bohareng tse kentsoeng ka letsoho (PICCs), tse fihlang haufi le pelo, empa li na le likotsi

Hobane li-catheters tsa midline ha li fihle ka nqane ho mokokotlo, li nkuoa li sireletsehile. Leha ho le joalo, ho kanna ha ba le meriana ea IV e ke keng ea fetisoa ka catheter ea midline. Hape, khaello ea mali e tloahelehileng ha e eletsoe ho tsoa ho catheter ea midline, ho fapana le mefuta e bohareng ea li-catheters tse nang le venous.

MOKHATLO OA MIDLINE CATHETER O BEKOA JOANG?

Catheter ea midline e kenngoa methapong ea letsoho, leoto, kapa, ka linako tse ling, letlalo la lesea.

Mofani oa tlhokomelo ea bophelo o tla:

• Beha lesea tafoleng ea tlhahlobo
• Fumana thuso ho basebetsi ba bang ba koetlisitsoeng ba tla thusa ho khutsisa le ho tšelisa lesea
• Etsa bonnete ba sebaka seo catheter e tla beoa ho sona
• Hloekisa letlalo la lesea ka moriana o bolaeang likokoana-hloko (sebolaya-mafu)
• Etsa sekhahla se senyenyane sa ho buoa ebe u beha nale e sekoti ka har'a mothapo o monyane letsohong, leotong kapa hloohong
• Beha catheter ea midline ka nale ho kena mothapong o moholo ebe u tlosa nale
• Tlama sebaka seo catheter e kentsoeng ho sona

KE KOTSI EFE EA HO BA LE CATHETER EA MIDLINE?

Likotsi tsa catheterization ea venous ea midline:

• Tšoaetso. Kotsi e nyane, empa e eketsa nako e telele ha catheter ea midline e lula.
• Ho tsoa mali le ho longoa setsing sa kenyelletso.
• Ho ruruha ha mothapo (phlebitis).
• Tsamaiso ea catheter e tsoa sebakeng, esita le ka ntle ho mothapo.
• Metsi a tsoang ka catheter ho ea liseleng a ka lebisa ho ruruheng le ho ba khubelu.
• Ho roba catheter kahare ho mothapo (e sa tloaelehang haholo).

Catheter ea maqhubu a maqhubu - masea; MVC - masea; Catheter ea Midline - masea; ML catheter - masea; ML - masea

Litsi tsa Taolo le Thibelo ea Maloetse. Litaelo tsa thibelo ea tšoaetso e amanang le catheter e amanang le methapo ea methapo (2011). www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. E ntlafalitsoe ka Phupu 2017. E fihlile ka Phupu 30, 2020.

Chenoweth KB, Guo JW, Chan B. Mokhoa o atolositsoeng oa ho lula ka har'a catheter ke mokhoa o mong oa phihlello ea methapo ea NICU. Tlhokomelo ea Adv Neonatal. 2018; 18 (4): 295-301. PMID: 29847401 pubmed.ncbi.nlm.nih.gov/29847401/.

Mohloli SH, Carr CM, DM Krywko. Lisebelisoa tsa ho kena ka har'a methapo: phihlello ea tšohanyetso le taolo. Ka: Roberts JR, Custalow CB, Thomsen TW, li-eds. Mekhoa ea Tleliniking ea Roberts le Hedges ho Meriana ea Tšohanyetso le Tlhokomelo e Ntle. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 24.