PICC
Bidiyo
Cikakken Bayani
BAYANI
CATHTONG ™ II PICC Catheter an yi niyya ne don samun damar gajeriyar hanya ko na dogon lokaci zuwa tsarin jijiya ta tsakiya don jiko, jiyya na jijiya, samfurin jini, allurar wutar lantarki ta kafofin watsa labarai daban-daban, sarrafa ruwa, magunguna da abubuwan gina jiki, kuma yana ba da damar saka idanu kan matsa lamba ta tsakiya. CATHTONG™ II PICC Catheter an nuna shi don ɗan gajeren lokaci ko fiye da kwanaki 30.
ILLAR WUTA
CATHTONG™ II Catheter an ƙera shi tare da ƙarfin allurar wuta. Injection na wutar lantarki yana ba da damar allurar kafofin watsa labarai masu bambanci a cikin adadin 5.0 ml/sec. Wannan fasalin yana ba da damar yin amfani da layin PICC don Ƙarfafa Ƙarfafa CT (CECT) Hoto.
DUAL LUMEN DESIGN
Tsarin lumen dual yana ba da damar yin amfani da nau'ikan jiyya guda biyu a lokaci guda ba tare da shigar da catheters da yawa ba. Bugu da ƙari, CATHTONG™ II yana fasalta nau'ikan diamita na lumen daban-daban don samar da ƙimar kwarara mai yawa.
Siffofin
| · | Sauƙin ganewa |
| Takamaiman share fage akan matsi da bututun tsawaita suna ba da izini don sauƙin gano matsakaicin adadin kwarara da damar allurar wuta | |
| · | Alamomi |
| Alamar kowane 1 cm tare da jikin catheter | |
| · | Yawanci |
| Ƙirar lumen dual yana ba da damar yin amfani da na'ura guda ɗaya don magunguna da yawa | |
| · | daidaitacce |
| Za a iya gyara jikin 55 cm zuwa tsayin da ake so | |
| · | Karfi da Dorewa |
| Jikin catheter da aka yi ta amfani da polyurethane |
PICC
Siga
| SKU/REF | Lumen | Girman Catheter | Yawan Gudun Nauyi | Matsi mafi girma | Matsakaicin Matsakaicin Ruwa | Ƙimar Ƙarfafawa | Girman Ma'aunin Lumen |
| 4141121 | Single | 4 Fr | 15.5 ml/min | 244p ku | 5.0 ml/s | <0.6 ml | 18 Ga |
| 5252121 | Dual | 5 Fr | 8 ml/min | 245p ku | 5.0 ml/s | <0.5 ml | 18 Ga |
KATIN PICC YA HADA
Layin PICC
• Na'urar Tsantar da catheter
Bayani don Amfani (IFU)
• Catheter IV tare da allura
• Scalpel, aminci
• Allura mai gabatarwa
• Micro-Access tare da Dilator
• Guidewire
• MicroClave®
Game da PICC
Idan kuna amfani da PICC, ya kamata ku yi hankali kada ku motsa hannunku da yawa ko kuma da ƙarfi yayin amfani don hana catheter daga fadowa ko karye; Bugu da ƙari, zubar da bututu kuma canza membrane sau ɗaya a mako (da ma'aikacin jinya), kuma a yi ƙoƙarin amfani da shawa don wanka. Ya kamata a maye gurbin daɗaɗɗen membrane a cikin lokaci don hana catheter daga toshewa ko kamuwa da fata da jini a wurin da aka sanya catheter. Idan ana kula da PICC da kyau, ana iya amfani da ita gabaɗaya sama da shekara 1, wanda ya isa a kula dashi har zuwa ƙarshen chemotherapy.
1. Zabin Jijiya
PICC catheters yawanci ana sanya su a cikin jijiyoyi masu tsada na kubital fossa, tsakiyar cubital vein, da jijiyar cephalic. Ana saka catheter kai tsaye a cikin maɗaukakin vena cava. Bukatar zabar jigon jini tare da sassauci mai kyau da gani.
2. Alamu don shigar da PICC
(1) Wadanda ke buƙatar jiko na dogon lokaci na jijiya, amma yanayin jijiyoyin sama na waje ba shi da kyau kuma ba shi da sauƙi a samu nasarar huda;
(2) Wajibi ne a maimaita shigar da magunguna masu kara kuzari, kamar magungunan chemotherapy;
(3) Shigar da dogon lokaci na magunguna tare da haɓaka mai girma ko babban danko, irin su sukari mai yawa, emulsion mai mai, amino acid, da sauransu;
(4) Wadanda suke buƙatar yin amfani da matsa lamba ko matsa lamba don jiko da sauri, kamar famfo na jiko;
(5) Maimaita ƙarin ƙarin kayan jini, kamar duka jini, plasma, platelet, da sauransu;
(6) Masu buƙatar gwajin jini da yawa a rana.
3. Abubuwan da ke haifar da catheterization na PICC
(1) Yanayin jiki na majiyyaci ba zai iya jure wa aikin intubation ba, kamar cikas ga tsarin coagulation na jini, kuma waɗanda ke da rigakafi ya kamata su yi amfani da shi da hankali;
(2) Wadanda aka sani ko ake zargi da rashin lafiyan abubuwan da ke cikin catheter;
(3) Tarihin rediyon rediyo a wurin da aka shirya intubation a baya;
(4) Tarihin da ya gabata na phlebitis da thrombosis na jini, tarihin rauni, da tarihin tiyata na jijiyoyin jini a wurin da aka tsara;
(5) Abubuwan nama na gida waɗanda ke shafar kwanciyar hankali ko patency na catheter.
4. Hanyar aiki
Mai haƙuri yana ɗaukar matsayi na kwance kuma yana auna tsawon majiyyaci daga wurin huda zuwa mafi girman vena cava tare da tef ɗin aunawa. Yawanci shine 45 ~ 48cm. Bayan an zaɓi wurin huda, ana ɗaure taron yawon shakatawa kuma ana kashe shi akai-akai. Ana aiwatar da huda jijiyar bugun jini na PICC bisa ga umarnin, kuma ana kiyaye shi gwargwadon yanayin majiyyaci. Tsawon catheter, fim ɗin X-ray bayan huda, ana iya amfani da shi bayan tabbatar da cewa yana cikin mafi girma vena cava.
Amfanin PICC
(1) Domin wurin huda yana cikin jijiya na sama lokacin da aka shigar da PICC, ba za a sami wasu matsaloli masu cutar da rayuwa kamar su pneumothorax na jini, babban huda jini, kamuwa da cuta, kumburin iska, da dai sauransu, kuma zabin hanyoyin jini yana da girma, kuma yawan nasarar huda yana da yawa. Ba a iyakance motsin gabobi a wurin huda ba.
(2) Zai iya rage radadin da ake samu ga marasa lafiya saboda maimaitawar venipuncture, hanyar aiki mai sauƙi ne kuma mai sauƙi, kuma ba'a iyakance shi ta lokaci da wuri ba, kuma ana iya sarrafa shi kai tsaye a cikin ɗakin.
(3) Kayan catheter na PICC an yi shi ne da polyurethane na musamman, wanda ke da ingantaccen histocompatibility da yarda. Catheter yana da taushi sosai kuma bai kamata a karye ba. Ana iya barin shi a cikin jiki tsawon watanni 6 zuwa shekara 1. Hanyoyin rayuwa na marasa lafiya bayan catheterization ba su da tasiri ba.
(4) Saboda catheter na iya shiga cikin maɗaukakiyar vena cava kai tsaye, inda jini ya yi yawa, zai iya rage saurin osmotic matsa lamba ko ciwon nama na gida, necrosis, da phlebitis da ke haifar da magungunan chemotherapy.
Marasa lafiyan da aka fara shigar da su da wuri ba za su fuskanci lalacewar jijiyoyi ba a lokacin chemotherapy, tabbatar da cewa akwai kyakkyawar hanyar jijiyar jijiya yayin chemotherapy kuma ana iya kammala maganin cutar cikin nasara. Ya zama dacewa, mai aminci, mai sauri da inganci hanyar shiga cikin jijiya don tallafin abinci mai gina jiki na dogon lokaci na cikin jijiya da magunguna ga marasa lafiya masu fama da cutar sankarau.
Zubar da toshewa
Idan an toshe bututun PICC ba da gangan ba, ana iya amfani da dabarar matsa lamba mara kyau don allurar urokinase 5000u/ml da aka diluted, 0.5ml a cikin lumen PICC, zauna na mintuna 15-20 sannan a janye tare da sirinji. Idan an fitar da jinin, yana nufin cewa thrombosis ya yi nasara. Idan ba a fitar da jini ba, ana iya maimaita aikin da ke sama akai-akai don sanya urokinase ya zauna a cikin catheter na wani ɗan lokaci har sai an fitar da jini. Ya kamata a lura cewa yawan adadin urokinase bai kamata ya wuce 15000u ba. Bayan catheter ba tare da toshewa ba, cire 5ml na jini don tabbatar da cewa an cire duk magunguna da gudan jini.
Gabaɗaya kulawa
Dole ne a canza suturar sa'o'i 24 na farko. Bayan raunin ya warke sosai kuma babu kamuwa da cuta ko zubar jini, canza sutura kowane kwana 7. Idan rigar rauni ta sako-sako da dauri, canza shi a kowane lokaci. Idan wurin huda yana da ja, kurji, exudation, allergies da sauran yanayi mara kyau, za a iya rage lokacin sutura, kuma ya kamata a ci gaba da lura da canje-canje na gida. Yi aikin aseptic sosai duk lokacin da aka canza sutura. Fim ɗin ya kamata a cire daga ƙasa zuwa sama, kuma a kula da gyara catheter don hana faɗuwa. Yi rikodin kwanan wata bayan maye gurbin. Lokacin da yara suka yi wanka, ku nannade wurin huda da filastik kunsa, kuma canza sutura bayan wanka.
Kafin amfani da jiko na PICC, yi amfani da swab auduga iodophor don goge hular heparin na tsawon daƙiƙa 30. Kafin da kuma bayan jiyya na cikin jijiya, yi amfani da sirinji na ƙasa da 10ml don zana gishiri na yau da kullun don zubar da lumen. Bayan an zubar da ruwa mai yawa kamar samfuran jini da mafita na gina jiki, zubar da bugun jini na bututu tare da 20ml na saline na yau da kullun. Idan adadin jiko ya yi jinkiri ko na dogon lokaci, ya kamata a zubar da bututun tare da saline na yau da kullun yayin amfani don hana bututun daga toshewa.