7 Ngā Take Matua mō te Kōwhiri i te Tauranga Implantable me te Raina PICC

He maha ngā wā ka hiahiatia he urunga uaua mō te wā roa ki te rongoā matepukupuku mō te chemotherapy, te kai, te werohanga rongoā rānei. Ko ngā taputapu urunga toto e rua e whakamahia whānuitia ana mō ēnei kaupapa ko teTātari Waenga i Whakauruhia ki te taha(raina PICC) me teTauranga Whakatō(e mōhiotia ana ko te chemo port, ko te port-a-cath rānei).

He rite tonu te mahi a ngā mea e rua — arā, te whakarato i tētahi ara pono mō te rongoā ki roto i te toto — engari he rerekē rawa te roa, te whakamarie, te tiaki, me te mōrearea. Mā te mārama ki ēnei rerekētanga ka āwhina i ngā tūroro me ngā kaiwhakarato hauora ki te whiriwhiri i te kōwhiringa tino tika.

He aha ngā PICC me ngā tauranga whakatō? Ko tēhea te mea pai ake?

He kātetere roa, ngāwari te aho PICC e whakaurua ana mā roto i tētahi uaua i te ringa o runga, ka anga whakamua ki tētahi uaua nui e tata ana ki te ngākau. Ka whakaratohia he urunga tika ki te tohanga toto matua, ā, he wāhanga kei waho, me tētahi wāhanga ngongo e kitea ana i waho o te kiri. He mea noa te whakamahi i ngā aho PICC mō ngā maimoatanga poto ki te wā waenga, pērā i ngā paturopi, te kai IV, te chemotherapy rānei e roa ana mō ētahi wiki ki ētahi marama.

He taputapu hauora iti te pūwero ka taea te whakatō, ka whakatakotoria katoatia ki raro i te kiri, i te nuinga o te wā i te uma o runga. Kei roto he puna wai (te pūwero) e hono ana ki te catheter e tomo ana ki te uaua pokapū. Ka uru atu ki te pūwero mā teNgira Huberina hiahiatia mō te rongoā, mō te tango toto rānei, ā, ka noho kati, ka kore e kitea i raro i te kiri ina kore e whakamahia.

Ina whakatauritea te tauranga whakauru me te raina PICC, ka māmā ake te whakatakotoranga me te tango i te raina PICC mō te rongoā wā poto, engari ka pai ake te whakamarie o te tauranga whakauru, ka iti ake te mōrearea o te mate, ā, ka roa te mau o ngā maimoatanga tonu pēnei i te chemotherapy.

7 Ngā Take Matua mō te Kōwhiri i te Tauranga Implantable me te Raina PICC

1. Te Roanga o te Whakaurunga: Te Wā Poto, Te Wā Waenga, Te Wā Roa

Ko te roa o te maimoatanga e tumanakohia ana ko te mea tuatahi hei whakaaroaro.

Raina PICC: He pai mō te wā poto ki te wā waenga, tae atu ki te ono marama te roa. He māmā noa te whakauru, kāore e hiahiatia he pokanga, ā, ka taea te tango i te taha o te moenga.
Pūwero Whakatō: He pai mō te rongoā roa, he marama, he tau rānei te roa. Ka taea te noho haumaru ki roto mō ngā wā roa, ā, he pai mō ngā tūroro e pangia ana e ngā huringa rongoā maha, e pangia ana rānei e ngā rongoā roa.

I te nuinga o te wā, ki te roa atu i te ono marama te roa o te maimoatanga, he pai ake te whakamahi i tētahi tauranga whakatō.

2. Te Tiaki i ia Rā

He rerekē rawa ngā whakaritenga tiaki i waenga i ēnei taputapu urunga toto e rua.

Raina PICC: Me horoi me te whakawhiti kakahu i ia wā, kotahi i te wiki te nuinga. Nā te mea he wāhanga o waho tōna, me pupuri e ngā tūroro te wāhi kia maroke, kia tiakina hoki kia kore ai e pangia e te mate.
Putanga Tāuranga: Kāore e hiahiatia he tiaki nui ina ora te motu. Mēnā kāore e whakamahia ana, me horoi noa i ia 4–6 wiki. Nā te mea kua tāuranga katoatia ki raro i te kiri, he iti ake ngā here o ia rā mō ngā tūroro.

Mō ngā tūroro e rapu ana i te ngāwari me te iti o te tiaki, he tino pai ake te tauranga whakauru.

3. Te Āhua Noho me te Whakamarie

Ko te pānga ki te āhua o te noho tētahi atu whakaaro nui ina whiriwhiri ana i waenga i te taputapu urunga PICC me te tauranga whakauru.

Raina PICC: Ka taea e te ngongo o waho te whakawhāiti i ngā mahi pēnei i te kaukau, te kaukau, te hākinakina rānei. Ki ētahi tūroro he mea whakamā, he mea whakama rānei nā te mea he uaua ki te kite me te whakakakahu.
Putanga Tāuranga: Ka nui ake te whakamarie me te herekore. Kia ora, ka kore e kitea, ā, kāore e whakararuraru i te nuinga o ngā mahi o ia rā. Ka taea e ngā tūroro te kaukau, te kaukau, me te whakakorikori tinana me te kore e manukanuka ki te taputapu.

Mō ngā tūroro e whakanui ana i te whakamarie me te noho hihiri, he tino painga te tauranga whakauru.

4. Te Mōrearea o te Mate Pāwera

Nā te mea ka taea e ngā taputapu e rua te uru tika ki te toto, he mea tino nui te whakahaere i te mate urutā.

Raina PICC: He nui ake te mōrearea o te mate, inā koa mēnā ka whakamahia mō te wā roa. Ka taea e te wāhanga o waho te whakauru i ngā huakita ki roto i te toto.
Pūwero Whakatō: He iti ake te tūponotanga o te mate nā te mea kua kapi katoa i te kiri, ā, he ārai tiaki taiao. Kua whakaatuhia e ngā rangahau haumanu he iti ake ngā mate toto e pā ana ki te catheter i ngā pūwero PICC.

Mō te whakamahinga mō te wā roa, e kiia ana ko te tauranga whakatō te kōwhiringa haumaru ake.

5. Te Utu me te Inihuarangatia

Ko ngā whakaaro ki te utu ko te whakatakotoranga tuatahi me te tiaki mō te wā roa.

Raina PICC: He iti ake te utu mō te whakauru nā te mea kāore e hiahiatia he pokanga. Heoi anō, ka piki ake pea ngā utu tiaki tonu — tae atu ki te whakawhiti kakahu, te toro atu ki te whare hauora, me te whakakapinga o ngā taonga — i roto i te wā.
Te Pūwero Whakatō: He nui ake te utu i te tīmatanga nā te mea he pokanga iti noa iho e hiahiatia ana, engari he pai ake te utu mō ngā maimoatanga roa nā te mea he iti ake ngā hiahia tiaki.

Ko te nuinga o ngā mahere inihua ka hipoki i ngā taputapu e rua hei wāhanga o ngā whakapaunga taputapu hauora mō te chemotherapy, te IV therapy rānei. Ko te whai huatanga katoa e whakawhirinaki ana ki te roa o te wā e hiahiatia ai te taputapu.

6. Te maha o ngā Lumens

Ko te maha o ngā lumens e whakatau ana i te maha o ngā rongoā, o ngā wai rānei ka taea te tuku i te wā kotahi.

Ngā Raina PICC: E wātea ana i roto i ngā kōwhiringa kotahi, takirua, takitoru rānei. He pai ngā PICC maha-lumen mō ngā tūroro e hiahia ana kia maha ngā werohanga, kia maha rānei ngā tango toto.
Ngā Putanga Whakatō: Ko te tikanga kotahi-lumen, ahakoa e wātea ana ngā putanga rua-lumen mō ngā tikanga rongoā matū uaua.

Mena me werohia he rongoā maha ki te tūroro i te wā kotahi, he pai ake te whakamahi i te PICC maha-lumen. Mō te rongoā chemotherapy paerewa, he rawaka te whakamahi i te putanga kotahi-lumen ka taea te whakauru.

7. Te Diameter o te Catheter

Ka pā te whānui o te katitere ki te tere o te werohanga wai me te whakamarie o te tūroro.

Ngā Raina PICC: He nui ake te whānui o waho, ā, i ētahi wā ka pāngia ngā uaua e te mumura, ka whakawhāiti rānei i te rere o te toto mēnā ka whakamahia mō te wā roa.
Ngā Putanga Tāurunga: Whakamahia he catheter iti ake, maeneene ake hoki, e kore e tino whakapataritari i te uaua, ā, e pai ake ai te whakamahinga mō te wā roa.

Mō ngā tūroro he iti ake ō rātou uaua, e hiahia ana rānei kia roa te wā e rongoatia ai, he pai ake te hototahi o te tauranga whakauru, ā, he iti ake te pokanoa.

Whakamutunga

Ko te whiriwhiri i waenga i te aho PICC me te tauranga whakatō ka whakawhirinaki ki ētahi āhuatanga haumanu me ngā āhuatanga whaiaro - te roa o te maimoatanga, te tiaki, te whakamarie, te mōrearea o te mate, te utu, me ngā whakaritenga hauora.

He pai te raina PICC mō te rongoā poto, waenga rānei, he māmā te whakatakotoranga me te iti o te utu i mua.
He pai ake te tauranga whakatō mō te rongoā mate pukupuku mō te wā roa, mō te urunga auau rānei ki ngā oko toto, he pai ake te whakamarie, he iti noa te tiaki, ā, he iti ake ngā raruraru.

He mea nui ngā mea e ruangā taputapu urunga totoe whakapai ake ana i te kounga o te tiaki tūroro. Me mahi te kōwhiringa whakamutunga i runga i te kōrero tahi me ngā tohunga hauora, kia mōhio ai ka tutuki te taputapu i ngā hiahia hauora me te āhua noho o te tūroro.