7 Zvinhu Zvikuru Zvekusarudza Implantable Port vs PICC Line

Kurapwa kwegomarara kunowanzoda kuwana kwenguva yakareba venous kuwana chemotherapy, chikafu, kana infusion yemishonga. Iwo maviri akajairika vascular access zvishandiso anoshandiswa kune izvi zvinangwa ndeayaPeripheraly Insested Central Catheter(PICC mutsara) uye iyoInodyarwa Port(inozivikanwawo sechemo port kana port-a-cath).

Ose ari maviri anoshanda basa rimwe chete - achipa nzira yakavimbika yemishonga muropa - asi anosiyana zvakanyanya maererano nehurefu, nyaradzo, kuchengetedza, uye njodzi. Kunzwisisa misiyano iyi kunobatsira varwere nevarapi vehutano kusarudza sarudzo yakakodzera kwazvo.

Chii chinonzi PICCs uye Implantable Ports? Ndeipi Iri Nani?

Mutsetse wePICC itambo refu, inochinjika, inopinzwa nemutsinga muruwoko rwepamusoro uye ichienda patsinga hombe iri pedyo nemoyo. Inopa mukana wakananga kune yepakati kutenderera uye iri chikamu chekunze, ine chikamu chinooneka chetubing kunze kweganda. Mitsetse yePICC inowanzoshandiswa pakurapa kwenguva pfupi-kusvika pakati-kati, senge mishonga inorwisa mabhakitiriya, IV chikafu, kana chemotherapy inotora mavhiki akati wandei kusvika kumwedzi mishoma.

Chiteshi chinosimwa chinhu chidiki chekurapa chinoiswa pasi peganda, kazhinji muchipfuva chepamusoro. Iyo ine dura (chiteshi) chakabatanidzwa kune catheter inopinda mukati mevheini. Chiteshi chengarava chinosvikwa neHuber tsonopainodiwa pamushonga kana ropa rinokweva uye rinoramba rakavharwa uye risingaoneki pasi peganda risiri kushandiswa.

Kana tichienzanisa inodyarwa chiteshi vs PICC mutsara, iyo PICC mutsara inopa kuiswa nyore uye kubviswa kwenguva pfupi kurapwa, nepo chiteshi chekudyara chinopa kunyaradza kuri nani, kuderera kwehutachiwana hwehutachiwana, uye kusimba kwenguva refu kweanoenderera kurapwa senge chemotherapy.

7 Zvinhu Zvikuru Zvekusarudza Implantable Port vs PICC Line

1. Nguva yeKuwana: Nguva Yenguva pfupi, Yepakati-Yenguva, Yakareba-Nguva

Nguva inotarisirwa yekurapa ndiyo yekutanga kufunga.

PICC Mutsetse: Yakanakira yenguva pfupi- kusvika yepakati-nguva yekuwana, kazhinji kusvika kumwedzi mitanhatu. Zviri nyore kuisa, hazvidi kuvhiyiwa, uye zvinogona kubviswa padivi pemubhedha.
Implantable Port: Yakanakira kurapwa kwenguva refu, mwedzi inogara kana makore. Inogona kuramba yakasimwa zvakachengeteka kwenguva yakareba, ichiita kuti ive yakakodzera kune varwere vari kudzokororwa chemotherapy kutenderera kana kwenguva refu infusions yemishonga.

Kazhinji, kana kurapwa kuchitarisirwa kugara kwenguva yakareba kupfuura mwedzi mitanhatu, chiteshi chekudyara ndicho sarudzo iri nani.

2. Daily Maintenance

Zvido zvekuchengetedza zvinosiyana zvakanyanya pakati pemidziyo miviri iyi yevascular access.

PICC Mutsetse: Inoda kugara uchitsvaira uye kuchinja kupfeka, kazhinji kamwe pasvondo. Nemhaka yokuti ine chikamu chekunze, varwere vanofanira kuchengetedza nzvimbo yacho yakaoma uye yakachengetedzwa kudzivirira utachiona.
Implantable Port: Inoda kugadziridzwa kushoma kana iyo incision yapora. Kana isiri kushandiswa, inongoda kugezeswa kwega kwega mavhiki 4-6. Sezvo yakanyatsoiswa pasi peganda, varwere vane zvirambidzo zvishoma zvezuva nezuva.

Kune varwere vanotsvaga kurerukirwa uye kuderera kwekugadzirisa, iyo inosimwa chiteshi inonyatso kukwira.

3. Mararamiro uye Nyaradzo

Mararamiro maitiro ndeimwe yakakosha yekutarisisa kana uchisarudza pakati pePICC yekuwana mudziyo uye chiteshi chinoisirwa.

PICC Mutsetse: Iyo yekunze tubing inogona kudzikamisa zviitiko zvakaita sekushambira, kugeza, kana mitambo. Vamwe varwere vanozviona zvisina kugadzikana kana kuzvidzora nekuda kwekuonekwa uye kupfeka zvinodiwa.
Implantable Port: Inopa kunyaradza kukuru uye rusununguko. Kana yangoporeswa, haioneki zvachose uye haikanganisi mabasa mazhinji ezuva nezuva. Varwere vanogona kugeza, kushambira, uye kurovedza muviri pasina kunetseka nezvemudziyo.

Kune varwere vanokoshesa kunyaradzwa uye mararamiro anoshingaira, chiteshi chinoiswa chinopa mukana wakajeka.

4. Kutapurirwa Ngozi

Nekuti zvese zviri zviviri zvinopa mukana wakananga kuropa, kutonga kwehutachiona kwakakosha.

PICC Line: Inotakura njodzi yakanyanya yekutapukirwa, kunyanya kana ikashandiswa kwenguva yakareba. Chikamu chekunze chinogona kupinza mabhakitiriya muropa.
Inodyarwa Port: Iine njodzi yakaderera yehutachiona nekuti yakafukidzwa zvachose neganda, ichipa yakasikwa chipingamupinyi chekudzivirira. Zvidzidzo zvekiriniki zvakaratidza kuti zviteshi zvine hutachiona hushoma hune chekuita neropa kupfuura maPICC.

Nekushandisa kwenguva refu, chiteshi chinoiswa chinotaridzwa sarudzo yakachengeteka.

5. Mutengo uye Inishuwarenzi

Kufunga kwemitengo kunosanganisira kuiswa kwekutanga uye kuchengetedza kwenguva refu.

PICC Line: Kazhinji yakachipa kuisa sezvo isingade kuvhiyiwa. Nekudaro, mari dzekuchengetedza dzinoenderera - dzinosanganisira kuchinja kwekupfeka, kushanya kwekiriniki, uye kutsiva kwekupa - dzinogona kuwedzera nekufamba kwenguva.
Inodyarwa Port: Iine mutengo wepamusoro wepamberi nekuti inoda kuisirwa kudiki kwekuvhiyiwa, asi inodhura-inoshanda pakurapa kwenguva refu nekuda kwekudzikiswa kwezvinodiwa.

Zvizhinji zvezvirongwa zveinishuwarenzi zvinovhara zvese zvishandiso sechikamu chezvekurapa mudziyo mari yechemotherapy kana IV kurapwa. Iyo yakazara mutengo-inoshanda zvinoenderana nekuti iyo mudziyo ichadikanwa kwenguva yakareba sei.

6. Nhamba yeLumens

Huwandu hwemalumens hunotaridza kuti mingani mishonga kana zvinwiwa zvinogona kuendeswa panguva imwe chete.

PICC Mitsetse: Inowanikwa mune imwe chete, kaviri, kana katatu-lumen sarudzo. Multi-lumen PICCs yakanakira varwere vanoda kuwanda infusions kana kazhinji kudhirowa ropa.
Inodyarwa Ports: Kazhinji single-lumen, asi mbiri-lumen ports inowanikwa kune yakaoma chemotherapy regimens.

Kana murwere achida mishonga yakawanda infusions panguva imwe chete, PICC yakawanda-lumen inogona kunge iri nani. Kune yakajairwa chemotherapy, imwe-lumen inoisirwa chiteshi inowanzokwana.

7. Catheter Diameter

Iyo catheter dhayamita inokanganisa kumhanya kwemvura infusion uye kunyaradza kwemurwere.

PICC Mitsetse: Kazhinji ine yakakura yekunze dhayamita, iyo dzimwe nguva inogona kukonzera kutsamwa kwetsinga kana kuderedza kuyerera kweropa kana ikashandiswa kwenguva refu.
Inodyarwa Ports:Shandisa diki uye yakapfava catheter, isinganyanye kutsamwisa kune tsinga uye inobvumira kushandiswa kwakagadzikana kwenguva refu.

Kune varwere vane tsinga diki kana avo vanoda kurapwa kwenguva refu, chiteshi chinoisirwa chinowanzo kuve chinoenderana uye chisingapindike.

Mhedziso

Kusarudza pakati pemutsara wePICC uye chiteshi chinosimwa zvinoenderana nezvakati wandei zvekiriniki uye zvemunhu - nguva yekurapa, kugadzirisa, kunyaradza, njodzi yehutachiona, mutengo, uye zvinodiwa pakurapa.

Mutsara wePICC wakanakira kurapwa kwenguva pfupi- kana yepakati, uchipa kuiswa nyore uye kuderera kwepamusoro mutengo.
Chiteshi chinosimwa chiri nani chenguva refu chemotherapy kana kugara uchiwana vascular kuwana, ichipa nyaradzo yepamusoro, gadziriso shoma, uye mashoma matambudziko.

Ose ari maviri akakoshavascular access devicesizvo zvinovandudza kunaka kwekutarisirwa kwevarwere. Sarudzo yekupedzisira inofanirwa kuitwa mukubvunzana nevarapi vehutano, kuve nechokwadi chekuti mudziyo unoenderana nezvinodiwa zvekurapa uye mararamiro emurwere.