Central Venus Catheter: Chinhu chakakosha

A Central Venus Catheter (CVC). IzviMedical mudziyoanoita basa rakakosha mukupa mishonga, mvura, uye michero zvakananga mumugwagwa, pamwe nekuongorora dzakasiyana-siyana dzehutano. Central Venus Cathers akakosha kuti vatore varwere vane chirwere chakakomba, avo vari kurapwa zvakaoma, kana vanhu vanoda kurapa kwenguva refu. Munyaya ino, isu tichaongorora chinangwa cheCentral Venus Catheters, mhando dzakasiyana, maitiro anobatanidzwa mukuisa kwavo, uye zvinogona kuitika.

Chinangwa cheCentral Venous Cathetters

Central Venus Cathers anoshandiswa kune akasiyana ezvikonzero zvekurapa, kusanganisira:

Administration yemishonga:Mimwe mishonga, yakadai se chemotherarapy zvinodhaka kana mishonga inorwisa mabhakitiriya, inogona kunge yakaomesesa yemidzi yePeripheral. A CVC inobvumira kuendesa kwakachengeteka kwemishonga iyi zvakananga kuita vini yakakura, kuderedza njodzi yekushatirisa vein.

Long-term iv Therapy:Varwere vanoda kwenguva refu intravenous (IV) kurapwa, kusanganisira mishonga inorwisa mabhakitiriya, kurwadzisa manejimendi, kana hutano (sekutora kwevabereki), inobatsira kubva kune mutsara wepakati, unopa kuwanikwa kwakasimba uye kwakasimba.

Fluid uye Ropa Chigadzirwa Administration:Mumamiriro ekukurumidzira kana manyorerwo emamiriro ezvinhu, CVC inoita kuti basa rekukurumidza remagetsi, zvigadzirwa zveropa, kana plasma, izvo zvinogona kuve zvinoponesa mumamiriro ezvinhu akaoma.

Kuenzanisira kweropa uye kuongorora:Central Velonus Cathetters inowanzo gomba reropa pasina kudzokorora tsotso. Ivo zvakare vanoshandawo pakuongorora pakati pehutano hwekumanikidza, kupa ruzivo rwekunzwisisa muchimiro chemurwere chemwoyo.

Diahsis kana Afresis:Mune varwere vane kutadza kweitsvo kana avo vanoda Afeeresis, rudzi rune hunyanzvi rweCVC runogona kushandiswa kuwana ropa reropa rekurapa kwedhiramu.

 

Mhando dzeCentral Venus Cathetters

Kune akati wandei marudzi eCentral venous machatadzo, imwe neimwe yakagadzirirwa chinangwa uye durations:

Picc mutsara (Peripherally akaisa Central Catheter):

Mutsara wepicc kureba, mutete, wakaumbwa mukatuni akaiswa kuburikidza nehombodo muruoko, kazhinji basilic kana cephalic vein, uye yakarongedzwa kune yepakati mheini pedyo nemoyo. Izvo zvinowanzoshandiswa pakati pekurapa kwenguva refu, kubva pamavhiki kusvika kumwedzi.
Picc mitsara iri nyore kuisa uye kubvisa, kuvaita sarudzo yakasarudzika yekuzvara kwenguva refu isingade kuiswa kwekuvhiya.

Asiri-Tunneled Cathers:

Izvi zvakanyatsoiswa muvhenekeri muhomwe (yemukati jugular), chest
Asina kugadziriswa CVCS haina kunaka kushandiswa kwenguva refu nekuda kwengozi yakakwira yehutachiona uye inowanzo bviswa kana mamiriro emurwere anokanganisa.
Tunneled Cathers:

Tunneled mabhatani akaiswa mune yepakati vein asi anodzurwa kuburikidza neyekutanga tunaki asati asvika iyo yekupinda pamba paganda. Iyo tunaki inobatsira kuderedza njodzi yekutapukirwa, kuvaita kuti vabatsire kushandiswa kwenguva refu, vakadai vari mumarwere kunoda kuti ropa riwedzere kuuraya kana kuenderera mberi chemotherapy.
Aya mabatirha anowanzove nekwigi inokurudzira kukura kwetishu, ichengetedze catheter munzvimbo.

Mbired ports (Port-A-Cath):

Chiteshi chakashongedzwa chidiki chidiki, chinotenderera chakaiswa pasi peganda, kazhinji muchipfuva. Catheter inomhanya ichibva pachiteshi kuenda kune yepakati vein. Zviteshi zvinoshandiswa kwenguva yakareba-refu yekupindirana senge chemotherapy, sezvazviri pasi peganda uye uine njodzi yakaderera yekutapukirwa.
Varwere vanofarira zvimiti zvekutarisira kwenguva refu nekuti ivo havana kuderera uye vanongoda tsvimbo yetsono panguva imwe neimwe yekushandisa.

Central venous Catheter maitiro
Iko kuiswa kweCentral Venous Catheter maitiro ekurapa ayo anosiyana zvichienderana nerudzi rwekathori iri kuiswa. Heano general general of the process:

1. Kugadzirira:

Pamberi pehunhu, nhoroondo yemurwere yemurwere inoongororwa, uye kubvumirwa kunowanikwa. Mhinduro yeAntiseptic inoshandiswa kune iyo nzvimbo yekuisa yekuisa kuti uderedze njodzi yekutapukirwa.
Yenzvimbo inesthetic kana sedation inogona kupihwa kuti ive nechokwadi chekunyaradza kwemurwere.
2. Catheter kuiswa:

Kushandisa Ultrasound kutungamirirwa kana anatomical landmarks, chiremba anoisa catheter mune yakakodzera vein. Panyaya yemutsara we picc, iyo catheter yakaiswa kuburikidza neparutivi mutserendende muruoko. Kune mamwe marudzi, epakati ekuwana mapoinzi akada senge subclavian kana yemukati maJugular veins anoshandiswa.
Iyo Catheter inokwiridzwa kusvikira yasvika panzvimbo yaunoda, kazhinji iyo yepamusoro vena yekava pedyo nemoyo. A x-ray kana fluoroscopy inowanzoitwa kuti uone kuti chinzvimbo cheCatheter.
3. Kuchengetedza Catheter:

Kana imwe catheter ichinge yabvumirwa nemazvo, inochengetedzwa neyakawisira, inonamatira, kana kupfeka kwakakosha. Tunneled mabhatani anogona kunge aine cuff kuti awedzere kuchengetedza mudziyo.
Iyo saiti yekuisa iri yakapfeka, uye iyo catheter yakavezwa ine saline kuti ive nechokwadi chekuti iri kushanda nemazvo.
4. Afterachare:

Kuchengeta kwakakodzera uye nguva dzose kupfeka shanduko dzakakosha kudzivirira hutachiona. Varwere nevanotarisira vanodzidziswa kuti vangatarisira sei catheter kumba kana zvichidikanwa.
Zvinogona kuitika
Nepo Central Venus Catheters zvinhu zvisingagoneki mukurapa, ivo havana njodzi. Zvimwe zvinogona kuitika zvinosanganisira:

1. Utachiona:

Iko kuzivikanwa kwakanyanya kutapukirwa kuchishurika panzvimbo yekuisa kana kutapukirwa kweropa (central mutsara-kusanganisa kweropa utachiona, kana clababi). Maitiro akasimba akasimba panguva yekuisa uye nekuchenjerera kuchengetedza kunogona kuderedza njodzi iyi.
2. Mabhatiro eropa:

CVCS inogona dzimwe nguva inokonzeresa mango eropa mune vein. Kutsvagudzwa kweropa kunogona kuve kwakarairwa kuti uderedze njodzi iyi.
3. Pneumothorax:

Tsaona yekupaza yemapapu inogona kuitika panguva yekuisa, kunyanya neisina-tunneled cathetter yakaiswa munzvimbo yechipfuva. Izvi zvinoguma nemapapu akapetwa, izvo zvinoda kukurumidza kupindira zviripo.
4. Catheter Malfunction:

Iyo cathetter inogona kuvharirwa, yakakwenenzverwa, kana kubviswa, ichikanganisa basa rayo. Kugara uchibhururuka uye kubata kwakakodzera kunogona kudzivirira idzi nyaya.
5. Kubuda ropa:

Pane njodzi yekubuda ropa panguva yekuita, kunyanya kana murwere aine zvivanze. Maitiro Ekukodzera uye Post-Procedure Care Rubatsiro Kuti Akadyeta Njodzi iyi.

 

Mhedziso
Central Velesus Catheter midziyo yakakosha mukurapwa kwazvino mukurapa kwemazuva ano, kupa yakavimbika venous kupinda kwemhando dzakasiyana-siyana dzekurapa uye dzekuongorora. Nepo maitiro ekuisa iyo central venous mutsara zvakananga, zvinoda hunyanzvi uye kungwarira kungwarira kuderedza matambudziko. Kunzwisisa mhando dzeCVCS uye yavo chaiyo yekushandisa inobvumira kune vanopa hutano kusarudza sarudzo yakanakisa yezvinodiwa zveumwe neumwe murwere, ichirarama zvakanaka uye zvakachengeteka.