Port a Cath: Gwaro Rakazara reImplantable Vascular Access Devices

Kana varwere vachida kurapwa kwenguva refu mutsinga, tsono dzinodzokororwa dzinogona kurwadza uye kusagadzikana. Kugadzirisa dambudziko iri, vashandi vehutano vanowanzokurudzira aimplantable vascular access device, inowanzozivikanwa sePort a Cath. Ichi chishandiso chekurapa chinopa yakavimbika, yenguva yakareba venous kuwana kune marapirwo akadai sechemotherapy, IV mishonga, kana tsigiro yekudya. Muchikamu chino, tichaongorora kuti Port a Cath chii, kushandiswa kwayo, kuti yakasiyana sei nePICC Line, iyo inogona kugara kwenguva yakareba sei mumuviri, uye zvipingamupinyi zvinogona kuitika.

Chii chinonzi Port a Cath Inoshandiswa?

A Port a Cath, inonziwo portable portable, chinhu chidiki chekurapa chinoiswa pasi peganda, kazhinji munzvimbo yechipfuva. Mudziyo wacho unobatana necatheter inoiswa mutsinga huru, kazhinji kacho inonzi superior vena cava.

Chinangwa chikuru chePort a Cath ndechekupa yakachengeteka, yenguva refu venous kuwana pasina kudikanwa kwekudzokororwa kwetsono punctures. Inoshandiswa zvakanyanya mumamiriro ezvinhu apo varwere vanoda kazhinji kana kuenderera mberi kurapwa kwemutsinga, senge:

Chemotherapy kune varwere vekenza
Kurapa kwenguva refu kwemishonga inorwisa mabhakitiriya yezvirwere zvisingaperi
Kudya kwevabereki kune varwere vasingakwanisi kudya nemuromo
Ropa rinodzokororwa rinotorwa kuti riongororwe murabhoritari
Kuiswa kwemishonga yeIV kwemavhiki kana mwedzi

Nemhaka yokuti chiteshi chakaiswa pasi peganda, hachinyanyi kuoneka uye chine ngozi yakaderera yehutachiona kana ichienzaniswa nekunze catheter. Kana yangopinzwa netsono yakakosha yeHuber, vashandi vekurapa vanogona kupinza mvura kana kutora ropa nekusagadzikana kushoma.

Ndeupi Musiyano Uripo Pakati pePICC Line nePort a Cath?

Ose ari maviri PICC Line (Peripherally Inserted Central Catheter) uye Port a Cath midziyo yekuwana vascular yakagadzirirwa kuendesa mishonga kana kutora ropa. Nekudaro, pane misiyano yakakosha iyo varwere nevarapi vanofanirwa kufunga nezve pakusarudza pakati pezviviri.

1. Kuiswa uye Kuonekwa

Mutsara wePICC unopinzwa mutsinga yeruwoko woenda kutsinga yepakati pedyo nemoyo. Inoramba iri kunze kwemuviri, iine tubing yekunze inoda kutarisirwa kwemazuva ese uye kuchinja kwekupfeka.
A Port a Cath, zvakasiyana, inosimwa zvachose pasi peganda, zvichiita kuti isaonekwe kana isingasviki. Izvi zvinoita kuti ive yakangwara uye nyore kubata muhupenyu hwezuva nezuva.

2. Nguva Yekushandisa

PICC Mitsetse inowanzokodzera kushandiswa kwepakati-kati, kazhinji mavhiki akati wandei kusvika kumwedzi mishoma.
Port a Caths inogona kuramba iri munzvimbo kwenguva yakareba, dzimwe nguva makore, chero bedzi pasina matambudziko.

3. Kuchengeta

Mutsara wePICC unoda kuwanda kwekutsvaira uye kuchinja kwekupfeka nekuti chikamu chechishandiso chiri kunze.
Port a Cath inoda kuchengetedzwa kushoma sezvo yakadyarwa, asi ichiri kuda kugezwa nguva nenguva kudzivirira kugwamba.

4. Mararamiro Impact

NePICC Line, zviitiko zvakaita sekushambira nekugeza zvinorambidzwa nekuti mutsara wekunze unofanirwa kugara wakaoma.
NePort a Cath, varwere vanogona kushambira, kugeza, kana kuita maekisesaizi zvakasununguka kana chiteshi chisingasviki.

Muchidimbu, nepo zvishandiso zvese zvichishandisa zvinangwa zvekurapa zvakafanana, iyo Port a Cath inopa yakarebesa, yakaderera-yekugadzirisa mhinduro kana ichienzaniswa nePICC Line, kunyanya kune varwere vanoda kurapwa kwakawedzerwa.

Ko Port A Cath Inogona Kugara Nguva Yakadii?

Hupenyu hwePort a Cath hunoenderana nezvinhu zvakati wandei, kusanganisira rudzi rwekurapa, hutano hwemurwere, uye mamiriro emudziyo. Kazhinji:

Port a Cath inogona kugara munzvimbo kwemwedzi kusvika kumakore, kazhinji kusvika kumakore mashanu kana kupfuura.
Chero bedzi chiteshi chiri kushanda nemazvo, chisina kutapukirwa, uye chisiri kukonzera matambudziko, hapana nguva yakatarwa yekubvisa.
Chigadzirwa chacho chinogona kubviswa nekuvhiyiwa kana chisisadiwi.

Varwere vane kenza, semuenzaniso, vanogona kuchengetedza chiteshi chavo chakasimwa kwenguva yese yechemotherapy, uye dzimwe nguva kunyange kureba kana kurapwa kwekutevera kuchitarisirwa.

Kuti uve nechokwadi chekugara kwenguva refu, chiteshi chengarava chinofanira kugezwa nesaline kana heparin mhinduro nguva nenguva (kazhinji kamwe chete pamwedzi kana isiri kushandiswa) kudzivirira kuvharika.

Chii Chakashata chePort a Cath?

Nepo Port a Cath ichipa akawanda mabhenefiti, anosanganisira nyore, nyaradzo, uye kuderedzwa kwehutachiona hwehutachiona kana uchienzaniswa nemitsara yekunze, haina kuipa.

1. Kuvhiya Kunodiwa

Chigadzirwa chacho chinofanira kuiswa pasi peganda mune zvishoma nzira yekuvhiya. Izvi zvinotakura njodzi dzakadai sekubuda ropa, utachiona, kana kukuvara kutsinga dzeropa dziri pedyo.

2. Dambudziko reKutapukirwa kana Kuvhara

Kunyange zvazvo njodzi yakaderera pane yekunze catheter, zvirwere uye catheter-yakabatana thrombosis inogona kuitika. Kurumidza kurapwa kunodiwa kana zviratidzo zvakaita sefivha, kutsvuka, kana kuzvimba.

3. Kusagadzikana Pakusvikirwa

Nguva imwe neimwe iyo chiteshi ichishandiswa, inofanirwa kuwanikwa neiyo isiri-coring Huber tsono, iyo inogona kukonzera marwadzo zvishoma kana kusagadzikana.

4. Mutengo

Zviteshi zvinogoneka zvinodhura kupfuura PICC Lines nekuda kwekuiswa kwekuvhiya, mutengo wemudziyo, uye kugadzirisa. Kune masisitimu ehutano uye varwere, izvi zvinogona kunge zviri zvinomisa.

5. Matambudziko Nekufamba Kwenguva

Kushandiswa kwenguva refu kunogona kutungamirira kumatambudziko emagetsi akadai se catheter blockage, kuputsika, kana kutama. Muzviitiko zvisingawanzoitiki, mudziyo ungada kuchinjwa kare kupfuura zvaitarisirwa.

Kunyangwe izvi zvisingabatsiri, mabhenefiti ePort a Cath anowanzo kupfuura njodzi, kunyanya kune varwere vanoda kurapwa kwenguva refu.

Mhedziso

Iyo Port a Cath chishandiso chakakosha chekurapa kune varwere vanoda kwenguva yakareba venous kuwana. Sechiteshi chinosimwa, chinopa mhinduro yakavimbika uye yakangwara yechemotherapy, mishonga yeIV, hutano, uye ropa rinokwevera. Kuenzaniswa nePICC Line, Port a Cath inokodzera zvirinani kushandiswa kwakawedzerwa, inoda kushomeka kwezuva nezuva kugadzirisa, uye inobvumira mararamiro anoshanda.

Kunyange zvichisanganisira kuvhiyiwa kuiswa uye kutakura njodzi dzakadai sehutachiona kana kuvhara, mabhenefiti ayo anoita kuti ive sarudzo inosarudzika kune vazhinji varwere nevarapi vehutano.

Pakupedzisira, sarudzo pakati pePICC Line nePort a Cath inofanira kuitwa neboka rezvokurapa, vachifunga nezvechirongwa chekurapa chemurwere, mararamiro anodiwa, uye hutano hwese.

Nekunzwisisa basa remudziyo unodyarwa wevascular access device, varwere vanogona kuita sarudzo dzine ruzivo pamusoro pekuchengetedza kwavo uye vanonzwa vane chivimbo panguva yerwendo rwavo rwekurapa.