Central venous catheters (CVCs)uye neperipherally yakaiswa pakati catheters (PICCs) zvishandiso zvakakosha mukurapa kwemazuva ano, anoshandiswa kuendesa mishonga, chikafu, uye zvimwe zvinhu zvakakosha zvakananga muropa. Shanghai Teamstand Corporation, nyanzvi yekutengesa uye mugadziri wemidziyo yekurapa, inopa marudzi maviri emakateta. Kunzwisisa mutsauko uripo pakati pemhando mbiri idzi dzemacatheter zvinogona kubatsira vashandi vehutano kusarudza mudziyo wakakodzera kune varwere vavo.
Chii chinonzi CVC?
A Central Venous Catheter(CVC), inozivikanwawo semutsara wepakati, ichubhu refu, nhete, inochinjika inoiswa kuburikidza netsinga muhuro, muchipfuva, kana muchidya uye yakapinda mutsinga dzepakati pedyo nemoyo. MaCVC anoshandiswa kune zvakasiyana siyana, kusanganisira:
- Kutarisira mishonga: Kunyanya iyo inogumbura kune peripheral veins.
-Kupa kurapa kwenguva refu intravenous (IV): Senge chemotherapy, antibiotic therapy, uye yakazara parenteral nutrition (TPN).
-Kutarisa yepakati venous pressure: Kune vanorwara zvakanyanya.
-Kudhirowa ropa rekuongororwa: Kana nguva zhinji sampling ichidikanwa.
CVCsinogona kuve neakawanda lumens (machaneli) anobvumira kune panguva imwe chete kutonga kweakasiyana marapirwo. Iwo anowanzo kuitirwa kushandiswa kwenguva pfupi kusvika pakati-kati, kazhinji kusvika kumavhiki akati wandei, kunyangwe mamwe marudzi anogona kushandiswa kwenguva yakareba.
Chii chinonzi PICC?
A Peripherally Inserted Central Catheter (PICC) imhando ye catheter yepakati inopinzwa neparipheral tsinga, kazhinji muruwoko rwepamusoro, uye ichienda mberi kusvika muromo wasvika patsinga hombe iri pedyo nemoyo. MaPICC anoshandiswa kune zvinangwa zvakafanana seCVCs, kusanganisira:
-Kupinda kwenguva refu IV: Kazhinji kune varwere vanoda kurapwa kwakawedzerwa senge chemotherapy kana kurapwa kwenguva refu inorwisa mabhakitiriya.
-Kupa mishonga: Inoda kuendeswa pakati asi nekufamba kwenguva.
-Kudhirowa ropa: Kuderedza kudiwa kwekudzokororwa tsono tsono.
PICCs anowanzo shandiswa kwenguva yakareba kupfuura CVCs, kazhinji kubva kumavhiki akati wandei kusvika kumwedzi. Iwo haanyanyi kupindira kupfuura maCVC sezvo saiti yavo yekuisa iri mutsinga yeperipheral kwete yepakati.
Misiyano Yakakosha Pakati peCVC nePICC
1. Saiti Yekupinza:
- CVC: Inopinzwa mutsinga yepakati, kazhinji mumutsipa, muchipfuva, kana kugomera.
- PICC: Inopinzwa mutsinga yeperipheral muruwoko.
2. Insertion Procedure:
- CVC: Inowanzo kuisirwa munzvimbo yechipatara, kazhinji pasi pefluoroscopy kana ultrasound kutungamira. Inowanzoda mamwe mamiriro asina kuberekwa uye yakanyanya kuoma.
- PICC: Inogona kuiswa padivi pemubhedha kana munzvimbo yevarwere vekunze, kazhinji pasi pekutungamira kwe ultrasound, zvichiita kuti maitiro acho asanyanya kuomarara uye apinde.
3. Nguva Yekushandisa:
- CVC: Kazhinji yakagadzirirwa kushandiswa kwenguva pfupi kusvika pakati-kati (kusvika mavhiki akati wandei).
- PICC: Inokodzera kushandiswa kwenguva refu (mavhiki kusvika kumwedzi).
4. Matambudziko:
- CVC: Kunyanya njodzi yezvinetso zvakadai sehutachiona, pneumothorax, uye thrombosis nekuda kwenzvimbo yepakati pe catheter.
- PICC: Ngozi yakaderera yemamwe matambudziko asi ichine njodzi dzakadai se thrombosis, hutachiona, uye catheter occlusion.
5. Kunyaradza Kwemurwere uye Kufamba:
- CVC: Inogona kunge isinganyanyi kugadzikana kune varwere nekuda kwenzvimbo yekuisa uye mukana wekurambidzwa kufamba.
- PICC: Kazhinji yakasununguka uye inobvumira kufamba kukuru kwevarwere.
Mhedziso
Ose maCVC nemaPICC midziyo yekurapa yakakosha inopiwa neShanghai Teamstand Corporation, imwe neimwe ichipa zvinodiwa zvinoenderana nemamiriro emurwere uye kurapwa. MaCVC anowanzo kusarudzirwa kurapwa kwakasimba kwenguva pfupi uye kutarisa, nepo maPICC achifarirwa kurapwa kwenguva refu uye kunyaradza kwemurwere. Kunzwisisa misiyano iyi kwakakosha kuti vatapi vehutano vaite sarudzo dzine ruzivo uye vape tarisiro yakanaka kune varwere vavo.
Nguva yekutumira: Jul-08-2024