Central Venus Catheters (CVCS)uye peripherely akaisa central catheters (PiccS) zvishandiso zvakakosha mumushonga wemazuva ano, hwaishandiswa kuendesa mishonga, zvinovaka muviri, uye zvimwe zvakakosha zvakananga mumugwagwa muropa. Shanghai Castiration Corporation, Mutengesi wehunyanzvi uye anogadziraZvekushandisa Zvekushandisa, inopa ese maviri marudzi evatongi. Kunzwisisa misiyano pakati pemhando mbiri idzi dzevatongi kunogona kubatsira vashandi vehutano vanosarudza chinhu chakakodzera kune varwere vavo.
Chii chinonzi CVC?
A Central Venus Catheter. CVCS inoshandiswa kune kwakasiyana-siyana zvinangwa, kusanganisira:
- Kubata mishonga: kunyanya iyo iyo inotsamwisa mitsetse yekuparadza.
- Kupa kwenguva refu intravenous (IV) kurapa: senge chemotherapy, mishonga inorwisa mabhakitiriya, uye yakazara vanhu vetsika (TPN).
- Kuongorora Central Venus Dzvinyiriro: Kune varwere vanorwara zvakanyanya.
- Kudhirowa Ropa reMiedzo: Kana uchiwanzo sampling inodiwa.
CVCSinogona kuve nemhando dzakawanda (chiteshi) kubvumira kutungamira kwakasiyana kwemisangano dzakasiyana. Ivo vanowanzoitirwa kupfupika kushandiswa kwepakati, kazhinji kusvika kumavhiki akati wandei, kunyangwe mamwe marudzi anogona kushandiswa kwenguva yakareba.
Chii chinonzi picc?
A Peripherely akaisa Central Catheter (Picc) ndiyo mhando yeCentral Catheter yakaiswa kuburikidza nedare rePeripherel, kazhinji mune kumusoro kumusoro, uye kufambira mberi kusvikira iyo tip ichiswedera hombe iri pedyo nemoyo. Piccs inoshandiswa kune zvakafanana zvinangwa seCVCs, kusanganisira:
- Nguva refu IV yekuwana: Kazhinji kune varwere vanodiwa kurapwa kwakadai semaprotherapy kana kwenguva refu antibiotic kurapwa.
-Kutungamira mishonga: iyo inofanirwa kuendeswa pakati kana kwenguva yakareba.
- Kudhirowa Ropa: Kuderedza kudiwa kwekudzokorora tsotso.
Piccs anowanzo shandiswa kwenguva refu mighons kupfuura maCVC, kazhinji kubva kumavhiki akati wandei kusvika kumwedzi. Ivo havana kusarudzika kupfuura maCVC sezvo nzvimbo yavo yekuisa iri mune yePeripherel vein kwete yepakati.
Misoro yakakosha pakati peCVC uye Picc
1. Kuisa Saiti:
- CVC: Yakaiswa muCentral vein, kazhinji mumutsipa, chipfuva, kana groin.
- picc: yakaiswa mupareriperal vein murimo.
2. Kuisa maitiro:
- CVC: Kazhinji yakaiswa muchipatara, kazhinji pasi peFluoroscopy kana Ultrasound nhungamiro. Izvo zvinowanzoda mamwe mamiriro ezvinhu akasviba uye akaomarara.
- Picc: inogona kuiswa pamubhedha kana mune yekuwedzera mamiriro, kazhinji pasi pekupedzisira kutungamira, kugadzira maitiro mashoma akaoma uye asinganzwisisike.
3. Nguva yekutora:
- CVC: Kazhinji yakagadzirirwa kupfupika kusvika pakati-nguva yekushandisa (kusvika kumavhiki akati wandei).
- Picc: yakakodzera kushandiswa kwenguva refu (mavhiki kusvika kumwedzi).
4. Zvinetso:
- CVC: Yakakwirira njodzi yekumanikidzwa seutachiona, pneumothorax, uye thrombosis nekuda kwenzvimbo huru yepakati yeiyo catheter.
- Picc: yakaderera njodzi yezvimwe zvinonetsa asi ichiri kutakura njodzi dzakadai se thrombosis, hutachiona, uye catheter occlusion.
5. Nyaradzo yemwoyo murefu uye kufamba-famba:
- CVC: inogona kuve isinganyanyi kugadzikana kune varwere nekuda kweiyo nzvimbo yekuisa uye kugona kwekurambidza kwekufamba.
- picc: kazhinji yakagadzikana uye inobvumira kufamba kwakakura kune varwere.
Mhedziso
Ose maviri CVCS uye mapikicha zvakakosha zvekurapa zvakapihwa neShanghai ScastandSt Sangano, mumwe nemumwe anoshanda zvido chaizvo zvichienderana nemamiriro emurwere uye zvinodiwa pakurwara. MaCVC anowanzo sarudzirwa kwenguva pfupi-kakawanda kurapwa uye kuongorora, nepo piccs inofarirwa kwenguva refu yekurapa uye yekunyaradza murwere. Kunzwisisa misiyano iyi kwakakosha kune vanopa hutano kuti vaite sarudzo dzine ruzivo uye kupa hanya kwakanyanya kune varwere vavo.
Kutumira Nguva: Jul-08-2024