Macatheter epakati etsinga (CVCs)uye macatheter epakati akaiswa kumativi ose (PICCs) zvishandiso zvakakosha mukurapa kwemazuva ano, zvinoshandiswa kuendesa mishonga, zvinovaka muviri, nezvimwe zvinhu zvakakosha zvakananga muropa. Shanghai Teamstand Corporation, mutengesi ane hunyanzvi uye mugadziri wezvishandiso zvekurapa, inopa mhando mbiri dzemacatheter. Kunzwisisa musiyano uripo pakati pemhando mbiri idzi dzemacatheter kunogona kubatsira nyanzvi dzehutano kusarudza mudziyo wakakodzera varwere vavo.
Chii chinonzi CVC?
A Catheter yepakati yemutsinga(CVC), inozivikanwawo semutsetse wepakati, ichubhu refu, yakatetepa, inochinjika inopinzwa nepatsinga iri mumutsipa, pachipfuva, kana pahudyu yopinda mutsinga dziri pakati pemoyo. CVC dzinoshandiswa pamabasa akasiyana-siyana, anosanganisira:
- Kupa mishonga: Kunyanya iyo inogumbura tsinga dzemudumbu.
– Kupa mushonga wemutsinga kwenguva refu (IV): Zvakadai sechemotherapy, mushonga wemishonga inorwisa mabhakitiriya, uye kudya kwakakwana kwevabereki (TPN).
– Kutarisa kumanikidzwa kwetsinga dzeropa: Kune varwere vanorwara zvakanyanya.
– Kutora ropa kuti riongororwe: Kana zvichidikanwa kutora sampuli kakawanda.
MaCVCinogona kuva nema lumens akawanda (nzira) zvichiita kuti kurapwa kwakasiyana-siyana kushandiswe panguva imwe chete. Kazhinji kacho kunoshandiswa kwenguva pfupi kusvika pakati nepakati, kazhinji kusvika kumavhiki akati wandei, kunyange zvazvo mamwe marudzi anogona kushandiswa kwenguva yakareba.
Chii chinonzi PICC?
Catheter yepakati inopinzwa neparutivi (PICC) imhando yecatheter yepakati inopinzwa neparutivi rwetsinga, kazhinji muruoko rwepamusoro, uye inoenderera mberi kusvika muromo wayo wasvika patsinga hombe iri pedyo nemoyo. MaPICC anoshandiswa zvakafanana neCVC, zvinosanganisira:
- Kuwana mushonga wemutsinga kwenguva refu: Kazhinji kune varwere vanoda kurapwa kwenguva refu senge chemotherapy kana kurapwa kwenguva refu kwemishonga inorwisa mabhakitiriya.
– Kupa mishonga: Iyo inofanira kuendeswa pakati pemurwere asi kwenguva yakareba.
– Kudhonza ropa: Kuderedza kudiwa kwezvimiti zvetsono zvinodzokororwa.
MaPICC anowanzo shandiswa kwenguva yakareba kupfuura maCVC, kazhinji kubva pamavhiki akati wandei kusvika kumwedzi. Haapindi zvakanyanya kupfuura maCVC sezvo nzvimbo yaanopinzwa iri mutsinga yeropa kwete yepakati.
Kusiyana Kukuru Pakati peCVC nePICC
1. Nzvimbo yekuisa:
– CVC: Inopinzwa mutsinga yepakati, kazhinji mumutsipa, pachipfuva, kana pahudyu.
– PICC: Yakaiswa mutsinga yeropa iri paruoko.
2. Maitiro Ekuisa:
– CVC: Inowanzoiswa muchipatara, kazhinji ichitungamirirwa ne fluoroscopy kana ultrasound. Inowanzoda zvirwere zvisina utachiona uye yakaoma zvikuru.
– PICC: Inogona kuiswa padivi pemubhedha kana munzvimbo yekurara, kazhinji ichitungamirirwa neultrasound, zvichiita kuti maitiro acho asanyanya kuoma uye asapinda mumuviri.
3. Nguva Yekushandisa:
– CVC: Inowanzo shandiswa kwenguva pfupi kusvika pakati nepakati (kusvika mavhiki akati wandei).
– PICC: Yakakodzera kushandiswa kwenguva refu (mavhiki kusvika kumwedzi).
4. Matambudziko:
– CVC: Njodzi huru yematambudziko akadai sehutachiona, pneumothorax, uye thrombosis nekuda kwenzvimbo iri pakati pecatheter.
– PICC: Kunoderedza njodzi yemamwe matambudziko asi kuchine njodzi dzakadai sethrombosis, hutachiona, uye kuvharika kwecatheter.
5. Kunyaradzwa uye Kufamba kweMurwere:
– CVC: Inogona kusanyanya kugadzikana kuvarwere nekuda kwenzvimbo yakaiswa murwere uye mukana wekuti murwere akwanise kufamba-famba.
– PICC: Kazhinji zvinonyaradza uye zvinoita kuti varwere vakwanise kufamba-famba.
Mhedziso
MaCVC nePICC ese ari maviri zvishandiso zvekurapa zvinokosha zvinopihwa neShanghai Teamstand Corporation, chimwe nechimwe chiine zvinodiwa zvichienderana nemamiriro emurwere uye zvinodiwa pakurapwa. MaCVC anowanzo sarudzwa kuti arapwe kwenguva pfupi uye atariswe zvakanyanya, nepo maPICC achifarirwa kuti arapwe kwenguva refu uye anyaradzwe nemurwere. Kunzwisisa misiyano iyi kwakakosha kuti varapi vehutano vaite sarudzo dzakakodzera uye vape rubatsiro rwakanakisisa kuvarwere vavo.
Nguva yekutumira: Chikunguru-08-2024