Clain Center Catheter: Chitsogozo Chofunika

A Central Venuus Catheter (CVC), omwe amadziwikanso kuti mzere wapakati pa pakati, ndi chubu chosinthika chomwe chimayikidwa mumtsempha waukulu womwe umatsogolera kumtima. IchiChipangizo ChachipatalaAmachita mbali yofunika kwambiri popereka mankhwala, madzi, ndi michere mwachindunji m'magazi, komanso kuwunikira magawo osiyanasiyana azaumoyo. Misato yapakati papakati ndiyofunikira kuti ayendetse odwala omwe ali ndi matenda oopsa, omwe amathandizidwa ndi mitundu yovuta, kapena anthu omwe amafuna chithandizo chanthawi yayitali. Munkhaniyi, tiona cholinga cha misampha ya Central Central, mitundu yosiyanasiyana, njira yomwe ikukhudzidwa ndi kuyika, ndi zovuta zomwe zingachitike.

Cholinga cha Central Center

Mitsuko yapakati pa Central Central imagwiritsidwa ntchito pazifukwa zosiyanasiyana zamankhwala, kuphatikiza:

Kugwiritsa ntchito mankhwala:Mankhwala ena, monga chemotherapy kapena maantibayotiki, atha kukhala ankhanza kwambiri pamitsempha yotumphukira. CVC imalola kuti mankhwalawa azitha kugwiritsa ntchito mankhwalawa mwachindunji mu mtsempha wamkulu, kuchepetsa chiopsezo cha mitsempha.

Nthawi yayitali ya IV:Odwala omwe amafunikira chithandizo chapamwamba (IV), kuphatikizapo maantibayotiki, kasamalidwe kapweteka, kapena zakudya (monga zakudya zonse (monga chakudya chokwanira cha makolo), chomwe chimapereka mwayi wokhazikika komanso wodalirika.

Mafuta ndi Magazi Ogwiritsa Ntchito:Pazochitika zadzidzidzi kapena zokwanira, CVC imathandizira kuthamanga kwamadzi, zinthu zamagazi, kapena madzi, zomwe zimatha kukhala moyo movutikira.

Magazi Awo ndi Kuwunikira:Mitsuko ya venous ya Central Central imathandizira magazi pafupipafupi popanda ndodo zosinthika. Ndizothandizanso kuwunika venous, kupereka chidziwitso kwa wodwala.

Dialysis kapena maprices:Odwala omwe ali ndi vuto la impso kapena omwe akufuna maonedwe, mtundu wapadera wa CVC akhoza kugwiritsidwa ntchito pofikira magazi a magazi a dialysis chithandizo.

 

Mitundu yaMisonkhano ya Vengal Central

Pali mitundu ingapo ya misampha yayikulu yapakati, aliyense amapangidwa kuti azipeza mwachindunji:

Mzere wa Picc (wololera kuyika centrater catheter):

Mzere wamtali wa Picc ndi wamtali kwambiri wokhazikika kudzera mtsempha m'makono, nthawi zambiri amakhala m'mitsempha ya combelilic kapena cephathalic, ndikukhomerera mtsempha wapakati pafupi ndi mtima. Nthawi zambiri imagwiritsidwa ntchito ngati sing'anga kuchita zinthu zazitali, kuyambira milungu yopita miyezi yambiri.
Mizere ya Picc ndi yosavuta kuyimitsa ndikuchotsa, ndikuwapangitsa kuti azisankha zomwe amakonda pofuna kuchita ngozi.

Zovala zopanda pake:

Izi zimayikidwa mwachindunji mu mtsempha waukulu m'khosi (mkati mwa mkati), pachifuwa (subclavian), kapena grour (nthawi zambiri amakhala mu chisamaliro chochepa kapena zochitika zina.
Ma CVC omwe sanatumizidwe sakhala oyenera kugwiritsa ntchito nthawi yayitali chifukwa cha chiopsezo chachikulu chotenga kachilomboka ndipo nthawi zambiri amachotsedwa nthawi zambiri.
Anchenzike:

Mitsuko yotchinga imayikidwa mu mitsempha yapakati koma imayendetsedwa kudzera m'mphepete mwa insucty musanafike pakhungu. Mphamvuyo imathandizira kuchepetsa ngozi, zimapangitsa kuti akhale oyenera kugwiritsidwa ntchito kwa nthawi yayitali, monga odwala omwe amafunikira magazi pafupipafupi amakoka kapena kusapititsa chemotherapy.
Ochenjera awa nthawi zambiri amakhala ndi cuff omwe amalimbikitsa kukula kwa minofu, ndikusunga catheter m'malo mwake.

Zoikika madoko (Port-A-Cath):

Doko lokhazikitsidwa ndi chipangizo chaching'ono, chozungulira chomwe chimayikidwa pakhungu, nthawi zambiri pachifuwa. Catheter amayenda kuchokera padoko kupita ku vein chapakati. Madoko amagwiritsidwa ntchito pochita mankhwala osokoneza bongo ngati chemotherapy, chifukwa ali pansi pa khungu ndipo amakhala ndi chiopsezo chotenga kachirombo.
Odwala amakonda madoko a nthawi yayitali chifukwa amakhala osasamala ndipo amangofunika ndodo ya singano iliyonse pakugwiritsa ntchito kulikonse.

Central Venteus Putreure
Kuyika kwa catheter calnous chapakati ndi njira yachipatala yomwe imasiyanasiyana malinga ndi mtundu wa catheter yomwe ikuyikidwa. Nayi chidule cha njirayi:

1. Kukonzekera:

Pamaso pa njirayi, mbiri yakale ya wodwala imawuniyidwa, ndipo chilolezo chimapezeka. Njira yothetsera antiseptic imagwiritsidwa ntchito patsamba lolowera kuti muchepetse matenda.
Zokongola kapena kusokonekera kumatha kuperekedwa kuti wodwalayo atonthoze.
2. Kuyika kwa Catheter:

Kugwiritsa ntchito chitsogozo cha ultrasound kapena malo otakata, dokotala amayika catheter kukhala mtsempha woyenera. Pankhani ya mzere wa picc, Catheters amaikidwa kudzera mu mtsempha wamiyendo m'manja. Kwa mitundu ina, malo apakati ofikira ngati mitsempha ya subclavian kapena mkati mwa jugulamu amagwiritsidwa ntchito.
Catheter yapita patsogolo mpaka itafika pamalo omwe akufuna, nthawi zambiri a Vena wamkulu pafupi ndi mtima. X-ray kapena fluoroscopy nthawi zambiri imachitidwa kuti itsimikizire udindo wa Catheter.
3. Kuteteza catheter:

Catheter atayikidwa bwino, imatetezedwa ndi zofukizira, zomatira, kapena kuvala zapadera. Mitanda yotchinga imatha kukhala ndi cuff kuti ateteze chipangizocho.
Tsambali limavala, ndipo catheter imasowetsedwa ndi mchere kuti zitsimikizire kuti zikugwira ntchito molondola.
4. Pambuyo pa:

Kusamalidwa koyenera komanso kusintha kokhazikika ndikofunikira kuti mupewe matenda. Odwala ndi omwe amawasamalira amaphunzitsidwa momwe angasamalire catheter kunyumba ngati pakufunika kutero.
Zovuta zomwe zingachitike
Ngakhale ma caseters pakati ndi zida zabwino kwambiri pothandizidwa ndi chithandizo chamankhwala, alibe zoopsa. Mavuto ena omwe angakhalepo:

1. Matenda:

Kuphatikizika kofala kwambiri ndi matenda omwe ali patsamba kapena matenda amtundu wamagazi (mzere wapakati-wogwirizanitsa magazi, kapena Clabsi). Njira zosasunthika mu kulowetsa ndi kusamala mosamala zimatha kuchepetsa izi.
2. Magazi amwazi:

Ma CVC nthawi zina amatha kupangitsa magazi kukhala m'mitsempha. Magazi owonera magazi amatha kuperekedwa kuti achepetse chiopsezochi.
3. Pneumothorax:

Kupukutira mwangozi kwa mapapo kumatha kuchitika pakuyika, makamaka ndi mitsuko yopanda zingwe yoyikidwa pachifuwa. Izi zimabweretsa mapapu owonongeka, omwe amafunikira mwachangu.
4..

Catheter atha kutsekedwa, kukhazikika, kapena kusokonezedwa, kukhudza ntchito yake. Kuthamangitsa pafupipafupi komanso kusamalira bwino kumatha kupewa mavutowa.
5. Kutulutsa magazi:

Pali chiopsezo cha magazi nthawi ya njirayi, makamaka ngati wodwala ali ndi vuto lodwala. Njira yoyenera komanso njira yothandizira kusamalira kuchepetsa chiopsezochi.

 

Mapeto
Catheters Centerves Vesiters ndi zida zofunikira pakusamalidwa kwamakono, kupereka zodalirika zopezeka pazinthu zosiyanasiyana zochizira komanso zowunika. Pomwe njira yogwiritsira ntchito mzere wapakatikati ndi wowongoka, pamafunika ukadaulo komanso kugwiritsa ntchito mosamala kuti muchepetse zovuta. Kumvetsetsa Mitundu ya CVCS ndipo kugwiritsa ntchito kwawo kwapadera kumathandiza kuti ophunzira azaumoyo asankhe njira yabwino kwambiri kwa wodwala aliyense, kuonetsetsa kusamalira bwino.