Mitsuko yapakatikati (ma cvcs)ndi zopitilira mumiyala yapakatikati (Piccs) Zida zofunika mu zamankhwala zamakono, zomwe amagwiritsa ntchito kupulumutsa mankhwala, michere, ndi zinthu zina zofunika kuzichita m'magazi. Gulu la Shanghai limatambasulira bungwe, wotsatsa waluso ndi wopangaZipangizo Zachipatala, imapereka mitundu yonse ya ma catheters. Kuzindikira kusiyana pakati pa mitundu iwiri ya ma catheters kungathandize akatswiri azaumoyo amasankha chida chabwino kwa odwala awo.
CVC ndi chiyani?
A Central Center. Ma cvcs amagwiritsidwa ntchito pazifukwa zosiyanasiyana, kuphatikiza:
- Mankhwala a kuperezera mankhwala: Makamaka iwo omwe akukwiyitsa mitsempha yokhotakhota.
- Kupereka chithandizo cha nthawi yayitali (IV): monga chemotherapy, mankhwala a maantibayotiki, komanso zakudya zonse za makolo (TPN).
- Kuwunikira kupanikizika kwakukulu: odwala odwala kwambiri.
- Kukoka magazi a mayeso: Nthawi zambiri sangalalikidwe wofunikira.
CVCimatha kukhala ndi mayunitsi angapo (njira) kulola gawo lothandizira nthawi yomweyo. Nthawi zambiri amafunsidwa kuti azigwiritsa ntchito nthawi yayitali, nthawi zambiri mpaka masabata angapo, ngakhale mitundu ina imagwiritsidwa ntchito kwa nthawi yayitali.
Picc ndi chiyani?
Kukhazikika koopsa cetheter (Picc) ndi mtundu wa mphaka wapakatikati womwe umayikidwa kudzera mu mtsempha wotumphukira, nthawi zambiri amakhala kumtunda, ndikupita patsogolo mpaka nsonga mitsempha yayikulu pafupi ndi mtima. Piccs amagwiritsidwa ntchito pazofanana monga ma cvcs, kuphatikiza:
- Kufikira kwa IV Yaitali: Nthawi zambiri odwala omwe amafunikira mankhwala monga chemotherapy kapena nthawi yayitali.
- kuperekera mankhwala: Izi zikufunika kuperekedwa kwapakati koma nthawi yayitali.
- Kujambula Magazi: Kuchepetsa kufunika kwa timitengo tosinthika.
Piccs nthawi zambiri amagwiritsidwa ntchito kwa nthawi yayitali kuposa ma cvcs, nthawi zambiri kuchokera milungu ingapo mpaka miyezi. Sali ocheperako kuposa ma CVC monga malo omwe ali pamutuwo ali mu mtsempha wosasunthika m'malo mwapakati.
Kusiyana kwakukulu pakati pa CVC ndi Picc
1. Tsamba lolowera:
- CVC: kuyikidwa mu mtsempha wapakati, nthawi zambiri m'khosi, pachifuwa, kapena kubuula.
- Picc: yoyikika mu mtsempha wamiyendo m'manja.
2. Kuyika njira:
- CVC: Kuyikidwanso kuchipatala, nthawi zambiri pa fluoroscopy kapena malangizo a ultrasound. Nthawi zambiri pamafunika zinthu zopanda pake komanso ndizovuta.
- Picc: ikhoza kuyikidwa pabedi kapena pamalo okhazikika, nthawi zambiri pansi pa chitsogozo cha ultrasound, ndikupanga njira yovuta komanso yopanda pake.
3. Kutalika kwa ntchito:
- CVC: Nthawi zambiri amafunsa kuti azigwiritsa ntchito nthawi yayitali (mpaka masabata angapo).
- Picc: yoyenera kugwiritsidwa ntchito kwa nthawi yayitali (milungu ingapo) miyezi).
4. Mavuto:
- CVC: Chiwopsezo chachikulu cha zovuta monga matenda, pneumothorablex, ndi thrombosis chifukwa cha malo apakati a Catheter.
- Picc: chiopsezo chotsika cha zovuta zina koma amangokhala ndi zoopsa monga thrombosis, matenda, ndi catheter.
5. Chilimbikitso komanso kusuntha:
- CVC: Kungakhale kokwanira kwa odwala chifukwa cha malo ogwirira ntchito ndi kuthekera koyendetsa.
- Picc: Nthawi zambiri amakhala omasuka komanso amalola kusuntha kwambiri kwa odwala.
Mapeto
Onse a CVC CVC imasankhidwa mwachidule mankhwala okwera ndi kuwunika, pomwe Piccs amakondedwa kuti azikulimbikitsani. Kumvetsetsa izi ndikofunikira kuti othandizira azaumoyo kuti apangitse zisankho zidziwitso ndikupereka chisamaliro chabwino kwa odwala awo.
Post Nthawi: Jul-08-2024