Central venous catheter (CVCs)ndi ma catheter omwe amalowetsedwa mozungulira (Mtengo wa PICCs) ndi zida zofunika pamankhwala amakono, zomwe zimagwiritsidwa ntchito popereka mankhwala, zakudya, ndi zinthu zina zofunika mwachindunji m'magazi. Shanghai Teamstand Corporation, katswiri wothandizira komanso wopangazida zamankhwala, amapereka mitundu yonse iwiri ya catheter. Kumvetsetsa kusiyana pakati pa mitundu iwiriyi ya catheter kungathandize akatswiri azaumoyo kusankha chipangizo choyenera kwa odwala awo.
Kodi CVC ndi chiyani?
A Central Venous Catheter(CVC), yomwe imadziwikanso kuti mzere wapakati, ndi chubu lalitali, lopyapyala, losinthasintha lomwe limalowetsedwa kudzera mumtsempha wa pakhosi, pachifuwa, kapena groin ndikulowa m'mitsempha yapakati pafupi ndi mtima. Ma CVC amagwiritsidwa ntchito pazifukwa zosiyanasiyana, kuphatikiza:
- Kupereka mankhwala: Makamaka omwe akukwiyitsa mitsempha yotumphukira.
- Kupereka chithandizo cham'mitsempha (IV) kwa nthawi yayitali: Monga chemotherapy, antibiotic therapy, ndi total parenteral nutrition (TPN).
- Kuyang'anira kuthamanga kwa venous: Kwa odwala omwe akudwala kwambiri.
- Kujambula magazi kuti akayezedwe: Ngati kuyesa pafupipafupi kumafunika.
Zithunzi za CVCimatha kukhala ndi ma lumens angapo (njira) zomwe zimalola kuwongolera munthawi yomweyo mankhwala osiyanasiyana. Amapangidwa kuti azigwiritsidwa ntchito kwakanthawi kochepa kapena kwapakati, nthawi zambiri mpaka milungu ingapo, ngakhale mitundu ina imatha kugwiritsidwa ntchito kwa nthawi yayitali.
Kodi PICC ndi chiyani?
Catheter Yapakati Yolowa Pakatikati (PICC) ndi mtundu wa catheter yapakati yomwe imalowetsedwa kudzera mumtsempha wapakatikati, nthawi zambiri kumtunda kwa mkono, ndikupita patsogolo mpaka nsonga ifika pamitsempha yayikulu pafupi ndi mtima. Ma PICC amagwiritsidwa ntchito pazifukwa zofanana ndi ma CVC, kuphatikiza:
- Kupeza IV kwa nthawi yayitali: Nthawi zambiri kwa odwala omwe amafunikira chithandizo chotalikirapo monga chemotherapy kapena chithandizo chanthawi yayitali.
- Kupereka mankhwala: Ayenera kuperekedwa pakati koma kwa nthawi yayitali.
- Kujambula magazi: Kuchepetsa kufunika kokhala ndi timitengo ta singano mobwerezabwereza.
Ma PICC amagwiritsidwa ntchito kwa nthawi yayitali kuposa ma CVC, nthawi zambiri kuyambira masabata angapo mpaka miyezi. Ndizosavutikira pang'ono kuposa ma CVC chifukwa malo awo oyikapo ali m'mitsempha yozungulira m'malo mwapakati.
Kusiyana Kwakukulu Pakati pa CVC ndi PICC
1. Malo Olowetsa:
- CVC: Amalowetsedwa mumtsempha wapakati, nthawi zambiri m'khosi, pachifuwa, kapena m'chiuno.
- PICC: Kulowetsedwa mumtsempha wozungulira m'manja.
2. Njira Yoyikira:
- CVC: Amayikidwa m'chipatala, nthawi zambiri pansi pa fluoroscopy kapena ultrasound. Nthawi zambiri zimafunikira mikhalidwe yosabala ndipo ndizovuta kwambiri.
- PICC: Itha kuyikidwa pambali pa bedi kapena kumalo ogonera kunja, nthawi zambiri motsogozedwa ndi ultrasound, zomwe zimapangitsa kuti njirayi ikhale yovuta komanso yovuta.
3. Nthawi Yogwiritsa Ntchito:
- CVC: Nthawi zambiri amagwiritsidwa ntchito kwakanthawi kochepa kapena kwapakati (mpaka milungu ingapo).
- PICC: Yoyenera kugwiritsidwa ntchito kwa nthawi yayitali (masabata mpaka miyezi).
4. Zovuta:
- CVC: Kuopsa kwakukulu kwa zovuta monga matenda, pneumothorax, ndi thrombosis chifukwa cha malo apakati a catheter.
- PICC: Chiwopsezo chochepa cha zovuta zina koma chimakhalabe ndi zoopsa monga thrombosis, matenda, ndi kutsekeka kwa catheter.
5. Kutonthoza Odwala ndi Kuyenda:
- CVC: Ikhoza kukhala yosamasuka kwa odwala chifukwa cha malo oyikapo komanso kuthekera koletsa kuyenda.
- PICC: Nthawi zambiri amakhala omasuka komanso amalola kusuntha kwakukulu kwa odwala.
Mapeto
Ma CVC ndi ma PICC onse ndi zida zachipatala zamtengo wapatali zoperekedwa ndi Shanghai Teamstand Corporation, iliyonse imathandizira zosowa zenizeni malinga ndi momwe wodwalayo alili komanso chithandizo chake. Ma CVC nthawi zambiri amasankhidwa kuti azichiza kwakanthawi kochepa komanso kuwunika, pomwe ma PICC amayamikiridwa kuti alandire chithandizo chanthawi yayitali komanso chitonthozo cha odwala. Kumvetsetsa kusiyana kumeneku ndikofunikira kuti othandizira azaumoyo azipanga zisankho zodziwika bwino komanso kupereka chisamaliro chabwino kwa odwala awo.
Nthawi yotumiza: Jul-08-2024