I-Caheter embindini

A I-Central Buher Catheter (CVC), ekwabizwa ngokuba ngumgca ophakathi we-venous, yityhubhu eguqukayo ifakwe kwithambo elikhulu elikhokelela entliziyweni. LeIsixhobo sonyangoIdlala indima ebalulekileyo ekuphelisweni kwamayeza, ulwelo, kunye nezondlo ngokuthe ngqo kwigazi legazi, kunye nokubeka iliso kwimilinganiselo eyahlukeneyo yezempilo. I-Catheters ye-veheeus ephakathi ibalulekile ekulawuleni izigulana ezigula kakhulu, ezo zinyango zinonyango, okanye abantu abafuna unyango lwexesha elide. Kweli nqaku, siza kuphonononga injongo yee-cathers eziphambili ze-velous, iintlobo ezahlukeneyo, inkqubo ebandakanyekileyo ekufakeni kwayo, kunye neengxaki ezinokubakho.

INJONGO YABASEBENZISI BABASEBENZI

I-Central Totheters Catheters isetyenziselwa iintlobo ezahlukeneyo zonyango, kubandakanya:

Ulawulo lwamayeza:Amayeza athile, afana ne-chemotherapy iziyobisi okanye amayeza okubulala iintsholongwane, kunokuba krakra kakhulu kwimithambo yecala. I-CVC ivumela ukuhanjiswa ngokukhuselekileyo kula mayeza ngokuthe ngqo, ukunciphisa umngcipheko wokucaphuka kwe-vein.

Unyango lwexesha elide iv:Izigulana ezifuna unyango oluhlala ixesha elide (iv), kubandakanya amayeza okubulala iintsholongwane, ukuphathwa kweentlungu, okanye isondlo (esifana nesondlo se-Peretaral), ixhamla kumgca ophakathi nothembekileyo.

Ulawulo lwemveliso kunye negazi:Kwiimeko zonyango ezingxamisekileyo okanye ezinzulu, i-CVC inceda ulawulo olukhawulezileyo lweencindi, iimveliso zegazi, okanye iplasma, ezinokuba sisindilili kwiimeko ezibalulekileyo.

Isampulu yegazi kunye nokuBekwa kweGaziI-Central Canehesters Casheters iququzelela isampuli yegazi rhoqo ngaphandle kwamandla enaliti ephindaphindiweyo. Ziluncedo kakhulu ekujonganeni uxinzelelo oluphambili, ukubonelela ngokuqonda kwimeko yesigulana.

I-dialysis okanye i-APhe Diressis:Kwizigulana ezinesifo sokungaphumeleli izintso okanye abo bafuna i-APhedisis, uhlobo olukhethekileyo lwe-CVC lungasetyenziselwa ukufikelela kwigazi lonyango lwe-sylysis.

 

Iintlobo zeI-catheters ephakathi ye-vehethes

Zininzi iindidi ze-cathers eziphambili ze-velous, yenzelwe iinjongo ezithile kunye neenkozo:

I-picc umgca (i-Caheter ye-casher ephantsi):

Umgca we-picc ngumlingani onde, ocekeceke ofakwe kwi-vein engalweni, ngesiqhelo ithambo le-basilic okanye i-bithalic, kwaye inyibilikisiwe kwi-vein esondele kwintliziyo. Iqhelekile isetyenziselwa unyango oluphakathi olude kakhulu ukuya kwixesha elide, lisusela kwiiveki nje kwiinyanga.
Imigca yePicC ilula ukuyibeka kwaye isuse, ibenze ukuba babe nokhetho olukhethiweyo lonyango olude olungafuni ukufakelwa.

I-catheters engekho mthethweni:

Ezi zifakwe ngokuthe ngqo kwi-vein enkulu entanyeni (i-jugalar yangaphakathi), isifuba (i-sublasian), okanye i-sub clin
I-CVCs engafakwanga i-CVCs ayifanelanga ukusetyenziswa kwexesha elide ngenxa yomngcipheko ophezulu wosulelo kwaye ihlala isuswa xa imeko yesigulana uzinzo.
I-catheters ye-Tousheters:

I-catheters ye-TUNTED ifakwe kwi-vein esembindini kodwa ikhutshelwe ngetoneli ye-subcutaneous ngaphambi kokufikelela kwindawo yokungena kulusu. Umjelo unceda ukunciphisa umngcipheko wokosuleleka, ubenze balungele ukusetyenziswa kwexesha elide, njengakwizigulana ezifuna igazi rhoqo okanye i-chemotherapy eqhubekayo.
Aba bathathe abathathi-nxaxheba bahlala bene-cuff ekhuthaza ukukhula kwezicubu, egcina i-catheter kwindawo.

I-Port yePorts (port-a-cath):

Izibuko elifakiweyo sisixhobo esincinci, esijikelezileyo esibekwe phantsi kwesikhumba, ihlala isesifubeni. I-catheter ibaleka kwizibuko ukuya kwindawo ephakathi. Izibuko zisetyenziselwa unyango lwexesha elide lokunyanga i-chemotherapy, njengoko ziphantsi kolusu kwaye zinomngcipheko ophantsi wosulelo.
Izigulana zikhetha i-ports zononophelo lwexesha elide kuba zingalunganga kwaye zifuna kuphela intonga yenaliti ngexesha lokusetyenziswa nganye.

Inkqubo ye-Central Catheter Catheter ye-Caheter
Ukufakwa kwe-Central Central Catheter yinkqubo yezonyango ehluka ngokuxhomekeke kuhlobo lwe-catheter ebekwe. Nantsi isishwankathelo ngokubanzi senkqubo:

1. Ukulungiselela:

Ngaphambi kwenkqubo, imbali yezonyango yesigulana iphononongwa, kwaye imvume ifunyenwe. Isisombululo se-antiseptic sisetyenziswa kwindawo yokufakelwa ukunciphisa umngcipheko wokosuleleka.
I-anesthetic yendawo okanye i-sedation inokuthi ilawulwe ukuqinisekisa intuthuzelo yezigulana.
2. Ukubekwa kwe-Chethet:

Usebenzisa isikhokelo se-ultrasound okanye uphawu lwe-anatomical, ugqirha ufake i-catheter kwithambo elifanelekileyo. Kwimeko yomgca we-picc, i-catheter ifakwe kwi-vein ye-peripheral engalweni. Kwezinye iintlobo, iindawo eziphakathi zokufikelela njenge-subclavian okanye i-juglin yangaphakathi esetyenziswayo.
I-catheter iqhubela phambili ifike kwindawo oyifunayo, ihlala i-vena cava ephezulu kufutshane nentliziyo. I-X-ray okanye i-fluoroscopy idla ngokwenza ukuqinisekisa isikhundla se-catheter.
3. Ukufikelela kwiCaheter:

Nje ukuba i-catheter ibekwe ngokufanelekileyo, ikhuselwe ngoxolo, imbethe, okanye impahla ekhethekileyo yokunxiba. Abathathi-nxaxheba banokuba ne-cuff yokukhusela isixhobo.
Indawo yokufakelwa inxibe, kwaye i-catheter ityhutyha i-saline ukuze iqinisekise ukuba iyasebenza ngokuchanekileyo.
4. Emva kwexesha:

Unonophelo olufanelekileyo kunye notshintsho olufanelekileyo lokunxiba lubalulekile ukuthintela usulelo. Izigulana kunye nabakhathaleli baqeqeshwa ngendlela yokukhathalela i-catheter ekhaya ukuba iyafuneka.
Iingxaki ezinokubakho
Ngelixa i-cathers ephambili ibalulekile kwizixhobo ezixabisekileyo kukhathalelo lonyango, azikho umngcipheko. Ezinye iingxaki ezinokubakho zibandakanya:

1. Usulelo:

Eyona nto ibaluleke kakhulu sisifo sokufakelwa kwindawo yokufakelwa okanye igazi losulelo lwegazi (usulelo lwegazi olunxulumene negazi elihambelanayo, okanye i-calli). Iindlela ezingqongqo ezingqongqo ngexesha lokufakelwa kunye nokulungiswa ngononophelo kunokunciphisa lo mngcipheko.
2. Igazi legazi:

Ngamanye amaxesha i-CVCs ngamanye amaxesha ibangela ukuba i-clots yegazi kwithambo. Abacimi begazi banokumiselwa ukunciphisa lo mngcipheko.
I-3. I-Pneumothorax:

Ukuqiniswa ngengozi ye-Lung kunokubakho ngexesha lokufakwa, ngakumbi kwii-catheters ezingekho mthethweni zibekwe kwindawo yesifuba. Oku kukhokelela kwimiphunga ewile, efuna ungenelelo lonyango olukhawulezayo.
4. Ukungasebenzi kakuhle

I-Thetheter inokuvalwa, ikhutshiwe, okanye ikhutshiwe, ichaphazela umsebenzi wayo. Ukuphatha rhoqo nokuphatha ngendlela efanelekileyo kunokubathintela le micimbi.
5. Ukopha:

Kukho umngcipheko wokopha ngexesha lenkqubo, ngakumbi ukuba isigulana sikhuphe iingxaki. Indlela efanelekileyo kunye nenkqubo yokhathalelo lwendlela yokhathalelo lokunciphisa lo mngcipheko.

 

Ukuqukumbela
I-Central Teethers Catheters zizixhobo ezibalulekileyo kwinkathalo yanamhlanje yanamhlanje, inikela ukufikelela kwi-venous ethembekileyo yeenjongo ezahlukeneyo zezonyango kunye nexilongo. Ngelixa inkqubo yokufaka umgca we-venous ephakathi ichanile, ifuna ubuchule kwaye iphose ngononophelo ukunciphisa iingxaki. Ukuqonda iindidi zee-CVC kunye nokusetyenziswa kwazo kuvumela abanikezeli bezempilo ukukhetha olona khetho lubalaseleyo lweemfuno nganye, ukuqinisekisa ukhathalelo olusebenzayo nolukhuselekileyo.