Ii-catheter zemithambo ephakathi (ii-CVC)kunye nee-catheter eziphakathi ezifakwe ecaleni (I-PICCs) zizixhobo ezibalulekileyo kunyango lwanamhlanje, ezisetyenziselwa ukuhambisa amayeza, izondlo, kunye nezinye izinto ezibalulekileyo ngqo egazini. I-Shanghai Teamstand Corporation, umthengisi oqeqeshiweyo kunye nomvelisi weizixhobo zonyango, ibonelela ngazo zombini ezi ntlobo zee-catheter. Ukuqonda umahluko phakathi kwezi ntlobo zimbini zee-catheter kunokunceda iingcali zezempilo ukuba zikhethe isixhobo esifanelekileyo kwizigulana zazo.
Yintoni i-CVC?
A I-Catheter ye-Venous esembindini(CVC), eyaziwa ngokuba ngumgca ophakathi, yityhubhu ende, ebhityileyo, eguquguqukayo efakwa ngomthambo entanyeni, esifubeni, okanye emqolo ize idlulele kwimithambo ephakathi kufutshane nentliziyo. IiCVC zisetyenziselwa iinjongo ezahlukeneyo, kuquka:
- Ukunika amayeza: Ingakumbi lawo acaphukisa imithambo yegazi engaphandle.
– Ukubonelela ngonyango lwe-intravenous (IV) lwexesha elide: Olufana ne-chemotherapy, unyango lwe-antibiotics, kunye ne-total parenteral nutrition (TPN).
– Ukubeka esweni uxinzelelo lwemithambo yegazi ephakathi: Kwabaguli abagula kakhulu.
– Ukutsalwa kwegazi ukuze kwenziwe uvavanyo: Xa kufuneka isampuli rhoqo.
IiCVCZinokuba nee-lumens ezininzi (iitshaneli) ezivumela ukunikezelwa ngaxeshanye kweendlela ezahlukeneyo zonyango. Ngokuqhelekileyo zenzelwe ukusetyenziswa kwexesha elifutshane ukuya kweliphakathi, ngokuqhelekileyo ukuya kwiiveki ezimbalwa, nangona ezinye iintlobo zingasetyenziswa ixesha elide.
Yintoni iPICC?
I-Peripherally Inserted Central Catheter (PICC) luhlobo lwe-central catheter efakwa ngomthambo ongaphandle, ngesiqhelo engalweni engasentla, ize iqhubeke ide ifikelele kumthambo omkhulu kufutshane nentliziyo. Ii-PICC zisetyenziselwa iinjongo ezifanayo nee-CVC, kuquka:
- Ukufikelela kwi-IV ixesha elide: Idla ngokuba kwizigulane ezifuna unyango olude olufana ne-chemotherapy okanye unyango lwe-antibiotics lwexesha elide.
– Ukunika amayeza: Afanele ahanjiswe ngaxeshanye kodwa ixesha elide.
– Ukutsala igazi: Ukunciphisa isidingo sokusebenzisa iinaliti eziphindaphindwayo.
Ii-PICC zihlala zisetyenziswa ixesha elide kunee-CVC, zihlala zisuka kwiiveki ezininzi ukuya kwiinyanga. Azingenisi kakhulu kunee-CVC kuba indawo ezifakwa kuyo ikwimithambo engaphandle kunokuba ibe sembindini.
Umahluko oPhambili phakathi kweCVC kunye nePICC
1. Indawo yokufaka:
– I-CVC: Ifakwa kumthambo ophakathi, rhoqo entanyeni, esifubeni, okanye emqolo.
– I-PICC: Ifakwe kumthambo ongaphandle kwengalo.
2. Inkqubo yokufaka:
– I-CVC: Idla ngokufakwa esibhedlele, idla ngokufakwa phantsi kwesikhokelo se-fluoroscopy okanye i-ultrasound. Idla ngokufuna iimeko ezicocekileyo kwaye iyinkimbinkimbi ngakumbi.
– I-PICC: Ingafakwa ecaleni kwebhedi okanye kwindawo yokulaliswa ngaphandle, ngokuqhelekileyo phantsi kwesikhokelo se-ultrasound, okwenza inkqubo ingabi nzima kwaye ingangenisi.
3. Ubude bokusetyenziswa:
– I-CVC: Ngokwesiqhelo yenzelwe ukusetyenziswa kwixesha elifutshane ukuya kweliphakathi (ukuya kuthi ga kwiiveki ezimbalwa).
– I-PICC: Ifanelekile ukusetyenziswa ixesha elide (iiveki ukuya kwiinyanga).
4. Iingxaki:
– I-CVC: Umngcipheko ophezulu weengxaki ezifana nosulelo, i-pneumothorax, kunye ne-thrombosis ngenxa yendawo ephakathi ye-catheter.
– I-PICC: Ingozi ephantsi yeengxaki ezithile kodwa isenemingcipheko efana ne-thrombosis, usulelo, kunye nokuvaleka kwe-catheter.
5. Intuthuzelo kunye nokuhambahamba kwesigulana:
– I-CVC: Ingangabi mnandi kangako kwizigulane ngenxa yendawo efakwe kuyo kunye nokuba kunokwenzeka ukuba kubekho imida yokunyakaza.
– I-PICC: Ngokubanzi ikhululekile ngakumbi kwaye ivumela ukuba izigulane zikwazi ukuhambahamba kakuhle.
Isiphelo
Zombini ii-CVC kunye nee-PICC zizixhobo zonyango ezixabisekileyo ezibonelelwa yiShanghai Teamstand Corporation, nganye ibonelela ngeemfuno ezithile ngokusekelwe kwimeko yesigulane kunye neemfuno zonyango. Ii-CVC zihlala zikhethwa kunyango oluqinileyo lwexesha elifutshane kunye nokubekwa esweni, ngelixa ii-PICC zikhethwa kunyango lwexesha elide kunye nentuthuzelo yesigulana. Ukuqonda la mahluko kubalulekile kubaboneleli beenkonzo zonyango ukuba benze izigqibo ezinolwazi kwaye banike unyango olungcono kwizigulana zabo.
Ixesha leposi: Julayi-08-2024