Yintoni umahluko phakathi kwe-CVC kunye ne-picc?

I-Catheters ye-vehees ephakathi (i-CVCs)kunye ne-casher efakelweyo ePhakathi (I-piccs) zizixhobo ezibalulekileyo kunyango lwanamhlanje, elisetyenziselwa ukuhambisa amayeza, izondlo, kunye nezinye izinto ezibalulekileyo ngqo kwigazi. I-shanghai yeqela leqela, umthengisi oqeqeshiweyo kunye noMvelisi weizixhobo zonyango, zibonelela zombini iintlobo ze-catheters. Ukuqonda umahluko phakathi kwezi ntlobo zehethe ezimbini kunokunceda abasebenzi bezempilo Khetha izixhobo ezifanelekileyo kwizigulana zabo.

Yintoni i-CVC?

A I-Central Catheter Catheter. I-CVCs isetyenziselwa iinjongo ezahlukeneyo, kubandakanya:

-Ukulawula amayeza: Ngokukodwa ezo zicaphukisayo kwimithambo ye-peripheral.
-Ukubonelela ngexesha elide lexesha (iv) unyango lwexesha: njengokunyanga nje: Unyango lwe-antibiotic, kunye nesondlo sesondlo se-paretaral (i-TPN).
-Ukubeka iliso kuxinzelelo oluphakathi: kubaguli abagula kakhulu.
-Ukuzoba igazi ngovavanyo: xa kufuneka rhoqo isampulu.

CvcsInokuba nee-Lumens ezininzi (iitshaneli) zivumela ulawulo lwabantu olwenziwe ngaxeshanye lweempikiswano ezahlukeneyo. Zilungiselelwe ngokubanzi ukuba zisetyenziswe ixesha elingaphakathi, zihlala ukuya kwiiveki ezininzi, nangona ezinye iintlobo zingasetyenziswa ixesha elide.

Yintoni i-picc?

I-Caheter ePhakathiweyo ye-Pickeres Iicocc zisetyenziselwa iinjongo ezifanayo njenge-CVC, kubandakanya:

-Ukufikelela ixesha elide i-IV: Rhoqo kwizigulana ezifuna unyango olwandisiweyo njenge chemotherapy okanye unyango lwe-antibiotic.
-Uza kulawula amayeza: Kuya kufuneka ihanjiswe ngokuba yintloko kodwa ngaphezulu kwexesha elide.
-Ukuzoba igazi: Ukunciphisa isidingo sezinti eziphindaphindiweyo zenaliti.

Iicocc zihlala zisetyenziselwa ixesha elide kunee-CVCs, zihlala zivela kwiiveki ezininzi ukuya kwiinyanga. Zingahlaseli ngaphantsi kwee-CVCs njengendawo yazo kwi-vein ye-peripheral endaweni yentloko.

Umahluko ophambili phakathi kwe-CVC kunye ne-picc

1. Indawo yokufakelwa:
-I-CVC: ifakwe kwindawo esembindini, rhoqo entanyeni, isifuba, okanye i-groin.
-Yicocc: ifakwe kwi-vein ye-peripheral kwingalo.

2. Inkqubo yokufakwa:
I-CVC: Ngokwesiqhelo ifakwe kwisicelo sesibhedlele, ihlala iphantsi kweFluoroscopy okanye isikhokelo se-Ultrasound. Ihlala ifuna iimeko ezingena nzulu kwaye inzima kakhulu.
- I-picc: inokuthi ifakwe ecaleni kwebhedi okanye kwiseti yendawo yokuphuma, ihlala iphantsi kwesikhokelo se-ultrasound, esenza le nkqubo inzima kwaye ingenamhla.

3. Ixesha lokusetyenziswa:
-I-CVC: Inzelwe ngokubanzi ukusetyenziswa kwexesha eliphakathi (ukuya kwiiveki ezininzi).
- I-picc: ilungele ukusetyenziswa kwexesha elide (kwiiveki ezininzi).

4. Iingxaki:
- I-CVC: Umngcipheko ophezulu wezinto ezinobunzima obufana nosulelo, i-pneumotshorax, kunye ne-thrombosis ngenxa yendawo ephambili yeCaheter.
- I-Picc: Umngcipheko ongezantsi kwezintlungu ezithile kodwa usaqhuba iingozi ezinje nge-thombossis, usulelo kunye ne-themeter ye-catheter.

5. Intuthuzelo yezigulana kunye nokuhamba:
-I-CVC: ingaba kukhululekile ukuba ikhululekile kwizigulana ngenxa yokufakelwa kwindawo yokufakelwa kunye nokufakwa kwezithintelo zokuhamba.
-IPicc: Ngokubanzi ngakumbi kwaye ivumela ukushukumiseka okukhulu kwizigulana.

Ukuqukumbela

Zombini ii-CVCs kunye neecocc zizinto ezixabisekileyo zonyango ezibonelelwe yiQela leQela leQela leShanghai, isebenze nganye iimfuno ngokusekwe kwimeko yesigulana kunye neemfuno zonyango. Ii-CVCs zihlala zikhethwe ngonyango lwexesha elincinci kunye nokubeka iliso, ngelixa iicocc zithandwayo kunyango lwexesha elide kunye nokuthuthuzela ngomonde. Ukuqonda lo mahluko kubalulekile kubaboneleli bezempilo ukwenza izigqibo ezinolwazi kwaye banike ukhathalelo oluhle lwabaguli babo.