Nguwuphi uMahluko phakathi kwe-CVC kunye ne-PICC?

Iikhathetha zevenous ezisembindini (CVCs)kunye ne-peripheral catheters ephakathi (I-PICCs) zizixhobo ezibalulekileyo kumayeza anamhlanje, asetyenziselwa ukuhambisa amayeza, izondlo, kunye nezinye izinto ezibalulekileyo ngqo egazini. Shanghai Teamstand Corporation, umboneleli oqeqeshiweyo kunye nomvelisi weizixhobo zonyango, inikeza zombini iindidi ze-catheters. Ukuqonda umahluko phakathi kwezi ntlobo zimbini ze-catheters kunokunceda abaqeqeshi bezempilo bakhethe isixhobo esifanelekileyo kwizigulane zabo.

Yintoni iCVC?

A I-Catheter ye-Venous esembindini(i-CVC), eyaziwa ngokuba ngumgca ophakathi, ityhubhu ende, encinci, eguquguqukayo efakwe kwi-vein entanyeni, esifubeni, okanye kwi-groin kwaye iqhubele phambili kwi-veins central kufuphi nentliziyo. Ii-CVC zisetyenziselwa iinjongo ezahlukeneyo, kubandakanya:

- Ukulawula amayeza: Ingakumbi abo bacaphukisayo kwimithambo ye-peripheral.
- Ukubonelela ngonyango lwe-intravenous (IV) lwexesha elide: Njenge-chemotherapy, unyango lwe-antibiotic, kunye nesondlo esipheleleyo sabazali (TPN).
– Ukubeka iliso kuxinzelelo lwe-venous ephakathi: Kwizigulane ezigula kakhulu.
– Ukutsalwa kwegazi kuvavanyo: Xa isampulu rhoqo ifuneka.

CVCsingaba ne-lumens ezininzi (iitshaneli) ezivumela ukulawulwa kwangaxeshanye kwiindlela ezahlukeneyo zonyango. Ngokuqhelekileyo zenzelwe ukusetyenziswa kwexesha elifutshane ukuya kweliphakathi, ngokuqhelekileyo ukuya kwiiveki ezininzi, nangona ezinye iintlobo zingasetyenziselwa ixesha elide.

Yintoni iPICC?

I-Peripherally Inserted Central Catheter (PICC) luhlobo lwecatheter esembindini efakwe kwi-peripheral vein, ngokuqhelekileyo kwingalo engaphezulu, kwaye iqhubele phambili de incam ifike kumthambo omkhulu okufutshane nentliziyo. Ii-PICC zisetyenziselwa iinjongo ezifanayo neeCVCs, kubandakanywa:

- Ufikelelo lwexesha elide lwe-IV: Rhoqo kwizigulane ezifuna unyango olongezelelweyo olufana nechemotherapy okanye unyango lwexesha elide lokubulala iintsholongwane.
– Ukulawula amayeza: Kufuneka ahanjiswe kwindawo ephakathi kodwa ixesha elide.
– Ukutsala igazi: Ukunciphisa imfuno yeenaliti eziphindaphindiweyo.

Ii-PICC ziqhele ukusetyenziswa ixesha elide kunee-CVC, rhoqo ukusuka kwiiveki ezininzi ukuya kwiinyanga. Abahlaseli kancinci kuneCVCs njengoko indawo yabo yokufaka ikwi-peripheral vein kunokuba ibe sembindini.

Umahluko ophambili phakathi kweCVC kunye nePICC

1. Indawo yoFakelo:
-CVC: Ifakwe kwi-vein ephakathi, rhoqo entanyeni, esifubeni, okanye kwi-groin.
– I-PICC: Ifakwe kwi-peripheral vein engalweni.

2. Inkqubo yoFakelo:
- I-CVC: Ngokuqhelekileyo ifakwe kwindawo yesibhedlele, ngokuphindaphindiweyo phantsi kwe-fluoroscopy okanye isikhokelo se-ultrasound. Idla ngokufuna iimeko ezininzi ezinyumba kwaye inzima kakhulu.
– I-PICC: Inokufakwa ecaleni kwebhedi okanye kwisigulana esingaphandle, ngokuqhelekileyo phantsi kwesikhokelo se-ultrasound, okwenza inkqubo ingabi nzima kwaye ihlasele.

3. Ubude bexesha lokuSebenzisa:
- I-CVC: Ngokuqhelekileyo yenzelwe ukusetyenziswa kwexesha elifutshane ukuya kwixesha eliphakathi (ukuya kwiiveki ezininzi).
-I-PICC: Ifanelekile ukusetyenziswa kwexesha elide (iiveki ukuya kwiinyanga).

4. Iingxaki:
- I-CVC: Umngcipheko ophezulu weengxaki ezifana nokusuleleka, i-pneumothorax, kunye ne-thrombosis ngenxa yendawo ephakathi kwe-catheter.
-I-PICC: Umngcipheko ophantsi wezinye iingxaki kodwa usenomngcipheko onje nge-thrombosis, usulelo, kunye nokuvalwa kwecatheter.

5. Intuthuzelo yesigulana kunye nokuhamba:
- I-CVC: Inokuba yinto encinci yokukhululeka kwizigulane ngenxa yendawo yokufakela kunye nokunciphisa ukunyakaza.
-I-PICC: Ngokuqhelekileyo ikhululekile kwaye ivumela ukuhamba okukhulu kwezigulana.

Ukuqukumbela

Zombini ii-CVCs kunye nee-PICC zizixhobo zonyango ezixabisekileyo ezibonelelwa yi-Shanghai Teamstand Corporation, nganye ibonelela ngeemfuno ezithile ngokusekelwe kwimeko yesigulana kunye neemfuno zonyango. Ii-CVC zidla ngokukhethelwa unyango olunzulu lwexesha elifutshane kunye nokubeka iliso, ngelixa ii-PICC zithandwa kunyango lwexesha elide kunye nokuthuthuzelwa kwesigulana. Ukuqonda lo mahluko kubalulekile kubaboneleli bezempilo ukuba benze izigqibo ezinolwazi kwaye babonelele ngononophelo olungcono kwizigulana zabo.