Central venous access devices (CVAD) intravenous catheter inogona kugara munzvimbo kwemavhiki, mwedzi kana mune dzimwe nguva makore. Kune marudzi akasiyana eCVADs, uye peji ino ichakurukura mamwe akajairika aungandipe. Iwo anoshandiswa kuendesa kurapwa kwako zvakananga muropa rako (mutsinga) uye ndeimwe nzira yekuve necannula.
CVADs inoiswa nenzira dzakasiyana, asi kuguma kwe catheter nguva dzose inogara mumutsara mukuru pamusoro pemwoyo wako.
Izvi zvinotevera zvimwe zvezvikonzero zvaunogona kukumbira, kana kuti unogona kupihwa CVAD.
- Uri kurapwa kwenguva inodarika mwedzi mitatu
- Unofanira kupiwa mishonga yakawanda kana mvura munguva pfupi
- Iwe uri kutora mishonga inogona kukonzera kukanganisa kune madiki tsinga
- Uri kuita apheresis maitiro (sekuunganidza stem cell)
- Iwe une tsinga dzakaoma kuti ugone kugonesa
- Unotya tsono zvakanyanya.
Mhando dzepakati venous access device
- Peripherally Inserted Central Catheter (PICC)
- Non-Tunneled Catheter (CVC)
- Tunneled Central Venous Catheter (Hickman)
- Chiteshi Chakadyarwa (Port-A-Cath)
pamusoro: Peripherally yakaiswa pakati catheter (PICC)
Peripherally yakaiswa pakati catheter (PICC)
Mutsetse wePICC ichubhu yakapfava, diki, refu, ine mhango (catheter) inoiswa mutsinga hombe muruwoko rwako pamusoro pemabhende egokora. Inosaidzirwa zvinyoro nyoro nemutsinga iri mukati meruoko rwako uye magumo ayo anomira mutsinga hombe iri pamusoro pemoyo wako.
Mutsara wePICC unogona kuiswa mukati (wakaiswa), mudhipatimendi reradiology, theatre yekushandisa, padivi pemubhedha wako uri muchipatara, kana mukamuri yekuvhiya. Iwe unogona kupiwa anesthesia yemunharaunda vasati vaisa PICC kuti iparadze nzvimbo yacho, saka haufaniri kuva nemarwadzo. Mitsetse yePICC inogona kuiswa nachiremba wako, mukoti akadzidziswa zvakanyanya kana radiologist, zvichienderana nemitemo yechipatara chako.
Unogona kubvunza mitsara ye picc, kana inogona kupihwa kwauri kana iwe uchiita kurapwa izvo zvinotarisirwa kupora kupfuura vhiki, asi isingasviki mwedzi mitanhatu. Kana kurapwa kwako kuchitarisirwa kugara kwemwedzi inopfuura mitanhatu imwe CVAD inogona kupihwa.
Iwe haugone kushambira nePICC kana kuisa PICC pasi pemvura. Unozodawo kuichengeta yakavharwa paunogeza. Mukoti wako anozokwanisa kukupa rumwe ruzivo rwekuita nePICC kumba.
utariri
- Iwe unozofanirwa kuve nePICC redresses uye mabungs achinje kamwechete pasvondo. Izvi zvinowanzoitwa pa day unit kana pawadhi kana uri muchipatara. Mune zvimwe zviitiko, mukoti anogona kukwanisa kuchinja mapfekero nekuchinja mabhangi kunaChiremba wenharaunda yako - kunyangwe izvi zvisingapiwi nguva dzose uye havasi vese vanamukoti vakadzidziswa kubata maPICC.
- PICC yako inoda kugezwa kamwechete pasvondo kana usina kana mushonga kana zvimwe zvinwiwa kuburikidza nayo.
- Kana iwe usisade PICC zvakare, inogona kubviswa namukoti akadzidzira muchikamu chekuchengeta masikati kana muwadhi.
Zvakazara Implantable Venous Access Device (TIVAD)
Mudziyo wekupinda mutsinga unodyarwa zvachose (waimbonzi port-a-cath) mudziyo unopinzwa pasi peganda rako muhomwe ye subcutaneous (mafuta). Iyo TIVAD ine reservoir iyo inogona kunzwika pasi peganda rako. Iyo catheter inozopinzwa mune imwe yetsinga dzako huru. Inoshandiswa paunenge uchida mishonga netsinga - mutsinga dzako kana muropa.
Ndeipi iyo TIVAD iri sarudzo yakanaka?
TIVAD ipfungwa yakanaka kana uchinge uchizorapwa kweinopfuura mwedzi mitatu iyoyo, kana timu yako yezvehutano ichinetseka kuisa cannula mutsinga yako. Paunenge uchida kurapwa kana kuongororwa ropa, mukoti wako anopinza tsono paganda rako uye mudura. Muchava nekahembe kadiki pamusoro peizvi apo ine tsono mukati. Kana mushonga wapedza kupinda, vanoburitsa tsono. Iyo tsono inogona kugara mukati kwemazuva manomwe.
Kana une tsono muTIVAD zvinonzi inowanikwa. Kana pasina tsono muTIVAD ndeye deaccessed. Iwe unogona kushambira uye kugeza seyakajairwa kana TIVAD yako yapera, asi haugone kushambira ichiri kuwanikwa. Iwe zvakare uchafanirwa kuichengeta yakavharwa mushawa paunenge uchisvikirwa.
A TIVAD inoiswa nachiremba anovhiya kana anopindira radiologist pasi peanesthesia kana sedation chiedza.
Zvinowanzotora mazuva anenge 7-10 kuti apore. Kana chiteshi chengarava chichida kushandiswa nekukasika, chiremba anovhiya anogona kupinda nacho uye kusiya tsono mukati kana yapinzwa. Zvikasadaro inogona kunge yakazvimba zvakanyanya kuti isvike kweinenge svondo.
Chiitiko chemurwere ne port-a-cath (TIVAD)
Inzwa Venuja achitaura nezvechiitiko chake neTIVAD (port-a-cath) ari muchipatara.
Kutungamira kweTIVAD
- Kana TIVAD ichidikanwa kuti iwanikwe, inoitwa netsono inonzi 'gripper' tsono.
- A gripper tsono inogona kugara kwevhiki imwe isati yada kuchinjwa
- Kana kutenderera kwako kwekurapa kwapera uye tsono yekubata yabviswa (TIVAD yako yapera)
- Chinhu chakanakisa nezvechiteshi ndechekuti vanogona kuramba varimo kwemakore mazhinji uye kana tsono yekubata yabviswa hapana chinhu chakarembera kubva pachiteshi uye ganda rako rinoidzivirira kubva kuhutachiona.
- Kana chiteshi chabviswa, iyi inzira yekuvhiya (yezuva maitiro).
Non-tunneled central venous catheter (CVC)
Non-tunneled central venous catheters (CVCs) inguva pfupi catheter uye inofanira kubviswa nokukurumidza kana isingachadiwi.
Zvisina-tunneled CVCs zvinogona kuiswa mu subclavian, kana jugular veins mumutsipa wako kana femoral veins mugoro rako - kunyange zvazvo tsinga yemukadzi inonyanya kushandiswa kuvana. Pasinei nokuti tsinga ipi iyo CVC inoiswa mukati, magumo ekupedzisira akaiswa mune yepamusoro kana yakaderera vena cava - tsinga huru iri pamusoro pemoyo wako.
Iyo CVC inobatwa munzvimbo ine stitches kana kana yakakosha clamp inosungirirwa paganda rako. Mufananidzo uri pazasi unoratidza isina-tunneled CVC ine matatu malumens, akabatwa munzvimbo nema stitches.
utariri
- Kupfeka uye zvivharo pamitsetse zvinoda kuchinjwa kamwechete pavhiki
- Imwe neimwe lumen yemutsetse inoda kugezwa kamwe chete pasvondo
- Vanogona kubviswa nyore nyore nekuburitswa kunze kana pasina imwezve kushandiswa kwavari
Tunneled cuffed-chapakati yakaiswa pakati catheter (tc-CICC)
Ungangoda tunneled cuffed - centrally inserted central catheter (tc-CICC) kana uchienda kumishonga inopinzwa mutsinga kwenguva refu.
A tc-CICC ndeyepakati mutsara catheter inoiswa kurudyi rwechipfuva madziro. Ikatheta yakapfava, diki, refu, isina mhango inoiswa mutsinga iri muchipfuva chako uye inoperera mutsinga hombe iri pamusoro pemoyo wako.
Mhando dze tc-CICC
Marudzi makuru etc-CICC anoshandiswa muAustralia maHICKMAN uye Broviacs. Ivo vanogona kuve imwechete (1), kaviri (2) kana katatu (3) lumen catheter. Mufananidzo uri pamusoro unoratidza kuti kaviri lumen HICKMAN inotaridzika sei.
Kana iyo tc-CICC inotanga kuiswa mukati, iwe unenge uine mamwe mastitches akaibata panzvimbo uye yekupfeka pamusoro. Pane kacuff kadiki pane catheter inogara pasi peganda rako, uye ganda rako rinokura pamusoro peiyi cuff richigadzira kanzira kadiki pasi peganda rako. Kana mugero wanyatsogadzirwa zvakanaka unogona kana kuti uchiri kuda kupfeka pamusoro.
A tc-CICC inoiswa nachiremba anovhiya kana anopindira radiologist pasi peanesthesia kana sedation chiedza. Zvinowanzotora mazuva 7-10 kuti apore.
utariri
- Izvi zvinoenderana nemutemo wekuchipatara chauri kurapwa.
- Kazhinji dzinoda kugezwa kamwe chete pasvondo.
- Caps pamagumo emutsara kazhinji inoda kuchinjwa kamwechete pasvondo
- Paunenge usisade tc-CICC yako ichabviswa. Chiremba wako kana mukoti achakuongorora iwe uye mutsara usati wabviswa kuti uone nzira yakanakisisa yekuibvisa. Inogona kubviswa muchikamu chekuchengetedza masikati, dhipatimendi reradiology kana theatre yekuvhiya.
Nguva yekusangana nachiremba wako
Bata chiremba wako kana mukoti kana uine:
- Tembiricha ye38 degrees kana kupfuura
- Kupfupika kwemhepo
- Kurwadza kwechipfuva kana kukurumidza kurova kwemoyo
- Kutsvuka, kurwadziwa, kuzvimba, kubuda ropa, kana mvura inodonha kubva kana kutenderedza CVAD yako
- Kutsvuka, kurwadziwa kana kuzvimba muruwoko rwako, mutsipa, kana pachipfuva
- Kukuvadza kana kuputsika kana kupatsanurwa mumutsara wePICC kana CVC mutsara
- Kunzwa kupisa kana kuzvimba kwakatenderedza CVAD yako panguva yekurapa kwako, kana chero nguva.
