Central venous catheters - zviteshi

Iyo yepakati venous catheter itubhu inopinda mutsinga muruoko rwako kana muchipfuva uye inoguma kurudyi kwemoyo wako (kurudyi atrium).

Kana iyo catheter iri muchipfuva chako, dzimwe nguva inosungirirwa kuchinhu chinonzi chiteshi chinenge chiri pasi peganda rako. Chiteshi uye catheter zvinoiswa munzvimbo yekuvhiya kudiki.

Iyo catheter inobatsira kutakura zvinovaka muviri uye mushonga mumuviri wako. Ichashandiswa zvakare kutora ropa kana iwe uchida kuongororwa ropa. Kuva nechiteshi chakabatanidzwa kune catheter yako kunokonzeresa kupfeka uye kubvarura mutsinga dzako pane kungova nekateti.

Central venous catheters ine madoko anoshandiswa kana iwe uchida kurapwa kwenguva yakareba yenguva. Semuenzaniso, ungangoda:

• Mishonga inorwisa mabhakitiriya kana mimwe mishonga kwemavhiki kusvika kumwedzi
• Kuwedzera kudya kunovaka muviri nekuti ura hwako hausi kushanda nemazvo

Kana kuti unogona kunge uri kugamuchira:

• Itsvo dialysis kakawanda pasvondo
• Kenza zvinodhaka kazhinji

Anokuchengetedza hutano achataura newe nezve dzimwe nzira dzekugamuchira mishonga uye zvinwiwa mutsinga uye zvinokubatsira iwe kusarudza kuti ndeipi yakanakira iwe.

Chiteshi chinoiswa pasi peganda rako mukuvhiya kudiki. Mazhinji madoko anoiswa mubhokisi. Asi vanogona zvakare kuiswa muruoko.

• Iwe unogona kuiswa muhope huru kuitira kuti usanzwe kurwadziwa panguva yekuvhiyiwa.
• Unogona kuramba wakamuka uye kupihwa mishonga inokubatsira kuti uzorore uye ubate chiveve nzvimbo kuti usanzwe kurwadziwa.

Unogona kuenda kumba mushure mekunge chiteshi chako chaiswa.

• Iwe unozogona kunzwa uye kuona kota-saizi bump pasi peganda rako pane yako chiteshi.
• Unogona kuve unorwara kwemazuva mashoma mushure mekuvhiyiwa.
• Paunenge iwe wapora, chiteshi chako hachifanirwe kukuvadza.

Chiteshi chako chine zvikamu zvitatu.

• Portal kana dura. Homwe yakagadzirwa nesimbi yakaoma kana plastiki.
• Silicone pamusoro. Iko kunosvitswa tsono mudura.
• Tube kana catheter. Inotakura mushonga kana ropa kubva pasuwo kuenda kune huru tsinga uye mukati memoyo.

Kuti uwane mushonga kana chikafu kuburikidza nechiteshi chako, mupi akadzidziswa anonamira tsono yakakosha kuburikidza neganda rako uye nesilicone yepamusoro uye mukati memusuwo. Kirimu inodzikisira inogona kushandiswa paganda rako kudzikisa marwadzo etsvimbo tsono.

• Chiteshi chako chinogona kushandiswa mumba mako, mukiriniki, kana muchipatara.
• Chipfeko chisina kuchena (bhandeji) chichaiswa chakatenderedza chiteshi chako pachinoshandiswa kubatsira kudzivirira hutachiona.

Kana chiteshi chako chisiri kushandiswa, unogona kugeza kana kushambira, chero bedzi chiremba wako achiti iwe wagadzirira kuita. Tarisa nemubatsiri wako kana uchironga kuita chero mitambo yekubata, senge nhabvu nhabvu.

Hapana chinhu chinonamira kunze kweganda rako kana chiteshi chako chisiri kushandiswa. Izvi zvinoderedza mukana wako wehutachiona.

Inenge kamwe chete pamwedzi, iwe unozofanirwa kuita kuti chiteshi chako chisvinwe kuti ubatsire kudzivirira kugwamba. Kuti uite izvi, mupi wako anoshandisa yakakosha mhinduro.

Zviteshi zvengarava zvinogona kushandiswa kwenguva yakareba. Kana iwe usisiri kuda chiteshi chako, mupi wako anochabvisa.

Udza mupi wako ipapo ipapo kana iwe ukaona chero zviratidzo zvehutachiona, senge:

• Chiteshi chako chinoita kunge chatama.
• Yako port port yakatsvuka, kana pane mitsvuku mitsetse yakakomberedza saiti.
• Nzvimbo yako yekufambisa yakazvimba kana kudziya.
• Yero kana girini drainage iri kuuya kubva kune yako port saiti.
• Iwe une kurwadziwa kana kusagadzikana panzvimbo iyi.
• Une fivhiri inopfuura 100.5 ° F (38.0 ° C).

Central venous catheter - subcutaneous; Port-a-Cath; InfusaPort; PasPort; Subclavia chiteshi; Pakati - chiteshi; Central venous mutsara - chiteshi

• Central venous catheter

Dixon RG. Subcutaneous chiteshi. Mune: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, eds. Mifananidzo-Inotungamirwa Kupindira. 3rd ed. Philadelphia, PA: Elsevier; 2021: chits. 85.

James D. Central venous catheter kuiswa. Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 228.

Witt SH, Carr CM, Krywko DM. Kugara midziyo yevascular yekuwana: kuwana nekukurumidza uye manejimendi. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 24.

• Mishonga inorwisa mabhakitiriya
• Kenza Chemotherapy
• Dialysis
• Kutsigira Kwehutano