Umbilical catheters

Iyo placenta ndiyo hukama pakati paamai nemwana panguva yekuzvitakura. Tsinga mbiri uye tsinga imwe mumutsara zvinotakura ropa zvichidzokera shure. Kana mwana achangoberekwa achirwara achangoberekwa, catheter inogona kuiswa.

Catheter ithubhu refu, yakapfava, isina mhango. Umbilical artery catheter (UAC) inobvumira ropa kutorwa kubva kumucheche panguva dzakasiyana, pasina kudzokororwa tsono tsono. Inogona zvakare kushandiswa kuenderera mberi nekutarisa BP yemwana.

Umbilical artery catheter inowanzo shandiswa kana:

• Mwana anoda rubatsiro rwekufema.
• Mwana anoda magasi eropa uye BP.
• Mwana anoda mishonga yakasimba ye BP.

Umbilical venous catheter (UVC) inobvumira zvinwiwa nemishonga kupihwa pasina kazhinji kutsiva mutsinga (IV) mutsetse.

Iyo umbilical venous catheter inogona kushandiswa kana:

• Mwana akakurumidza kusvika.
• Mwana ane matambudziko emudumbu anotadzisa kudya.
• Mwana anoda mishonga yakasimba.
• Mwana anoda kuwedzerwa kuwedzerwa.

KUMASHURE MBERI ZVINOGONESESWA SEI?

Iko kunowanzoita maviri embilical arteri uye imwe umbilical tsinga mune umbilical tambo. Mushure mekunge umbilical cord yadamburwa, mupi wezvehutano anogona kuwana idzi tsinga dzeropa. Iwo makateti anoiswa mumudziyo weropa, uye x-ray inotorwa kuti izive chinzvimbo chekupedzisira. Kamwe iyo maketani paanenge ari munzvimbo chaiyo, iwo anoitirwa munzvimbo ine sirika tambo. Dzimwe nguva, iwo makateti anonyorerwa padumbu remucheche.

NDEZVIPI DZINGO DZIMWE DZIMWE DZIMWE DZIMBA?

Matambudziko anosanganisira:

• Kukanganiswa kweropa kuyerera kunhengo (ura, itsvo, chiropa) kana gumbo (gumbo kana kumagumo kumashure)
• Ropa rinovhara pamwe nekateti
• Utachiona

Ropa kuyerera uye matambudziko eropa anogona kutyisidzira hupenyu uye zvinoda kubviswa kweUAC. Vanamukoti veNICU vanonyatsoongorora mwana wako nekuda kwezvinetso izvi zvinogona kuitika.

UAC; UVC

• Inobvisa catheter

Miller JH, Moake M. Maitiro. Mune: The Johns Hopkins Hospital; Hughes HK, Kahl LK, eds. Chipatara cheJohn Hopkins: Iyo Harriet Lane Handbook. 21st ed. Philadelphia, PA: Elsevier; 2018: chits. 3.

Santillanes G, Claudius I. Pediatric vascular kuwana uye ekuteedzera kweropa nzira. Mu: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 19.

Kuchenesa CH. Umbilical mudziyo catheterization. Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 165.