Catheter yo hagati: Ubuyobozi bwingenzi

A Catheter yo hagati ya Vonous (CVC), uzwi kandi nkumurongo wingenzi wuburozi, ni umuyoboro woroshye winjijwe mumitsi minini uganisha kumutima. Ibiigikoresho cyo kwa mugangaKugereranya uruhare rukomeye mu gutanga imiti, amazi, n'intungamubiri mu maraso, ndetse no gukurikirana ibipimo bitandukanye by'ubuzima. Catheter Catheters yo hagati ni ngombwa mu gucunga abarwayi bafite uburwayi bukabije, ibyo birimo kuvura bigoye, cyangwa abantu bakeneye imiti yigihe kirekire. Muri iki kiganiro, tuzasesengura intego ya bumva zubuvuzi bukuru, ubwoko butandukanye, uburyo bugira uruhare mu kwinjiza, nibishobora.

Intego ya venoters yo hagati

Catheters yo hagati ya Vonous ikoreshwa kubwimpamvu zitandukanye z'ubuvuzi, harimo:

Ubuyobozi bw'imiti:Imiti imwe n'imwe, nkibiyobyabwenge bya chimiotherapique cyangwa antibiyotike, birashobora kuba bibi cyane kumitsi ya peripheri. CVC yemerera gutanga neza iyi miti mumitsi minini, kugabanya ibyago byo kurakara.

IV ndende IV THERAPY:Abarwayi basaba kuvura igihe kirekire (iv), harimo antibiyotike, imihango yo gucunga ububabare, cyangwa imirire (nk'imirire yose), bitanga umurongo wa Vonous wo hagati, utanga uburyo buhamye kandi bwizewe kandi bwizewe kandi bwizewe kandi bwizewe kandi bwizewe.

Ubuyobozi bw'amaraso n'ubuyobozi bw'amaraso:Mubihe byihutirwa cyangwa byimbitse, CVC ituma ubuyobozi bwihuse bwibitabo, ibicuruzwa byamaraso, cyangwa plasma, bishobora kurokora ubuzima mubintu bikomeye.

Gutoranya amaraso no gukurikirana:Catheters yo hagati yorohereza ingengo yicyiciro kenshi nta nkoni zishisho. Nanone ni ingirakamaro kandi yo gukurikirana igitutu kinini, zitanga ubushishozi imiterere yumutima wumurwayi.

Dialyse cyangwa apheresis:Mu barwayi bananiwe kunanirwa kw'impyiko cyangwa abakeneye Apheresis, ubwoko bwihariye bwa CVC burashobora gukoreshwa kugirango babone amaraso kubitabo bya dialyse.

 

Ubwoko bwaCatheters yo hagati

Hariho ubwoko bwinshi bwabatagazi bwa venous nkuru, buri kimwe cyagenewe intego zihariye no kuramba:

Umurongo wa Picc (winjije peteroteri yo hagati):

Umurongo wa picc ni umunyoni muremure, woroheje winjijwe mumitsi mu kuboko, mubisanzwe basilic cyangwa cephalic, kandi bambaye imitsi yo hagati hafi yumutima. Bikunze gukoreshwa muburyo buciriritse bwo kuvura, kuva mubyumweru kugeza ukwezi.
Imirongo ya picc iroroshye gushira no gukuraho, kubakora guhitamo kwimura igihe kirekire zidakeneye kwinjiza kubaga.

Abatishoboye batavunika:

Ibi binjijwe mu buryo bunini mu ijosi (jagular), igituza (subclaviya), cyangwa mu bucuruzi (ubusanzwe) kandi mubisanzwe bikoreshwa mu gihe gito, ubusanzwe mukwitaho cyangwa ibihe byihutirwa.
CVC idatunganijwe ntabwo ari nziza ikoreshwa ryigihe kirekire kubera ibyago byinshi byo kwandura kandi mubisanzwe bikurwaho igihe umurwayi azagaburira.
CanNoled catheters:

Cantheters Catheters yinjijwe mumitsi yo hagati ariko yayobowe numuyoboro wisumbuye mbere yo kugera ku cyinjira kuruhu. Umuyoboro ufasha kugabanya ibyago byo kwandura, bigatuma bakoresha igihe kirekire, nko mubarwayi basaba amaraso kenshi cyangwa imiti ya chimio.
Aba ba catheter bakunze kugira cuff ishishikariza gukura kw'imikurire, banga catheter mu mwanya.

Ibyambu byashyizwemo (Port-A-Cath):

Icyambu cyatewe nigikoresho gito, gizengurutse gishyizwe munsi yuruhu, mubisanzwe mugituza. Catheter yiruka kuva ku cyambu kugera mu mutwe wo hagati. Ibyambu bikoreshwa mu kuvura rimwe na rimwe nka chimiotherapie, kuko munsi y'uruhu kandi bafite ibyago bike byo kwandura.
Abarwayi bahitamo ibyambu byigihe kirekire kuko badafite ikibazo kandi bisaba inkoni y'urushinge mugihe cyo gukoresha.

Inzira ya Vonous
Kwinjiza Catheter ya Vonous Hagati nubu buryo bwubuvuzi buratandukanye bitewe n'ubwoko bwa catheter. Dore incamake rusange yimikorere:

1. Gutegura:

Mbere yo ku buryo, amateka yubuvuzi yumurwayi arasubirwamo, kandi uruhushya ruboneka. Igisubizo cya antiseptic gikoreshwa kurubuga rwo kwinjiza kugirango ugabanye ibyago byo kwandura.
Anesthetic cyangwa indwara irashobora gutangwa kugirango ihumurize umurwayi.
2. Gushyira Ahantu:

Gukoresha ubuyobozi bwa ultrasound cyangwa ibimenyetso nyaburanga, umuganga yinjiza catheter mumitsi iboneye. Kubireba umurongo wa picc, catheter yinjijwe mumitsi ya peripheri mu kuboko. Kubundi bwoko, ingingo nkuru nkuru nkimitsi yo mububiko cyangwa imbere.
Catherter yateye imbere kugeza igeze aho ishaka, mubisanzwe vena cava nziza hafi yumutima. X-ray cyangwa flueroscopi ikunze gukorwa kugirango igenzure umwanya wa catheter.
3. Fungura catheter:

Iyo catheter imaze gushyirwaho neza, ifite umutekano hamwe na suture, ifatika, cyangwa imyambarire idasanzwe. CantNeled catheters irashobora kugira Cuff kugirango ibone umutekano.
Urubuga rwinjiza noneho rwambaye, kandi catheter yakuweho umunyu kugirango arebe ko akora neza.
4. Nyuma:

Kwitaho neza no guhindura buri gihe ni ngombwa kugirango birinde kwandura. Abarwayi n'abarezi bahuguwe uburyo bwo kwita kuri catheter murugo nibiba ngombwa.
Ingorabahizi
Mugihe catheters yo hagati harimo ibikoresho ntagereranywa mubuvuzi, ntabwo ari ingaruka. Ingorane zimwe zirimo:

1. kwandura:

Ingorabahizi zikunze kugaragara ni infection kurubuga rwinjiza cyangwa kwandura amaraso (kwandura umurongo hagati, cyangwa kwandura amaraso, cyangwa clabsi). Ubuhanga bukomeye bworoshye mugihe cyo kwinjiza no kubungabunga neza birashobora kugabanya iyi ngaruka.
2. Amaraso:

CVC irashobora rimwe na rimwe gutera amaraso mumitsi. Amaraso yamaraso arashobora gutegekwa kugabanya iyi ngaruka.
3. Pneumothorax:

Gutontoma kubwimpanuka birashobora kubaho mugihe cyo kwinjizwa, cyane cyane hamwe nabatiba badafite imiti bashyizwe mu gituza. Ibi bivamo ibihaha byaguye, bisaba ko hatabara ubuvuzi bwihuse.
4.

Catheter irashobora guhagarikwa, kikaba, cyangwa guhungabana, bigira ingaruka kumikorere yayo. Guhora mu buryo butunguranye no gutunganya neza birashobora kubuza ibyo bibazo.
5. Kuva amaraso:

Hariho ibyago byo kuva amaraso mugihe cyiburyo, cyane cyane iyo umurwayi afite ikibazo gikomeye. Tekinike ikwiye kandi yo kwita kubikorwa bifasha kugabanya iyi mbaraga.

 

Umwanzuro
Catheters yo hagati ni ibikoresho byingenzi mubuvuzi bugezweho, bitanga uburwayi bwizewe kubintu bitandukanye. Mugihe inzira yo gushira umurongo wubuvuzi rusange ni muburyo butaziguye, bisaba ubuhanga no gutekereza kugirango ugabanye ingorane. Gusobanukirwa ubwoko bwa CVCs nuburyo bwabo bwihariye butuma abatanga ubuvuzi bahitamo uburyo bwiza kuri buri murwayi akeneye, bugenga neza kandi neza.