Catheters yo hagati (CVCS)kandi byateguwe byashizwemo abatatanye hagati (Piccs) nibikoresho byingenzi mubuvuzi bugezweho, bikoreshwa mugutanga imiti, intungamubiri, nibindi bintu byingenzi mumaraso. Shanghai Parike, utanga umwuga nuwabikozeIbikoresho byo kwa muganga, itanga ubwoko bwombi bwa catheter. Gusobanukirwa itandukaniro riri hagati yubwoko bubiri bwa catheters burashobora gufasha abanyamwuga bashinzwe ubuzima hitamo igikoresho gikwiye kubarwayi babo.
CVC ni iki?
A Catheter yo hagati. CVC ikoreshwa mu mpamvu zitandukanye, harimo:
- Gutanga imiti: Cyane cyane abarakaza imitsi ya peripheli.
- Gutanga imivugo ndende (iv): nka chimiotherapie, kuvura imiti ya antibiyotike, hamwe nimirire yose ya gitereteri (TPN).
- Gukurikirana umuvuduko ukabije wubuvuzi: kubarwayi barwaye neza.
- Gukuramo amaraso kubizamini: Iyo igishushanyo gikunze kugaragara.
Cvcsirashobora kugira lumens nyinshi (trannels) yemerera imiyoborere icyarimwe yubuvuzi butandukanye. Mubisanzwe bigenewe kugukoresha manda-make, mubisanzwe bigera ku byumweru byinshi, nubwo ubwoko bumwe bushobora gukoreshwa mugihe kirekire.
Picc ni iki?
Hashyizwemo Catheter Hagati (Picc) ni ubwoko bwa catheter yo hagati yinjijwe mumitsi ya peripheri, mubisanzwe mukiganza cyo hejuru, kandi bigatera imbere kugeza igihe inama igera kumutima munini hafi yumutima. Piccs ikoreshwa mubikorwa nkibi nka CVCS, harimo:
- IV ndende iv: akenshi kubarwayi basaba kuvura kwagutse nkibintu bya chimiotherapie cyangwa igihe kirekire.
- Gutanga imiti: Icyo hagomba gutangwa hagati ariko mugihe kirekire.
- Gukuramo Amaraso: Kugabanya gukenera inkoni zisubirwamo.
Picc mubisanzwe ikoreshwa mugihe kirekire kuruta CVCs, akenshi kuva ibyumweru byinshi kugeza memezi. Ntabwo batera hejuru ya CVC nkuko urubuga rwabo rwinjiza ari mumazi ya peripheri aho kuba ari hagati.
Itandukaniro ryingenzi hagati ya CVC na Picc
1. Urubuga rwinjiza:
- CVC: Yinjijwe mumitsi yo hagati, akenshi mu ijosi, igituza, cyangwa ikibirigito.
- Picc: Yinjijwe mumitsi ya peripheri mu kuboko.
2. Uburyo bwo kwinjiza:
- CVC: Mubisanzwe byinjijwe mubitaro, akenshi munsi yubuyobozi bwa flueroscopy cyangwa ultrasound. Mubisanzwe bisaba ibintu byinshi bito kandi biragoye.
- Picc: irashobora kwinjizwa ku buriri cyangwa mu buryo budasanzwe, ubusanzwe munsi y'ubuyobozi budasanzwe, bigatuma inzira zidasanzwe kandi ziteye.
3. Igihe cyo Gukoresha:
- CVC: Mubisanzwe bigenewe kuba mugukoresha igihe giciriritse (kugeza ibyumweru byinshi).
- Picc: Birakwiye gukoresha igihe kirekire (ibyumweru kugeza amezi).
4. Ingorane:
- CVC: Ingaruka nyinshi z'ingorabahizi nko kwandura, pneomothorax, na trombose kubera ahantu hamwe hagati ya catheter.
- Picc: Ingaruka ntoya y'ibibazo bimwe ariko biracyafite ingaruka nka trombose, kwandura, hamwe na catheter oplusion.
5. Ihumure ryihangana no kugenda:
- CVC: Birashobora kuba byiza kubarwayi kubera kwinjiza urubuga nubushobozi bwo guhagarika imigendeke.
- Picc: Mubisanzwe neza kandi yemerera kugenda cyane kubarwayi.
Umwanzuro
CVCs na Piccs nibikoresho byubuvuzi byingirakamaro bitangwa na SHAnghai Paripporation, buriwese akorera ibikenewe ashingiye kumiterere yumurwayi hamwe nibisabwa kuvura. CVCs isanzwe yahisemo kwivuza cyane no gukurikirana, mugihe Picc itoneshwa no kuvura igihe kirekire no guhumurizwa kwihangana. Gusobanukirwa itandukaniro ni ngombwa kubatanga ubuzima bwiza kugirango bafate ibyemezo byuzuye kandi bitanga ubwitonzi bwiza kubarwayi babo.
Igihe cya nyuma: Jul-08-2024