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Kodi Chingwe Chachikulu Chakumtundu (CVC) ndi chiyani?Tanthauzo la Teteled Central Line (CVC)
Gawo lombuyo kuti likhale ndi tanthauzo la mzere waukulu, kapena pakati pa catheter yamatumbo, ikhoza kukhala yoyenera; koma mwachidule, mzere wofunika kwambiri wamtunduwu ndi njira yothetsera vuto la kupeza magazi a munthu. Thumba, kapena catheter, yomwe imayikidwa - kawirikawiri pansi pa khungu la chifuwa - ikhoza kupereka mwayi wopita magazi kwa milungu, kapena miyezi. Kawirikawiri, kusungidwa kwa catheter kumachitidwa kudzera mwa njira yopita kuchipatala. Kwa anthu ena, mzere wofunikira kwambiri wamtunduwu ukhoza kukhala m'malo mwa nthawi yonse ya chithandizo cha khansa , kupatsa gulu lachipatala mwayi wolumikiza magazi - kaya ndi kupereka chemotherapy, kupereka mankhwala, kapena kuyesa magazi - onse popanda Kukhala ndi chipilala ndi singano kumamatira nthawi zonse pamene kufunikira kufunika. Caveat: ana omwe ali ndi mzere wapakati wamkati akuyikidwa sayenera kuuzidwa kuti njirayi imatanthawuza kuti "palibe ndodo za singano" mtsogolomu.
Mzere wa Pakati Pakati pa Mzere Waukulu
Mizere yapakati yomwe ili pakatikati ndi mzere wapadera, womwe uli pakatikati wa catheter (CVC). Kuti agwiritse ntchito kufanana kwa ma plumbing, mizere yonse yapakati imapereka madokotala ku mitsempha yambiri yamagazi ya thupi - kapena mipiringidzo yaikulu pansi pa misewu. Komabe, pali kusiyana pakati pa kugwiritsira ntchito moto wamoto panthawi yozizira ndi kukhazikitsa spigot yatsopano m'nyumba, kuyembekezera kufunika kofikira kupeza. Mizere yomwe ili pakatikati imakhala yofanana ndi kukhazikitsa spigot yachangu kunyumba. Cholinga chake ndi kusunga mapulaneti otetezeka komanso kukonzekera njira yopita pansi pa khungu, kuti asapewe mavuto monga matenda.
Nsonga ya CVC ili mu mitsempha yaikulu pafupi ndi mtima wanu. Mitundu ya CVC yomwe imayikidwa pansi imayikidwa mkati mwa chifuwa, imagwiritsidwa ntchito pamtundu wofewa pansi pa khungu, kenako imalowa mu mitsempha yotuluka m'khosi, ndipo imayandikira kwambiri pamtima. Chombo ichi pansi pa khungu chimathandiza kugwira kathete m'malo, ndi kupewa matenda . Pali zopindulitsa zingapo ndi catheters ya tunneled, koma palinso zofunikira zowonjezera ndi zowononga kuti muzisamala, monga kusamalira malo mumasiku 48 mutatha kuikidwa.
Kachitidwe kakang'ono ka kathethala kameneka kamene kamakhala kakugwirizanitsa ndi kusintha kochuluka poyerekeza ndi zaka zapitazo; chiŵerengero cha zovuta zonse zokhudzana ndi ndondomeko zatsimikizika zagwera kwambiri ndi kugwiritsira ntchito mafano kutsogolera kuika kathete. Komabe, mofanana ndi njira zonsezi, kupititsa patsogolo mavitamini sikoopsa.
Komanso, kuchokera kuwona kwa wodwala, wopanga ndi / kapena dzina la catheter ntchito yogwiritsidwa ntchito ikhoza kukhala yofunika - gulu lachipatala lingathenso kutchula chipangizocho ndi "dzina lachipatala," kotero odwala angapindule ndi kudziŵa izi mawu, ngati n'kotheka, ngakhale ngati kutchulidwa kwa wopanga winawake.
Zotsatira:
Funaki B. Tunneled Central Venous Catheter Insertion. Seminar in Interventional Radiology. 2008; 25 (4): 432-436.
Maphunziro Oleza Mtima - Wexner Medical Center. https://patienteducation.osumc.edu/Documents/TunneledCVCPlacement.pdf . Idapezeka mu December 2015.
Goodman, M. Chemotherapy: Mfundo Zowonongeka. Ku Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Uchikulire wa Khansa: Mfundo ndi Zochita 5th American Cancer Society, Jones ndi Bartlett: Sudbury, MA.
Idasinthidwa December 2015, TI.