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Iyini i-Central Line eTunneled (CVC)?Incazelo yeCinnel Central Line (CVC)
Isinyathelo emuva emuva ukuthatha incazelo yomugqa ophakathi, noma i- catheter eyinhloko emaphakathi, ingaba efanelekile; kodwa ngokufingqiwe, umugqa ophakathi kwe-tunneled isisombululo sesikhathi eside senkinga yokuthola ukusakaza kwegazi lomuntu. I-tube, noma i-catheter, efakwe - ngokujwayelekile ngaphansi kwesikhumba sesifuba - inganikeza ukufinyelela kokuhamba kwegazi amasonto, noma ngisho nezinyanga. Ngokuvamile, ukufakwa kwe-catheter kwenziwa ngenqubo yokwelashwa. Kwabanye abantu, umugqa ophakathi kwe-tunneled ungase uhlale endaweni yonke yokwelashwa komdlavuza , unike ithimba lezokwelapha ukufinyelela okuqondile emzimbeni wegazi - kungakhathaliseki ukuhlinzeka ngamakhemikhali, ukunikeza imikhiqizo yegazi, noma ukudweba igazi - konke ngaphandle ukukhuthazelela inaliti ukunamathela njalo lapho kunesidingo. I-Caveat: Izingane ezinomugqa ophakathi kwe-tunneled ezibekwayo akufanele zitshelwe ukuthi le nqubo isho ukuthi "akusayikho izinti zezikhumba" esikhathini esizayo.
I-Central Line vs. I-Line Line Ephakathi
Imigqa ephakathi kwemigqa iyinhlobo ekhethekile yomugqa ophakathi, noma i-catheter ye-venous ephakathi (CVC). Ukusebenzisa ukufaniswa kwamapayipi, yonke imigqa esemaphakathi inikeza odokotela ukufinyelela emithonjeni emikhulu yegazi yomzimba - noma amapayipi amakhulu okufinyelela ngaphansi kwezitaladi. Kodwa-ke, kukhona umehluko phakathi kokungena emgodini womlilo phakathi nesimo esiphuthumayo bese ufaka i-spigot entsha ekhaya, silindele isidingo sokufinyelela okuqhubekayo. Imigqa emaphakathi ekhonjiwe isilingana ngokufaka i-spigot yesikhashana ekhaya. Umqondo ukugcina amapulangwe aphephile futhi ahlele indlela yomsebenzi wokudoba ngaphansi kwesikhumba, ukugwema izinkinga ezifana nokutheleleka.
Iphuzu le-CVC lisemvini omkhulu eduze kwenhliziyo yakho. Ama-CVC ane-tunne ajwayele ukufakwa ngaphakathi kwesifuba, ahanjiswe ngezicubu ezithambile ngaphansi kwesikhumba, bese efakwa emgqeni omkhulu entanyeni yakho, futhi ahambile eduze kwenhliziyo. Le "umhubhe" ngaphansi kwesikhumba kusiza ukubamba umcengezi endaweni, futhi uvimbele ukutheleleka . Kunezinzuzo eziningi ezinama-catheter angenawo, kepha kukhona nemingcele ebalulekile nezinyathelo okufanele ziqaphele, njengokunakekelwa kwesayithi emahoreni angu-48 ngemva kokubekwa.
Ukufakwa kwesikhala samaphayiphi okuphakathi kwamanje kufana nokuthuthukiswa kweziningana uma kuqhathaniswa neminyaka edlule; izinga lazo zonke izinkinga ezihlobene nenqubo liye lahla ngokuphawulekayo nokusetshenziswa kwezithombe zokuqondisa ukufakwa komcathisi. Noma kunjalo, njengazo zonke izinqubo ezinjalo, ukufinyelela okuphakathi kwe-venous akuyona ingozi.
Futhi, kusukela ekuboneni kwesiguli, umenzi othile kanye / noma igama le-system catheter elisetshenziswayo kungaba kubalulekile - ithimba lezokwelapha lingase libhekise kudivayisi ngokuthi "igama layo lesibhedlela," ngakho iziguli zingase zizuze ngokujwayela lezi imigomo, njengoba kufanelekile, noma ngabe ireferensi ingumkhiqizi othile.
Imithombo:
I-Funaki B. ixhunywe ngokufaka i-Central Venous Catheter. Ama-Seminar ku-Radiology Interventional. 2008; 25 (4): 432-436.
Education Patient - Isikhungo Sezokwelapha Wexner. https://patienteducation.osumc.edu/Documents/TunneledCVCPlacement.pdf . Ifinyelele ngoDisemba 2015.
Goodman, M. Chemotherapy: Izimiso Zokuphatha. E-Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Ukunakekela Kansa: Izimiso Nezenzo 5th American Cancer Society, Jones noBartlett: Sudbury, MA.
Kubuyekezwe u-December 2015, i- TI.