Ngā katitere uaua pokapū (CVC)me ngā katitere pokapū e whakauruhia ana ki te taha (PICChe taputapu nui ngā s) i roto i te rongoā hou, e whakamahia ana hei tuku tika i ngā rongoā, ngā matūkai, me ētahi atu matū nui ki roto i te toto. Ko Shanghai Teamstand Corporation, he kaiwhakarato ngaio me te kaihanga ongā taputapu hauora, e whakarato ana i ngā momo katitere e rua. Mā te mārama ki ngā rerekētanga i waenga i ēnei momo katitere e rua ka āwhina i ngā tohunga hauora ki te whiriwhiri i te taputapu tika mō ā rātou tūroro.
He aha te CVC?
A Te Tātaritanga Uaua WaengaKo te (CVC), e mōhiotia ana ko te raina pokapū, he ngongo roa, angiangi, ngāwari e whakaurua ana mā roto i te uaua i te kaki, i te uma, i te uma rānei, ka kuhu ki roto i ngā uaua pokapū e tata ana ki te ngākau. He maha ngā kaupapa e whakamahia ana ngā CVC, tae atu ki:
- Te hoatu rongoā: Ina koa ko ērā e whakapataritari ana i ngā uaua ā-taha.
– Te whakarato i te rongoā ā-uaua (IV) mō te wā roa: Pēnei i te chemotherapy, te rongoā paturopi, me te kai totika katoa (TPN).
– Te aroturuki i te pēhanga uaua pokapū: Mō ngā tūroro tino mate.
– Te tango toto mō ngā whakamātautau: Mēnā e hiahiatia ana he tauira toto auau.
Ngā CVCka taea te whakamahi i ngā lumens (ngā hongere) maha, e āhei ai te whakahaere i ngā maimoatanga rerekē i te wā kotahi. Ko te tikanga he whakamahinga poto ki te wā waenga, tae atu ki ētahi wiki, ahakoa ka taea te whakamahi i ētahi momo mō ngā wā roa.
He aha te PICC?
Ko te Peripherally Inserted Central Catheter (PICC) he momo catheter pokapū e whakaurua ana mā roto i tētahi uaua peripheral, i te nuinga o te wā i te ringa o runga, ā, ka nekehia kia tae rā anō te pito ki tētahi uaua nui e tata ana ki te ngākau. E whakamahia ana ngā PICC mō ngā kaupapa rite ki ngā CVC, tae atu ki:
- Te urunga IV mō te wā roa: He maha ngā wā mō ngā tūroro e hiahia ana ki te maimoatanga roa pēnei i te chemotherapy, te maimoatanga paturopi rānei mō te wā roa.
– Te hoatu rongoā: Me tuku ki te pokapū engari mō te wā roa.
– Te tango toto: Te whakaiti i te hiahia ki te wero i ngā ngira.
He roa ake te wā e whakamahia ai ngā PICC i ngā CVC, mai i ētahi wiki ki ētahi marama. He iti ake te kaha o te pokanga i ngā CVC nā te mea kei roto i te uaua taha te wāhi e whakaurua ai, kaua ki te uaua pokapū.
Ngā Rerekētanga Matua i waenga i te CVC me te PICC
1. Pae Whakauru:
– CVC: Ka whakaurua ki roto i tētahi uaua pokapū, he maha ngā wā i roto i te kaki, i te uma, i te hope rānei.
– PICC: Kua whakaurua ki roto i tētahi uaua taha o te ringa.
2. Te Tukanga Whakauru:
– CVC: I te nuinga o te wā ka whakaurua ki te hōhipera, i raro i te arataki a te fluoroscopy, te ultrasound rānei. He maha ngā wā ka hiahiatia he tikanga parakore ake, ā, he uaua ake.
– PICC: Ka taea te whakauru ki te taha o te moenga, ki te wāhi rānei e tukuna ana ki waho o te hōhipera, i raro i te arataki a te ultrasound, kia māmā ake ai te mahi, kia kore ai hoki e uru ki roto i te pokanga.
3. Te Roanga o te Whakamahinga:
– CVC: Ko te tikanga he whakamahinga mō te wā poto ki te wā waenga (tae atu ki ētahi wiki).
– PICC: He pai mō te whakamahinga roa (wiki ki ngā marama).
4. Ngā raruraru:
– CVC: He nui ake te mōrearea o ngā raruraru pēnei i te mate pukupuku, te pneumothorax, me te thrombosis nā te mea kei waenganui tonu te wāhi o te catheter.
– PICC: He iti ake te mōrearea o ētahi raruraru engari kei reira tonu ngā mōrearea pēnei i te thrombosis, te mate, me te aukati catheter.
5. Te whakamarie me te nekenekehanga o te tūroro:
– CVC: Kāore pea e tino pai mō ngā tūroro nā te wāhi i whakaurua ai, me te āheinga pea o te aukati i te nekehanga.
– PICC: He pai ake te noho, ā, he pai ake te nekenekehanga o ngā tūroro.
Whakamutunga
He taputapu hauora whai hua ngā CVC me ngā PICC e whakaratohia ana e te Shanghai Teamstand Corporation, ia taputapu e whakatutuki ana i ngā hiahia motuhake i runga i te āhua o te tūroro me ngā whakaritenga maimoatanga. Ko ngā CVC te tikanga e whiriwhiria ana mō ngā maimoatanga kaha me te aroturukitanga poto, ko ngā PICC ia e pai ana mō te rongoā roa me te whakamarie o te tūroro. He mea nui te mārama ki ēnei rerekētanga kia taea ai e ngā kaiwhakarato hauora te whakatau whai whakaaro me te whakarato i te tiaki pai rawa atu mō ā rātou tūroro.
Wā tuku: Hōngongoi-08-2024