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Kedu ihe bụ Central Line (CVC)?Nkọwa nke Tunneled Central Line (CVC)
Nzọụkwụ na-aga azụ iji nweta nkọwa nke eriri dị n'etiti, ma ọ bụ ihe nkuku kpụ ọkụ n'ọnụ, pụrụ ịdị mma; ma na nkenke, eriri etiti dị na ya bụ ngwọta dị ogologo oge maka nsogbu nke ịnweta mmiri nke ọbara mmadụ. Akpanye, ma ọ bụ catheter, nke a na-etinye - nke dị n'okpuru akpụkpọ obi - nwere ike ịnweta ọbara ọbara maka izu, ma ọ bụ ọbụna ọnwa. A na-emekarị ntinye nke catheter ahụ site na usoro mpụga. Nye ụfọdụ ndị, akara nwere ike ịmịgide na-anọ ebe niile ruo ogologo oge ịgwọ ọrịa kansa , na-enye ndị ọrụ nlekọta ahụ ike ịnweta ọbara - ma ọ bụ ịnye ọgwụgwọ, nye ngwaahịa ọbara, ma ọ bụ dọpụta ọbara maka ule - niile na-enweghị na-enwe ihe mgbochi agịga kwa oge ọ bụla mkpa dị. Caveat: Ụmụaka enwere akara eriri etiti na-ekwesịghị ịsị na usoro a pụtara "enweghị mkpịsị osisi nkwụ" n'ọdịnihu.
Central Line vs. Tunneled Central Line
Uzo etiti etiti etiti ahuru bu nke puru iche, ma obu kpochapu anu ozo (CVC). Iji mee ihe atụ nke eriri ọnụ, ihe etiti etiti niile na-enye ndị dọkịta ohere ịnweta nnukwu ọbara ọbara nke ahụ - ma ọ bụ nnukwu ohere ịnweta okporo ụzọ. Otú ọ dị, enwere ọdịiche dị n'etiti ịbanye n'ime mmiri ọkụ n'oge ihe mberede na ịwụnye ọhụụ ọhụrụ n'ụlọ, na-atụ anya na ọ dị mkpa maka ịnweta ohere. Oghere etiti etiti etiti dị iche iche na-etinye aka na ntinye nkwụsịtụ oge n'ụlọ. Echiche bụ ịnọgide na-ejigide ihe nchekwa ahụ na ịkọwa ụzọ nke ọrụ duct n'okpuru akpụkpọ ahụ, iji zere nsogbu dị ka ọrịa.
Ọnụ nke CVC dị na nnukwu vein dị nso n'obi gị. A na-etinyere CVC ndị na-agbanye ọkụ n'ime ihe mgbochi n'ime obi, na-agbanye site na anụ ahụ dị nro n'okpuru anụ ahụ, ma tinye ya n'ime nnukwu olu gị, ma bido nso n'obi. "Ọwara" a n'okpuru akpụkpọ ahụ na - enyere aka na - ejide ebe ahụ, ma gbochie ọrịa . Enwere uru dị iche iche na catheters na-ejikọta, ma enwerekwa ọtụtụ ihe mgbochi dị mkpa na nchebe iji mara, dị ka ilekọta saịtị ahụ n'ime awa 48 mgbe e debere ya.
Ejikọtara ebe a na-etinye ihe na-eme n'oge a na ọtụtụ ọganihu ma e jiri ya tụnyere afọ gara aga; Ọnụ ọgụgụ nke nsogbu ndị metụtara usoro ọ bụla ejiriwo ihe osise na-eduzi ntinye. Ka o sina dị, dị ka usoro ndị dị otú a, ọhụụ dị n'etiti venous adịghị enwe nsogbu.
Ọzọkwa, site na onye ọrịa, onye na-emepụta ihe na / ma ọ bụ aha nke usoro nchịkọta nwere ike dị mkpa - ndị ọrụ ahụike nwere ike ịkpọ "aha ụlọ ọgwụ" na ngwaọrụ ahụ, ya mere ndị ọrịa nwere ike ịba uru site n'ịmara ndị a okwu, dịka o kwesịrị ekwesị, ọbụlagodi ma ọ bụrụ na e zoro aka na otu onye nrụpụta.
Isi mmalite:
Funaki B. Tunneled Central Venous Catheter Insertion. Ọmụmụ ihe ọmụmụ na Radiology. 2008; 25 (4): 432-436.
Ọzụzụ Nta - Wexner Medical Center. https://patienteducation.osumc.edu/Documents/TunneledCVCPlacement.pdf . Enweta December 2015.
Goodman, M. Chemotherapy: Ụkpụrụ nchịkwa. Na Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Cancer Nursing: Principles and Practice 5th American American Cancer Society, Jones na Bartlett: Sudbury, MA.
Emelitere December 2015, TI.