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Uluphi umgca ophakathi kweCVC?Inkcazo yeConstruction Line (CVC)
Isinyathelo esiya ngasemva ukuthatha inkcazo yomgca ophakathi, okanye i-catheter ye-venous central, ingafaneleka ; kodwa mfutshane, umgca ophakathi kwinqanaba lexesha elide liyinkombululo yexesha elide kwingxaki yokufikelela kumlambo wegazi lomntu. I-tube, okanye i-catheter, efakwe - ngokuqhelekileyo phantsi kwesikhumba sesifuba-inokubonelela ngokufikelela kwigazi kwiiveki, okanye kwiinyanga. Ngokuqhelekileyo, ukufakwa kwecatheter kwenziwa ngenkqubo yonyango. Kubantu abathile, umgca ophakathi we-tunne ungahlala kwindawo yonke ixesha lokunyanga komhlaza , unike iqela lezokwelapha ukufikelela ngqo kwigazi-nokuba ingaba ukuphatha i-chemotherapy, ukunika iimveliso zegazi, okanye ukugalela iimvavanyo zegazi-konke ngaphandle Ukunyamezela inaliti kunamathela rhoqo ixesha elifunekayo. I-Caveat: Abantwana abanomgca ophakathi kwendawo enqamlekileyo kufuneka bangaxelelwa ukuba le nqubo ithetha "akukho ntshontshi".
I-Central Line kunye neTunneled Central Line
Imigca ephakathi yendawo ekhethekileyo yomgca ophakathi, okanye i-catheter ye-venous central (CVC). Ukusebenzisa ukulinganisa kwamapulangwe, yonke imigca ephambili inike oogqirha ukuba bafikelele emitanjeni yegazi emikhulu yomzimba-okanye iipayipi ezinkulu zokufikelela phantsi kwezitalato. Nangona kunjalo, kukho umehluko phakathi kokungena kwi-fire hydrant ngexesha loxakeka kwaye ufake i-spigot entsha ekhayeni, ulindele ukufunyanwa kokufikelela ngokuqhubekayo. Imizila engundoqo yomnxeba ifana ngokufana nokufaka i-spigot yesikhashana ekhaya. Injongo kukugcina i-plumbing ekhuselekile nokucwangcisa indlela yomsebenzi ophantsi kwesikhumba, ukuphepha iingxaki ezifana nokusuleleka.
Iphuzu le-CVC likhona kwisivalo esikhulu kufuphi nentliziyo yakho. I-CVC ezixhunyiwe zifakwe kwi-chest, zifakwe kwi-tissue ephathekayo phantsi kwesikhumba, ize ifakwe kwi-vein enkulu entanyeni yakho, ize ihambe ngakumbi entliziyweni. Le "ngxowa" phantsi kwesikhumba kunceda ukubamba i-catheter endaweni kunye nokukhusela usulelo . Kukho inani leenzuzo kunye namathathethini anqamlekileyo, kodwa kukho nenani leemingcipheko ezibalulekileyo kunye nokuqapha okumele ukwazi, njengokukhathalela isayithi kwiiyure ezingama-48 emva kokubekwa.
Ukufakwa kwendawo yangoku kwintsimbi ephakathi kwendawo yokutya idibeneyo inxulumene nenani lezinto eziphuculwayo xa kuthelekiswa neminyaka edlulileyo; isantya sazo zonke iinkathazo ezinxulumene nenkqubo ziye zawa ngokugqithiseleyo kunye nokusetyenziswa kweengcamango zokukhokela ukufakelwa kwecatheter. Nangona kunjalo, njengazo zonke iinkqubo ezinjalo, ukungena kwiindawo eziphambili akukho ngaphandle kweengozi zayo.
Kwakhona, kumbono wesigulane, umenzi othile kunye / okanye igama lenkqubo yecathter isetyenziswe ingabalulekile - iqela lezonyango linokuthi libhekise kwisixhobo "ngegama layo lesibhedlele," ukuze izigulane zizuze ngokuziqhelanisa nale ngokwemigaqo, ngokufanelekileyo, nangona ukuba isalathisi kumenzi othile.
Imithombo:
Funaki B. I-Tunneled Central Venous Catheter Insertion. Iisemina kwi-Radiology Interventional. 2008; 25 (4): 432-436.
Imfundo yeMonde - I-Medical Wexner Centre. https://patienteducation.osumc.edu/Documents/TunneledCVCPlacement.pdf . Kufike ngoDisemba 2015.
Goodman, M. Chemotherapy: Iimigaqo zoLawulo. E-Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Ubunakekeli beCancer: Imigaqo kunye ne-5th American Society Cancer, uJones noBartlett: eSudbury, MA.
Ukuhlaziywa kweDisemba 2015, iTI.