Ama-catheter emithambo yegazi ephakathi (ama-CVC)kanye nama-catheter aphakathi afakwe eceleni (I-PICCs) ngamathuluzi abalulekile kwezokwelapha zesimanje, asetshenziselwa ukuletha imithi, izakhamzimba, nezinye izinto ezibalulekile ngqo egazini. I-Shanghai Teamstand Corporation, umhlinzeki ochwepheshe kanye nomkhiqizi we-amadivayisi ezokwelapha, inikeza zombili izinhlobo zama-catheter. Ukuqonda umehluko phakathi kwalezi zinhlobo ezimbili zama-catheter kungasiza ochwepheshe bezempilo ukuthi bakhethe idivayisi efanele iziguli zabo.
Iyini i-CVC?
A I-Catheter Ephakathi Yemithambo(CVC), eyaziwa nangokuthi umugqa ophakathi, iyipayipi elide, elincane, eliguquguqukayo elifakwa ngomthambo entanyeni, esifubeni, noma embotsheni bese liqhubekela phambili emithanjeni ephakathi eduze kwenhliziyo. Ama-CVC asetshenziselwa izinjongo ezahlukahlukene, okuhlanganisa:
- Ukunikeza imithi: Ikakhulukazi leyo ecasula imithambo yegazi engaphandle.
– Ukuhlinzeka ngokwelashwa ngemithambo yegazi isikhathi eside (IV): Njengokwelashwa ngamakhemikhali, ukwelashwa ngama-antibiotic, kanye nokudla okunempilo okuphelele (TPN).
– Ukuqapha umfutho wegazi ophakathi: Kweziguli ezigula kakhulu.
– Ukudonsa igazi ukuze kuhlolwe: Uma kudingeka ukusampula njalo.
Ama-CVCzingaba nama-lumens amaningi (iziteshi) okuvumela ukuphathwa ngasikhathi sinye kwezindlela zokwelapha ezahlukene. Ngokuvamile zenzelwe ukusetshenziswa kwesikhathi esifushane kuya kwesiphakathi, ngokuvamile kuze kube amasonto ambalwa, yize ezinye izinhlobo zingasetshenziswa isikhathi eside.
Iyini i-PICC?
I-Peripherally Inserted Central Catheter (PICC) uhlobo lwe-catheter ephakathi efakwa ngomthambo ongaphandle, ngokuvamile engalweni engenhla, futhi iqhubeke kuze kube yilapho isiphetho sifinyelela emthanjeni omkhulu eduze kwenhliziyo. Ama-PICC asetshenziselwa izinjongo ezifanayo nama-CVC, okuhlanganisa:
- Ukufinyelela isikhathi eside ekwelashweni nge-IV: Ngokuvamile ezigulini ezidinga ukwelashwa okwengeziwe njengokwelashwa ngamakhemikhali noma ukwelashwa ngama-antibiotic isikhathi eside.
– Ukunikeza imithi: Lokho kudinga ukulethwa phakathi kodwa isikhathi eside.
– Ukudonsa igazi: Ukunciphisa isidingo sezinti zezinaliti eziphindaphindwayo.
Ama-PICC avame ukusetshenziswa isikhathi eside kunama-CVC, ngokuvamile kusukela emavikini ambalwa kuya ezinyangeni. Awahlaseli kakhulu kunama-CVC njengoba indawo yawo yokufaka isemthanjeni ongaphandle kunokuba ibe semthanjeni ophakathi.
Umehluko Obalulekile Phakathi kwe-CVC ne-PICC
1. Indawo Yokufaka:
– I-CVC: Ifakwa emthanjeni ophakathi, ngokuvamile entanyeni, esifubeni, noma endukwini.
– I-PICC: Ifakwe emthanjeni ongaphandle engalweni.
2. Inqubo Yokufaka:
– I-CVC: Ngokuvamile ifakwa esibhedlela, ngokuvamile ngaphansi kwesiqondiso se-fluoroscopy noma se-ultrasound. Ngokuvamile idinga izimo ezihlanzekile futhi iyinkimbinkimbi kakhulu.
– I-PICC: Ingafakwa eceleni kombhede noma endaweni yokwelapha ngaphandle, ngokuvamile ngaphansi kwesiqondiso se-ultrasound, okwenza inqubo ingabi yinkimbinkimbi futhi ingangenisi.
3. Isikhathi Sokusetshenziswa:
– I-CVC: Ngokuvamile ihloselwe ukusetshenziswa kwesikhathi esifushane kuya kwesesikhathini esimaphakathi (kuze kube amasonto ambalwa).
– I-PICC: Ifanele ukusetshenziswa isikhathi eside (amasonto kuya ezinyangeni).
4. Izinkinga:
– I-CVC: Ingozi ephezulu yezinkinga ezifana nokutheleleka, i-pneumothorax, kanye ne-thrombosis ngenxa yendawo ephakathi nendawo ye-catheter.
– I-PICC: Ingozi ephansi yezinkinga ezithile kodwa isaphethe izingozi ezifana ne-thrombosis, ukutheleleka, kanye nokuvaleka kwe-catheter.
5. Induduzo Nokuhamba Kwesiguli:
– I-CVC: Ingakhululeka kakhulu ezigulini ngenxa yendawo yokufaka kanye namathuba okuthi kube nokuvinjelwa kokunyakaza.
– I-PICC: Ngokuvamile ikhululekile kakhudlwana futhi ivumela ukuhamba okukhulu kweziguli.
Isiphetho
Zombili i-CVC kanye ne-PICC zingamadivayisi ezokwelapha awusizo anikezwa yi-Shanghai Teamstand Corporation, ngalinye lihlinzeka ngezidingo ezithile ngokusekelwe esimweni sesiguli kanye nezidingo zokwelashwa. I-CVC ngokuvamile ikhethwa ukwelashwa okujulile kwesikhathi esifushane kanye nokuqapha, kuyilapho i-PICC ikhethwa ukwelashwa kwesikhathi eside kanye nenduduzo yesiguli. Ukuqonda lo mehluko kubalulekile kubahlinzeki bezempilo ukuze benze izinqumo ezinolwazi futhi banikeze ukunakekelwa okungcono kakhulu kweziguli zabo.
Isikhathi sokuthunyelwe: Julayi-08-2024