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Chii Chinonzi Tunneled Central Line (CVC)?Tsanangudzo yeTinlineled Central Line (CVC)
Nhanho kumashure kunotora mu tsanangudzo yemutsetse mukuru, kana central central catheter veine, inogona kunge yakakodzera; asi muchidimbu, mutsara wepakati wakakonzera ndeyekugadzirisa kwenguva refu dambudziko rekuwana ropa romunhu. Iyo tube, kana catheter, iyo inowanikwa - kazhinji pasi peganda rechifuva-inogona kupa ruzivo rwekubuda ropa kwemavhiki, kana kunyange mwedzi. Kazhinji, kuiswa kwe catheter kunoitwa kuburikidza nekunze kwepakati. Kune vamwe vanhu, mutsara wepakati unogadziriswa unogona kuramba uri panzvimbo yehuwandu hwose hwekenza kurapa , kupa chikwata chezvechiremba zvakananga kupinda muropa - kana iri kutarisira chemotherapy, kupa mishonga yeropa, kana kutora ropa kuongororwa - zvose pasina kuva nekutsungirira nenyuchi kunamatira nguva dzose nguva inenge ichidiwa. Caveat: vana vane ruvara rwakakoshesa rutivi rwakatarwa havafaniri kutaurirwa kuti iyi nzira inoreva kuti "hazvizovezve nenyuchi" pane ramangwana.
Central Line vs. Tunneled Central Line
Tambanudza midzi midzi ndiyo inokosha yemutsetse, kana kuti central central catheter (CVC). Kuti ushandise kuenzanisa kwepombi, mapurisa ose ari pakati anopa vanachiremba kuwana mavheti makuru emumuviri - kana kuti mikana yakakura yokupinda pasi pemigwagwa. Zvisinei, kune musiyano pakati pekupinza mumoto unodzivirira munguva yekutambudzika uye kuisa spigot itsva mumusha, achifungidzira kudiwa kwokuramba uchiwana. Kugadziriswa kwepakati pemitsara inenge yakaenzana nekuisa spigot yenguva pfupi kumba. Iko pfungwa ndeyokuchengetedza mapuranga akachengetedzeka uye kuronga nzira yemudhagwa unoshanda pasi peganda, kuti urege kunetseka zvakadai sehutachiona.
Icho chinyorwa cheCVC chiri muhombodo huru pedyo nemoyo wako. Tambanneled CVCs inowanzoiswa mukunyorera mubhokisi, inogadziriswa kuburikidza nemapfupa akanyorova pasi peganda, uye yobva yapinza mumhino huru mumutsipa wako, uye yakaswedera pedyo nemwoyo. Iyi "tunnel" iri pasi peganda inobatsira kubata catheter panzvimbo, uye kudzivirira utachiona . Kune huwandu hwezvibatsiro nekathetta catheters, asi kunewo mimwe mitemo inokosha yekuchengetedza uye zvidzidzo zvekuziva, zvakadai sekutarisira nzvimbo yacho mumaawa 48 mushure mekuiswa.
Kuiswa kwemazuva ano kwecatheter yemhepo inobatanidzwa kunobatanidza nehuwandu hwekuvandudzwa kwakaenzaniswa nemakore akapfuura; chiyero chezvose zvinokonzerwa nemitemo-yakasangana zvakaderera zvikuru nekushandiswa kwekufungidzira kutungamirira kuiswa kwecatheter. Kunyange zvakadaro, kufanana nehutano hwakadaro, huri pakati nepakati hwekuwana hutachiona hahuna ngozi.
Uyewo, kubva pamurwere, maitiro uye / kana zita re catheter rinoshandiswa rinogona kukosha - boka rezvechiremba rinogona kutaridzira chigadzirwa ne "zita rechipatara," saka varwere vanogona kubatsirwa nokuziva izvi mitsara, sezvakakodzera, kunyange kana kureva kune mumwe munhu akagadzira.
Sources:
Funaki B. Tunneled Central Venous Catheter Insertion. Seminari mu Interventional Radiology. 2008; 25 (4): 432-436.
Dzidzo yevarwere - Wexner Medical Center. https://patienteducation.osumc.edu/Documents/TunneledCVCPlacement.pdf . Yakasvika muna December 2015.
Goodman, M. Chemotherapy: Mazano Ekutungamira. Mu Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Kuchengetedza Kanzera: Mazano uye Maitiro 5th ed American Cancer Society, Jones uye Bartlett: Sudbury, MA.
Yakavandudzwa December 2015, TI.