Kana iwe uchizove wakagamuchira chemotherapy kwenguva yakareba, kana iwe uri mukana wokuti ropa kana marrow transplantation , mupi wako wehutano anogona kukurudzira rutivi rukuru, kana kuti central central catheter (CVC). CVCs inogonawo kunzi mazino ekuvhiya anousous (VADs).
CVCs ndeyeti catheters iyo inowanikwa mumaketani ehuniko kana cheputi uye ine chidimbu chinenge chiri mumhishi huru pedyo nemoyo wako unonzi supreme vena cava .
Aya makateti anoramba ari munzvimbo kwenguva refu uye anobvumira vatapi vehutano kuti vakupe mishonga nemishonga yeropa, uye utore sampu yeropa pasina kuve uchidzokorora mitsipa yako.
Kune mhando mitatu mikuru yeCVCs iyo inoshandiswa kune varwere vekenza yeropa: mitsetse yakanyungudutswa, inowanikwa mukati meCVCs (mitsara yePICC), uye inogadzirirwa ports.
Tunneled CVC
Tunneled CVCs inonzi mazita mazhinji akasiyana. Mienzaniso yeCVC yakakoswa inosanganisira Broviac, Hickman, Neostar, Leonard, uye Groshong.
Kazhinji, maCVC akaiswa mukati mutsva inoshandiswa kana mune imwe nyoka inogadzirwa. Paunenge uchinge wakamuka paunowedzera, chiremba wako angangokupa mishonga kukuchengetedza iwe wakasununguka uye wakasununguka, pamwe nehutano hwemunharaunda hwekunharaunda iyo nzvimbo iyo catheter inopinda mumuviri.
Chiremba ari kuisa catheter achaita zviduku zviviri zviduku mubhokisi rako. Rimwe richava masendimita mashomanana kumusoro kwemukoko wako (unonzi nzvimbo yekubuda), uye imwe ichave yakakwirira, pasi pechikamu chako chekoro (inonzi mukova kana kuisa nzvimbo).
Zvadaro, ivo vachaita gonhi pasi peganda pakati pezviitiko zviviri. ICVC inoshandiswa kubva kune imwe nzvimbo kubva kune imwe nzvimbo kusvika kune imwe nzvimbo uye inopinda mumhino pasi pekororo.
Iyo mugonho ichaporesa kwenguva uye inoshanda zvinangwa zviviri. Kutanga, zvinoita kuti zvive nyore kuti mabhakitiriya akwire kumusoro kwe tube uye muropa rako, uye rwechipiri, inobatsira kubata catheter panzvimbo.
Pachava nekupfeka kunoshandiswa panzvimbo yepaiti, uye catheter inoda kudhakwa kunokosha kuti iite zvakanaka pakushanda. Bato rako rezveutano richakupa iwe dzidzo pamusoro pokuti ungatarisa sei CVC yako yakanyongedzwa kana iwe uchienda kumusha.
Peripherally Inowanikwa CVC (PICC Line)
Muchidimbu inowanikwa CVCs, kana mitsara yePICC , inowanzofungidzirwa kuva yakakura zvikuru nzvimbo dzemukati. Zvisinei, kunyange zvazvo vakaiswa mumaoko enyu, ivo vari pakati pemakateti eveous, ndiko kuti, mugumo we catheter uri muvheta huru pedyo nemoyo wako.
PICCs dzinowanzoiswa muhutera husingaiti kana mukoti chaiye kana chiremba. Panguva yekuiswa, iwe uchave wakamuka uye wakangwarira. Mupi wehutano uyo ari kuisa catheter inowanzopedza nzvimbo mukati memheto yako, kana kuti kumusoro kweko, nekunzwa kwemaunharaunda. Dzimwe nguva, ivo vachashandisa ultrasound kuti vaone mavheini. Zvadaro vachipinda mumhino nehombe huru, isina kumira uye kusungira catheter kuburikidza nesingano uye mukati mutsva.
Apo catheter iri panzvimbo, inogona kusungirirwa kana kuchengetedzwa kuitira kuti irege kubviswa kunze kwekukanganisa. Pachava nekupfeka kunoshandiswa panzvimbo iyi. Kana iwe uchange uchienda kumusha nePICC yako, nhengo yemhuri kana mutarisiri achawana dzidzo pamusoro pokuti ungachengete sei catheter.
Akabatwa Ports
Kushandiswa kwezvikepe, dzimwe nguva kunonzi port-a-caths, zvigadzirwa zviduku zvine catheter yakaiswa. Chigadzirwa chacho chinoshandiswa chirwere pasi peganda, kazhinji kacho pachikamu chepamusoro, uye catheter inoshandiswa muhutachiona. Kana iyo sarudzo iripo, hapana chikamu cheCVC chiri kunze kwemuviri; zvose zviri pasi peganda.
Kana iri nguva yokuti iwe uite basa reropa kana mishonga inopiwa, mukoti wako achasvika kuCVC nesano inokosha inopinda nepakati peganda rako uye muchikepe. Vamwe varwere vanogunun'una pamusoro pekunzwa kwepineching kana nheyo ichiiswa.
Apo ganda rakasimwa harisi kushandiswa, hapana kupfeka kunoda kudiwa.
Kana iwe uchienda kumba nechiteshi, iwe unogona kudzokera kuchipatara kana kenza yekenza nguva dzose kuti CVC ifukidzwe uye ichengetwe.
Kubatsirwa
- Nhamba shoma ine sindano inoshandiswa mukurapa kwako
- Mvura yakakura yemvura inogona kupiwa nokukurumidza
- Mimwe mishonga inogumbura zvikuru kumavhiki mashoma emuviri wako zvokuti anokwanisa kupiwa chete kuburikidza neCVC
Kukanganisika
- CVCs inofanira kutarisirwa nekuchengetedza utachiona uye zvinetso
- Kuchinja kune muviri wako
- Kuiswa kune zvimwe zvinokonzera zvirwere, sezvinongoitwa nekuvhiya kwose
- Kazhinji inoda kuchengetedza uye zvinhu zvekumba kumba
Mibvunzo Yekubvunza Mutapi Wenyu Wehutano
- Sei ndichida CVC?
- Iwe unotarisira kwenguva yakareba sei ini ndichatsvaga kuti ndive nayo?
- Ndeupi rudzi rwekugadzirira kunoda?
- Ndekupi kwandinowana zvigadziri zvayo?
- Chii chakakosha kuisa nekuchengetedza iyi chigadzirwa?
- Ndeipi migumisiro yechirwere inotarisirwa Ndezvipi zvandinofanira kuva nehanya nazvo?
- Ndiani wandinotaura kana ndine mibvunzo kana zvinonetsa?
Unofanira Kuda Rini Pamusoro Pako CVC?
Kana uine chimwe chezviitiko zvinotevera kana mamiriro ezvinhu, unofanirwa kutsvaga kurapwa nokukurumidza:
- Kukurumidza kufema kufema
- Chipfuva chepfu
- Yakaputsika kana yakakonzerwa neCVC, kana CVC inoputika
- Akadzingwa kana kuti akadzingwa zvishoma neCVC
- Fever
- Rurefu, kuzvimba kana kubudiswa pachinzvimbo chekuisa
- Kutamba kwemutsipa, ruoko kana chiso
The Bottom Line
CVC inogona kuita zvinhu zvakawanda zvekurapa kwekenza yako yeropa nyore. Izvo zvakagadzirirwa kushandiswa kwenguva yakareba uye kupa vashandi vehutano vane ruzivo rwemishonga yakakura yeropa mumuviri wako. Zvechokwadi, mamwe maitiro kana kurapwa kunoda kushandiswa kweCVC.
Nepo mune nzira dzakawanda uine CVC inogona kuva yakanakisisa, iyowo inzvimbo inobva kune dzimwe nyika kupinda muropa rako uye ine ngozi dzakasangana nadzo. Kuti uone kuti catheter yako inowanikwa uye yakachengeteka kushandiswa kana ichidiwa, zvakakosha kudzivirira utachiona uye kuziva kuti ungachengeta sei CVD yako.
Sources:
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.
Central Venous Catheters, American Cancer Society, 02/11/2016.