Iyo venous catheter chishandiso chekurapa chinoshandiswa zvakanyanya munyika yechipatara. Ingave yeperipheral kana nechepakati, inobvumira kurapwa netsinga kuti iitwe uye kutorwa kweropa.

A catheter, kana KT mune zvekurapa jargon, mudziyo wekurapa uri muchimiro chechubhu yakatetepa, inochinjika. Kunopinzwa munzira yetsinga, kunobvumira kurapwa kwetsinga kuti ishandiswe uye ropa ritorwe kunoongororwa, nokudaro kudzivisa kubaiwa majekiseni nguva dzose.

Kune marudzi maviri makuru e catheter:

Iyo peripheral venous catheter (CVP)

Inobvumira kuiswa kweiyo peripheral venous nzira (VVP). Inopinzwa mutsinga yegumbo, kashoma yecranium yecranium. Kune marudzi akasiyana ecatheter, geji yakasiyana, kureba uye kuyerera, zviri nyore kuzivikanwa nemakodhi emavara kudzivirira chero zvikanganiso. Murapi (mukoti kana chiremba) anosarudza catheter maererano nemurwere, nzvimbo yekusimwa uye kushandiswa (mukukurumidza kuwedzerwa ropa, mukuwedzerwa kwemazuva ano, muvana, nezvimwewo).

Iyo yepakati venous catheter (CVC)

Iyo inonziwo central venous line kana central line, inorema mudziyo. Inoiswa mutsinga huru muchipfuva kana mutsipa uye inobva yatungamirira kune yepamusoro vena cava. Iyo yepakati venous catheter inogona zvakare kuiswa kuburikidza neperipheral vision (CCIP): inozopinzwa mutsinga hombe yobva yatsvedza nemutsinga iyi kuenda kumusoro kweatrium chaiyo yemoyo. MaCVC akasiyana aripo: iyo picc-mutsara wakaiswa mutsinga yakadzika yeruoko, iyo tunnel yepakati catheter, iyo implantable chamber catheter (mudziyo unobvumira chisingaperi chepakati venous nzira yenguva refu ambulatory injectable treatments senge chemotherapy).

Kuiswa kweperipheral venous catheter kunoitwa mukamuri yechipatara kana mukamuri yekukurumidzira, nevakoti kana chiremba. A topical anesthetic inogona kupihwa munharaunda, maererano nemishonga, ingangoita 1 awa isati yaitwa. Mushure mekuuraya utachiona maoko ake uye kuita ganda antisepsis, murapi anoisa garot, anopinza catheter mutsinga, zvishoma nezvishoma anobvisa mandrel (mudziyo unosanganisira tsono) uchifambisa catheter mutsinga, anobvisa garot obva abatanidza infusion line. A sterile semi-permeable transparent dressing inoiswa pamusoro penzvimbo yekuisa.

Kuiswa kwepakati venous catheter kunoitwa pasi peanesthesia, muimba yekushanda. Kuiswa kwepakati venous catheter nenzira yeperipheral kunoitwawo muimba yekushanda, asi pasi peanesthesia yemunharaunda.

Nzira yakakosha munharaunda yechipatara, kuiswa kwecatheter kunobvumira:

• shandisa mushonga netsinga;
• shandisa chemotherapy;
• shandisa intravenous fluid uye / kana parenteral kudya (zvinovaka muviri);
• kutora sampuli yeropa.

Saka catheter inoshandiswa muhuwandu hwemamiriro ezvinhu: muimba yekukurumidzira yekuwedzerwa ropa, kana chiitiko chetachiona chemishonga inorwisa mabhakitiriya, kana pakaitika kupera simba, mukurapa kenza nekemotherapy, panguva yekusununguka (yekutonga. oxytocin), nezvimwewo.

Njodzi huru ndeye njodzi yekutapukirwa, ndosaka mamiriro akaomarara anofanirwa kucherechedzwa kana uchiisa catheter. Kana yangoiswa, catheter inotariswa zvakanyanya kuti ione chero chiratidzo chechirwere nekukurumidza.