Kuraje

Kuraje

Katheter venous na'urar likita ce da ake amfani da ita sosai a duniyar asibiti. Ko na gefe ko na tsakiya, yana ba da damar yin maganin jijiya da kuma ɗaukar samfuran jini.

Menene catheter?

Catheter, ko KT a cikin jargon likitanci, na'urar kiwon lafiya ce a cikin nau'i na sirara, bututu mai sassauƙa. An shigar da shi cikin hanyar venous, yana ba da damar yin amfani da jiyya a cikin jini da kuma ɗaukar jini don yin nazari, don haka guje wa yin allura akai-akai.

Akwai manyan nau'ikan catheter guda biyu:

Kateter na gefe (CVP)

Yana ba da damar shigar da hanyar venous na gefe (VVP). Ana shigar da shi cikin wani waje na wata gabar jiki, da wuya na cranium na cranium. Akwai nau'ikan catheter daban-daban, ma'auni daban-daban, tsayi da kwarara, cikin sauƙin gano su ta lambobin launi don guje wa kowane kuskure. Mai yin aikin (ma'aikacin jinya ko likita) ya zaɓi catheter bisa ga majiyyaci, wurin dasawa da amfani (a cikin gaggawa don ƙarin jini, a cikin jiko na yanzu, a cikin yara, da dai sauransu).

Tsarin catheter na tsakiya (CVC)

Hakanan ana kiran layin tsakiyar venous ko layin tsakiya, na'ura ce mai nauyi. Ana dasa shi a cikin babban jijiya a cikin thorax ko wuyansa sannan ya kai ga mafi girman vena cava. Hakanan za'a iya shigar da catheter na tsakiya ta hanyar hangen nesa (CCIP): sannan a sanya shi cikin babban jijiya sannan a zame ta cikin wannan jijiyar zuwa sashin hagu na dama na zuciya. CVC daban-daban sun wanzu: layin picc da aka sanya a cikin zurfin jijiya na hannu, rami mai rami na tsakiya, catheter da ke dasawa (na'urar da ke ba da damar madaidaiciyar hanyar jijiya ta tsakiya don dogon lokaci na jiyya na allura kamar chemotherapy).

Yaya ake sanya catheter?

Ana shigar da catheter na gefe a cikin dakin asibiti ko a cikin dakin gaggawa, ta ma'aikatan jinya ko likita. Ana iya gudanar da maganin sa barci a gida, akan takardar sayan magani, aƙalla awa 1 kafin aikin. Bayan ya kashe hannuwansa da yin maganin antisepsis na fata, mai aikin ya sanya garot, ya gabatar da catheter a cikin jijiyar, a hankali ya janye mandrel (na'urar da ta ƙunshi allura) yayin da yake ci gaba da catheter a cikin jijiyar, ya janye garot sannan ya haɗa layin jiko. Ana sanya suturar da ba za ta iya jurewa ba akan wurin sakawa.

Ana yin shigar da catheter na tsakiya a ƙarƙashin maganin sa barci na gabaɗaya, a cikin ɗakin aiki. Hakanan ana yin shigar da catheter ta tsakiya ta hanyar gefe a cikin dakin tiyata, amma a karkashin maganin sa barci.

Lokacin shigar da catheter

Maɓalli mai mahimmanci a cikin yanayin asibiti, sanya catheter yana ba da damar:

  • ba da magani ta hanyar jini;
  • gudanar da cutar sankarau;
  • gudanar da ruwa mai ciki da / ko abinci mai gina jiki (na gina jiki);
  • don ɗaukar samfurin jini.

Don haka ana amfani da catheter a cikin yanayi mai yawa: a cikin dakin gaggawa don ƙarin jini, idan akwai kamuwa da cuta don maganin rigakafi, a cikin yanayin rashin ruwa, a cikin maganin ciwon daji ta hanyar chemotherapy, lokacin haihuwa (don gudanarwa). oxytocin), da dai sauransu.

Hadarin

Babban haɗari shine haɗarin kamuwa da cuta, wanda shine dalilin da ya sa dole ne a lura da tsauraran yanayi lokacin sanya catheter. Da zarar an shigar da shi, ana kula da catheter sosai don gano duk wata alamar kamuwa da cuta da sauri.

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