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Mene ne Layin Layin Tunneled (CVC)?Ma'anar Tunneled Central Line (CVC)
Wani mataki na baya don ɗauka a cikin ma'anar tsakiyar layin, ko kuma tsakiyar catheter na tsakiya, mai yiwuwa ya dace; amma a takaice, layin tsakiya na tsakiya yana da mahimmancin maganin matsalar samun jinin jini na mutum. Rikicin, ko catheter, wanda aka saka - yawanci ƙarƙashin fata na kirji - na iya samar da damar yin amfani da ruwan jini don makonni, ko ma watanni. Yawancin lokaci, an sanya jigon catheter ta hanyar hanyar fita. Ga wasu mutane, layin tsakiya na tsakiya zai iya kasancewa a wurin domin dukan magani na ciwon daji , ya ba wa likitocin damar shiga jini - ko yana kula da ilimin chemotherapy, ba da samfurori, ko zana jini don gwaje-gwaje - duk ba tare da tare da jimre da sandun maciji a kowane lokaci da bukatun ya taso. Caveat: Ya kamata a gaya wa yara da ke da layi na tsakiya da cewa wannan hanya tana nufin "babu sandun toshe" a nan gaba.
Central Line vs. Tunneled Central Line
Lissafin tsakiyar tsakiya sune na tsakiya na musamman, ko kuma tsakiyar catheter (CVC). Don yin amfani da misalin jigon harshe, dukkanin layi na tsakiya sun ba likitocin damar shiga manyan jini na jiki - ko kuma manyan gabobin da ke cikin tituna. Duk da haka, akwai bambanci tsakanin shiga cikin wutar lantarki a lokacin gaggawa da kuma shigar da sabon saƙo a cikin gida, yana tsammani bukatar ci gaba da samun dama. Linesunan tsakiya da aka gyara sune daidai da shigar da sigina na wucin gadi a gida. Ma'anar ita ce kiyaye jigon turbaya da kuma tsara hanya na aiki a karkashin fata, don kaucewa rikitarwa kamar kamuwa da cuta.
Ƙungiyar CVC tana samuwa a cikin babban nau'i kusa da zuciyarka. CVCs da aka kunna suna yawanci sun sanya su a cikin wani akwati a cikin kirji, sunada ta hanyar nama mai laushi a karkashin fata, sa'an nan kuma zare su cikin babban ƙuƙwalwa a wuyanka, kuma suna kusa da zuciya. Wannan "rami" karkashin fata ya taimaka wajen riƙe catheter a wuri, kuma hana rigakafin. Akwai wadata mai yawa tare da ƙwaƙwalwar ƙwayoyi, amma akwai wasu mahimmancin ƙuntatawa da kiyayewa don sanin, kamar kulawa da shafin a cikin sa'o'i 48 bayan sanyawa.
Saitin zamani na tsakiyar catheter mai cin nama yana haɗuwa da wasu ci gaba idan aka kwatanta da shekarun baya; yawancin matsalolin hanyoyin da suka shafi aiki sun sauke da yawa tare da yin amfani da hoto don jagorantar shigar da catheter. Duk da haka, kamar dukkanin waɗannan hanyoyin, ba za'a iya samun haɗari mai mahimmanci ba.
Har ila yau, daga hangen nesa, mai amfani da / ko sunan tsarin catheter zai iya zama mahimmanci - magungunan likita za su iya komawa na'urar ta "asibiti", don haka marasa lafiya zasu iya amfana ta hanyar saba da waɗannan sharuddan, kamar yadda ya dace, ko da idan tunani ya kasance ga wani mai sana'a.
Sources:
Funaki B. Tunneled Central Venous Catheter Insertion. Taro a Cibiyar Harkokin Cutar Cutar. 2008; 25 (4): 432-436.
Ilimi na haƙuri - Cibiyar Magunguna ta Wexner. https://patienteducation.osumc.edu/Documents/TunneledCVCPlacement.pdf . An shiga watan Disamba na 2015.
Goodman, M. Chemotherapy: Ka'idojin Gudanarwa. A Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Ciwon daji na Kanjamau: Ka'idojin da Ayyukan Ciniki na 5 na Amurka, Jones da Bartlett: Sudbury, MA.
Updated Disamba 2015, TI.