ʻO ka catheter venous kahi lāʻau lapaʻau i hoʻohana nui ʻia i ka honua haukapila. ʻO ka peripheral a i ʻole ke kikowaena, ʻae ia i ka mālama ʻana i ka intravenous a lawe ʻia nā laʻana koko.

ʻO ka catheter, a i ʻole KT i loko o nā huaʻōlelo lapaʻau, he lāʻau lapaʻau ma ke ʻano o kahi paipu lahilahi a maʻalahi. Hoʻokomo ʻia i loko o kahi ala venous, hiki ke mālama ʻia ka mālama intravenous a lawe ʻia ke koko no ka nānā ʻana, no laila e pale aku ai i nā injections pinepine.

ʻElua ʻano nui o ka catheter:

ʻO ka peripheral venous catheter (CVP)

Hāʻawi ia i ka hoʻokomo ʻana i kahi ala venous peripheral (VVP). Hoʻokomo ʻia ʻo ia i loko o kahi vein superficial o kahi lālā, ʻoi aku ka kakaikahi o ka cranium o ka cranium. Aia nā ʻano catheter ʻokoʻa, ana ʻokoʻa, ka lōʻihi a me ke kahe, ʻike maʻalahi ʻia e nā code kala e pale aku i nā hewa. Koho ka practitioner (nurse a kauka) i ka catheter e like me ka mea maʻi, ka wahi implantation a me ka hoʻohana ʻana (i ka pilikia no ka hoʻokahe koko, i ka infusion o kēia manawa, i nā keiki, etc.).

ʻO ke kikowaena venous catheter (CVC)

Ua kapa ʻia hoʻi ka laina venous waena a i ʻole laina waena, he mea ʻoi aku ke kaumaha. Hoʻokomo ʻia ia i loko o kahi vein nui ma ka ʻāʻī a i ʻole ka ʻāʻī a laila alakaʻi i ka vena cava kiʻekiʻe. Hiki ke hoʻokomo pū ʻia ka catheter venous waena ma o ka ʻike peripheral (CCIP): a laila hoʻokomo ʻia i loko o kahi vein nui a laila hoʻoheheʻe ʻia ma kēia aʻa a hiki i ka ʻaoʻao o luna o ka atrium ʻākau o ka puʻuwai. Loaʻa nā CVC ʻokoʻa: ʻo ka laina picc i hoʻokomo ʻia i loko o kahi vein hohonu o ka lima, ka tunneled central catheter, ka implantable chamber catheter (mea e ʻae ana i kahi ala venous mau loa no nā lāʻau injectable ambulatory lōʻihi e like me ka chemotherapy).

Hana ʻia ka hoʻokomo ʻana o kahi catheter venous peripheral i loko o kahi lumi haukapila a i ʻole ke keʻena pilikia, e nā limahana kahu a i ʻole ke kauka. Hiki ke lawelawe ʻia kahi anesthetic topical ma ka ʻāina, ma ke kau ʻana o ke kauka, ma kahi o 1 hola ma mua o ke kaʻina hana. Ma hope o ka hoʻomaʻemaʻe ʻana i kona mau lima a hana i ka antisepsis ʻili, kau ka lāʻau lapaʻau i kahi garot, hoʻokomo i ka catheter i loko o ka vein, hoʻihoʻi mālie i ka mandrel (ka mea hana i loko o ka nila) ʻoiai e neʻe ana i ka catheter i loko o ka vein, wehe i ka garot a laila hoʻopili i ka laina infusion. Hoʻokomo ʻia kahi ʻaʻahu aniani semi-permeable sterile ma luna o ke kahua hoʻokomo.

Hoʻokomo ʻia ka catheter venous waena ma lalo o ka anesthesia maʻamau, i loko o ka lumi hana. ʻO ka hoʻokomo ʻana i ka catheter venous waena ma ke ala peripheral i hana ʻia i loko o ka lumi hana, akā ma lalo o ka anesthesia kūloko.

ʻO kahi ʻenehana koʻikoʻi i kahi kaiapuni o ka haukapila, hiki i ke kau ʻana o kahi catheter:

• hāʻawi i ka lāʻau i loko o ke koko;
• lawelawe i ka chemotherapy;
• hāʻawi i nā wai intravenous a me / a i ʻole ka meaʻai makua (nā meaʻai);
• e lawe i ke koko.

No laila, hoʻohana ʻia ka catheter i nā ʻano he nui: i loko o ka lumi pilikia no ka hoʻokahe koko, i ka wā i loaʻa ai ka maʻi no ka lāʻau antibiotic, i ka wā o ka maloʻo, i ka mālama ʻana i ka maʻi kanesa e ka chemotherapy, i ka wā hānau (no ka hoʻoponopono ʻana. oxytocin), etc.

ʻO ka pilikia nui ka pilikia o ka maʻi, ʻo ia ke kumu e mālama pono ai nā kūlana aspestial koʻikoʻi i ke kau ʻana i ka catheter. Ke hoʻokomo ʻia, nānā pono ʻia ka catheter e ʻike i nā hōʻailona o ka maʻi i ka hikiwawe.