Imikhiqizo

I-Long Term Hemodialysis Catheter iyisisetshenziswa sezokwelapha esikhethekile esisetshenziselwa ukuhlinzeka ukufinyelela kwemithambo ezigulini ezidinga ukwelashwa isikhathi eside nge-hemodialysis, ngokuvamile yesifo sezinso sokuphela kwesigaba (ESRD). Kuyishubhu eguquguqukayo efakwe emithanjeni enkulu emaphakathi (njenge-jugular, subclavian, noma i-femoral vein) ukuze kuvunyelwe ukukhishwa nokubuya kwegazi phakathi neseshini ye-dialysis. Ngokungafani nama-catheter esikhashana, Ama-Catheter e-Long Term Hemodialysis aklanyelwe ukusetshenziswa isikhathi eside, futhi afakwa ngaphansi kwesikhumba ukuze kuncishiswe izingozi zokutheleleka.

I-Hemodialysis Catheter Yesikhathi Esifushaneiyisisetshenziswa sezokwelapha esisetshenziselwa ukunikeza ukufinyelela kwesikhashana kwemithambo yeziguli ezidinga ukwelashwa kwe-hemodialysis ngokushesha. Ivamise ukufakwa emthanjeni omkhulu ophakathi nendawo (ofana ne-jugular, subclavian, noma i-femoral vein) futhi yakhelwe ukusetshenziswa kwesikhashana, ngokuvamile okusukela ezinsukwini ezimbalwa kuya emavikini ambalwa. Ama-catheter e-hemodialysis esikhashana abalulekile ezimeni eziphuthumayo, ukulimala kwezinso okukhulu, noma ngenkathi kulindwe isisombululo sesikhathi eside sokufinyelela emithanjeni (isb., i-arteriovenous fistula noma i-graft) ukuze kusungulwe.

I-Peritoneal Dialysis (PD) ukwelapha ukwehluleka kwezinso okusebenzisa ulwelwesi lwesisu (i-peritoneum) ukuhlunga udoti noketshezi oluningi egazini. Kungenye indlela ye-hemodialysis futhi ingenziwa ekhaya, inikeze ukuguquguquka okukhulu kweziguli.

I-Peritoneal Dialysis Catheter iyishubhu eliguquguqukayo elifakwe esiswini ukuze kube lula inqubo ye-dialysis. Ivumela uketshezi lwe-dialysis (i-dialysate) ukuthi lungeniswe futhi lukhishwe emgodini we-peritoneal.

I-Central Venous Catheter (CVC), owaziwa nangokuthi umugqa omaphakathi, idivayisi yezokwelapha efakwe emithanjeni enkulu emaphakathi (njenge-jugular, subclavian, noma i-femoral vein) ukuze inikeze ukufinyelela okuqondile emgudwini wegazi. Isetshenziselwa izinjongo ezihlukahlukene zezokwelapha, kuhlanganise nokuphatha imithi, uketshezi, imikhiqizo yegazi, noma umsoco owenziwe ngabazali, kanye nokuqapha umfutho we-venous central (CVP). Ama-CVC abalulekile ekunakekelweni okubucayi, ukuhlinzwa, kanye nezilungiselelo zokwelapha zesikhathi eside.

I-Peripherally Inserted Central Catheter (PICC) iyishubhu elide, elincanyana, eligobekayo elishuthekwa emithanjeni eseduze (imvamisa engalweni) futhi liqhubeke kuze kube yilapho ichopho lihlala emithanjeni enkulu emaphakathi eduze kwenhliziyo (isb. i-vena cava ephezulu, i-SVC). Inikeza ukufinyelela kwe-venous kwesikhathi eside kwemithi, uketshezi, ukudonsa igazi, noma ukudla okunomsoco.

Ani-catheter ye-arterial(ebuye ibizwe ngokuthi umugqa we-arterial noma u-A-line) iyishubhu elincanyana, eliguquguqukayo elifakwe emithanjeni ukuze kuqashwe umfutho wegazi oqhubekayo, ukuthola amasampula egazi njalo, noma ukuhlola isimo se-hemodynamic ezigulini ezigula kakhulu.

Isingeniso Sezinyembezi Esisusa Umsindoiyithuluzi lokufinyelela emithanjeni elixebukayo elisetshenziselwa ukusiza ukufakwa kwama-catheter, izintambo, noma ezinye izisetshenziswa zokwelapha emithanjeni yegazi kuyilapho kuncishiswa ukuhlukumezeka. Lapho i-catheter isisendaweni, i-sheath iyahlukaniswa futhi isuswe, ishiye i-catheter ibekwe kahle.