Imikhiqizo

I-Catheter ye-Hemodialysis Yesikhathi Eside iyithuluzi lezokwelapha elikhethekile elisetshenziselwa ukunikeza iziguli ezidinga ukwelashwa kwe-hemodialysis isikhathi eside, ngokuvamile ngenxa yesifo sezinso sesigaba sokugcina (i-ESRD). Liyipayipi eliguquguqukayo elifakwa emthanjeni omkhulu ophakathi (njenge-jugular, i-subclavian, noma i-femoral vein) ukuvumela ukususwa nokubuyiselwa kwegazi ngesikhathi seseshini ye-dialysis. Ngokungafani nama-catheter esikhashana, ama-Long Term Hemodialysis Catheters enzelwe ukusetshenziswa isikhathi eside, futhi afakwa ngaphansi kwesikhumba ukuze kuncishiswe izingozi zokutheleleka.

I-Catheter ye-Hemodialysis Yesikhathi Esifushaneiyithuluzi lezokwelapha elisetshenziselwa ukunikeza ukufinyelela kwesikhashana kwemithambo yegazi yeziguli ezidinga ukwelashwa kwe-hemodialysis ngokushesha. Ngokuvamile lifakwa emthanjeni omkhulu ophakathi (njenge-jugular, i-subclavian, noma i-femoral vein) futhi lenzelwe ukusetshenziswa kwesikhathi esifushane, ngokuvamile kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa. Ama-catheter e-hemodialysis yesikhathi esifushane abalulekile ezimweni eziphuthumayo, ukulimala kwezinso okukhulu, noma ngenkathi kulindelwe isisombululo sokufinyelela kwemithambo yegazi yesikhathi eside (isb., i-arteriovenous fistula noma i-graft) ukuthi isungulwe.

I-Dialysis Yesisu (PD) kuyindlela yokwelapha ukwehluleka kwezinso esebenzisa ulwelwesi lwesisu (i-peritoneum) ukuhlunga imfucuza kanye noketshezi oluningi oluvela egazini. Kuyindlela ehlukile esikhundleni se-hemodialysis futhi kungenziwa ekhaya, okunikeza ukuguquguquka okukhulu kweziguli.

I-Catheter ye-Peritoneal Dialysis iyipayipi eliguquguqukayo elifakwe esiswini ukuze kube lula inqubo yokuhlanza igazi. Ivumela uketshezi lwe-dialysate (i-dialysate) ukuthi lufakwe futhi lukhishwe lusuka emgodini we-peritoneal.

I-Central Venous Catheter (i-CVC), eyaziwa nangokuthi umugqa ophakathi, iyithuluzi lezokwelapha elifakwa emthanjeni omkhulu ophakathi (njenge-jugular, i-subclavian, noma i-femoral vein) ukuze linikeze ukufinyelela okuqondile egazini. Lisetshenziselwa izinjongo ezahlukene zezokwelapha, okuhlanganisa ukunikeza imithi, uketshezi, imikhiqizo yegazi, noma ukudla okunomsoco kwabazali, kanye nokuqapha umfutho wegazi ophakathi (i-CVP). Ama-CVC abalulekile ekunakekelweni okubucayi, ekuhlinzeni, nasezindaweni zokwelapha zesikhathi eside.

I-Catheter Ephakathi Efakwe Ngaphakathi (i-PICC) iyipayipi elide, elincane, eliguquguqukayo elifakwa emthanjeni ongaphandle (ngokuvamile engalweni) bese liqhubekela phambili kuze kube yilapho inhloko ihlezi emthanjeni omkhulu ophakathi eduze kwenhliziyo (isb., I-vena cava ephakeme, i-SVC). Ihlinzeka ngokufinyelela kwemithambo yegazi isikhathi esiphakathi kuya kweside ukuthola imithi, uketshezi, ukudonswa kwegazi, noma ukudla okunomsoco.

I-Tianck Peripherally Inserted Central Catheter (PICC) yenzelwe ukufinyelela imithambo yegazi okuphephile nokuhlala isikhathi eside ezigulini ezidinga ukwelashwa kwe-IV okweluliwe, ukuthatha amasampula egazi njalo noma ukufakwa kwegazi eliningi.

I-Ani-catheter yemithambo yegazi(ebizwa nangokuthi umugqa wemithambo noma umugqa we-A) ipayipi elincane, eliguquguqukayo elifakwa emthanjeni ukuze liqaphe umfutho wegazi oqhubekayo, lithole amasampula egazi njalo, noma lihlole isimo se-hemodynamic ezigulini ezigula kakhulu.

Isigqoko Sokwethula Esidabula Izinyembeziiyithuluzi lokufinyelela imithambo yegazi elikwazi ukuxebuka elisetshenziselwa ukwenza kube lula ukufaka ama-catheter, izintambo, noma ezinye izinto zokwelapha emithanjeni yegazi ngenkathi kunciphisa ukulimala. Uma i-catheter isikhona, i-sheath iyahlukaniswa futhi isuswe, kushiywe i-catheter ibekwe kahle.