Video: Dab tsi yog qhov implanted venous access device?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Ib nkag mus rau cov leeg ntshav chaw nres nkoj yog a ntaus ntawv siv los muab kev kho mob thiab nqa ntshav. Nws kuj tseem hu ua lub hauv paus venous access device ( CVAD ). Qhov chaw nres nkoj yog ib lub thawv me me uas muab tso rau hauv qab koj cov tawv nqaij, feem ntau nyob rau hauv koj lub hauv siab. Qhov chaw nres nkoj kuj tseem tuaj yeem tso rau hauv koj txhais caj npab lossis hauv plab.
Tom qab ntawd, ib tug kuj yuav nug, dab tsi yog lub hauv paus venous access device?
Central venous access devices yog cov raj me me, hloov pauv tau muab tso rau hauv cov hlab ntsha loj rau cov neeg uas xav tau ntau zaus nkag tau mus rau cov hlab ntsha. Central venous access devices feem ntau hu ua nkag venous chaw nres nkoj lossis catheters, vim tias lawv tso cai nquag nkag tau mus rau cov leeg tsis muaj rab koob tob.
Tsis tas li ntawd, dab tsi yog qhov khoom siv vascular nkag? Vascular access devices (VADs) tau tso rau hauv cov hlab ntshav ntawm cov hlab ntsha sab hauv lossis hauv nruab nrab rau kev kuaj mob lossis kho vim li cas, xws li kuaj ntshav, hauv nruab nrab cov leeg ntshav kev nyeem ntawv siab, kev tswj hwm tshuaj, kua dej, tag nrho cov khoom noj niam mis (TPN) thiab kev tso ntshav.
Kuj paub, hom koob twg yuav tsum tau siv txhawm rau nkag mus rau qhov chaw cog ntshav txhaws?
Ib qho tsis-coring (Huber) koob yuav tsum tau siv los ntawm cov kws kho mob rau nkag tau cov chaw nres nkoj (6, 9, 10, 12, 13, 20-22) (tseem xa mus rau: Nkag mus thiab de- nkag mus rau cov chaw nres nkoj ).
Dab tsi yog hom ntawm cov khoom siv hauv nruab nrab cov leeg ntshav?
Koj xav tau ib txoj kab nruab nrab ua ib feem ntawm koj txoj kev kho mob. Nws tseem hu ua a central venous access device ( CVAD ) los yog central venous raj (CVC).
Hom kab hauv nruab nrab muaj xws li:
- Peripherally inserted central catheter (PICC).
- Subclavian kab.
- Kab jugular sab hauv.
- Femoral kab.
Pom zoo:
Dab tsi yog qhov sib txawv ntawm qhov kev cia siab rau qhov ntim thiab qhov ntim cia tseg?
Qhov ntim cia tseg (ERV) yog cov pa ntxiv uas tuaj yeem nqus tau tom qab ua pa ib txwm. Nws yog qhov nyiaj khaws cia uas tuaj yeem nqus tau dhau qhov uas ib txwm muaj. Hloov pauv, qhov ua rau lub zog cia siab (IRV) yog qhov ntxiv ntawm huab cua uas tuaj yeem nqus tau tom qab nqus tau ib txwm
Dab tsi yog qhov kev nkag siab tsis tu ncua thiab dab tsi yog qhov loj me me qhov ntev xim tsis tu ncua zoo li qub)?
Kev nkag siab tsis tu ncua, tseem hu ua qhov tsis sib xws, lossis qhov tshwm sim tsis tu ncua, kev nyiam tsiaj thiab tib neeg kom pom cov khoom paub zoo li muaj tus qauv zoo, qhov loj me, xim, lossis qhov chaw tsis hais txog kev hloov pauv ntawm lub kaum sab xis ntawm kev xav, nrug deb, lossis teeb pom kev zoo
Dab tsi yog qhov txiaj ntsig ib txwm rau PaO 2 Dab tsi yog qhov txiaj ntsig rau kev txiav txim siab qhov hnyav ntawm hypoxemia?
Zoo li feem ntau qhov kev kho mob ib txwm muaj txiaj ntsig thiab ntau yam, lub ntsiab lus tuaj yeem sib txawv me ntsis, tab sis feem ntau cov ntsiab lus hauv qab no siv: Ua rau me me hypoxemia: PaO2 = 60 txog 79 mmHg. Qhov nruab nrab hypoxemia: PaO2 = 40 txog 59 mmHg. Hypoxemia hnyav: PaO2 <40 mmHg
Qhov chaw implanted yog dab tsi?
Qhov chaw implanted yog ib qho cuab yeej uas muab tso rau hauv qab ntawm daim tawv nqaij. Tom qab qhov chaw cog qoob loo tau muab tso rau hauv, IV cov tshuaj thiab kev kho mob tuaj yeem muab ncaj qha rau hauv cov ntshav los ntawm qhov chaw nres nkoj. Qhov chaw nres nkoj cog (qee zaum hu ua Implantofix® lossis Port-A-Cath®) muaj 2 qhov tseem ceeb: lub catheter thiab qhov chaw nres nkoj (Daim duab 1)
Dab tsi yog qhov txawv ntawm qhov tseeb qhov pib thiab qhov sib txawv qhov pib?
Qhov pib tsis txaus yog qhov tsawg kawg ntawm kev txhawb siab xav tau rau ib tus neeg kom pom qhov kev txhawb siab 50 feem pua ntawm lub sijhawm. Qhov sib txawv ntawm qhov sib txawv yog qhov sib txawv me tshaj hauv kev txhawb nqa uas tuaj yeem kuaj pom 50 feem pua ntawm lub sijhawm