Catheter na Tsakiyar Venous
Fasallolin Samfura
● Maƙallin da za a iya motsawa yana ba da damar ɗaurewa a wurin huda ba tare da la'akari da zurfin catheter ba, wanda ke rage rauni da ƙaiƙayi ga wurin huda.
● Alamar zurfin tana taimakawa wajen sanya madaidaicin katheter na tsakiyar jijiyoyin jini daga jijiyar subclavian ko jugular.
● Taushi mai laushi yana rage rauni ga jijiyoyin jini, yana rage zaizayar jijiyoyin jini, hemothorax da tamponade na zuciya.
● Ana iya zaɓar lumen guda ɗaya, biyu, uku.
Umarnin don amfani
SHIRYA KAFIN AYYUKA
● Kimanta Majinyaci: Tabbatar da alamun da kuma ƙarfin jijiyoyin (ana ba da shawarar duban dan tayi).
● Kayan aiki: Kayan aikin CVC mai tsafta (catheter, guidewire, dilator, dinki), injin duban dan tayi, labule masu tsafta, maganin kashe ƙwayoyin cuta (chlorhexidine/barasa), maganin sa barci na gida (1-2% lidocaine).
Tsarin Shigarwa
● Sanyawa da kuma tsaftace fata: A sanya majiyyaci a Trendelenburg (jugular/subclavian) ko a kwance a ƙasa (femoral), a shafa chlorhexidine fiye da 0.5% a fatar.
● Samun damar jijiyoyin jini: Yi amfani da dabarar Seldinger mai jagora ta hanyar amfani da na'urar duban dan tayi.
① Saka allura, a zubar da jinin don tabbatar da jijiyar.
② Zare wayar jagora, cire allura.
③ Faɗaɗa hanyar, ci gaba da catheter akan waya.
④ Cire waya, tabbatar da dawowar jini.
● Mannewa da Miya: Katifar dinki + shafa miyar da ba ta da tsafta. Tabbatar da sanya ta ta hanyar CXR (tip a mahadar SVC/RA).
KULA DA BAYAN SHIGA
● Ruwan wanke-wanke: Saline mai sinadarin Heparinized (don amfani akai-akai). Saline 0.9% (jiko mai ci gaba).
● Canjin Tufafi: Kowace kwana 7 (mai haske) ko kwana 2 (gauze).
● Kula da Matsalolin da ke tattare da shi: Pneumothorax, kamuwa da cuta, thrombosis.
Aikace-aikacen samfur
● Kulawa Mai Muhimmanci: Ba da magunguna, ruwa, ko na'urorin rage radadi a cikin sassan kulawa mai tsanani (ICUs).
● Maganin Chemotherapy: Bayar da magungunan chemotherapy ko wasu magunguna na dogon lokaci.
● Abinci Mai Gina Jiki: Samar da tallafin abinci mai gina jiki ga marasa lafiya da ba za su iya cin abinci ba.
● Yin aikin tiyatar jini: Yin aiki a matsayin hanyar shiga jijiyoyin jini na ɗan lokaci don dialysis (misali, CVCs marasa rami).
● Kulawa: Auna matsin lamba na jijiyoyin jini (CVP) ga marasa lafiya masu fama da rashin lafiya mai tsanani.
Bayani dalla-dalla da Samfura
| Catheter na Lumen Guda Ɗaya | Katheter na Lumen Biyu | Catheter na Lumen guda uku | |||
| Lambar Samfura | Samfuri | Lambar Samfura | Samfuri | Lambar Samfura | Samfuri |
| 021001 | 20G | 022001 | 4F | 023002 | 5.5F |
| 021002 | 18G | 022002 | 5F | 023003 | 7F |
| 021003 | 16G | 022003 | 7F | 023004 | 8.5F |
| 021004 | 14G | 022004 | 8F | ||
Cikakkun Bayanan Samfura