We yu de tek mɛrɛsin fɔ lɔng tɛm, mɔ we yu fɔ injɛkt am na yu vein, i kin rili anɔynt fɔ gɛt fɔ stik nidul na yu vein ɛvride, nɔto so? Sɔntɛnde i kin at fɔ fɛn vein, ɛn if yu kɔntinyu fɔ stik nidul na yu vein, yu kin pwɛl dɛn. So tide wi de tɔk bɔt wan spɛshal divays we kin rili ɛp fɔ ɔl tu di sik pipul dɛn ɛn di dɔktɔ dɛn we de pan tin dɛn lɛk dis. Na dat wi de kɔl sɛntral layn, ɔ CVC.
Wetin rili na sɛntral layn (CVC)?
Fɔ tɔk am simpul wan, sɛntral layn na wan tiub we rili tan, lɔng, we kin chenj ɛn we dɛn kin put insay wan big vein na yu bɔdi. dεn kin put am insay big vein na yu nεk, chεst, groin, כ an, εn di כda εnd pan di tכb dεn kin tכd insay di men vein we de kכri bכdi to di at (di `vena cava`).
Tink bɔt am lɛk spɛshal ‘hayway’ we dɛn put na yu blɔd. Tru dis ‘hayway’, dɔktɔ ɛn nɔs dɛn kin ebul fɔ gɛt yu blɔd izi wan.
di pat we de kכmכt na dis tiub kin bi tu kayn:
1. As hab: Dis na di pat we yu de si tru yu skin. Dis na di say we tin dɛn lɛk di salin tiub we de gi yu mɛrɛsin kin kɔnɛkt.
2. As pɔt: Dis na smɔl tin, we di sayz lɛk kɔyn, we dɛn kin put ɔnda di skin. Na smɔl say nɔmɔ yu kin kɔt na di skin. We dɛn nid fɔ gi mɛrɛsin, dɛn kin put spɛshal nidul tru da say we dɛn kɔt ɛn insay di skin.
Di big bɛnifit fɔ dis na dat, we yu dɔn put am insay, yu kin du bɔku tin dɛn lɛk fɔ tek mɛrɛsin, pul blɔd, ɛn gi salin, ɛn yu nɔ nid fɔ gɛt nidul ɛvri tɛm fɔ lɔng tɛm .
Wetin na di difrεns bitwin wan sεntri layn εn wan rεgulεr kanula (Pεrifεral IV)?
tri men difrεns de bitwin di kanula (dεn kכl am bak ‘kateta’) we wi kin gεt na כspitul εn dis sεntri layn. Yu go ɔndastand am izi wan we yu luk dis tebul.
| Rizin fɔ di chenj | Sɛntral Layn (CVC) . | Nɔmal kanula (Pɛriferal IV) . |
|---|---|---|
| Ples we dɛn put am insay di bɔdi | Dɛn kin put am na big dip vein na di nɛk, chɛst, groin, ɔ ɔp an. | Dɛn kin injekt am na smɔl vein we yu kin si ɔp di skin, bɔku tɛm na di an ɔ an. |
| Sayz ɛn lɔng | Dis tiub rili lɔng ɛn tik. I nid fɔ lɔng bikɔs i nid fɔ go nia di at. Sɔntɛnde, dɛn kin gɛt tu ɔ tri tiub (lumens). Dɛn kin yuz dɛn tin ya fɔ gi sɔm kayn mɛrɛsin wan tɛm. | Dis na shɔt ɛn i nɔ klia. I jɔs de go shɔt distans insay di vein. |
| Di tɛm we dɛn kin kip am na di bɔdi | Dipen pan di kayn we, dɛn kin kip am fɔ wik, mɔnt, ɔ ivin ia . | Bɔku tɛm dɛn kin nid fɔ chenj am ɛvri sɔm dez . |
Udat nid dis sɛntral layn?
Bɔku tɛm, dɔktɔ dɛn kin disayd fɔ put wan sɛntral layn lɛk dis we pɔsin nid tritmɛnt fɔ lɔng tɛm. Fɔ ɛgzampul:
- Fɔ di wan dɛn we gɛt kansa: Kɔntinyu fɔ gi dɛn kemotɛrapi.
- Fɔ di wan dɛn we gɛt kidni: Ɛmodayalis fɔ di blɔd purifyeshɔn prɔses.
- Fɔ pipul dɛn we de tek antibayɔtik we dɛn kin put insay dɛn bɛlɛ fɔ lɔng tɛm: Sɔm bad bad infɛkshɔn kin nid fɔ tek mɛrɛsin fɔ sɔm wiks.
- Fɔ di wan dɛn we nid fɔ tek blɔd ɔltɛm: Pipul dɛn we gɛt prɔblɛm wit blɔd nid fɔ tek blɔd sɛmpul ɔltɛm.
- Fɔ di wan dɛn we nɔ ebul fɔ it tru di dijestiv sistɛm: Sɔm sik pipul dɛn nid fɔ it dairekt insay di veins.
- Insay imejensi: Insay kes dɛm lɛk ``hypovolemic shock``, we dɛn nid fɔ gi bɔku wata ɔ blɔd wan tɛm afta big aksidɛnt.
- Fɔ di wan dɛn we de gɛt tritmɛnt frɔm os: Dis kin mek am izi fɔ gɛt sɔm tritmɛnt frɔm os.
Us kayn sɛntral layn dɛn de?
Yu dɔktɔ go pik di kayn we we go fayn fɔ yu bay aw yu sik ɛn aw lɔng yu want fɔ kip am. Bɔku men kayn dɛn de.
| Tayp di nem | Diskripshɔn (Aw dis de wok?) | Bɔku tɛm, dɛn kin yuz tɛm |
|---|---|---|
| Sɛntral Venɔs Kateta we nɔ gɛt tanɛl | Dɛn kin injekt dis dairekt insay wan vein na di nɛk, chɛst, ɔ groin. Dɛn kin yuz am pan imejensi ɛn fɔ shɔt tɛm nid. | I nɔ rich 2 wiks |
| PICC Layn (Sɛntral Kateta we Dɛn Insɛt Pɛrifɛral) . | dis de insay tru wan vein na di כp an εn sεnd am to di at. Bikɔs i de na di an, i kin izi smɔl fɔ du tin dɛn we pɔsin kin du ɛvride. | Frɔm sɔm wiks to sɔm mɔnt |
| Tɛnɛl Sɛntral Venɔs Kateta | Dɛn kin du dis tru smɔl ɔpreshɔn. tu ples de we dεn de put di tכb insay di vein εn usay i de kכmכt na di skin. di tכb de kכmכt tru wan sכmכl "tכnel" כnda di skin. Dis kin mek di risk fɔ gɛt di sik nɔ bɔku. (Ɛgzampul: Broviac®, Hickman® ) | Fɔ sɔm mɔnt ɔ fɔ lɔng tɛm |
| Pɔt we de ɔnda di bɔdi (Pɔt we dɛn put insay di bɔdi) . | Dis na tin we de ayd ɔlsay ɔnda di skin. Dɛn kin put am insay tru smɔl ɔpreshɔn. Natin nɔ de we pɔsin kin si frɔm do. Dɛn kin put nidul ɔp di skin nɔmɔ we dɛn nid mɛrɛsin. No lɔ nɔ de we de stɔp pɔsin fɔ was ɔ swim. (Ɛgzampul: Pɔt-a-Kat ) | Fɔ yuz fɔ rili lɔng tɛm, pas 3 mɔnt |
Aw yu kin instɔl dis sɛntral layn?
Na dɔktɔ we dɔn gɛt spɛshal trenin fɔ dis kin du dis. Di prosidur kin difrɛn smɔl dipen pan di kayn CVC we yu gɛt.
Wetin kin apin bifo dɛn put di sɛntral layn?
Yu dɔktɔ go ɛksplen to yu di we aw dɛn fɔ du am, ɛn i go ɛksplen di bɛnifit ɛn di prɔblɛm dɛn we i go gɛt. Dis na fayn tɛm fɔ aks ɛni kwɛstyɔn we yu gɛt. Dɔn dɛn go gɛt yu kɔnsɛntmɛnt. If ɛnitin apin we nɔ izi fɔ du, sɔntɛm tɛm nɔ go de fɔ dis tɔk. Yu go de na pozishɔn (bɔku tɛm yu go de ledɔm) ɛn kɔnɛkt to monita fɔ wach yu at rit ɛn blɔd prɛshɔn.
Wetin kin apin we yu put dis pan?
Bɔrku tɛm, dɛn go gi yu wan mɛrɛsin wae de mek yu nɔr fil fayn so dat yu nɔr go fil ɛni pen. Dɛn kin put yu bak na slip (sedation). Di we aw dɛn kin du am kin go lɛk dis:
1. Dɛn kin klin di say na di skin usay dɛn go put di nidul fayn fayn wan ɛn disinfɛkt am.
2. Dɛn kin injekt mɛrɛsin fɔ mek di say nɔ gɛt bɛtɛ trɛnk.
3. Dɔn, wit di ɛp we ɔltra saund skan de ɛp, di vein kin de di rayt say ɛn dɛn kin put nidul insay.
4. dεn de pas wan tכn waya (gaydway) tru di nidul εn insay di vein.
5. di say we di pankshכn de big sכmtεm wit sכm bled, εn dεn de yuz wan tin we dεn kכl dilator fכ mek rum fכ di CVC tyub.
6. afta dat, dεn de pas di CVC tכb sכmtεm oba di waya εn insay di vein, i de stכp we i rich di kכrekt posishכn nia di at.
7. Fɔ dɔn, dɛn kin sutura di pat we de na di tiub we de na do to di skin ɛn put bandej fɔ mek di say klin.
Dɛn kin put CVC ɛn pɔt we gɛt tanɛl bay we dɛn de yuz smɔl ɔpreshɔn. If na pɔt, dɛn kin mek wan smɔl ‘pɔkit’ ɔnda di skin, dɛn kin put di pɔt insay, ɛn dɛn kin siŋ di skin klos.
Wetin kin apin afta yu put am?
Afta di prosidur dɔn, dɛn go tek ɛkstrem rayt na di chɛst fɔ mek shɔ se di CVC tyub de na di rayt pozishɔn ɛn nɔ ɔda prɔblɛm dɛn de. If ɔltin fayn, dɛn go gi yu instrɔkshɔn bɔt ustɛm yu go ebul fɔ go na os ɛn aw fɔ kia fɔ am na os.
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we dɛn put sɛntral layn insay?
- I de ridyus di frɛkuɛns we nidul de prɛk: Dis de ridyus di damej pan yu veins. I de mek bak di fred ɛn di prɔblɛm we pɔsin kin gɛt we i de chuk nidul.
- Lɛs pen: Sɔm mɛrɛsin kin mek yu inflamɛns ɛn pen na di vein we dɛn gi am tru wan kanula we dɛn kin yuz ɔltɛm. Dis diskɔmfɔt kin smɔl wit CVC.
- Yuz fɔ lɔng tɛm: Pipul dɛn we de kɔntinyu fɔ gɛt tritmɛnt nɔ nid fɔ chenj di kanula ɛvride.
Ɛni risk dɛn de we kin apin?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de, bɔt dɛn tin ya nɔ kin apin bɔku tɛm.
Di men ɛn kɔmɔn risk na infɛkshɔn . Wi kכl dis `(Kateta-Rεlatεd Blכdstrim Infεkshכn - CRBSI)`. If dɛn nɔ kip di say we di tiub kɔmɔt na di skin klin, jem dɛn kin go insay.
Apat frɔm dat, sɔm ɔda prɔblɛm dɛn de we kin apin we yu de lay di layn ɔ afta yu dɔn lay:
- Blɔd we de kɔmɔt.
- di lכng dεm we de pwεl (nyumothorax).
- Damej na di vein ɔ di at.
- Blɔd kin klɔt insay wan vein (thrombosis).
Yu mɛdikal tim go du dɛn bɛst fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn ya, ɛn di impɔtant tin we yu kin du na yu pat na fɔ kip di say we yu de na di CVC rili klin ɛn fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan.
We yu fɔ kɔl yu dɔktɔ wantɛm wantɛm
If yu notis ɛni wan pan di sayn dɛn we de dɔŋ ya we yu de na os, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm ɛn nɔ de te . Dɛn tin ya kin bi sayn dɛn fɔ se pɔsin gɛt di sik.
| Risk simptom dɛm - pe atɛnshɔn wantɛm wantɛm | |
|---|---|
| - Fiva. | - Pen ɔ sɔri na ɔ rawnd di say we dɛn put CVC insay. |
| - Rεd ɔ rεd strεk dεm we de rawnd di skin. | - Di skin we de rawnd yu kin swel ɔ yu kin fil wam we yu tɔch yu. |
| - Yɔlɔ ɔ grɛn wata we tan lɛk pus de lik. | - If i tan lεk se di CVC tכb de kכmכt (we min se i kin de kam lכs). |
Dɔn bak, if yu CVC aksidɛntli kɔmɔt ɔlsay, go to dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Sɛntral layn (CVC) na wan impɔtant tin we de ɛp di sikman dɛn fɔ gɛt tritmɛnt izi ɛn sef, we de mek dɛn nɔ nid fɔ gɛt nidul ɛvride we dɛn de trit dɛn fɔ lɔng tɛm.
- Yu dɔktɔ go no di kayn CVC we go fayn fɔ yu bay wetin yu nid.
- di men risk fכ dis na infεkshכn, so i implεnt fכ kip di skin insay εn rawnd di CVC rili klin.
- If yu notis ɛni sayn we de sho se yu gɛt di sik, lɛk fiva, rɛd, swɛlin, pen, ɔ pus, tɛl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ bɔt am.
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