Yu tink se di dɔktɔ tɛl yu fɔ put ‘sɛntral layn’? (Central Venous Catheter) Lɛ wi tɔk bɔt dis simpul wan.

We di dɔktɔ tɛl yu se yu nid fɔ put ‘sɛntral layn’ insay, yu kin fred smɔl. We wi yɛri di wɔd ‘layn’, wi kin tink bɔt wan kanula we de gi yu nɔmal salin. Bɔt dis na sɔntin we difrɛn smɔl, na sɔntin we spɛshal. Bɔt no rizin nɔ de fɔ mek wi fred. I rili de gi yu bɔku tin dɛn we izi fɔ du. Tide, lɛ wi fɛn ɔl wetin na sɛntral layn, ɔ CVC.

Fɔ tɔk am simpul wan, wetin na sɛntral layn (CVC)?

Sɛntral layn, ɔ Sɛntral Venɔs Kateta (CVC), na spɛshal tin we de ɛp fɔ trit difrɛn mɛrɛsin dɛn. Dɛn mek am wit wan tiub we rili tan, we kin chenj, ɛn we lɔng. Dɛn kin put dis tiub insay wan vein na yu bɔdi. afta dat di tכb de travul dכn di vein te wan εnd de na di men bכdi (di vena cava) we de kכri bכdi go na yu at.

Di ɔda ɛnd pan dis tiub kin de kɔmɔt na yu skin, bɔku tɛm na di rayt say na yu chɛst. di pat we de stik kכmכt na yu skin dεn kכl am 'hub'. Dis na wetin yu kin si ɛn fil. Sɔntɛnde, di ɔda ɛnd kin de ɔnda yu skin. Dɛn kɔl dis ‘pɔt’. Dɔn yu kin fil am lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Dɛn kin yuz dis ‘hub’ ɔ ‘pɔt’ fɔ tin dɛn lɛk fɔ gi yu mɛrɛsin ɛn tek blɔd.

Wetin na di difrɛns bitwin wan rɛgyula kanula (Pɛrifɛral IV) ɛn wan sɛntral layn?

wi כl no se dεn de yuz כl tu di rεgulεr kanula (`(Pεrifεral IV)`) εn dis sεntri layn fכ gi tritmεnt. Bɔt tri men tin dɛn de we difrɛn bitwin dɛn tu. Lɛ wi si wetin dɛn bi.

Udat nid fɔ gɛt sɛntral layn?

Dis kin ɛp pipul dɛm wae gɛt difrɛn kayn wɛl bɔdi prɔblɛm. Fɔ ɛgzampul:

• Risiv lɔng tɛm kemotɛrapi fɔ di wan dɛn we gɛt kansa.
• Fɔ di wan dɛn we de du blɔd purifyeshɔn (`(Hemodialysis)`) bikɔs ɔf di kidni prɔblɛm.
• Fɔ di wan dɛn we nid fɔ tek antibayɔtik we dɛn kin put insay dɛn bɛlɛ fɔ lɔng tɛm.
• Fɔ di wan dɛn we nid fɔ pul blɔd fɔ mek dɛn go du dɛn blɔd tɛst ɔltɛm.
• If ɛnitin apin (hypovolemic shock), gi salin ɔ blɔd wantɛm wantɛm.
• Risiv blɔd ɔ pletlɛt doneshɔn.
• we di dijestiv sistεm nכ de wok fayn, gi nyutrishכn dairekt tru wan vein.
• Fɔ di wan dɛn we nid di abiliti fɔ gɛt intravenous mɛrɛsin frɔm os.

Us kayn sɛntral layn dɛn de?

Yu dɔktɔ go pik di kayn we we go fayn fɔ yu bay wetin yu nid ɛn aw lɔng yu want fɔ gɛt tritmɛnt. Bɔku men kayn dɛn de.

• CVC we nɔ gɛt tanɛl: Dis fayn fɔ yuz fɔ shɔt tɛm (lɛs dan tu wik). Dɛn kin put am dairekt insay wan vein, lɛk na di nɛk ɔ di chɛst.
• PICC layn (Peripherally Inserted Central Catheter): Dɛn kin yuz dis bak fɔ yuz fɔ shɔt tɛm. Bɔt dɛn nɔ kin put am tru di nɛk ɔ chɛst, bɔt dɛn kin put am insay di ɔp an. Frɔm de, dɛn kin put di tiub ɛn trɛd am to wan big vein nia di at.
• Tunnel CVC: Dis fayn fɔ yuz fɔ lɔng tɛm (mɔ pas tu wik). na ya, sכm distans de bitwin usay dεn put di tכb insay di vein εn usay i kכmכt na di skin. Insay dis tɛm, di tiub de ɔnda di skin .I de go lɛk tanɛl. Dis kin mek di risk fɔ gɛt di sik nɔ bɔku. Broviac®, Hickman® na pɔpul brand dɛn fɔ dis kayn.
• Subcutaneous (implanted) port: Dis na di bεst opshכn fכ lכng tεm pas tri mכnt . na ya, nכ pat pan di tכb de fכ si tru di skin. Dɛn kin put di wan ol divays ɔnda di skin tru wan smɔl say we dɛn kɔt am. we dεn nid mεdikeshכn, dεn kin put spεshal nidul insay di ‘pכt’ כnda di skin εn dεn kin gi di mεdikeshכn. Dɛn kin kɔl dis bak ``Port-a-Cath''.

Wetin na di prosidur fɔ instɔl dis?

Dis nɔto big ɔpreshɔn, so nɔ fred. Na dɔktɔ we dɔn gɛt spɛshal trenin fɔ dis kin du am.

1. Fɔs, klin di skin fayn fayn wan usay dɛn go put di layn.

2. Dɔn, di eria go numb so dat yu nɔ go fil ɛni pen. If nid de, dɛn kin gi yu wan mɛrɛsin we nɔ de mek yu fil fayn fɔ mek yu nɔ gɛt kol at.

3. Neks, di dɔktɔ de yuz nidul fɔ go insay di vein we dɛn de tɔk bɔt. Dɛn kin yuz ɔltra saund mashin bak fɔ no usay di vein de kɔrɛkt wan.

4. dεn de pas wan rili fayn waya (`(guidewire)`) tru di nidul εn insay di vein.

5. Dɔn, dɛn kin pul di nidul, dɛn kin put smɔl tin (dilator) fɔ mek ples fɔ di layn we dɛn fɔ put insay, ɛn dɛn kin pas di sɛntral layn tiub smɔl smɔl oba di waya ɛn go insay di vein.

6. we di tip fכ di tכb de na di kכrekt posishכn nia di at, dεn de pul di waya.

7. Fɔ dɔn, dɛn kin tay di pat we de na di layn wit smɔl stich ɔ spɛshal plasta fɔ mek i nɔ rɔb pan di skin, ɛn dɛn kin put bandej fɔ mek i klin.

If dɛn de put CVC ɔ pɔt we gɛt tanɛl, apat frɔm dɛn bɛsik stɛp ya, dɛn go nid fɔ kɔt smɔl say fɔ pas di tiub ɔnda di skin ɔ put di pɔt.

Wetin na di prɔblɛm dɛn we kin apin (risk)?

Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de. Di men wan na di risk fɔ gɛt di sik . dis kin mek di jεm dεm go insay di bכdi tru di layn (a.k.a. Catheter-related bloodstream infection - CRBSI). Na dat mek i impɔtant fɔ mek di say we dɛn put di layn rili klin.

Apat frɔm dat, na smɔl tɛm nɔmɔ, blɔd kin kɔmɔt, di lɔng we kin pwɛl (nyumothorax), ɔ we blɔd kin klɔt (thrombosis). Bɔt dɔktɔ dɛn kin tek ɔl wetin dɛn du fɔ mek dɛn tin ya nɔ apin.

Ustɛm yu nid fɔ go to dɔktɔ kwik kwik wan?

If yu gɛt sɛntral layn, yu fɔ rili tek tɛm wit di sayn dɛn we de sho se yu gɛt di sik. If yu gɛt ɛni wan pan dɛn sayn ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .

• If yu gɛt fiva .
• If pen, rɛd, ɔ swel de usay dɛn put di layn.
• If di skin na da say de fil wam we yu tɔch am.
• If wan yɔlɔ ɔ grɛn wata we tan lɛk pus kɔmɔt na di layn.
• If di pat pan di layn we de na do luk lכng pas aw i bin de bifo (i kin bi se i de kכmכt frכm insay).

If yu si ɛnitin lɛk dis, tɛl yu dɔktɔ ɛn nɔ de te. If na imejensi, go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.