Central Line (Central Venous Catheter) tih hi eng nge ni? A awlsam zawngin sawi ila.

Damdawi rei tak i ei hian, a bik takin vein-ah i inject a ngai a, nitin i vein-ah needle i thun a ngai thin hi a thinrim em em thin a ni lawm ni? A chang chuan vein hmuh a harsa a, i vein-ah needle i thun reng chuan i tichhe thei a ni. Chuvangin vawiin hian hetiang dinhmunah hian damlo leh doctor tan pawha tangkai thei tur device bik kan sawi dawn a ni. Chu chu central line, a nih loh leh CVC kan tih chu a ni.

Central line (CVC) hi eng nge ni tak tak?

A awlsam zawngin, central line chu i taksa chhunga vein lian takah dah , tube te tak te, sei tak, flexible tak a ni. A tlangpuiin i kawr, i rilru, i kephah emaw, i kut emawa vein lian takah dah a ni a, a tube tawp dang chu thinlunga thisen phurtu vein lian (`vena cava`)-ah thread-in a dah a ni.

I thisenah ‘highway’ bik dah ang maiin ngaihtuah rawh. He ‘highway’ hmang hian doctor leh nurse ten awlsam takin i thisen an lut thei a ni.

He tube atanga a chhuak lam hi chi hnih a awm thei a:

1. Hub angin: Hei hi i vun hmanga hmuh theih part a ni. Hei hi damdawi pe theitu saline tube ang chi thilte inzawmkhawmna hmun a ni.

2. Port angin: Hei hi hmanraw te tak te, pawisa fai ang vela lian, vun hnuaia dah a ni. Vunah hian incision te tak te chauh hmuh tur a awm. Damdawi pek a ngaih hunah chuan chu incision kaltlangin vun chhungah chuan special needle an dah lut thin.

Central line leh regular cannula (Peripheral IV) te hi eng nge an danglamna?

Damdawi ina kan hmuh tlangpui cannula (‘catheter’ an ti bawk) leh he central line hi a danglamna lian tak pathum a awm a. He dawhkan i en hian awlsam takin i hrethiam mai ang.

He central line hi tuin nge mamawh?

Doctor-te chuan damloin hun rei tak enkawlna a mamawh hunah hetiang central line hi dah an tum fo thin. Entir nan:

• Cancer vei tan: Chemotherapy pek chhunzawm zel ang che.
• Kidney damlo tan: Thisen tihthianghlimna atana hemodialysis.
• Hun rei tak chhunga antibiotics intravenous ei thinte tan: Infection na tak thenkhatah chuan kar tam tak damdawi ei a ngai thin.
• Thisen lak fo ngai te tan: Thisen lama harsatna nei te hian thisen sample lak fo a ngai a ni.
• Digestive system kaltlanga chaw ei thei lo tan: Damlo thenkhat chu thisen kalna kawng (veins)-ah direct-a pek a ngai a.
• Emergency-ah: ``Hypovolemic shock`` ang chi, accident lian tak hnua tui emaw thisen emaw tam tak pek a ngai a nih chuan.
• In atanga enkawl mekte tan: Hei hian in atanga enkawlna thenkhat dawn a awlsam phah hle.

Eng ang central line nge awm?

I doctor chuan i damdawi lam dinhmun leh eng chen nge i vawn reng duh tih a zirin i tana tha tur chi chu a thlang ang. A chi hrang hrang a awm a.

Engtin nge he central line hi i install ang?

Hetiang tih dan hi doctor, hemi atana training bik dawng tawhin a ti thin. CVC i neih chi hrang hrang a zirin kalphung pawh a inang lo deuh thei.

Central line dah hmain eng nge thleng?

I doctor chuan a tih dan tur a hrilhfiah ang che, a thatna leh a hlauhawmna te pawh a hrilhfiah ang che. Hei hi zawhna i neih apiang zawh hun tha tak a ni. Chumi hnuah chuan i remtihna chu lak a ni ang. Emergency-ah chuan he sawihona hun a awm lo mai thei. I duhna hmunah (a tlangpuiin muhil) i dah ang a, i heart rate leh blood pressure enfiah turin monitor-ah i connect ang.

Hei hi i bun chuan eng nge thleng?

A tam zawkah chuan natna i hriat loh nan numbing medicine pek i ni ang. I mut tir (sedation) pawh a ni thei. Procedure chu hetiang hian a kal tlangpui a:

1. Vun chhunga needle dahna tur hmun chu uluk takin silfai a, disinfected a ni.

2. A hmuna numb turin damdawi an inject thin.

3. Tichuan ultrasound scanner hmangin vein chu a awmna tur dik takah a awm a, a chhungah chuan needle an dah lut a.

4. Wire te tak te (guidewire) chu needle kaltlangin vein chhungah a lut a.

5. Puncture na hmun chu blade te tak te hmangin a lian deuh a, CVC tube tan hmun siam nan dilator an tih device an hmang bawk.

6. Tichuan, CVC tube chu zawi zawiin wire chungah leh vein chhungah a lut a, thinlung bula hmun dik a thlen chuan a tawp ta a ni.

7. A tawp berah chuan tube atanga a lang chhuak chu vunah sutured in a hmun fai turin bandage an vuah thin.

Tunneled CVC leh port chu surgical procedure te tak te hmangin dah a ni. Port a nih chuan a vun hnuaiah ‘pocket’ te tak te siam a, a chhungah port dah a ni a, a vun chu a sewn khar a ni.

I bun hnuah eng nge thleng?

Procedure zawh hnuah chest X-ray lak a ni ang a, CVC tube chu a awmna tur dik takah a awm em tih leh harsatna dang a awm loh leh awm loh enfiah a ni ang. Engkim a tha a nih chuan engtikah nge in lama i haw theih ang tih leh in lama enkawl dan tur zirtirna pek i ni ang.

Central line dah a nih chuan eng hlawkna nge a neih?

• Needle prick awm tam lohna a ti tlem: Hei hian i thisen kalna (veins) chhiatna a ti tlem a ni. Tin, needle prick hlauhna leh hrehawmna a ti bo bawk.
• Natna tlem: Damdawi thenkhat chu cannula pangngai hmanga pek a nih chuan inflammation leh vein a ti na thei. He harsatna hi CVC nen chuan a tlem zawk hle.
• Hun rei tak hman: Mi enkawl chhunzawm zelte chuan nitin cannula an thlak a ngai lo.

Risk a awm em?

Damdawi lam thil dang ang bawkin, hlauhawmna tenau tak tak a awm a, mahse hengte hi a thleng fo lo.

Chu bâkah, line dah lai emaw, line dah hnu emawa harsatna dang engemaw zât a awm thei bawk:

• Thisen chhuak.
• Lung chhiatna (pneumothorax).
• Vein emaw arteries emaw a chhiat.
• Vein chhunga thisen zam (thrombosis).

I medical team te hian heng hlauhawmna te hi tih tlem tumin theihtawp an chhuah ang a, i lam atanga i tih theih pawimawh ber chu CVC hmun fai taka vawn a, i doctor thupek uluk taka zawm hi a ni.

I doctor i biak nghal tur hunah

In lama i awm laiin a hnuaia symptoms te hi i hmuh chuan i doctor chu i call nghal tur a ni . Hengte hi hri kai chhinchhiahna a ni thei.

Tin, i CVC chu a lo chhuak palh a nih chuan doctor pan nghal tur a ni.