Doctor khan ‘central line’ dah turin a ti che em? (Central Venous Catheter) Hemi chungchang hi awlsam takin han sawi ila.

Doctor-in ‘central line’ dah a ngai tih a hrilh che chuan i hlauthawng deuh mai thei. ‘Line’ tih thumal kan hriat hian saline pangngai pe thei tur cannula kan ngaihtuah thin. Mahse hei hi thil danglam deuh, thil danglam deuh a ni. Mahse hlauhna tur a awm lo. A nihna takah chuan awlsamna tam tak a pe che a ni. Vawiin hian central line, a nih loh leh CVC tih hi eng nge a nih chiang takin i zawng chhuak ang u.

A awlsam zawngin, central line (CVC) chu eng nge ni?

Central line, a nih loh leh Central Venous Catheter (CVC) hi damdawi lam harsatna hrang hrang enkawlna atana puitu bik a ni. Tube te tak te, flexible tak, sei tak atanga siam a ni. He tube hi i taksa chhunga vein pakhatah dah a ni. Chumi hnuah chuan tube chu vein hnuaiah a kal a, a tawp pakhat chu i thinlunga thisen phurtu thisen kalna bulpui (vena cava)-ah a awm thlengin a kal a ni.

He tube tawp dang hi i vun atanga chhuak a ni thei a, a tlangpuiin i rilru dinglamah a chhuak thei. I vun atanga chhuak chhuak chu ‘hub’ an ti a. Hei hi i hmuh theih leh i hriat theih chu a ni. A châng chuan a tawp dang chu i vun hnuaiah a awm ṭhin. Hei hi ‘port’ an ti a. Tichuan i vun hnuaia hnah te tak te ang maiin i hre thei a, mahse a lang vak lo. He ‘hub’ emaw ‘port’ emaw hi damdawi pek che leh thisen lak ang chi thil atan hman a ni.

Cannula pangngai (Peripheral IV) leh central line te hi eng nge an danglamna?

Kan hriat vek angin regular cannula (`(Peripheral IV)`) leh he central line hi enkawlna atan hman a ni. Mahse an pahnih inkarah hian danglamna lian tak pathum a awm. Eng nge an nih i en ang u.

Tuin nge central line mamawh?

Hei hian hriselna lama harsatna hrang hrang nei te a pui thin. Entir nan:

• Cancer vei tan hun rei tak chhung chemotherapy dawng thin ang che.
• Kal harsatna avanga thisen thianghlim (`(Hemodialysis)`) nei mekte tan.
• Hun rei tak chhung thisenah antibiotics ei ngai tan.
• Thisen endik fo tura thisen lak ngai te tan.
• Emergency (hypovolemic shock) a awm chuan saline emaw thisen emaw pe nghal tur a ni.
• Thisen emaw platelet emaw pekna dawng.
• Digestive system a thawk tha lo a nih chuan vein kaltlangin direct-in nutrition pe thin ang che.
• In atanga damdawi intravenous dawn theihna mamawh tan.

Eng ang central line nge awm?

I doctor chuan i mamawh leh i enkawl duh hun chhung a zirin i tana tha tur chi a thlang ang. A chi hrang hrang a awm a.

• Non-tunneled CVC: Hei hi hun rei lote chhunga hman tur (kar hnih aia rei lo) atan a tha hle. Vein-ah direct-in dah a ni a, chu chu a kawr emaw, a rilruah emaw a ni.
• PICC line (Peripherally Inserted Central Catheter): Hei hi hun rei lote chhunga hman atan pawh hman a ni fo bawk. Mahse, a kawr emaw, a rilru emaw kaltlangin ni lovin, a kut chunglam hmangin a luhtir a ni. Chuta tang chuan tube chu an dah lut a, thinlung bula vein lian takah an thread a.
• Tunneled CVC: Hei hi hun rei tak (kar hnih aia rei) hman atan a tha hle. Hetah hian tube chu vein chhunga dahna hmun leh vun atanga a chhuahna hmun inkarah hian hla vak lo a awm a. Hetih lai hian tube chu vun hnuaiah a awm .Tunnel ang maiin a kal a. Hei hian hri kai theihna a ti tlem a ni. Broviac®, Hickman® te hi hetiang chi brand lar tak tak an ni.
• Subcutaneous (implanted) port: Hei hi thla thum aia rei zawk atan chuan a tha ber . Hetah hian tube chhunga hmun pakhat mah vun kaltlangin hmuh tur a awm lo. Device pumpui hi vun hnuaiah hian incision te tak te hmangin an dah lut vek a ni. Damdawi mamawh a nih chuan vun hnuaia ‘port’-ah hian special needle dahin damdawi chu pek a ni. Hei hi ``Port-a-Cath'' an ti bawk.

Hei hi install dan tur eng nge ni?

Hei hi operation lian tak a nih loh avangin hlau suh. Hemi atana training bik nei doctor-in a ti thin.

1. A hmasa berin line hnawih tur vun chu uluk takin tifai ang che.

2. Tichuan, natna i hriat loh nan a hmun chu a numbed ang. A tul chuan i rilru a hahdam theih nan mild sedative pek i ni thei bawk.

3. A dawtah chuan doctor chuan needle hmangin a sawi tur vein chhungah a lut a. Ultrasound machine hmangin vein dik taka hriat theih a ni bawk.

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

5. Tichuan, needle chu la chhuakin, line dahna tur hmun siam turin device te tak te (dilator) dahin, central line tube chu zawi zawiin wire chungah leh vein chhungah an lut a.

6. Tube tip chu thinlung hnaihah a awmna dik takah a awm chuan wire chu lakchhuah a ni.

7. A tawp berah chuan line atanga a lang chhuak chu vunah a hnawih loh nan stitch te tak te emaw, plaster bik emaw hmangin an nghet a, a fai theih nan bandage an vuah bawk.

Tunneled CVC emaw port emaw dah a nih chuan heng step bulpui bakah hian tube chu vun hnuaia kal tlang tur emaw, port dah tur emaw chuan incision te tak te siam a ngai dawn a ni.

Eng harsatna (risk) awm thei te chu?

Damdawi lam thil tih dan dang ang bawkin, hlauhawmna tenau engemaw zat a awm. A bulpui ber chu natna kai theihna a ni . Hei hian line kaltlangin thisenah hrik a lut thei a (a.k.a. Catheter-related bloodstream infection - CRBSI). Chuvangin line dahna hmun chu fai taka vawn a pawimawh hle.

Chu bâkah, a tlem hle a, thisen chhuah, lung chhiatna (pneumothorax), emaw thisen zam (thrombosis) emaw a awm thei bawk. Mahse doctor-te chuan hengte hi a thlen loh nan fimkhur zawng zawng an la thin.

Engtikah nge doctor pan vat a ngaih?

Central line i neih chuan hri kai chhinchhiahna lamah fimkhur hle tur a ni. A hnuaia symptoms te hi i neih chuan doctor i ko nghal tur a ni .

• Khawsik i neih chuan .
• Line dahna hmuna natna, sen, emaw, hring emaw a awm chuan.
• Chu hmuna vun chu khawih pawhin a lum tih a hriat chuan.
• Line dahna hmun atang hian yellow emaw green emaw pus ang chi tui a chhuak a nih chuan.
• Line atanga a lan chhuah lai chu a hma aia rei zawka a lan chuan (a chhung atanga lo chhuak a ni mai thei).

Hetiang thil i hmuh chuan Doctor hnenah sawi nghal mai tur a ni. Emergency a nih chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.