Damdawi lak tumin kar khatah vawi tam tak damdawi ina i kal a ngai a, emaw, kal chak lo tu emaw chuan thisen tihthianghlim nan hun rei tak enkawlna, dialysis , a neih a ngai a nih chuan, i taksaah a vawi khatnaah needle i thun a ngai hi eng angin nge a hrehawm a, a ti thinrim em? Nitin vein thar hmuin needle i dah lut ang tih han ngaihtuah teh. Chutiang harsatna awm lo turin doctor-te chuan hmanraw bik an hmang thin. Chu chu permacath kan tih chu a ni.
Chuti a nih chuan, Permacath chu eng nge ni tak tak?
A awlsam zawngin, permacatheter chu i taksa chhunga thisen kalna kawng lian tak, a tlangpuiin i kawr chhunga thisen kalna kawng (vein)-a dah, tube ( catheter ) bik, nem tak a ni. Hemi chungchanga thil danglam tak chu vawi khat dah a nih chuan a hmunah rei tak dah theih a ni a, a châng chuan a awm reng thei bawk . Chuvangin 'permacatheter' an ti a, chu chu 'permanent catheter ' tihna a ni.
Vawikhat dah a nih chuan he tube hmang hian i thisen system nen direct in i connect thei a, needle hman apiangin i connect thei bawk. Hemi hmang hian enkawl a awlsam hle. A hman ber chu:
- Kidney vei tan hemodialysis: Permacatheter neih hi he enkawlna atan hian a awlsam hle a, kar khatah vawi tam tak darkar engemaw zat dialysis neih a ngai a ni.
- Damdawi bik pek tur: Cancer ang chi natna atana damdawi pek thenkhat chu rei tak pek a ngai a.
- Apheresis enkawlna: Hei hian thisen atanga thil tha lo thenkhat then hran leh paih chhuah a huam a ni. He enkawlna hi natna chi hrang hrang, leukemia leh sickle cell natna te tan hman a ni.
PermaKath leh enkawlna dangte hi eng nge an danglamna?
Hemodialysis atan hian i thisen kalna kawng hrang hranga inzawm theih dan kawng hrang hrang a awm. I doctor chuan i tana tha ber tur a thlang ang. A hmanraw pawimawh ber berte han thlir ila.
| Enkawl dan tur | A awlsam zawngin, . | Eng nge hriat tur |
|---|---|---|
| AV fistula (Arteriovenous fistula - AVF) a awm a, a chhuahna tur hmun leh a hmanna tur hmun hi a inang lo hle. | Surgical procedure hian i kut chhunga artery leh vein pakhat a thlunzawm a. | Hei hi hmanraw tha ber leh rei ber a ni. Amaherawhchu, siam chhuah a nih veleh chuan taksa chakna a lo awm theih nan thla engemaw zat a ngai a, chu chu a kaltlangin enkawlna a dawng thei a ni. |
| AV Graft (Arteriovenous graft - AVG) tih a ni a, a man hi a to hle. | Artery leh vein hi a inzawm khawm theih loh chuan an pahnih inkarah hian tube nem tak, artificial tube dah a ni. | Hei hi fistula siam thei lo tan chuan duhthlan tur tha tak a ni a, mahse thisen zam (thrombosis) hlauhawmna chu tlem a sang zawk. |
| Permacath-ah a awm | Tube bik chu kawr emaw, rilruah emaw vein lian takah dah a ni. | Hei hi dialysis hmanhmawh taka i mamawh a nih chuan, emaw, hmanraw dang a hlawhtling lo a nih chuan a solution tha ber a ni. Inserh zawh veleh hman nghal theih a ni. |
A bik takin, permacatheter chi hrang hrang ‘cuff’ nei chu hun rei tak chhunga hman thin a ni. He cuff avang hian hun kal zelah i taksa tissue te chu a chhehvelah a lo thang lian a, a hmunah a awm reng a, i taksa chhungah a kal kual thei lo. Tin, natna hrik luh a veng bawk.
Engtin nge taksaah hian permacatheter hi dah a nih?
Hei hi zun kawng surgery ang a ni. Chuvangin ngaihtuahawm tur a awm lo. Hei hi a thleng tlangpui a ni.
Surgery neih hmain
I doctor chuan a tih dan tur chu uluk takin a hrilhfiah ang che. A thatna leh that lohna zawng zawng a sawiho ang a, i remtihna a la ang. Emergency-ah chuan i nunna chhanhim nan i remtihna tel lova tih a ngai mai thei.
Surgery neih lai hian
Hei hi minute 45 vel chauh tih theih a ni. Doctor ten harsatna i neih loh nan an enkawl ang. General anesthesia pek i ni thei bawk , a nih loh leh permacatheter dahna hmunah chauh numbing medicine (lidocaine) inject a ni ang.
Doctor chuan ultrasound emaw fluoroscopy (X-ray hmanga i taksa chhungril video real-time-a hmuh theihna) tih hmangin he tube hi uluk takin i vein-ah a dah lut a ni. Tube tawp khat chu i thinlung atrium dinglamah dah a ni. A tawp dang chu i rilru vun hmangin a rawn chhuak a.
Surgery an neih hnuah
Surgery zawhah hian a hmun fai nan transparent dressing an vuah ang. Ni engemaw zat chhung chu a hmunah natna leh rihna engemaw zat hriat hi thil pangngai a ni. Engkim a kal tha em tih enfiah nan chest X-ray tih a ni ang. Darkar engemaw zat chawlh hnuah i haw thei tawh ang. Tin, Permacatheter hi a dah zawh veleh enkawlna atan hman nghal theih a ni bawk.
In lamah engtin nge permalink hi i enkawl?
Permacatheter nei mi chu natna kai theihna a nih avangin a fai reng a, enkawl tha a pawimawh hle . I doctor thupek ang chiah kha zawm rawh.
- Ni hmasa berah i mitah tui lut suh. Inbual suh, tui hnuaiah pawh kal suh.
- Permacatheter atanga thisen tlem a chhuak hi thil pangngai a ni . Amaherawhchu, dressing chu thisenin a tibawlhhlawh a nih chuan uluk takin la chhuakin, tuiin silfai la, a thar hnawih rawh.
- Catheter chu hrual emaw sawn emaw suh . A hmun atanga a chhuah chuan a thar dah a ngai mai thei.
- Permacatheter pawn lam a cap chu la chhuak ngai suh . Chutianga tih chuan boruak a luhtir thei a, dinhmun hlauhawm tak a siam thei a ni.
- Doctor-in a tih loh chuan hliam chungah antibiotic cream engmah hnawih suh.
Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
A hnuaia mite hi i chungah a lo thleng a nih chuan i doctor hnenah hriattir hmasa phawt ang che. Emergency a nih chuan Emergency Department (ETU) ah kal nghal rawh .
- Khawsik, khawsik, leh khur i hriat chuan.
- Permacathe an hnawih na hmun chu a hring emaw, a sen emaw, a na emaw a nih chuan.
- Catheter chu sawn emaw, a hmun atanga lo chhuak vek emaw a nih chuan.
- Hliam chu minute 20 aia tam thisen chhuak chhunzawm zel a nih chuan.
Permacatheter hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi hman dan dang ang bawkin permacatheter hian hlawkna leh hlauhawmna a nei vek a ni.
| Hlawkpuina | Risk a awm thei |
|---|---|
| Thisen kalphung nena hun rei tak emaw, nghet taka inzawmna siam awlsamna. | Infection: Bacterial emaw virus emaw infection a awm thei a, a bik takin MRSA (methicillin-resistant Staphylococcus aureus), bacteria chi khat, antibiotics laka invenna a awm thei. |
| Needle hliam fo vanga natna leh hrehawmna a ti bo. | Thrombosis: Catheter chhehvelah thisen zam a awm theihna a awm. |
| I dah luh veleh hman theih turin a inpeih tawh. | Dislodgement: Catheter hi a che thei a, a hmun atanga a chhuak thei bawk. |
Heng risk te hi hlauh a ngai lo. A pawimawh ber chu permalink hi uluk leh fai taka enkawl a, a hlauhawmna tur hriat chian a ni. Tichuan harsatna tam tak i pumpelh thei ang.
Take-Home Thuchah a ni
- Permacath hi special long-term tube a ni a, dialysis ang chi hun rei tak enkawlna atana needle dah fo ngai lohna turin a pui a ni.
- Hei hi surgery tenau hmanga dah a ni a, dah zawh veleh hman nghal theih a ni.
- Permacatheter hi a fai em em a, uluk taka enkawl a pawimawh a, chu chuan natna hrik leh thisen zam a veng thei a ni.
- Khawsik, hliam, leh thisen chhuah tam lutuk ang chi vaukhânna chhinchhiahnate chu fimkhur reng ang che. Thil ngaihtuah tur i neih chuan doctor hnenah hriattir nghal rawh.
- I doctor nen eng treatment option nge i tan a tha ber tih sawi fo ang che.











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