I kī atu te tākuta kia whakauruhia he 'raina pokapū'? (Te Catheter o ngā uaua pokapū) Me kōrero māmā noa iho tēnei.

Ina kī atu te tākuta me whakauru he 'raina pokapū', tera pea ka mataku koe. Ina rongo tātou i te kupu 'raina', ka whakaaro tātou ki tētahi cannula e hoatu ana ki a koe he saline noa. Engari he mea rerekē tēnei, he mea motuhake. Engari kāore he take e mataku ai koe. He nui ngā whai wāhitanga e tukuna ana e ia ki a koe. I tēnei rā, kia kitea e tātou he aha te raina pokapū, te CVC rānei.

He aha te rārangi pokapū (CVC)?

Ko te raina pokapū, ko te Central Venous Catheter (CVC) rānei, he taputapu motuhake e āwhina ana ki te rongoā i ngā momo mate hauora. He mea hanga ki tētahi ngongo angiangi, ngāwari, roa hoki. Ka whakaurua tēnei ngongo ki roto i tētahi uaua i roto i tō tinana. Kātahi ka haere te ngongo ki raro i te uaua kia tae rā anō tētahi pito ki roto i te uaua toto matua (te vena cava) e kawe ana i te toto ki tō ngākau.

Tērā pea kei te piri mai te pito o tēnei ngongo i tō kiri, i te taha matau o tō uma. Ko te wāhanga e piri mai ana i tō kiri ka kiia he 'hub'. Koinei te mea ka kitea e koe, ka rongohia hoki. I ētahi wā kei raro i tō kiri te pito kē. Ka kiia tēnei he 'port'. Kātahi ka taea e koe te rongo i te mea he puku iti i raro i tō kiri, engari kāore i te tino kitea. Ka whakamahia tēnei 'hub', 'port' rānei mō ngā mea pēnei i te hoatu rongoā me te tango toto.

He aha te rerekētanga i waenga i te cannula noa (peripheral IV) me te raina pokapū?

E mōhio ana tātou katoa ko te cannula noa (`(Peripheral IV)`) me tēnei aho pokapū e whakamahia ana hei whakarato maimoatanga. Engari e toru ngā rerekētanga matua i waenganui i ngā mea e rua. Kia tirohia tātou he aha rāua.

Ko wai e hiahia ana ki tētahi raina pokapū?

He āwhina tēnei i te hunga whai momo mate hauora. Hei tauira:

• Whiwhi rongoā chemotherapy mō te wā roa mō ngā tūroro matepukupuku.
• Mō te hunga e purea ana te toto (`(Hemodialysis)`) nā ngā raruraru o te whatukuhu.
• Mō te hunga e hiahia ana ki te tango i ngā paturopi ā-uaua mō te wā roa.
• Mō te hunga e hiahia ana kia tangohia he toto mō ngā whakamātautau toto auau.
• Mēnā ka puta he āhuatanga ohorere (te ohorere hypovolemic), hoatu tonutia te tote, te toto rānei.
• Whiwhi toto, koha pereti rānei.
• Ina kore e mahi tika te pūnaha nakunaku, me whakarato tika te kai mā roto i tētahi uaua.
• Mō te hunga e hiahia ana ki te whiwhi rongoā werohanga ā-uaua mai i te kāinga.

He aha ngā momo rārangi pokapū kei reira?

Mā tō tākuta e whiriwhiri te momo e tika ana māu i runga i ō hiahia me te roa o te wā e hiahia ana koe ki te whiwhi maimoatanga. He maha ngā momo matua.

• CVC kore-pūwero: He pai tēnei mō te whakamahinga poto (iti iho i te rua wiki). Ka whakaurua tika ki roto i te uaua, pērā i te kaki, i te uma rānei.
• Raina PICC (Peripherally Inserted Central Catheter): Ka whakamahia hoki tēnei mō te wā poto. Heoi, kāore e whakaurua mā te kaki, mā te uma rānei, engari mā te ringa o runga. Mai i reira, ka whakaurua te ngongo ka mirohia ki tētahi uaua nui e tata ana ki te ngākau.
• CVC kua whakakōpikopikohia: He pai tēnei mō te whakamahinga roa (neke atu i te rua wiki). I konei, he iti te tawhiti i waenganui i te wāhi e whakaurua ai te ngongo ki roto i te uaua me te wāhi e puta mai ai i te kiri. I tēnei wā, kei raro i te kiri te ngongo.Ka haere pērā i te kauhanga. Ka whakaitihia te tūponotanga o te mate. Ko Broviac® me Hickman® ngā waitohu rongonui o tēnei momo.
• Putanga i raro i te kiri (whakatōngia): Koinei te kōwhiringa pai rawa atu mō ngā wā roa atu i te toru marama . I konei, kāore he wāhanga o te ngongo e kitea ana mā roto i te kiri. Ka whakaurua te taputapu katoa ki raro i te kiri mā roto i tētahi tapahi iti. Ina hiahiatia he rongoā, ka whakaurua he ngira motuhake ki roto i te 'putanga' i raro i te kiri, ā, ka hoatu te rongoā. Ka kiia hoki tēnei he "Port-a-Cath".

He aha te tukanga mō te tāuta i tēnei?

Ehara tēnei i te pokanga nui, nō reira kaua e wehi. Mā te tākuta kua whiwhi whakangungu motuhake mō tēnei kaupapa e mahi.

1. Tuatahi, horoia rawatia te kiri ki te wāhi e whakamahia ai te raina.

2. Kātahi ka whakangāwarihia te wāhi kia kore ai koe e mamae. Mēnā e tika ana, ka hoatu pea he rongoā whakangāwari ngawari hei pupuri i a koe kia marino.

3. Muri iho, ka whakamahia e te tākuta he ngira hei whakauru i te uaua e pā ana. Tērā pea ka whakamahia he mīhini ultrasound hei kimi tika i te uaua.

4. Ka tukuna he waea angiangi rawa ("(waea ārahi)`) mā te ngira ka uru ki roto i te uaua.

5. Kātahi ka tangohia te ngira, ka whakaurua he taputapu iti (whakawhānui) hei waihanga wāhi mō te whakauru i te aho, ā, ka tukuna mārire te ngongo aho waenga ki runga i te waea ki roto i te uaua.

6. Kia tika te tūnga o te pito o te ngongo e tata ana ki te ngākau, ka tangohia te waea.

7. Hei whakamutunga, ka herea te wāhanga e kitea ana o te aho ki tētahi tuitui iti, ki tētahi pāreti motuhake rānei hei ārai i te mirimiri ki te kiri, ā, ka pania he takai hei pupuri i tōna ma.

Mena kei te whakatakotoria he CVC, he putanga rānei kua whakakōpikopikotia, hei tāpiri atu ki ēnei mahi taketake, me tapahi iti hei tuku i te ngongo ki raro i te kiri, hei whakanoho rānei i te putanga.

He aha ngā raruraru pea (ngā mōrearea)?

Pērā i ngā tikanga hauora katoa, he iti noa ngā tūponotanga. Ko te mea nui ko te tūponotanga o te mate . Ka taea e tēnei te arahi i ngā iroriki ki roto i te toto mā te taura (arā, te mate toto e pā ana ki te catheter - CRBSI). Koia te mea nui kia tino ma te wāhi i whakaurua ai te taura.

Hei tāpiritanga, he tino onge te puta o te toto, te pakaru o te pukahukahu (pneumothorax), te toto toto rānei (thrombosis). Engari ka whakapau kaha ngā tākuta ki te ārai i ēnei mea.

Āhea koe me toro atu ki te tākuta i te wā e taea ai?

Mena he raina pokapū tōu, me tino tupato koe ki ngā tohu o te mate. Mena kei a koe tētahi o ngā tohu e whai ake nei, me waea atu koe ki tō tākuta tonu atu .

• Ki te pāngia koe e te kirika .
• Mena he mamae, he whero, he pupuhi rānei te wāhi i whakatakotoria ai te aho.
• Mena ka mahana te kiri o taua wāhi ina pā atu.
• Mena ka puta mai he wai rite ki te pupuhi kōwhai, kakariki rānei i te rārangi.
• Mena he roa ake te āhua o te wāhanga o te rārangi e kitea ana i mua (tērā pea kei te puta mai i roto).

Ki te kite koe i tētahi mea pēnei, me whakamōhio tonu atu ki tō tākuta. Ki te mea he āhuatanga ohorere, haere ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata.