Kev kho mob qog noj ntshav feem ntau yuav tsum tau nkag mus rau venous mus sij hawm ntev rau kev kho mob, khoom noj khoom haus, lossis tshuaj infusion. Ob qhov khoom siv vascular nkag tau siv rau cov hom phiaj no yog covPeripherally Inserted Central Catheter(PICC kab) thiabImplantable Chaw nres nkoj(tseem hu ua chemo chaw nres nkoj lossis chaw nres nkoj-a-cath).
Ob leeg ua haujlwm tib yam - muab txoj hauv kev txhim khu kev qha rau cov tshuaj rau hauv cov hlab ntsha - tab sis lawv txawv heev ntawm lub sijhawm, kev nplij siab, kev saib xyuas, thiab kev pheej hmoo. Kev nkag siab txog qhov sib txawv no pab cov neeg mob thiab cov kws kho mob xaiv qhov kev xaiv tsim nyog tshaj plaws.
PICCs thiab Implantable Ports yog dab tsi? Qhov twg zoo dua?
Ib txoj kab PICC yog ib txoj kab ntev, hloov tau yooj yim tso los ntawm cov leeg ntawm sab caj npab thiab nce mus rau cov leeg loj nyob ze ntawm lub plawv. Nws muab kev nkag ncaj qha mus rau hauv nruab nrab kev ncig thiab yog ib feem sab nraud, nrog rau ntu pom ntawm tubing sab nraud ntawm daim tawv nqaij. Cov kab PICC feem ntau yog siv rau kev kho mob luv luv mus rau nruab nrab, xws li tshuaj tua kab mob, IV khoom noj khoom haus, lossis tshuaj khomob ntev li ob peb lub lis piam mus rau ob peb lub hlis.
Ib qho chaw implantable yog ib qho khoom siv kho mob me me tso rau hauv qab ntawm daim tawv nqaij, feem ntau nyob rau hauv lub siab. Nws muaj lub reservoir (qhov chaw nres nkoj) txuas nrog lub catheter uas nkag mus rau hauv cov hlab ntsha hauv nruab nrab. Qhov chaw nres nkoj nkag nrog aHuber koobthaum xav tau tshuaj los yog ntshav rub thiab tseem kaw thiab pom tsis pom hauv qab ntawm daim tawv nqaij thaum tsis siv.
Thaum muab piv rau implantable chaw nres nkoj vs PICC kab, PICC kab muab kev tso chaw yooj yim dua thiab tshem tawm rau kev kho lub sij hawm luv luv, thaum lub chaw nres nkoj implantable muab kev nplij siab zoo dua, txo qis kev pheej hmoo kis tus kab mob, thiab lub sij hawm ntev rau kev kho mob tsis tu ncua xws li kws khomob.
7 Yam Tseem Ceeb rau Xaiv Implantable Port vs PICC Kab
1. Duration of Access: Short-Term, Medium-Term, Long-Term
Lub sijhawm kho mob xav tau yog thawj qhov yuav tsum tau xav txog.
PICC Kab: Zoo tagnrho rau kev nkag mus rau lub sijhawm luv mus rau nruab nrab, feem ntau mus txog rau lub hlis. Nws yooj yim rau ntxig, yuav tsum tsis muaj kev phais, thiab tuaj yeem raug tshem tawm ntawm lub txaj.
Implantable Port: Qhov zoo tshaj plaws rau kev kho mob mus sij hawm ntev, ntev lub hlis lossis xyoo. Nws tuaj yeem cog tau ruaj ntseg rau lub sijhawm ntev, ua rau nws tsim nyog rau cov neeg mob uas tau rov qab siv tshuaj khomob ntau dua lossis siv tshuaj rau lub sijhawm ntev.
Feem ntau, yog tias kev kho mob yuav tsum kav ntev tshaj li rau lub hlis, qhov chaw implantable yog qhov kev xaiv zoo dua.
2. Kev tu txhua hnub
Kev tu kom zoo sib txawv ntawm ob lub vascular nkag mus tau zoo.
PICC Kab: Yuav tsum tau hloov pauv hloov pauv thiab hnav khaub ncaws, feem ntau ib zaug ib lub lim tiam. Vim tias nws muaj ib feem sab nraud, cov neeg mob yuav tsum ua kom qhov chaw qhuav thiab tiv thaiv kom tsis txhob kis kab mob.
Implantable Chaw nres nkoj: Xav tau kev saib xyuas tsawg kawg ib zaug qhov kev phais kho. Thaum tsis siv, nws tsuas yog yuav tsum tau yaug txhua 4-6 lub lis piam. Txij li thaum nws tau cog tag nrho rau hauv daim tawv nqaij, cov neeg mob muaj kev txwv tsawg dua txhua hnub.
Rau cov neeg mob nrhiav kev yooj yim thiab kev saib xyuas qis dua, qhov chaw nres nkoj implantable yog qhov zoo dua.
3. Kev ua neej nyob thiab kev nplij siab
Kev cuam tshuam kev ua neej yog lwm qhov kev xav tseem ceeb thaum xaiv ntawm PICC cov cuab yeej siv thiab qhov chaw nres nkoj implantable.
PICC Kab: Cov raj sab nraud tuaj yeem txwv cov dej num xws li ua luam dej, da dej, lossis kev ua kis las. Qee cov neeg mob pom tias nws tsis xis nyob lossis tsis nco qab txog tus kheej vim qhov pom kev thiab kev hnav khaub ncaws.
Implantable Port: Muab kev nplij siab thiab kev ywj pheej ntau dua. Thaum kho tau zoo, nws tsis pom tseeb thiab tsis cuam tshuam nrog feem ntau cov haujlwm niaj hnub. Cov neeg mob tuaj yeem da dej, ua luam dej, thiab tawm dag zog yam tsis muaj kev txhawj xeeb txog lub cuab yeej.
Rau cov neeg mob uas muaj nuj nqis rau kev nplij siab thiab kev ua neej nyob, qhov chaw nres nkoj implantable muaj qhov zoo dua.
4. Kev pheej hmoo kis mob
Vim tias ob lub cuab yeej muab kev nkag ncaj qha rau hauv cov hlab ntsha, kev tswj kev kis kab mob yog qhov tseem ceeb.
PICC Kab: Ua rau muaj kev pheej hmoo ntau dua ntawm kev kis kab mob, tshwj xeeb tshaj yog siv rau lub sijhawm ntev. Sab nraud tuaj yeem qhia cov kab mob mus rau hauv cov hlab ntsha.
Implantable Chaw nres nkoj: Muaj kev pheej hmoo kis tus kab mob tsawg dua vim tias nws tau npog tag nrho los ntawm daim tawv nqaij, muab kev tiv thaiv ntuj. Cov kev tshawb fawb soj ntsuam tau pom tias cov chaw nres nkoj muaj tsawg dua cov kab mob ntsig txog cov hlab ntshav ntau dua li PICCs.
Rau kev siv mus ntev, qhov chaw implantable yog suav tias yog qhov kev xaiv zoo dua.
5. Tus nqi thiab kev tuav pov hwm
Cov nqi txiav txim siab suav nrog ob qho tib si kev tso npe thawj zaug thiab kev saib xyuas mus sij hawm ntev.
PICC Kab: Feem ntau pheej yig dua rau kev ntxig vim nws tsis tas yuav phais. Txawm li cas los xij, cov nqi tu tsis tu ncua - suav nrog kev hloov khaub ncaws, mus ntsib kws kho mob, thiab hloov khoom siv - tuaj yeem nce ntxiv raws sijhawm.
Implantable Chaw nres nkoj: Muaj tus nqi siab dua vim tias nws yuav tsum muaj kev phais me me, tab sis nws yuav raug nqi ntau dua rau kev kho mob mus sij hawm ntev vim txo qis kev xav tau.
Feem ntau cov phiaj xwm kev pov hwm them rau ob qho khoom siv ua ib feem ntawm cov nqi kho mob rau kev siv tshuaj khomob lossis kev kho IV. Tag nrho cov nqi-zoo nyob ntawm seb lub cuab yeej yuav xav tau ntev npaum li cas.
6. Tus naj npawb ntawm Lumens
Tus naj npawb ntawm lumens txiav txim seb muaj pes tsawg cov tshuaj lossis cov kua dej tuaj yeem xa tuaj ib txhij.
PICC Kab: Muaj nyob rau hauv ib qho, ob npaug, lossis triple-lumen xaiv. Multi-lumen PICCs yog qhov zoo tagnrho rau cov neeg mob uas xav tau ntau yam infusions lossis nquag nqus ntshav.
Implantable Ports: Feem ntau ib leeg-lumen, txawm tias cov chaw nres nkoj dual-lumen muaj rau cov kev kho mob nyuaj.
Yog tias tus neeg mob xav tau ntau yam tshuaj infusions tib lub sijhawm, ntau lub lumen PICC yuav zoo dua. Rau cov txheej txheem chemotherapy, qhov chaw nres nkoj ib leeg-lumen implantable feem ntau txaus.
7. Catheter Txoj kab uas hla
Lub catheter txoj kab uas hla cuam tshuam qhov ceev ntawm cov kua infusion thiab cov neeg mob kev nplij siab.
PICC Kab: Feem ntau muaj qhov loj dua sab nraud, uas tuaj yeem ua rau qee zaum ua rau cov leeg mob lossis txo cov ntshav ntws yog siv rau lub sijhawm ntev.
Implantable Ports: Siv lub catheter me me thiab smoother, uas tsis tshua khaus rau cov leeg thiab tso cai rau siv tau ntev dua.
Rau cov neeg mob uas muaj cov hlab ntsha me me los yog cov uas xav tau kev kho mob ntev, qhov chaw nres nkoj implantable zoo li ua tau zoo dua thiab tsis muaj kev cuam tshuam.
Xaus
Kev xaiv ntawm PICC kab thiab qhov chaw nres nkoj implantable nyob ntawm ntau qhov chaw kho mob thiab tus kheej - lub sijhawm kho, kev saib xyuas, kev nplij siab, kev pheej hmoo kis mob, nqi, thiab kev kho mob.
PICC kab yog qhov zoo tshaj plaws rau kev kho mob luv luv lossis nruab nrab, muab kev tso kawm yooj yim thiab qis dua tus nqi.
Qhov chaw nres nkoj implantable yog qhov zoo dua rau kev siv tshuaj kho mob mus sij hawm ntev lossis nquag nkag mus rau vascular, muab kev nplij siab zoo, kev saib xyuas tsawg, thiab muaj teeb meem tsawg.
Ob leeg yog qhov tseem ceebvascular access devicesuas txhim kho kev saib xyuas neeg mob zoo. Qhov kev xaiv zaum kawg yuav tsum tau ua nrog kev sab laj nrog cov kws kho mob, kom ntseeg tau tias cov cuab yeej siv tau raws li qhov xav tau ntawm kev kho mob thiab cov neeg mob lub neej.
Post lub sij hawm: Oct-09-2025