Catheter ea Venous e Bohareng
Likarolo tsa Sehlahisoa
● Setlapa se khonang ho sisinyeha se u thusa ho ema sebakeng sa ho phunya ho sa tsotellehe botebo ba catheter, e leng ho fokotsang ho sithabela le ho teneha sebakeng sa ho phunya.
● Ho tšoaea ka botebo ho thusa hore ho behoe ka nepo catheter e bohareng ea venous ho tloha mothapong o ka ho le letona kapa le letšehali oa subclavia kapa mothapo oa jugular.
● Keletso e bonolo e fokotsa ho sithabela ha sekepe, ho fokotsa khoholeho ea sekepe, hemothorax le tamponade ea pelo.
● Lumen e le 'ngoe, e habeli, e meraro e fumaneha bakeng sa khetho.
Taelo ea ho sebelisoa
TS'ELISO PELE
● Tlhahlobo ea Mokuli: Netefatsa pontšo le vein patency (ultrasound kgothaletswa).
● Thepa: Setlolo sa CVC se sa tsoakoang (catheter, guidewire, dilator, sutures), mochine oa ultrasound, li-sterile drapes, likokoana-hloko (chlorhexidine/alcohol), lithethefatsi tse thethefatsang sebakeng (1–2% lidocaine).
KEKETSO MOKHOA
● Position & Sterilization: Beha mokuli Trendelenburg (jugular/subclavian) kapa supine (femoral), thibela letlalo ka > 0.5% chlorhexidine.
● Ho fihlella Vein: Sebelisa mokhoa oa Seldinger o tataisoang ke ultrasound.
① Kenya nale, mali a aspirate ho netefatsa mothapo.
② Thread guidewire, tlosa nale.
③ Atolosa pampitšana, catheter pele holim'a terata.
④ Tlosa terata, netefatsa ho khutla ha mali.
● Tšireletso & Ho Apara: Suture catheter + sebelisa moaparo o hloekisitsoeng o pepeneneng. Netefatsa ho beoa ka CXR (keletso ho SVC/RA junction).
HLOKOMELA PUSELETSO
● Flushing: Heparinized saline (bakeng sa tšebeliso ea nakoana). 0,9% saline (infusions e tsoelang pele).
● Liphetoho tsa Moaparo: Matsatsi a mang le a mang a 7 (a pepeneneng) kapa matsatsi a 2 (gauze).
● Tlhokomelo ea Mathata: Pneumothorax, tšoaetso, thrombosis.
Sesebelisoa sa sehlahisoa
● Tlhokomelo e Bohlokoa: Ho fana ka meriana, maro, kapa li-vasopressor liphaposing tsa batho ba kulang haholo (ICUs).
● Kalafo ea K’hemik’hale: Ho fana ka meriana ea chemotherapy kapa meriana e meng ea nako e telele.
● Phepo ea Batsoali: Ho fana ka tšehetso ea phepo bakeng sa bakuli ba sa khoneng ho ja.
● Hemodialysis: E sebetsa e le mokhoa oa nakoana oa ho fumana methapo ea mali bakeng sa dialysis (mohlala, li-CVC tse se nang tunneled).
● Tlhokomelo: Ho lekanya khatello ea methapo e bohareng (CVP) ho bakuli ba kulang haholo.
Litlhaloso le Mehlala
| Catheter e le 'ngoe ea Lumen | Catheter e habeli ea Lumen | Catheter ea Triple Lumen | |||
| Nomoro ea Sehlahisoa | Mohlala | Nomoro ea Sehlahisoa | Mohlala | Nomoro ea Sehlahisoa | Mohlala |
| 021001 | 20G | 022001 | 4F | 023002 | 5.5F |
| 021002 | 18G | 022002 | 5F | 023003 | 7F |
| 021003 | 16G | 022003 | 7F | 023004 | 8.5F |
| 021004 | 14G | 022004 | 8F | ||
Lintlha tsa Sehlahisoa