{"id":10668,"date":"2024-01-13T04:55:49","date_gmt":"2024-01-13T04:55:49","guid":{"rendered":"https:\/\/pato.com.sg\/vascularclinicwebsite\/?p=10668"},"modified":"2025-11-07T13:18:29","modified_gmt":"2025-11-07T13:18:29","slug":"what-is-a-permanent-tunnelled-dialysis-catheter","status":"publish","type":"post","link":"https:\/\/www.vascularclinic.sg\/vi\/what-is-a-permanent-tunnelled-dialysis-catheter\/","title":{"rendered":"\u1ed0ng th\u00f4ng l\u1ecdc m\u00e1u c\u00f3 \u0111\u01b0\u1eddng h\u1ea7m v\u0129nh vi\u1ec5n l\u00e0 g\u00ec?"},"content":{"rendered":"
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A permanent tunnelled dialysis catheter, also known as a tunnelled central venous catheter (TCVC) is a medical device used for long-term dialysis treatment in patients with chronic kidney disease. It is inserted into a large vein, usually in the neck or chest, and allows for the removal and return of blood during dialysis. The catheter is designed with a tunnel that runs under the skin, which helps to secure it in place and reduce the risk of infection. This type of catheter is intended for extended use, typically lasting several months to years, providing a reliable access point for dialysis treatments<\/a>. It can be used immediately after it is inserted.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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WHO th\u1ef1c hi\u1ec7n quy tr\u00ecnh n\u00e0y v\u00e0 n\u00f3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ch\u00ednh x\u00e1c nh\u01b0 th\u1ebf n\u00e0o? <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Vi\u1ec7c \u0111\u1eb7t \u1ed1ng th\u00f4ng ch\u1ea1y th\u1eadn c\u00f3 \u0111\u01b0\u1eddng h\u1ea7m v\u0129nh vi\u1ec5n th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi m\u1ed9t chuy\u00ean gia v\u1ec1 m\u1ea1ch m\u00e1u. \u0110i\u1ec1u n\u00e0y th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi b\u1ec7nh nh\u00e2n t\u1ec9nh t\u00e1o d\u01b0\u1edbi s\u1ef1 g\u00e2y t\u00ea v\u00e0 an th\u1ea7n t\u1ea1i ch\u1ed7. Th\u1ee7 t\u1ee5c m\u1ea5t kho\u1ea3ng 15 ph\u00fat. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 t\u1ed5ng quan chung v\u1ec1 quy tr\u00ecnh ch\u00e8n:<\/p>

  1. Chu\u1ea9n b\u1ecb: B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1ecbnh v\u1ecb v\u00e0 chu\u1ea9n b\u1ecb cho th\u1ee7 thu\u1eadt. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c l\u00e0m s\u1ea1ch v\u00e0 kh\u1eed tr\u00f9ng v\u1ecb tr\u00ed ch\u00e8n.<\/li>
  2. G\u00e2y t\u00ea c\u1ee5c b\u1ed9: Khu v\u1ef1c \u0111\u1eb7t \u1ed1ng th\u00f4ng s\u1ebd \u0111\u01b0\u1ee3c g\u00e2y t\u00ea b\u1eb1ng thu\u1ed1c g\u00e2y t\u00ea c\u1ee5c b\u1ed9 \u0111\u1ec3 gi\u1ea3m thi\u1ec3u s\u1ef1 kh\u00f3 ch\u1ecbu.<\/li>
  3. V\u1ebft m\u1ed5: M\u1ed9t v\u1ebft r\u1ea1ch nh\u1ecf \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean da t\u1ea1i v\u1ecb tr\u00ed ch\u00e8n \u0111\u00e3 ch\u1ecdn, th\u01b0\u1eddng l\u00e0 \u1edf c\u1ed5 ho\u1eb7c ng\u1ef1c.<\/li>
  4. T\u1ea1o \u0111\u01b0\u1eddng h\u1ea7m: S\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt t\u1ea1o \u0111\u01b0\u1eddng h\u1ea7m, m\u1ed9t \u0111\u01b0\u1eddng h\u1ea7m d\u01b0\u1edbi da \u0111\u01b0\u1ee3c t\u1ea1o ra t\u1eeb v\u1ecb tr\u00ed v\u1ebft m\u1ed5 \u0111\u1ebfn l\u1ed1i ra ri\u00eang bi\u1ec7t g\u1ea7n \u0111\u00f3. \u0110\u01b0\u1eddng h\u1ea7m n\u00e0y gi\u00fap c\u1ed1 \u0111\u1ecbnh \u1ed1ng th\u00f4ng v\u00e0 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng.<\/li>
  5. \u0110\u1eb7t \u1ed1ng th\u00f4ng: \u1ed0ng th\u00f4ng \u0111\u01b0\u1ee3c \u0111\u01b0a c\u1ea9n th\u1eadn v\u00e0o t\u0129nh m\u1ea1ch l\u1edbn, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u0129nh m\u1ea1ch c\u1ea3nh ho\u1eb7c t\u0129nh m\u1ea1ch d\u01b0\u1edbi \u0111\u00f2n d\u01b0\u1edbi s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m v\u00e0 lu\u1ed3n qua \u0111\u01b0\u1eddng h\u1ea7m \u0111\u1ebfn v\u1ecb tr\u00ed tho\u00e1t ra.<\/li>
  6. C\u1ed1 \u0111\u1ecbnh \u1ed1ng th\u00f4ng: Sau khi \u0111\u01b0\u1ee3c \u0111\u1eb7t \u0111\u00fang v\u1ecb tr\u00ed, \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh t\u1ea1i ch\u1ed7 b\u1eb1ng ch\u1ec9 kh\u00e2u ho\u1eb7c thi\u1ebft b\u1ecb neo \u0111\u1eb7c bi\u1ec7t.<\/li>
  7. X\u00e1c nh\u1eadn b\u1eb1ng tia X: Ch\u1ee5p X-quang ng\u1ef1c ho\u1eb7c soi hu\u1ef3nh quang th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 x\u00e1c nh\u1eadn v\u1ecb tr\u00ed ch\u00ednh x\u00e1c c\u1ee7a \u1ed1ng th\u00f4ng v\u00e0 \u0111\u1ea3m b\u1ea3o n\u00f3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng.<\/li>
  8. B\u0103ng v\u00e0 ch\u0103m s\u00f3c: V\u1ecb tr\u00ed \u0111\u1eb7t \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c b\u0103ng v\u00f4 tr\u00f9ng v\u00e0 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn c\u00e1ch ch\u0103m s\u00f3c v\u00e0 b\u1ea3o qu\u1ea3n \u1ed1ng th\u00f4ng.<\/li><\/ol>

    \u0110i\u1ec1u quan tr\u1ecdng c\u1ea7n l\u01b0u \u00fd l\u00e0 quy tr\u00ecnh c\u1ee5 th\u1ec3 c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o ho\u00e0n c\u1ea3nh c\u00e1 nh\u00e2n v\u00e0 s\u1edf th\u00edch c\u1ee7a nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    L\u1ee3i \u00edch v\u00e0 r\u1ee7i ro c\u1ee7a TCVC l\u00e0 g\u00ec?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \u1ed0ng th\u00f4ng ch\u1ea1y th\u1eadn c\u00f3 \u0111\u01b0\u1eddng h\u1ea7m c\u1ed1 \u0111\u1ecbnh c\u00f3 th\u1ec3 mang l\u1ea1i nh\u1eefng l\u1ee3i \u00edch nh\u1ea5t \u0111\u1ecbnh nh\u01b0ng c\u0169ng ti\u1ec1m \u1ea9n nh\u1eefng r\u1ee7i ro. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 \u0111i\u1ec3m ch\u00ednh c\u1ea7n xem x\u00e9t:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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    Nh\u1eefng l\u1ee3i \u00edch:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    1. Truy c\u1eadp ngay l\u1eadp t\u1ee9c: TCVC cho ph\u00e9p truy c\u1eadp ngay v\u00e0o m\u00e1u \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb l\u1ecdc m\u00e1u, khi\u1ebfn n\u00f3 tr\u1edf th\u00e0nh m\u1ed9t l\u1ef1a ch\u1ecdn ph\u00f9 h\u1ee3p cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u1ea7n ti\u1ebfp c\u1eadn l\u1ecdc m\u00e1u kh\u1ea9n c\u1ea5p ho\u1eb7c t\u1ea1m th\u1eddi.<\/li>
    2. Thu\u1eadn ti\u1ec7n: Kh\u00f4ng gi\u1ed1ng nh\u01b0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc m\u00e1u kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 l\u1ed7 r\u00f2 \u0111\u1ed9ng t\u0129nh m\u1ea1ch ho\u1eb7c m\u1ea3nh gh\u00e9p, TCVC kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o t\u01b0\u01a1ng \u0111\u1ed1i nhanh ch\u00f3ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i cho nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 tr\u1ea3i qua ph\u1eabu thu\u1eadt ho\u1eb7c c\u00f3 c\u00e1c l\u1ef1a ch\u1ecdn ti\u1ebfp c\u1eadn m\u1ea1ch m\u00e1u h\u1ea1n ch\u1ebf.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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      \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Permanent\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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      R\u1ee7i ro:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      1. S\u1ef1 nhi\u1ec5m tr\u00f9ng:<\/strong> M\u1ed9t trong nh\u1eefng r\u1ee7i ro ch\u00ednh li\u00ean quan \u0111\u1ebfn TCVC l\u00e0 kh\u1ea3 n\u0103ng l\u00e2y nhi\u1ec5m. V\u00ec \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o t\u0129nh m\u1ea1ch n\u00ean n\u00f3 t\u1ea1o ra con \u0111\u01b0\u1eddng tr\u1ef1c ti\u1ebfp cho vi khu\u1ea9n x\u00e2m nh\u1eadp v\u00e0o m\u00e1u. C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba nhi\u1ec5m tr\u00f9ng nghi\u00eam ng\u1eb7t, ch\u1eb3ng h\u1ea1n nh\u01b0 ch\u0103m s\u00f3c \u1ed1ng th\u00f4ng th\u00edch h\u1ee3p v\u00e0 thay b\u0103ng th\u01b0\u1eddng xuy\u00ean, l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 n\u00e0y.

        Do \u0111\u00f3, \u0111i\u1ec1u quan tr\u1ecdng c\u1ea7n l\u01b0u \u00fd l\u00e0 c\u1ea7n ph\u1ea3i ti\u1ebfp c\u1eadn d\u1ee9t \u0111i\u1ec3m nh\u01b0 l\u1ed7 r\u00f2 \u0111\u1ed9ng t\u0129nh m\u1ea1ch ho\u1eb7c t\u1ea1o m\u1ea3nh gh\u00e9p \u0111\u1ec3 TCVC n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t nh\u1eb1m tr\u00e1nh nhi\u1ec5m tr\u00f9ng v\u00e0 nguy c\u01a1 ti\u1ec1m \u1ea9n \u0111\u1ebfn t\u00ednh m\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n do nhi\u1ec5m tr\u00f9ng huy\u1ebft.<\/p><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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        2. Huy\u1ebft kh\u1ed1i:<\/strong> C\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh b\u00ean trong \u1ed1ng th\u00f4ng ho\u1eb7c xung quanh \u0111\u1ea7u \u1ed1ng th\u00f4ng, d\u1eabn \u0111\u1ebfn \u1ed1ng th\u00f4ng b\u1ecb t\u1eafc ho\u1eb7c ho\u1ea1t \u0111\u1ed9ng kh\u00f4ng b\u00ecnh th\u01b0\u1eddng. C\u00e1c bi\u1ec7n ph\u00e1p nh\u01b0 x\u1ea3 n\u01b0\u1edbc th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0111i\u1ec1u tr\u1ecb ch\u1ed1ng \u0111\u00f4ng m\u00e1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 huy\u1ebft kh\u1ed1i.<\/p>

        3. H\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng l\u00e2u d\u00e0i:<\/strong> M\u1eb7c d\u00f9 TCVC c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong th\u1eddi gian d\u00e0i nh\u01b0ng ch\u00fang th\u01b0\u1eddng \u0111\u01b0\u1ee3c coi l\u00e0 gi\u1ea3i ph\u00e1p t\u1ea1m th\u1eddi. S\u1eed d\u1ee5ng l\u00e2u d\u00e0i l\u00e0m t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 nhi\u1ec5m tr\u00f9ng v\u00e0 huy\u1ebft kh\u1ed1i, \u0111\u1ed3ng th\u1eddi c\u0169ng c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf c\u00e1c l\u1ef1a ch\u1ecdn c\u1ee7a b\u1ec7nh nh\u00e2n v\u1ec1 vi\u1ec7c ti\u1ebfp c\u1eadn l\u1ecdc m\u00e1u trong t\u01b0\u01a1ng lai.<\/p>

        \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ec7nh nh\u00e2n v\u00e0 chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ph\u1ea3i c\u00e2n nh\u1eafc l\u1ee3i \u00edch v\u00e0 r\u1ee7i ro c\u1ee7a \u1ed1ng th\u00f4ng ch\u1ea1y th\u1eadn c\u00f3 \u0111\u01b0\u1eddng h\u1ea7m v\u0129nh vi\u1ec5n v\u00e0 xem x\u00e9t c\u00e1c y\u1ebfu t\u1ed1 ri\u00eang l\u1ebb, ch\u1eb3ng h\u1ea1n nh\u01b0 s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3, l\u1ed1i s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 s\u1ef1 ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c l\u1ef1a ch\u1ecdn ti\u1ebfp c\u1eadn l\u1ecdc m\u00e1u kh\u00e1c.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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        C\u00e1ch ch\u0103m s\u00f3c \u1ed1ng th\u00f4ng ch\u1ea1y th\u1eadn c\u00f3 \u0111\u01b0\u1eddng h\u1ea7m v\u0129nh vi\u1ec5n <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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        Vi\u1ec7c ch\u0103m s\u00f3c \u1ed1ng th\u00f4ng ch\u1ea1y th\u1eadn c\u00f3 \u0111\u01b0\u1eddng h\u1ea7m c\u1ed1 \u0111\u1ecbnh l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng t\u1ed1i \u01b0u c\u1ee7a n\u00f3. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 h\u01b0\u1edbng d\u1eabn chung v\u1ec1 ch\u0103m s\u00f3c \u1ed1ng th\u00f4ng:<\/p>

        1. Gi\u1eef v\u1ecb tr\u00ed ch\u00e8n s\u1ea1ch s\u1ebd:<\/strong> S\u1ea1ch s\u1ebd l\u00e0 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng. L\u00e0m s\u1ea1ch khu v\u1ef1c xung quanh v\u1ecb tr\u00ed tho\u00e1t \u1ed1ng th\u00f4ng b\u1eb1ng x\u00e0 ph\u00f2ng nh\u1eb9 v\u00e0 n\u01b0\u1edbc h\u00e0ng ng\u00e0y. Tr\u00e1nh s\u1eed d\u1ee5ng c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 m\u00f9i th\u01a1m m\u1ea1nh ho\u1eb7c c\u00f3 th\u1ec3 g\u00e2y k\u00edch \u1ee9ng da.<\/li>
        2. Th\u1ef1c h\u00e0nh v\u1ec7 sinh tay t\u1ed1t:<\/strong> R\u1eeda tay k\u1ef9 b\u1eb1ng x\u00e0 ph\u00f2ng v\u00e0 n\u01b0\u1edbc ho\u1eb7c s\u1eed d\u1ee5ng ch\u1ea5t kh\u1eed tr\u00f9ng tay tr\u01b0\u1edbc v\u00e0 sau khi x\u1eed l\u00fd \u1ed1ng th\u00f4ng ho\u1eb7c th\u1ef1c hi\u1ec7n b\u1ea5t k\u1ef3 thao t\u00e1c ch\u0103m s\u00f3c \u1ed1ng th\u00f4ng n\u00e0o.<\/li>
        3. Th\u1ef1c hi\u1ec7n theo h\u01b0\u1edbng d\u1eabn thay b\u0103ng:<\/strong> Nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n s\u1ebd cung c\u1ea5p h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3 v\u1ec1 t\u1ea7n su\u1ea5t c\u1ea7n thay b\u0103ng. Tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t c\u00e1c h\u01b0\u1edbng d\u1eabn n\u00e0y \u0111\u1ec3 duy tr\u00ec m\u00f4i tr\u01b0\u1eddng s\u1ea1ch s\u1ebd v\u00e0 v\u00f4 tr\u00f9ng xung quanh v\u1ecb tr\u00ed \u0111\u1eb7t \u1ed1ng th\u00f4ng.<\/li>
        4. Tr\u00e1nh k\u00e9o ho\u1eb7c k\u00e9o kh\u00f4ng c\u1ea7n thi\u1ebft:<\/strong> H\u00e3y th\u1eadn tr\u1ecdng khi x\u1eed l\u00fd \u1ed1ng th\u00f4ng \u0111\u1ec3 tr\u00e1nh v\u00f4 t\u00ecnh l\u00e0m tu\u1ed9t \u1ed1ng th\u00f4ng. Tr\u00e1nh k\u00e9o ho\u1eb7c k\u00e9o \u1ed1ng th\u00f4ng, \u1ed1ng ho\u1eb7c b\u0103ng qu\u00e1 m\u1ee9c.<\/li>
        5. Gi\u1eef ch\u1eb7t \u1ed1ng th\u00f4ng v\u00e0 \u1ed1ng:<\/strong> \u0110\u1ea3m b\u1ea3o r\u1eb1ng \u1ed1ng th\u00f4ng v\u00e0 \u1ed1ng \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh \u0111\u00fang c\u00e1ch b\u1eb1ng b\u0103ng d\u00ednh ho\u1eb7c c\u00e1c thi\u1ebft b\u1ecb c\u1ed1 \u0111\u1ecbnh do nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n cung c\u1ea5p. \u0110i\u1ec1u n\u00e0y gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 di chuy\u1ec3n ho\u1eb7c k\u00e9o v\u00f4 t\u00ecnh.<\/li>
        6. Gi\u1eef \u1ed1ng th\u00f4ng kh\u00f4 r\u00e1o:<\/strong> Tr\u00e1nh ng\u00e2m \u1ed1ng th\u00f4ng ho\u1eb7c b\u0103ng v\u00e0o n\u01b0\u1edbc v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng. Che \u1ed1ng th\u00f4ng b\u1eb1ng b\u0103ng kh\u00f4ng th\u1ea5m n\u01b0\u1edbc ho\u1eb7c b\u1ecdc nh\u1ef1a trong khi t\u1eafm ho\u1eb7c t\u1eafm.<\/li>
        7. Th\u1ef1c hi\u1ec7n x\u1ea3 n\u01b0\u1edbc th\u01b0\u1eddng xuy\u00ean:<\/strong> R\u1eeda \u1ed1ng th\u00f4ng b\u1eb1ng dung d\u1ecbch n\u01b0\u1edbc mu\u1ed1i ho\u1eb7c heparin gi\u00fap duy tr\u00ec \u0111\u1ed9 th\u00f4ng tho\u00e1ng c\u1ee7a \u1ed1ng th\u00f4ng v\u00e0 ng\u0103n ng\u1eeba s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng. Th\u1ef1c hi\u1ec7n theo l\u1ecbch x\u1ea3 n\u01b0\u1edbc \u0111\u01b0\u1ee3c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n khuy\u1ebfn ngh\u1ecb.<\/li>
        8. Theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng:<\/strong> Theo d\u00f5i v\u1ecb tr\u00ed tho\u00e1t \u1ed1ng th\u00f4ng \u0111\u1ec3 bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111\u1ecf, s\u01b0ng, \u1ea5m ho\u1eb7c ti\u1ebft d\u1ecbch. B\u00e1o c\u00e1o ngay b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng n\u00e0o cho nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n<\/li>
        9. Tr\u00e1nh ti\u1ebfp x\u00fac kh\u00f4ng c\u1ea7n thi\u1ebft:<\/strong> Gi\u1ea3m thi\u1ec3u s\u1ef1 ti\u1ebfp x\u00fac kh\u00f4ng c\u1ea7n thi\u1ebft v\u1edbi v\u1ecb tr\u00ed tho\u00e1t \u1ed1ng th\u00f4ng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 \u00f4 nhi\u1ec5m. Ch\u1ec9 c\u00e1c chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe m\u1edbi n\u00ean x\u1eed l\u00fd \u1ed1ng th\u00f4ng trong c\u00e1c bu\u1ed5i l\u1ecdc m\u00e1u ho\u1eb7c khi th\u1ef1c hi\u1ec7n ch\u0103m s\u00f3c c\u1ea7n thi\u1ebft.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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          Li\u00ean h\u1ec7 v\u1edbi ch\u00fang t\u00f4i h\u00f4m nay<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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          \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\"Dr\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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          B\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u1ed5ng qu\u00e1t v\u00e0 m\u1ea1ch m\u00e1u cao c\u1ea5p <\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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          Ti\u1ebfn s\u0129 Tang Tjun Yip<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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          \n\t\t\t\t\t\t\t\t\tB\u00e1c s\u0129 Tang \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 cao v\u1ec1 s\u1edf th\u00edch v\u00e0 k\u1ef9 n\u0103ng l\u00e2m s\u00e0ng chuy\u00ean bi\u1ec7t trong nhi\u1ec1u t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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          \n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tFacebook-f<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tLinkedin-in<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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          \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\"Dr\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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          B\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u1ed5ng qu\u00e1t v\u00e0 m\u1ea1ch m\u00e1u cao c\u1ea5p <\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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          Ti\u1ebfn s\u0129 Julian Wong<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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          \n\t\t\t\t\t\t\t\t\tB\u00e1c s\u0129 Wong \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 cao v\u1ec1 s\u1edf th\u00edch v\u00e0 k\u1ef9 n\u0103ng l\u00e2m s\u00e0ng chuy\u00ean bi\u1ec7t trong nhi\u1ec1u t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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          \n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tFacebook-f<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tLinkedin-in<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

          \u1ed0ng th\u00f4ng th\u1ea9m ph\u00e2n \u0111\u01b0\u1eddng h\u1ea7m c\u1ed1 \u0111\u1ecbnh, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u1ed1ng th\u00f4ng t\u0129nh m\u1ea1ch trung t\u00e2m \u0111\u01b0\u1eddng h\u1ea7m (TCVC) l\u00e0 m\u1ed9t thi\u1ebft b\u1ecb y t\u1ebf \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u1ea9m ph\u00e2n d\u00e0i h\u1ea1n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh th\u1eadn m\u00e3n t\u00ednh. N\u00f3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o t\u0129nh m\u1ea1ch l\u1edbn, th\u01b0\u1eddng \u1edf c\u1ed5 ho\u1eb7c ng\u1ef1c, v\u00e0 cho ph\u00e9p lo\u1ea1i b\u1ecf v\u00e0 \u0111\u01b0a m\u00e1u tr\u1edf l\u1ea1i trong qu\u00e1 tr\u00ecnh th\u1ea9m ph\u00e2n. \u1ed0ng th\u00f4ng\u2026<\/p>","protected":false},"author":1,"featured_media":10672,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[8],"tags":[],"featured-on":[],"class_list":["post-10668","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doctors-column"],"acf":[],"yoast_head":"\nWhat is a Permanent Tunnelled Dialysis Catheter?<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vascularclinic.sg\/vi\/what-is-a-permanent-tunnelled-dialysis-catheter\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is a Permanent Tunnelled Dialysis Catheter?\" \/>\n<meta property=\"og:description\" content=\"A permanent tunnelled dialysis catheter, also known as a tunnelled central venous catheter (TCVC) is a medical device used for long-term dialysis treatment in patients with chronic kidney disease. It is inserted into a large vein, usually in the neck or chest, and allows for the removal and return of blood during dialysis. The catheter...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.vascularclinic.sg\/vi\/what-is-a-permanent-tunnelled-dialysis-catheter\/\" \/>\n<meta property=\"og:site_name\" content=\"The Vascular & Endovascular Clinic\" \/>\n<meta property=\"article:published_time\" content=\"2024-01-13T04:55:49+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-07T13:18:29+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.vascularclinic.sg\/wp-content\/uploads\/2024\/01\/37fa8d2e-6a37-4bd6-be32-a38ebc9c985b.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"955\" \/>\n\t<meta property=\"og:image:height\" content=\"1600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta 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