Chithandizo cha chemotherapy chimaphatikizapo singano, ndipo izi zikutanthauza kuti mumakhala ndi timipira, masingano achinayi, singano za butterfly, ndi singano za Huber. Musati muwopsyeze nthawi yoyamba mukamawona sing'anga yayitali, yokhazikika ya chemo-yapangidwa kuti apange mankhwala mosavuta. Phunzirani momwe mungapewere mbola ya singano, kudziwa kukula kwa singano yomwe mukusowa, ndi momwe singano ya Huber ilili yabwino kwa inu ndi namwino wanu.
Huber Needle Basics
Huber ndi singano yokhayokha yomwe imagwiritsidwa ntchito ndi doko la chemotherapy (port-a-path.) Singano ya Huber ili ndi chingwe chalitali, chokhazikika chomwe chimatha kupyola khungu lanu komanso septum ya silicone ya gombe lanu lokhazikika. Choponderetsa cha singano cha Huber sichidzachotsa pakati pa silo pakhomo lanu-izi zimalepheretsa kuti pakhale khungu la silicone kapena khungu kuti musalowe mu catheter yanu (zomwe zimakhala zovuta kwambiri) ndipo zimapangitsa kuti gombe lanu likhale lalitali. Dr. Ralph L. Huber, dokotala wa menyu, adapanga chingwe chakuthwa, chakuthwa, chakulumikiza singano ndi Dr. Edward B. Tuohy, katswiri wa zamagetsi, anachikonza kuti chigwiritsidwe ntchito mumagulu a msana.
Zida za Huber Zimagwira Ntchito Kwa Odwala Ambiri
Masingano a Huber ali ovuta kugwira ntchito m'mapangidwe angapo. Izi singano zingagwiritsidwe ntchito popatsidwa mwayi wopatsirana mankhwala kuti apereke chemotherapy , antibiotics, madzi amchere, kapena kuika magazi. Masingano a Huber angakhale kumanzere kwa maola angapo kapena masiku angapo ngati akufunikira. Odwala ambiri amapindula ndi singano za Huber-zimenezi zimagwiritsidwa ntchito pa dialysis , kusintha kwa lap-band, kuika magazi , ndi mankhwala opatsirana khansa.
Si Ndalama Zonse Zofanana
Masingano a Huber amabwera muzitali ndi ma gauges angapo. Muyenera kudziwa kukula kwa singano yomwe imagwira ntchito ndi doko lanu. Ngati mlezi wanu amagwiritsa ntchito singano ya Huber yomwe ndi yaifupi kwambiri, sikugwira ntchito bwino kuti magazi ako akoke kapena kulowetsedwa kwanu. Ngati Huber ndi yaifupi kwambiri, ikhoza kumva zopweteka komanso zolimba. Mofananamo, singano ya Huber yomwe yayitali kwambiri kuti doko lanu lizitha kugwedezeka kapena kuyendayenda, zomwe zimawononga silicone seal. Mankhwala ambiri oterewa amatha kupeza singano ya Huber ndi catheter yomwe imaikidwa ndi tepi kapena bandage.
Zofunika Zosiyanasiyana Zosiyanasiyana Zamitundu
Nthano, monga madoko olowera pansi, zimabwera mosiyanasiyana. Masingano olowetsedwa ayenera kukhala ofanana kuti agwirizane ndi mtundu wa doko yomwe mwaika. Masingano a Huber amabwera kutalika kwa 0.5 "mpaka 1.5" kutalika kwa ntchito ndi madoko olowera. Zisoti izi kawirikawiri zimakhala ndi mtundu wa mtundu ndipo zimabwera mosiyanasiyana; 21 - 25 gauge. Funsani namwino wanu kulowetsedwa kwa kutalika ndi mlingo wa singano ya Huber yomwe imagwira ntchito bwino ndi doko lanu. Sungani mfundoyi mu bukhu lanu labwino. Ngati mumapita kuchipatala chosiyana kapena kuchipatala, mfundoyi ikhoza kukupulumutsani ululu ndi kupewa masititi angapo a singano.
Sungitsani Ululu Wanu Ndi Misozi Yowonjezera
Singano ya Huber iyenera kugwiritsidwa ntchito pofikira pawotchi yanu ya chemo. Mbali yamphamvu ya Huber idzakhala yopweteka kwambiri kusiyana ndi singano yosapangidwira ndipo idzagwiranso ntchito khungu ndi silicone. Mtundu uwu wa singano sumachotsa chikopa cha khungu kapena silicone, kotero kuti doko lanu lidzasintha, ndipo khungu lanu lidzachiritsa bwino pamene singano imachotsedwa. Ngati mukufuna kuteteza kupweteka kwa singano, gwiritsani ntchito "khungu lokoma" - anamwino omwe nthawi zambiri amagwiritsira ntchito gelisi la Lidocaine kapena Emla cream.Tokha ngati singano yanu ilipo pa doko lanu, musaigwedeze kapena kuipotoza, chifukwa zomwe zingawononge sevisi ya silicone.
Chitetezo cha singano kwa odwala ndi anamwino
Intravenous chemotherapy amaperekedwa kudzera mu singano ndi catheter, zomwe ziyenera kuchotsedwa kumapeto kwa chithandizo. Nthano imakhudzana ndi mankhwala anu a chemo ndi magazi anu. Pofuna kuteteza matenda ndi zida zazingano zamangozi, pali zipangizo zotetezera zomwe zingagwiritsidwe ntchito ndi singano. Mapiko a pulasitiki ndi alonda a singano pa singano yanu ya Huber amakutetezani inu ndi namwino wanu kuvulazidwa ndi matenda. Pambuyo pa kugwiritsidwa ntchito, singano zidzasungidwa bwino, kuphatikizapo zinyalala zamankhwala. Mudzakhala ndi bandage pamwamba pa singano kupukutira mutatha mankhwala - onetsetsani kuti muzisungabe patatha mphindi khumi ndi zisanu ndi zitatu mphambu zisanu ndi zitatu mutatha kulowetsedwa kuti dera lanu likhale loyera ndikuletsa kutaya.
Pamene tikumva za zolakwika zachipatala kuchipatala, kudziŵa singano lanu ndi momwe mungasamalire nokha pakapita mankhwala ndi mankhwala pambuyo pake ndi njira imodzi yomwe mungakhalire ovomerezeka anu pa chisamaliro chanu cha khansa .
Zotsatira:
Goossens, G., Moon, P., Jerome, M., ndi M. Stas. Kufufuza Kwambiri pa Chipatala cha Polyperf Safe, A Safety Huber Nthano, mu Odwala Khansa. Journal of Vascular Access . 2011. 12 (3): 200-6.
Guiffant, G., Durussel, J., Flaud, P., Vigier, J., ndi J. Merckx. Flushing Ports of Access Totally Implantable Access Devices, ndi Impact ya Gawo la Huber Point Needle Bevelation: Mayesero Oyesera ndi Mawerengedwe Ambiri. Zipangizo Zamankhwala (Auckland) . 2012. 5: 31-7.