Nkhumba, PICC, ndi Ports
Chemotherapy angaperekedwe ngati kupopera, mapiritsi, ndi matenda osokoneza bongo, koma matenda opatsirana ndiwo njira yowonjezereka yopita opaleshoni. Kwa chemotherapy infusions, mankhwalawa adzaperekedwa kudzera mwa magazi anu.
Mankhwala amadzimadzi amadzimadzi amakonzedwa m'matumba omwe amapachikidwa pamatope achinayi. Mawu akuti catheter akhoza kusokoneza pamene anthu ambiri amaganiza za catheters zomwe zimagwiritsidwa ntchito kukhetsa mkodzo pamene wina akudwala. Koma catheter mu chikhalidwe ichi chimangotanthauza dongosolo la ma tubes omwe amalola mankhwala am'madzi kuti alowe m'magazi anu pa mlingo woyendetsedwa. Kuti mulandire mankhwala enaake, mumayenera kugwiritsa ntchito chipangizo chomwe chimapatsa mpweya wanu mitsempha.
Pali njira zingapo zomwe zingapezeke popeza mitsempha yanu. Izi zimachokera ku zosavuta zazing'onozing'ono za IV, monga kuti mufunikira kulandira madzi pambuyo pochita opaleshoni, ku catheters ndi madoko. Zida zina ndizofunika malinga ndi kutalika kwa nthawi yomwe mudzalandira mankhwala a chemotherapy. Palinso mankhwala enaake omwe amachititsa kuti asaperekedwe mchikhalidwe cha IV. Tiyeni tiyang'ane pa zosankha izi, ubwino ndi zovuta zawo, ndi momwe inu ndi dokotala mungapangire chisankho chabwino pa chisamaliro chanu.
Catheters Yachisanu Yachidule
Pamene mukuchitidwa opaleshoni kapena mankhwala ochepa chabe a mankhwala omwe amachititsa kuti thupi lanu likhale lachangu, nthawi zambiri ndilo njira yabwino kwambiri. (Makina ena a chemotherapy, komabe, sangaperekedwe mwa njira iyi).
Mizere yovuta kwambiri imeneyi, yomwe anthu ambiri amaidziwa, imakhala ndi singano ndi nthawi yayitali ya chubu yomwe imathera pakhomo la jekeseni. Kukula kwa singano ndi chubu kumadalira mtundu wa ndondomeko yomwe mungayesetse komanso mkhalidwe wa mitsempha yanu. Namwino adzaika singano mu mitsempha m'dzanja lanu kapena mkono wanu, ndipo tepizani ndi chubu m'malo mwake. Pamene ndondomeko yanu yatha, catheter imachotsedwa.
Anthu ambiri amakhudzidwa ndi singano mdzanja lawo, koma nthawi zambiri singano imagwiritsidwa ntchito poika kathete ndikuchotsedwa, kusiya kathete yokhayokha komanso yosasintha.
Catheters Mid-Term IV:
Ngati mukufuna catheter pamalo amodzi kwa masabata asanu ndi limodzi, catheter yapakatikati monga PICC mzere ( mwachindunji waikidwa pakatikati ya catheter) ikhoza kukuthandizani. Monga ma catheter a nthawi yayitali, mudzakhala ndi matayala ambiri, koma ambiri mwa iwo adzakhala mkati mwa mitsempha ya mkono, ndi mzere wochepa wa zikopa kunja kwa khungu lanu lomwe limatha ndi kapu.
Mosiyana ndi catheter ya nthawi yayitali, mizere iyi siyinayende pamtima. Namwino adzaika catheter mzere m'manja mwanu ndikusunga. Popeza mitsempha ya PICC imayikidwa m'mitsempha yambiri mu mkono wanu, akhoza kutaya tsamba lolowetsamo ndi mankhwala am'deralo asanalowetse singano. Ultrasound ngati nthawi zambiri imagwiritsidwa ntchito kuthandizira kupeza mitsempha yayikulu ndikutsogolera singano m'malo.
Pamene mukusowa jekeseni ndi infusions, namwino wanu angathe kupeza chitseko cha catheter mmalo moyika singano khungu lanu. Izi ndizothandiza makamaka ngati ndinu "ndodo yolimba" ndikupeza mitsempha yowopsa. Mizere ya PICC ingagwiritsidwe ntchito pokoka magazi.
Poyerekeza ndi mzere wozungulira wa IV, mizere ya PICC ndi yodalirika komanso yokhazikika. Amathandizanso kuti madzi ambiri azipatsidwa. Pogwiritsa ntchito njira zina zowonjezereka zowonjezereka (kuyamwa kwa mankhwala a chemotherapy opangidwa mu minofu pafupi ndi malo olowera) nthawi zina kungakhale kovuta, ndipo kukhala ndi mzere wa PICC kumachepetsa mwayi woti izi zichitike.
Zotsatira zoyipa zimaphatikizapo chiopsezo chotenga kachilombo ka HIV, kutsekedwa kwa mzere wa PICC, ndi miyambo ya mtima yopanda malire ngati mapeto a catheter ali pafupi kwambiri ndi mtima wanu (x-ray idzachitidwa kuti mapeto a catheter ayambe kupeŵa izi zovuta).
Catheters ndi ma Areko a nthawi yayitali:
Ngati mutakhala ndi mankhwala enaake omwe amachititsa kuti thupi lanu likhale ndi matendawa, mwachitsanzo, mankhwala osokoneza bongo anayi kapena ochulukirapo, chipangizo chamakono chotenga HIV (VAD) chokhazikika nthawi yayitali.
Mofananamo ndi midzi ya pakati pa nthawi yayitali, mudzakhala ndi mzere wa zida mkati mwa mkono kapena mthunzi wamphongo, koma izi zikhoza kupita kumtima wanu, kumapeto kwa mitsempha yaikulu. Zida za nthawi yaitali zimakhala ndi catheters zopangidwa ndi miyala yomwe imakhala ndi zida zakunja kapena zopangidwa ndi zipangizo zamakono, zomwe zimatchedwanso madoko. Namwino wanu adzatha kugwiritsa ntchito chipangizo kuti athe kupereka chithandizo.
Zitsanzo za zipangizo zamakono nthawi yayitali ndi:
- Khoma lopangidwa (IVAD): Portacath, PassPort, InfusaPort, Medi-Port, yomwe imakhala ndi doko losungira madzi omwe ali pansi pa khungu lanu.
- Catheter ya vinyesi ya pakati (CVC): Broviac, Groshong, kapena Hickman Catheters, yomwe ili ndi mizere yodula ndi zitsulo zakunja.
Mipata imagwiritsidwa ntchito popanga tizilombo toyambitsa matenda ndi khansa ya m'mawere ndipo nthawi zambiri amaika opaleshoni panthawi yopaleshoni ya khansa ya m'mawere. Ziri bwino ngati doko liyikidwa osachepera masiku asanu ndi atatu musanayambe kulowetsedwa kwanu. Zowononga zimaphatikizapo mwayi kuti gombe lanu lidzatsekedwa (thrombosis) kapena matenda adzakula. Gombe lingayambitse zopereŵera zing'onozing'ono ndi kuyenda kwa mkono wanu ndipo zimasiya zochepa.
Kuwonjezera pa kupereka mankhwala a chemotherapy, gombe lingagwiritsidwe ntchito pokoka magazi kapena kupatsa maselo ofiira a magazi kapena mapulateletti.
Kusankha Zochita Ponena za Catheters ndi Maiko
Kaya mukulingalira zowona zapakati pa IV, PICC, kapena phukusi la chemotherapy, onetsetsani kuti mukukambirana zonse zomwe mungasankhe ndi a oncologist ndi dokotala wa opaleshoni. Adzakupatsani malangizo othandiza pogwiritsa ntchito zosowa zanu komanso zofuna zanu.
Tengani kamphindi kuti muphunzire za ndi kuyerekeza kugwiritsira ntchito phukusi potsata IV , kuphatikizapo ubwino ndi ngozi za njira iliyonse.
Kumbukirani kuti zipangizozi sizidzakhala ndi inu kwamuyaya, ndipo kamodzi mankhwala atatha, mukhoza kuwachotsa.
> Zotsatira:
> American Society of Clinical Oncology. Catheters ndi Ports mu Cancer Treament. Kusinthidwa 09/16. Chigwilo