So wɔde tube nso hyɛɛ wo mu bere a wɔayɛ wo oprehyɛn awie no? Momma yɛnka eyi ho asɛm (Jackson-Pratt drain)!

Ebia woahu afiri ketewaa bi ne bɔɔl ketewaa bi a wɔde abata ho bere a wɔayɛ wo oprehyɛn awie no. Anaasɛ ebia woahu obi a wunim sɛ ɔwɔ bi. Eyi betumi ayɛ hu kakra ama nnipa binom. Nanso nokwarem no, ɛyɛ ade a ɛho hia yiye a ɛboa ma wo kuru no sa ntɛmntɛm. Ɛnnɛ, yɛbɛka nea saa `(Jackson-Pratt drain)`, anaa `(JP drain)` tiawa yi yɛ, nea ɛyɛ, ne sɛnea wɔhwɛ so ho asɛm.

Dɛn ne `(Jackson-Pratt nsuo a ɛkɔ nsuo mu)`?

Sɛ yɛbɛka no tiawa a, Jackson-Pratt drain yɛ afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a wɔde bɔɔl ketewaa bi abata ho a wɔde boaboa nsu a wɔmpɛ (te sɛ mogya ne nsu a ɛma mogya tu) fi kuru a wɔyɛɛ wo oprehyɛn no mu na wɔtwe fi mu. Ɛyɛ ade a ɛfata sɛ saa nsu ne nkwammoaa mu nneɛma a asɛe yi fi kuru no mu bere a wɔayɛ oprehyɛn awie no. Enti, nea JP drain yi yɛ ne sɛ ɛtwe saa nsu no fi kuru no mu na ɛde ka bɔɔl a ɛwɔ wo nipadua akyi no ho. Saa kwan yi so no, nsu a wɔmpɛ a wɔtwe fi mu no boa ma kuru no sa ntɛmntɛm. Afei nso, sɛ wohwɛ nsu a ɛkɔ nsu mu ne kuru no nyinaa so yiye a, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no so.

Ɔkwan bɛn so na `(JP drain)` yɛ adwuma?

Okay, afei momma yɛnhwɛ sɛnea saa `(JP drain)` yi yɛ adwuma. Ɛyɛ mmerɛw yiye. Ɛnam su a wɔnom so na ɛyɛ adwuma. Ɛne sɛ, ɛtwe nsu fi kuru no mu.

Afã atitiriw abiɛsa na ɛwɔ saa `(JP drain)` yi mu:

1. Nsuo a ɛyɛ tratraa a ɛkɔ kuru no mu: Eyi wɔ ntokuru nketenkete wɔ mu. Nsu a wɔmpɛ a efi kuru no mu no fa saa ntokuru yi mu kɔ nsukorabea no mu.

2. Tube ketewa a ɛyɛ mmerɛw a efi mu ba: Eyi ne nea ɛde nsu a efi kuru no mu kɔ saa bɔɔl ketewa no mu. Mpɛn pii no, nnuruyɛfo de nhama ketewaa bi anaa teyp bɛkyekyere saa afiri yi wɔ honam ani sɛnea ɛbɛyɛ a ɛrenhinhim.

3. Collection bulb: Eyi te sɛ lemon ketewaa bi. Wɔpiapia no ma ɛyɛ suction. Saa bɔlɔb yi wɔ kyɛw a ɛma mframa ntumi nkɔ mu. Sɛ nsu no boaboa ano a, wobue kyɛw no ma gyae.

Sɛ yɛbɛka no tiawa a, sɛ wopiapia balloon no na wobɔ mmɔden sɛ wobɛsan ahyɛ mu ma bio a, vacuum ketewaa bi ba mu, ``nhyɛso bɔne'' bi . Saa tumi no na ɛma nsu a wɔmpɛ a ɛwɔ kuru no mu no sen nkakrankakra fa afiri no mu na ɛboaboa ano wɔ balloon no mu. Ɛnyɛ den koraa, ɛnte saa?

Nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛda mpan wɔ balloon no mu bere a bɛyɛ fã ayɛ ma no, wobɛsan apia no yiye bio na ama mframa no afi mu na woato mu. Afei `(suction)` no toa so. Ɛwom sɛ ɛntaa nsi de, nanso wɔde `(JP drain)` bi nso di dwuma de yi nsu no denam tumi a ɛtwe ade ba fam (`gravity`) so (wo nnuruyɛfo kuw no bɛka eyi ho asɛm akyerɛ wo).

Bere bɛn na ɛho hia sɛ wɔyɛ `(JP drain)`?

Afei ebia wobɛdwene sɛ oprehyɛn bɛn na wɔde saa `(JP drain)` yi di dwuma. Nokwarem no, eyi yɛ `(drain)` a abu so yiye a wɔde di dwuma wɔ oprehyɛn akyi. Nnuruyɛfo de eyinom yi nsu fi akuru mu bere a wɔayɛ oprehyɛn ahorow awie no. Nhwɛso kakraa bi ni:

• Yafunu mu oprehyɛn; sɛ nhwɛso no, oprehyɛn a wɔyɛ de siesie hernia.
• Oprehyɛn a ɛfa nufu ho; oprehyɛn a wɔyɛ ma nufu mu kokoram, anaa nneɛma te sɛ ``top surgery''.
• Oprehyɛn a wɔyɛ wɔ ne koko mu; ɛtɔ mmere bi a bere a wɔresa tebea horow te sɛ pleural effusion (nsu a ɛboaboa ano wɔ ahurututu no ho) ho dwuma no.
• Oprehyɛn a wɔyɛ de yi thyroid ntini (`thyroidectomy`).
• Ebinom yɛ cosmetic ne plastic oprehyɛn, reconstructive oprehyɛn.
• Oprehyɛn a wɔde yi ntini a ɛma mogya tu (lymphadenectomy).

Mpɛn pii no, nsu dodow a wobetumi aboaboa ano wɔ JP nsu a ɛkɔ nsu mu mu bere koro mu no bɛyɛ 25 kosi 50 mL. Eyi betumi ayɛ soronko kakra a egyina nsu a wɔde fa mu no so. Nsuo a ɛkɔ nsuo mu kɛseɛ nso wɔ hɔ a wɔfrɛ no hemovac drain a ɛtumi boaboa nsuo pii ano, nanso JP drain no ne deɛ wɔtaa de di dwuma.

Mɛyɛ dɛn ahwɛ me `(JP drain)` so?

Okay, afei ma yɛnhwɛ sɛnea yɛbɛhwɛ saa `(JP drain)` yi so bere a woadu fie awie no. Eyi yɛ biribi a ɛsɛ sɛ wɔde ahwɛyiye bi yɛ, nanso mma ɛnhaw wo, nnuruyɛfo ne ayarehwɛfo bɛkyerɛ wo sɛnea wobɛyɛ eyi ansa na woafi ayaresabea hɔ.

Nneɛma atitiriw abiɛsa na ɛsɛ sɛ woyɛ:

1. Bere ne bere mu a wobeyi nsu a ɛboaboa ano wɔ `(Drain)` no mu.

2. Kyerɛw nsu no dodow ne ne kɔla.

3. Ma kuru no ne baabi a nsu fi mu no ho tew na sesa aduru a wɔde kyekyere ho.

Adeɛ baako bio ne sɛ, fa ``(safety pin)'' bɔ bɔɔl a ɛboaboa nsuo no ano no ho ban wɔ wo ntadeɛ mu. Saa kwan no so no, hokwan a ɛwɔ hɔ sɛ ɛbɛhwe ase na ayɛ mmerɛw no sua.

Sɛnea woyi nsu fi `(Drain)` no mu

Nea edi kan no, ma yɛnhwɛ sɛnea yɛbɛma nsu no afi mu. Ansa na wobɛyɛ eyi no, siesie nneɛma a wuhia no.

• Mpopaho nketewa abien a ɛho tew.
• Nsã a wɔde popa nneɛma.
• Gauze asinasin bi.
• Kuruwa ketewa bi a wɔde susuw nsu (ayaresabea no de eyi bɛma wo).

Okay, afei yɛ no saa:

1. Hohoro wo nsa yiye: Fa samina ne nsu hohoro wo nsa yiye anyɛ yiye koraa no simma 20. Fa mpopaho a ɛho tew nwow wo nsa na dum faucet no. Sɛnea ɛbɛyɛ foforo no, wubetumi de nsa a wɔde tew nsa a nsa wom adi dwuma.

2. `Nufusu` a ɛwɔ tubing no mu:Eyi te sɛ nea ɛyɛ nwonwa kakra, ɛnte saa? Wɔyɛ eyi de yi nsu biara a ebetumi akɔhyɛ afiri no mu akɔ bɔɔl no mu. Fa wo nsa biako kura tube no mu kakra fi baabi a `(drain)` no hyia honam ani. Wopɛ sɛ wokura mu denneennen sɛnea ɛbɛyɛ a ɛrenhinhim, sɛnea ɛbɛyɛ a worente nka sɛ wɔretwe kuru no. Afei fa wo nsa foforo no nsateaa kɛse ne nsateaa ketewa no petepete afiri no brɛoo fi saa beae no kɔ fam kɔ ​​bɔɔl no so. Ɛte sɛ nea wɔrebɔ nufusu. Sɛ wode `(alcohol wipe)` popa a, ɛbɛhwe ase ntɛm.

3. Yi nsu no: Afei a nsu no aboaboa ano wɔ bɔɔl no mu no, fa ahwɛyiye bue bɔɔl no ano. Sɛ worebue kyɛw no a, mfa wo nsateaa nka tokuru no. Saa a wobɛyɛ no betumi de mmoawa aba. Afei hwie nsu a efi bɔɔl no mu no gu susuw kuruwa no mu.

4. `Reset` collection bulb no: Afei fa nsa pia bulb no yiye na yi mframa a ɛwɔ mu nyinaa. Mia kosi sɛ ɛbɛyɛ petee koraa. Bere a woda so ara piapia no, san kyekyere kyɛw no mu den na to mu. Eyi ne bere a wɔasan abɔ `(suction)` bio. Ɛsɛ sɛ bɔlɔb no mfinimfini yɛ petee.

5. Hohoro wo nsa bio: Hohoro wo nsa yiye bio sɛnea wɔyɛe wɔ anammɔn a edi kan no mu no.

Sɛ wowɔ nsu a ɛkɔ nsu mu bɛboro biako (sɛ nhwɛso no, bere a wɔatwa nufu no awie no, ebia wowɔ abien) a, yɛ saa ara ma foforo no.

Kyerɛw nsu no ho nsɛm a ɛkɔ akyiri

Adeɛ a ɛdi hɔ a ɛho hia paa ne sɛ wobɛtwerɛ nsɛm bi afa berɛ biara a wobɛyi nsuo afiri `(drain)` no mu.

• Bere a wɔde yi nsu no fi mu.
• Nsu dodow a ɛwɔ hɔ (denam susuw kuruwa no a wobɛhwɛ so).
• Nsu no kɔla yɛ dɛn?

Saa nsɛm yi bɛboa oduruyɛfo no ma wahwɛ sɛnea wo kuru no resa.

Bere a kuru no sa no, ɛsɛ sɛ nsu dodow a efi nsu a ɛkɔ nsu no mu ba no so tew da biara da. Nsu no kɔla nso bɛsakra. Ɛyɛ papa nso sɛ wubehu kɔla ahorow yi:

• Kɔkɔɔ tuntum: Ɛyɛ ade a ɛfata sɛ nsu no bɛyɛ kɔkɔɔ tuntum, te sɛ mogya, mfiase no.
• Kɔkɔɔ anaa pink a ɛyɛ hare: Nsu no kɔla bɛyɛ hare bere a kuru no sa no.
• Kɔla kɔkɔɔ a ɛyɛ hare (ɛyɛ sare kɔla) anaasɛ emu da hɔ: Sɛ nsu no sesa fi kɔkɔɔ kɔ kɔkɔɔ a ɛyɛ hann anaasɛ emu da hɔ a, ɛkyerɛ sɛ kuru no resa yiye. Wɔsan frɛ eyi ``serous drainage'' wɔ aduruyɛ mu.

Hyɛ no nsow: Sɛ nsu a ɛretu no dan fitaa na afei ɛdan kɔkɔɔ tuntum bio a, ebia mogya retu bio. Sɛ eyi ba a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Afei nso, sɛ nsu a ɛretu no yɛ fitaa te sɛ nufusu, hua yɛ fĩ, anaasɛ ɛyɛ den a, ebetumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne. Sɛ ɛba saa a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo nso ntɛm ara.

Sɛnea wɔsesa `(Dressing)`

Ɛsɛ sɛ wɔsesa aduru a wɔde kyekyere kuru no nso yiye. Oduruyɛfo no bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ wosesa aduru no ne sɛnea wobɛyɛ. Ɛsɛ sɛ woyɛ no sɛnea ɔka kyerɛ wo no pɛpɛɛpɛ. Ansa na wobɛsesa dressing no, siesie nea edidi so yi:

• Hohoro mpopaho ho.
• Gauze asinasin a ɛwɔ mfinimfini.
• Oprehyɛn teyp.
• Aduru a wɔde tew kuru ho (sɛ oduruyɛfo no kyerɛw ma obi a).

Okay, afei sɛnea wobɛyɛ no ni:

1. Hohoro wo nsa yiye.

2. Fa ahwɛyiye yi `(dressing)` dedaw no. Hwɛ yie na woantwe `(Drain)` tube no.

3. Hohoro wo nsa bio.

4. Fa samina ne nsu anaa aduru a wɔde tew kuru ho a wo duruyɛfo akyerɛw ama wo no hohoro kuru no ne baabi a nsu a ɛkɔ wo honam ani no hyia no. (Ebia wo duruyɛfo bɛka akyerɛ wo sɛ hohoro bere a woreguare no, nanso nkɔ tub anaa ɔtare mu bere a wowɔ nsu a ɛkɔ wo mu no.) Sɛ wohohoro wie a, fa mpopaho a ɛho tew bɔ wo ho ma ma ɛnwo.

5. Fa gauze asinasin a nea wɔatwa no wɔ mfinimfini no gu nsu a ɛkɔ nsu mu no ase, baabi a ɛka honam ani, na fa teyp to so na amma anhinhim.

Wobɛyɛ dɛn ama `(JP Drain)` no anyɛ nea ɛretu?

Loop ketewaa bi wɔ bɔɔl no atifi baabi a nsu no boaboa ano. Wubetumi de ``(safety pin)`` abata ho na wode abɔ wo atade anaa wo atade ho. Nanso mfa nkyekyere wo pants anaa wo bɛlt. Sɛ woyɛ saa a, ebia wo werɛ befi na ebetumi afi hɔ mpofirim.

Mpɛn ahe na ɛsɛ sɛ mema `(Drain)` no mu da mpan?

Ɛyɛ papa sɛ wobɛma akisikuru no mu ada mpan ntɛm ara, kyerɛ sɛ, bere a ayɛ ma bɛyɛ fã no. Eyi ne bere a suction no wɔ nea ɛwɔ hɔ no. Mpɛn pii no, anyɛ yiye koraa no, ebehia sɛ wopopa mu nnɔnhwerew 4 kosi 6 biara wɔ nna kakraa a edi kan no mu. Bere a nsu dodow a efi mu ba no so tew no, wubetumi atew mpɛn dodow a ɛba no so.

Bere tenten ahe na wobegyaw `(JP Drain)` wɔ nea ɛwɔ hɔ?

Sɛ wopɛ sɛ woyi `(JP Drain)` no a, ɛho behia sɛ wosan kɔ wo duruyɛfo nkyɛn. Mfi hɔ kosi sɛ wo duruyɛfo bɛka akyerɛ wo. Mpɛn pii no, wɔrennyaw no ntra adapɛn abien. Nanso, eyi betumi ayɛ soronko a egyina wo tebea no so. Ɛyɛ papa sɛ wubebisa wo duruyɛfo no eyi ho asɛm ansa na woafi ayaresabea hɔ.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara. Eyinom betumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne:

• Huraeɛ. Sɛ wowɔ atiridiinini a ɛboro digrii Celsius 38 (100.4 Fahrenheit) a.
• Sɛ baabi a wɔde nsuo a ɛkɔ nsuo no mu no yɛ kɔkɔɔ, ɛho ahonhon, anaasɛ ɛyɛ hyew, anaasɛ ɛyaw no akɔ soro a.
• Sɛ wuhu nsensanee kɔkɔɔ fi baabi a kuru no wɔ a.
• Sɛ nsuo a ɛfiri nsuo a ɛkɔ nsuo mu no yɛ huam a, ɛyɛ ahabammono, nufusuo, anaa ɛyɛ den.

Afei nso, sɛ nneɛma yi si a, ka kyerɛ wo duruyɛfo:

• Sɛ ɛte sɛ nea `(Drain)` paipu no ayɛ mmerɛw, anaasɛ ɛte sɛ nea nsu no agyae sen a, ebia ɛho behia sɛ wosan kyekyere no denneennen anaasɛ wobɔ mmɔden sɛ wubeyi mframa no afi hɔ.
• Sɛ ɛte sɛ nea tube no ayɛ mmerɛw, anaasɛ bɔɔl no ayera ne ``(suction)`` na mframa ahyɛ mu ma a.
• Sɛ nsu dodow kɔ so kɔ soro nna abien a (ɛsɛ sɛ ɛso tew ankasa).
• Sɛ nsu no kɔla yɛ hare na afei ɛdan kɔkɔɔ tuntum anaa mogya kɔla bio (eyi yɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya retu bio).
• Sɛ nsuo fi baabi a wɔatwa no mu reba a (ebia ɛho behia sɛ oduruyɛfo no yi nsu a ɛkɔ mu no mu).

Ɛtɔ mmere bi a, bere a wɔayi JP nsu a ɛkɔ mu no akyi no, nsu betumi aboaboa ano na ahuru wɔ baabi a wɔyɛ oprehyɛn no. Wɔfrɛ eyi sɛ seroma . Eyi nyɛ asɛm a egye ntɛmpɛ, nanso ɛsɛ sɛ woka ho asɛm kyerɛ wo duruyɛfo.

So `(JP Drain)` yɛ `Open Drain` anaasɛ `Closed Drain`?

Eyi yɛ `(closed drain)`, a ɛkyerɛ sɛ ɛyɛ nhyehyɛe a wɔato mu. Susuw ho saa kwan yi so, `(JP drain)` yɛ nhyehyɛe a wɔato mu a ɛsakra mframa nhyɛso a ɛwɔ mu na ɛtwe nsu fi kuru no mu. Sɛ anka nsuo no bɛfiri kuru no mu aba na wɔanom akɔ `(dressing)` no mu te sɛ `(open drain)` (sɛ nhwɛsoɔ no, `(Penrose drain)`) mu no, wɔ yei mu no nsuo no boaboa ano wɔ bɔɔl a wɔpiapia no mu na ɛtwe nsuo no kɔ mu.

Sɛ wowɔ `(JP drain)` wɔ baabi a, ebia ɛbɛyɛ te sɛ ade foforo a ɛyɛ nwonwa a wɔde aka wo nipadua ho mfiase no. Ɔkwan bi so no, ɛyɛ saa. `(JP drain)` te sɛ biribi a ɛbata wo nipadua nhyehyɛe ho, ɛtwe nsu a ɛho nhia fi kuru no mu na ɛboa wo ma wosa.

Enti, nneɛma a etwa to a ɛsɛ sɛ yɛkae ne

`(Jackson-Pratt drain)`, anaa `(JP drain)`, yɛ afiri a ɛbɛtumi aboa ma wo kuru no asa ntɛmntɛm na atew asiane a ɛwɔ hɔ sɛ wobɛnya ɔyare mmoawa wɔ oprehyɛn akyi no so. Ebia ɛbɛyɛ te sɛ nea ɛnyɛ dɛ kakra sɛ wubedi ho dwuma mfiase no, nanso mma ɛnhaw wo. Sɛ wohwɛ no yiye sɛnea wo nnuruyɛfo ne ayarehwɛfo ka kyerɛ wo no a, ɛbɛboa wo ma wo ho atɔ wo ntɛmntɛm.

Adeɛ a ɛho hia paa ne sɛ, sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, nsuro sɛ wobɛbisa wo duruyɛfoɔ anaa ɔyarehwɛfoɔ. Wo yiyedi ne ade a ɛho hia wɔn sen biara, nso.

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