Ua hoʻokomo ʻia anei kekahi ʻōmole ma hope o ke ʻoki ʻana? E kamaʻilio kākou e pili ana i kēia (Jackson-Pratt drain)!

Ua ʻike paha ʻoe i kahi ʻōmole liʻiliʻi a me kahi pōpō liʻiliʻi i hoʻopili ʻia ma hope o ke ʻoki ʻana. A i ʻole ua ʻike paha ʻoe i kekahi āu i ʻike ai he ʻōmole ia. Hiki i kēia ke lilo i mea hopohopo iki no kekahi poʻe. Akā he mea nui loa ia e kōkua ai i kou ʻeha e ho'ōla wikiwiki. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia `(Jackson-Pratt drain)`, a i ʻole `(JP drain)` no ka pōkole, he aha kāna hana, a pehea e mālama ai.

He aha ka `(Jackson-Pratt drain)`?

I ka ʻōlelo maʻalahi, ʻo kahi ʻauwai Jackson-Pratt he ʻōmole lahilahi a palupalu me kahi pōpō liʻiliʻi i hoʻopili ʻia iā ia e hoʻohana ʻia e hōʻiliʻili a hoʻokahe i nā wai i makemake ʻole ʻia (e like me ke koko a me ka wai lymphatic) mai ka ʻeha kahi i hana ʻia ai ʻoe. He mea maʻamau no kēia mau wai a me nā ʻōpala cell e kahe mai loko mai o ka ʻeha ma hope o ke ʻoki ʻana. No laila, ʻo ka hana a kēia ʻauwai JP, ʻo ia ke hoʻokahe i kēlā wai mai ka ʻeha a hoʻohui iā ia i ka pōpō ma waho o kou kino. Ma kēia ʻano, ʻo ka hoʻokahe ʻana o nā wai i makemake ʻole ʻia e kōkua i ka ʻeha e ho'ōla wikiwiki. Eia kekahi, inā ʻoe e mālama pono i ka ʻauwai a me ka ʻeha, hiki iā ʻoe ke hōʻemi i ka pilikia o ka maʻi.

Pehea e hana ai ka `(JP drain)`?

ʻAe, e nānā kākou pehea e hana ai kēia `(JP drain)`. He maʻalahi loa ia. Hana ia ma ka omo ʻana. ʻO ia hoʻi, huki ia i ke wai mai loko mai o ka ʻeha.

ʻEkolu mau ʻāpana nui o kēia `(JP drain)`:

1. ʻO ka ʻāpana pālahalaha o ka paipu e komo ana i loko o ka ʻeha: He mau lua liʻiliʻi kēia. Hele nā ​​​​wai i makemake ʻole ʻia mai ka ʻeha i loko o ka paipu ma o kēia mau lua.

2. ʻO ka ʻōmole palupalu liʻiliʻi e puka mai ana: ʻO kēia ka mea e lawe ai i ke wai mai ka ʻeha a i kēlā pōpō liʻiliʻi. I ka manawa pinepine, e hoʻopaʻa nā kauka i kēia ʻōmole i ka ʻili me kahi humuhumu liʻiliʻi a i ʻole ka lipine e pale aku ai i ka neʻe ʻana.

3. ʻŌpuʻu hōʻiliʻili: Ua like kēia me ka lemona liʻiliʻi. Ua ʻomi ʻia e hana i ka omo. He pāpale ko kēia ʻōpuʻu e hana ana i kahi sila paʻa ʻole. Ke hōʻiliʻili ka wai, wehe ʻia ke pāpale e hoʻokuʻu iā ia.

I ka ʻōlelo maʻalahi, ke ʻomi ʻoe i ka pōpō a hoʻāʻo e hoʻopiha hou iā ia, hana ʻia kahi hakahaka liʻiliʻi i loko, kahi ʻano "kaomi maikaʻi ʻole" . ʻO kēlā ikaika ke kumu o ka wai i makemake ʻole ʻia i loko o ka ʻeha e kahe mālie i lalo o ka ʻōmole a hōʻiliʻili i loko o ka pōpō. He maʻalahi loa, ʻeā?

ʻO kāu wale nō e hana ai, ʻo ia ke hoʻokahe i ka pōpō ke piha i ka hapalua, e ʻomi hou iā ia e wehe i ka ea a pani iā ​​ia. A laila hoʻomau ka `(suction)`. ʻOiai he mea kakaikahi, hoʻohana ʻia kekahi `(JP drain)` e wehe i ke wai ma o ka umekaumaha (`gravity`) (e haʻi aku kāu hui lapaʻau iā ʻoe e pili ana i kēia).

Āhea e pono ai kahi `(JP drain)`?

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o ka hana ʻana o kēia `(JP drain)`. ʻOiaʻiʻo, he ʻano maʻamau kēia o `(drain)` i hoʻohana ʻia ma hope o ke ʻoki kino. Hoʻohana nā kauka i kēia mau mea e wehe i ke wai mai nā ʻeha ma hope o nā ʻoki kino like ʻole. Eia kekahi mau laʻana:

• ʻO ke ʻoki ʻōpū; no ka laʻana, kahi hana e hoʻoponopono ai i kahi hernia.
• Nā ʻokiʻoki e pili ana i ka umauma; nā ʻokiʻoki no ke kanesa o ka umauma, a i ʻole nā ​​​​mea e like me ke "ʻokiʻoki luna".
• Nā ʻoki umauma; i kekahi manawa i ka wā e mālama ai i nā kūlana e like me ka pleural effusion (hōʻiliʻili wai a puni nā māmā).
• ʻO ke ʻoki kino e wehe ai i ke kelepa thyroid ('thyroidectomy').
• ʻO kekahi mau hana ʻoki kino hoʻonani a me ka plastik, ke ʻoki kino hana hou.
• ʻO ke ʻoki ʻana i nā kiko lymph (lymphadenectomy).

ʻO ka maʻamau, ʻo ka nui o ka wai e hiki ke hōʻiliʻili ʻia i loko o kahi ʻauwai JP i hoʻokahi manawa ma kahi o 25 a 50 mL. Hiki ke ʻokoʻa iki kēia ma muli o ke ʻano o ka ʻauwai. Aia kekahi ʻano ʻauwai nui aʻe i kapa ʻia he ʻauwai hemovac hiki ke hōʻiliʻili i ka wai hou aku, akā ʻo ka ʻauwai JP ka mea i hoʻohana pinepine ʻia.

Pehea e mālama ai i kaʻu `(JP drain)`?

ʻAe, e nānā kākou pehea e mālama ai i kēia `(JP drain)` ma hope o kou hoʻi ʻana i ka home. He mea kēia e pono e hana ʻia me ke akahele, akā mai hopohopo, e aʻo aku nā kauka a me nā kahu maʻi iā ʻoe pehea e hana ai i kēia ma mua o kou haʻalele ʻana i ka haukapila.

ʻEkolu mau mea nui e hana ai:

1. E wehe pinepine i ka wai e hōʻiliʻili ana i loko o ka `(Drain)`.

2. E mālama i kahi memo o ka nui a me ke kala o ka wai.

3. E mālama i ka ʻeha a me ka wahi hoʻokahe wai maʻemaʻe a hoʻololi i ke kapa komo.

ʻO kekahi mea hou aʻe, e hoʻopaʻa i ka pōpō e hōʻiliʻili ana i ka wai i kou lole me kahi "(pine palekana)". Ma kēlā ala, ʻaʻole nui ka manawa e paheʻe a hemo.

Pehea e wehe ai i ka wai mai ka `(Drain)`

ʻO ka mea mua, e nānā kākou pehea e hoʻokahe ai i ka wai. Ma mua o ka hana ʻana i kēia, e hoʻomākaukau i nā mea āu e pono ai.

• ʻElua kāwele liʻiliʻi maʻemaʻe.
• He ʻūpī waiʻona.
• He ʻāpana gauze.
• He kīʻaha liʻiliʻi no ke ana ʻana i nā wai (na ka haukapila e hāʻawi aku iā ʻoe).

ʻAe, i kēia manawa e hana penei:

1. E holoi pono i kou mau lima: E holoi pono i kou mau lima me ke kopa a me ka wai no ka liʻiliʻi he 20 kekona. E hoʻomaloʻo i kou mau lima me kahi kāwele maʻemaʻe a pani i ka faucet. A i ʻole, hiki iā ʻoe ke hoʻohana i kahi mea hoʻomaʻemaʻe lima i loaʻa ka waiʻona.

2. `Waiū` i ka paipu:He mea ʻē iki kēia kani, ʻeā? Hana ʻia kēia e hoʻokahe i kekahi wai i paʻa paha i loko o ka ʻōmole i loko o ka pōpō. Me kekahi o kou mau lima, e paʻa i ka ʻōmole ma kahi mamao iki mai kahi e hui ai ka `(drain)` me ka ʻili. Makemake ʻoe e paʻa pono i ʻole e neʻe, i ʻole ʻoe e manaʻo i kekahi huki ʻia ma ka ʻeha. I kēia manawa, me ka hoʻohana ʻana i ka manamana nui a me ka manamana lima o kou lima ʻē aʻe, e hamo mālie i ka ʻōmole mai kēlā wahi i lalo i ka pōpō. Ua like ia me ka pamu ʻana i ka waiū. Inā ʻoe e holoi me kahi `(alcohol wipe)`, e paheʻe maʻalahi ia.

3. Wehe i ka wai: I kēia manawa ua hōʻiliʻili ka wai i loko o ka pōpō, e wehe pono i ke poʻi o ka pōpō. I ka wehe ʻana i ke poʻi, mai hoʻopā i ka lua me kou mau manamana lima. ʻO ka hana ʻana pēlā e hiki ai ke hoʻokomo i nā germs. I kēia manawa e ninini i ka wai mai ka pōpō i loko o ke kīʻaha ana.

4. `Hoʻonohonoho hou` i ke kukui hōʻiliʻili: I kēia manawa, e ʻomi maikaʻi i ke kukui me ka lima e wehe i ka ea a pau i loko. E ʻomi a hiki i ka palahalaha loa. ʻOiai e ʻomi ana, e hoʻopaʻa hou i ke poʻi a pani. ʻO kēia ka manawa e hana hou ʻia ai ka `(suction)`. Pono e palahalaha ka waena o ke kukui.

5. E holoi hou i kou mau lima: E holoi hou i kou mau lima e like me ke kaʻina hana mua.

Inā he ʻoi aku ma mua o hoʻokahi kāu mau ʻauwai (no ka laʻana, ma hope o ka mastectomy, ʻelua paha āu), e hana like no kekahi.

E hoʻopaʻa i nā kikoʻī e pili ana i ka wai

ʻO ka mea nui aʻe e kākau i lalo i kekahi mau kikoʻī e pili ana i kēlā me kēia manawa āu e wehe ai i ka wai mai ka `(drain)`.

• Ka manawa e hoʻokahe ai i ka wai.
• ʻEhia ka nui o ka wai ma laila (ma ka nānā ʻana i ke kīʻaha ana).
• He aha ke kala o ke wai?

E kōkua kēia mau kikoʻī i ke kauka e nānā i ke ʻano o ka ho'ōla ʻana o kou ʻeha.

I ka ho'ōla ʻana o ka ʻeha, pono e emi iho ka nui o ka wai e puka mai ana mai loko mai o ka lua i kēlā me kēia lā. E loli pū ke kala o ka wai. He mea maikaʻi nō hoʻi e ʻike i kēia mau kala:

• ʻUlaʻula ʻeleʻele: He mea maʻamau i ka wā mua ke ʻulaʻula ʻeleʻele ka wai, e like me ke koko.
• ʻUlaʻula māmā a poni paha: E māmā ke kala o ka wai i ka wā e ho'ōla ai ka ʻeha.
• Melemele māmā (ʻōniʻoniʻo) a moakāka paha: Ke loli ke wai mai ka ʻulaʻula a i ka melemele māmā a moakāka paha, ʻo ia hoʻi ke ola maikaʻi nei ka ʻeha. Ua kapa ʻia kēia he "serous drainage" ma nā ʻōlelo lapaʻau.

Nānā: Inā lilo ka wai kahe i keʻokeʻo a laila lilo hou i ʻulaʻula ʻeleʻele, aia paha ke kahe koko hou. Inā hana ʻia kēia, pono ʻoe e haʻi i kāu kauka. Eia kekahi, inā he keʻokeʻo waiū ka wai kahe, he ʻala pilau, a mānoanoa paha, he hōʻailona paha ia o ka maʻi. I kēlā hihia, pono ʻoe e haʻi koke i kāu kauka.

Pehea e hoʻololi ai i ke kapa komo

Pono hoʻi e hana pololei i ka hoʻololi ʻana i ke kapa komo ma ka ʻeha. E haʻi aku ke kauka iā ʻoe i ka pinepine o ka hoʻololi ʻana i ke kapa komo a pehea e hana ai. Pono ʻoe e hana pololei e like me kāna i ʻōlelo ai iā ʻoe. Ma mua o ka hoʻololi ʻana i ke kapa komo, e hoʻomākaukau i kēia mau mea:

• Nā kāwele maʻemaʻe.
• He ʻāpana gauze me kahi ʻoki ma waenakonu.
• Lipine ʻoki kino.
• He mea hoʻomaʻemaʻe ʻeha (inā i kauoha ʻia e ke kauka).

ʻAe, eia ke ʻano e hana ai:

1. E holoi pono i kou mau lima.

2. E wehe pono i ka `(dressing)` kahiko. E makaʻala ʻaʻole e huki i ka paipu `(Drain)`.

3. E holoi hou i kou mau lima.

4. E hoʻomaʻemaʻe i ka ʻeha a me kahi e hui ai ke kahawai me ka ʻili me ke kopa a me ka wai a i ʻole kahi mea hoʻomaʻemaʻe ʻeha i kuhikuhi ʻia e kāu kauka. (Hiki i kāu kauka ke ʻōlelo iā ʻoe e holoi iā ia i kou wā e ʻauʻau ana, akā, mai komo i loko o ka ʻauʻau a i ʻole ka loko wai i kou wā e loaʻa ai kahi kahawai.) Ma hope o ka holoi ʻana, e hamo maloʻo iā ʻoe iho me kahi kāwele maʻemaʻe.

5. E kau i ka ʻāpana gauze me ka ʻoki ma waenakonu ma lalo o ka paipu hoʻokahe, kahi e hoʻopā ai i ka ʻili, a e hoʻopili iā ia i mea e pale ai i ka neʻe ʻana.

Pehea ʻoe e pale ai i ka `(JP Drain)` mai ka liki ʻana?

Aia kahi pōʻai liʻiliʻi ma luna o ka pōpō kahi e hōʻiliʻili ai ka wai. Hiki iā ʻoe ke hoʻopili i kahi "(pine palekana)" iā ia a hoʻopaʻa iā ia i kou pālule a i ʻole ke kapa komo. Akā, mai hoʻopaʻa iā ia i kou lole komo a i ʻole ke kāʻei. Inā hana ʻoe pēlā, e poina paha ʻoe a hemo koke paha.

ʻEhia pinepine e pono ai iaʻu ke hoʻokahe i ka `(Drain)`?

ʻOi aku ka maikaʻi o ka hoʻokahe ʻana i ka ʻōpū mimi i ka wā hikiwawe loa, ʻo ia hoʻi, i ka wā e piha ai ka hapalua. ʻO kēia ka manawa e paʻa ai ka omo. ʻO ka maʻamau, pono ʻoe e hoʻokahe iā ia ma ka liʻiliʻi i kēlā me kēia 4 a 6 mau hola no nā lā mua. I ka emi ʻana o ka nui o ka wai e puka mai ana, hiki iā ʻoe ke hoʻemi i ke alapine (pinepine).

Pehea ka lōʻihi e waiho ʻia ai ʻo `(JP Drain)` ma kahi?

No ka wehe ʻana i ka `(JP Drain)`, pono ʻoe e hoʻi e ʻike i kāu kauka. Mai wehe a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. ʻO ka hapa nui o ka manawa, ʻaʻole ia e waiho ʻia no ʻelua pule a ʻoi aku. Eia nō naʻe, hiki ke loli kēia ma muli o kou kūlana. He manaʻo maikaʻi e nīnau i kāu kauka e pili ana i kēia ma mua o kou haʻalele ʻana i ka haukapila.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e kāhea koke i kāu kauka. He mau hōʻailona paha kēia o kahi maʻi:

• Kuni. Inā he kuni kou ma luna o 38 kekelē Celsius (100.4 Fahrenheit).
• Inā ʻulaʻula kahi i waiho ʻia ai ka ʻauwai, pehu, a mehana paha, a inā ua hoʻonui ʻia ka ʻeha.
• Inā ʻike ʻoe i nā kaha ʻulaʻula mai kahi i ʻeha ai.
• Inā ʻala ke wai e puka mai ana mai ka ʻauwai mai, he ʻōmaʻomaʻo paha, he waiū, a he mānoanoa paha.

Eia kekahi, e haʻi i kāu kauka inā loaʻa kēia mau mea:

• Inā ʻike ʻia ua palupalu ka paipu `(Drain)`, a inā paha ua pau ke kahe ʻana o ke wai, pono paha ʻoe e hoʻopaʻa hou a hoʻāʻo paha e wehe i ka ea.
• Inā me he mea lā ua hemo ka ʻōmole, a inā paha ua nalowale ka "(omo)" o ka pōpō a ua piha i ka ea.
• Inā hoʻomau ka piʻi ʻana o ka nui o ka wai no ʻelua lā (pono e emi ana).
• Inā hoʻomālamalama ke kala o ka wai a laila huli hou i ka ʻulaʻula ʻeleʻele a i ʻole ke koko (he hōʻailona kēia e kahe hou ana ke koko).
• Inā puka mai ka wai mai ka ʻoki ʻana (pono paha ke kauka e hoʻomaʻemaʻe i ka ʻauwai).

I kekahi manawa, ma hope o ka wehe ʻia ʻana o ka wai JP, hiki i ka wai ke hōʻiliʻili a pehu ma kahi i ʻoki ʻia ai. Ua kapa ʻia kēia he seroma . ʻAʻole kēia he pilikia, akā pono ʻoe e haʻi i kāu kauka e pili ana i ia mea.

He ʻAuwai Hāmama a i ʻole he ʻAuwai Pani ʻia ʻo `(JP Drain)`?

He `(pahu pani)` kēia, ʻo ia hoʻi he ʻōnaehana pani. E noʻonoʻo i kēia ʻano, ʻo ka `(JP drain)` he ʻōnaehana pani e hoʻololi i ke kaomi ea i loko a huki i ke wai mai loko mai o ka ʻeha. Ma kahi o ka wai e puka mai ana mai loko mai o ka ʻeha a omo ʻia i loko o ka `(ʻaʻahu)` e like me ka `(pahu hāmama)` (no ka laʻana, he `(Penrose drain)`), ma kēia mea e hōʻiliʻili ka wai i loko o ka pōpō i ʻomi ʻia a huki i ke wai i waho.

Ke loaʻa iā ʻoe kahi `(JP drain)`, manaʻo paha ia he mea hou i kou kino i ka wā mua. Ma kekahi ʻano, pēlā nō. ʻO ka `(JP drain)` ua like ia me kahi mea i hoʻopili ʻia i ka ʻōnaehana o kou kino, e huki ana i ka wai pono ʻole mai ka ʻeha a kōkua iā ʻoe e ho'ōla.

No laila, ʻo nā mea hope loa e hoʻomanaʻo ai

ʻO ka `(Jackson-Pratt drain)`, a i ʻole `(JP drain)`, he mea hana ia e hiki ke kōkua i kou ʻeha e ho'ōla wikiwiki a hōʻemi i ka pilikia o ka maʻi ma hope o ke ʻoki ʻana. He mea ʻoluʻolu ʻole paha ke hana me ia i ka wā mua, akā mai hopohopo. Inā ʻoe e mālama pono e like me ka ʻōlelo a kāu mau kauka a me nā kahu maʻi iā ʻoe, e kōkua ia iā ʻoe e hoʻōla wikiwiki.

ʻO ka mea nui loa, inā he mau nīnau a kānalua paha kāu, mai makaʻu e nīnau i kāu kauka a kahu maʻi paha. ʻO kou olakino ka mea nui loa iā lākou.

ʻAuwai ʻo Jackson-Pratt, ʻauwai ʻo JP, ʻauwai ʻokiʻoki, mālama ʻeha, mālama ma hope o ke ʻoki ʻana, ʻoki kino, ho'ōla ʻeha, mālama ma hope o ke ʻoki ʻana, mālama ʻauwai, mālama ʻeha