He aha kēia 'extravasation'? E hoʻomaopopo maʻalahi kākou!

Ua lohe paha ʻoe i ka huaʻōlelo 'extravasation'? Ua lohe paha ʻoe mai kāu kauka mai, a i ʻole ua lohe paha ʻoe iā ia i ka wā e noiʻi ana i nā lāʻau lapaʻau maʻi kanesa . ʻOiai he ʻano lapaʻau ia, he ʻelua ona manaʻo. ʻO kekahi, he hana kūlohelohe ia e hana ʻia i loko o ko kākou kino. ʻO kekahi, he pilikia liʻiliʻi ia e hiki ke hana i kekahi manawa ke hāʻawi mākou i ka lāʻau lapaʻau, ʻoiai i ka wā o ka mālama ʻana i ka maʻi kanesa (chemotherapy). E kamaʻilio mākou e pili ana i kēia mau mea ʻelua i kēia lā, maʻalahi loa, i hiki iā ʻoe ke hoʻomaopopo.

He aha ke kaʻina hana i kapa ʻia ʻo 'extravasation'?

I ka ʻōlelo maʻalahi, ʻo 'extravasation' ke kaʻina hana o nā pūnaewele i loko o ko kākou kino e neʻe ana i waho o nā kīʻaha koko (kahi e kahe ai ke koko) a i loko o nā ʻiʻo a puni. Ua hana ʻia ia mai ʻelua mau huaʻōlelo Latina. ʻO 'extra' ke ʻano o "waho" a ʻo 'vas' ke ʻano o "ipu." No laila, ʻo ia hoʻi kekahi mea e like me "ka puka ʻana mai loko mai o kahi kīʻaha."

E noʻonoʻo i kēia ʻano. Ke loaʻa iā ʻoe kahi ʻeha liʻiliʻi, a i ʻole ke komo ʻana o kahi germ i kou kino, ʻo ka mea mua e hoʻopakele mai, ʻo ia kou mau keʻokeʻo koko. Ua like lākou me nā mākaʻi i loko o kou kino. Hele kēia mau keʻokeʻo koko ma o kou mau kīʻaha koko, lele i waho o kēlā mau kīʻaha koko, a hele i ka ʻeha a i ʻole ka germ. Kāhea mākou i kēia kaʻina hana o ka lele ʻana i waho ʻo 'extravasation.' He ʻāpana koʻikoʻi kēia o ka ʻōnaehana pale o kou kino .

Eia kekahi, me ke kaumaha, hoʻohana ʻia kēia kaʻina hana like o ka 'extravasation' e nā hunaola kanesa e laha ma ke kino holoʻokoʻa, ʻo ia hoʻi, e neʻe mai kekahi wahi a i kekahi wahi (a mākou e kapa nei hoʻi ʻo 'metastasis').

Pehea e hana ai nā hunaola kanesa i kēia?

Hoʻokaʻawale mua nā hunaola kanesa mai ka puʻupuʻu mua a lākou i hana ai. A laila hele kēia mau hunaola ma o nā kīʻaha koko liʻiliʻi loa i loko o ko kākou kino, i kapa ʻia he capillaries , i loko o ke kahe koko. I ko lākou hele ʻana, hoʻopili kēia mau hunaola kanesa i kahi papa lahilahi o ka ʻiʻo i kapa ʻia ʻo endothelium , kahi e uhi ai i nā kīʻaha koko.

I ka wā mua, hele kēia mau hunaola kanesa ma ka endothelium. Ma hope o kekahi manawa, pili pono lākou i ka endothelium. (Kōkua ʻia kēia e kekahi o ko mākou mau hunaola koko keʻokeʻo, kahi ʻano hunaola i kapa ʻia he platelets . Ke aʻo nui nei nā kānaka noiʻi lapaʻau i kēia kaʻina hana, no ka mea, manaʻo lākou inā hiki iā mākou ke hoʻōki, hiki iā mākou ke hoʻolohi i ka laha ʻana o ke kanesa.) I ka hopena, e haki kēia mau hunaola kanesa i loko o nā paia o nā kīʻaha koko a hele i waho i loko o nā ʻiʻo. Ma hope o kēlā, hiki i nā hunaola kanesa ke hiamoe, make, a hoʻomaka paha e hana i nā puʻupuʻu hou ma kahi hou.

Ke noʻonoʻo nei paha ʻoe, "E ʻike anei au inā loaʻa iaʻu kahi 'extravasation' e like me kēia i loko o koʻu kino?" Ke hakakā nei nā hunaola koko keʻokeʻo i kahi maʻi, e ʻike paha ʻoe i kahi mea e like me ka pehu a me ka ʻulaʻula. Akā me ka 'extravasation', ka mea e kū mai ana i ka wā e laha ai ke kanesa , ʻaʻole paha ʻoe e ʻike i kēlā mau hōʻailona nui i ka wā mua . ʻOiai ʻaʻole hōʻike pololei nā hoʻokolohua lapaʻau i kēia 'extravasation', hiki ke nānā ʻia nā mea e like me ka helu o nā hunaola koko keʻokeʻo i loko o ke koko a me nā māka kanesa me nā hoʻokolohua koko.

ʻO ke kūlana olakino i kapa ʻia ʻo 'extravasation'

I kēia manawa, e kamaʻilio kākou e pili ana i ke ʻano ʻē aʻe o ka mea a nā kauka e kapa nei he 'extravasation'. He ʻoiaʻiʻo loa kēia i ka wā e hāʻawi ʻia ai nā lāʻau chemotherapy i loko o ke kino o nā maʻi kanesa, ʻo ia hoʻi ke ʻano o ka lāʻau i hāʻawi ʻia ma o kahi ʻōmole (cannula) i loko o kahi aa koko.

Ua ʻike paha ʻoe ua hāʻawi pololei ʻia kekahi mau lāʻau lapaʻau i loko o kahi aʻa. I nā lāʻau lapaʻau maʻi kanesa, hāʻawi pololei ʻia kēia lāʻau lapaʻau i loko o ke kahe koko ma o kahi paipu IV. Hoʻopili pinepine ʻia kēia paipu IV i kahi aʻa ma kou lima a i ʻole ka pulima lima. A laila hoʻopili ʻia ka lāʻau lapaʻau ma o kahi paipu mai kahi ʻeke palaki i loko o kou kahe koko. I kekahi manawa hoʻohana ʻia kahi cannula, kahi e hoʻokomo mālie ai i ka lāʻau lapaʻau i loko o kou kino i loko o kekahi manawa.

I kēia manawa, aia kekahi mau lāʻau anticancer i kapa ʻia ʻo "vesicants." ʻO ke ʻano o ka huaʻōlelo ʻo "mea e hoʻoulu ai i nā vesicants." Inā e kahe ana kēia mau lāʻau "vesicants" mai ka laina IV a i ʻole ka "cannula," hiki iā lākou ke hōʻino i nā ʻiʻo olakino a puni. ʻO ia ka mea a mākou e kapa nei i ka lāʻau lapaʻau he "extravasation," ke kahe ka lāʻau mai loko mai o ke aʻa a hōʻino i nā ʻiʻo .

Inā hana ʻia kēia, hiki i ka mea e loaʻa ana i ka lāʻau lapaʻau ke manaʻo i ka wela a me ka ʻeha ma kahi o ka IV. Inā kahe ka lāʻau lapaʻau ma o kahi cannula, hiki i ka wahi ke manaʻo he paʻakikī, pehu, a ʻulaʻula.

Akā eia kekahi mea nui e hoʻomanaʻo . Inā hāʻawi ʻia ʻoe i kahi lāʻau lapaʻau ʻano 'vesicant', ua ʻike maikaʻi kāu mau kauka a me nā kahu maʻi iā ia. Loaʻa i nā haukapila nā kulekele a me nā alakaʻi maopopo e pale aku i kēia 'extravasation'. Nānā pono lākou iā ʻoe i ka wā e hāʻawi ai lākou iā ʻoe i ka lāʻau, a inā ʻike lākou i kekahi mau pilikia, hoʻoponopono koke lākou.

He mea maʻamau anei kēia 'extravasation' i nā lāʻau lapaʻau maʻi kanesa?

ʻAʻole, ʻaʻole kēia he mea maʻamau., akā, ʻaʻole ia he mea hiki ʻole. Ua ʻike ʻia kekahi noiʻi ma kahi o 6% o nā lāʻau lapaʻau maʻi kanesa he 'extravasation' liʻiliʻi. Ua hoʻomaʻamaʻa kūikawā ʻia nā limahana lapaʻau e hāʻawi ana i nā lāʻau lapaʻau maʻi kanesa ma o ka IV e pale aku i kēia a e mālama koke iā ia inā hana ia.

He pilikia koʻikoʻi anei kēia?

ʻAe, i kekahi manawa hiki ke koʻikoʻi kēia . E noʻonoʻo e pili ana i ia mea, hiki i nā lāʻau lapaʻau ikaika e pepehi i nā hunaola kanesa ke hōʻino i nā ʻiʻo olakino, ʻeā? No laila, inā e kahe ka lāʻau lapaʻau mai loko mai o ka IV, hiki iā ia ke hōʻeha a hōʻino i nā ʻiʻo. Hiki ke ʻike koke ʻia nā hōʻailona, ​​a i ʻole e ʻike ʻia paha i kekahi mau lā ma hope.

He aha nā hōʻailona o ka 'extravasation'?

• ʻEha koke kahi i hoʻokomo ʻia ai ka IV a i ʻole cannula.
• He manaʻo wela a ʻā paha .
• ʻUlaʻula ka ʻili ma ia wahi.
• Nā māka pockmark a i ʻole nā ​​​​​​pehu .
• ʻEha .
• Keʻokeʻo ʻana o ka ʻili (he hōʻailona paha kēia o ka hōʻino ʻia ʻana o nā ʻiʻo).

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka extravasation?

ʻAe, hiki i kekahi mau kumu ke hoʻonui iki i kēia pilikia. Akā ua ʻike nā limahana lapaʻau i kēia mau kumu pilikia, no laila ke hana nei lākou i nā hana e hōʻemi ai i kēia pilikia.

• No ka poʻe me nā aʻa koko liʻiliʻi a nāwaliwali paha .
• No ka poʻe i pohā koke nā kīʻaha koko ma mua o ka maʻamau .
• No nā poʻe i mānoanoa a paʻakikī paha ko lākou mau kīʻaha koko ma muli o ka mālama ʻana i ka maʻi kanesa.
• No ka poʻe nona nā kīʻaha koko e neʻe ana i ka wā e hoʻāʻo ai e hoʻokomo i kahi IV.

Pehea e mālama ʻia ai kēia 'extravasation'?

ʻO nā limahana lapaʻau e hāʻawi ana i nā lāʻau lapaʻau maʻi kanesa e hoʻolilo iā lākou i mea nui loa e pale aku i kēia 'extravasation'. Eia naʻe, inā, minamina, e hana ʻia ia, ua aʻo ʻia hoʻi lākou e hoʻoponopono koke i nā pilikia e kū mai ana. Eia kekahi mau hana a lākou e hana pinepine ai:

• E hoʻōki koke ʻia ka lāʻau lapaʻau ma o ka IV.
• I ka hiki loa, e wehe i nā lāʻau lapaʻau i ninini ʻia mai ia wahi.
• Lawe ʻia ka IV a hoʻolei ʻia.
• Ua hoʻokiʻekiʻe iki ʻia ka lima i hoʻopilikia ʻia (elevating).
• E hoʻopili i kahi kirīmi e hōʻemi i nā hōʻailona.
• Hoʻopili ʻia nā ʻūmiʻi anu. Hoʻemi ka ʻūmiʻi anu i ka ʻeha. Hoʻopaʻa pū ia i nā kīʻaha koko, kahi e hōʻemi ai i ka laha ʻana o kekahi lāʻau lapaʻau i koe.
• I kekahi mau hihia , hoʻopili ʻia nā compresses mahana.Hoʻonui nā ʻūmiʻi mehana i ke kahe koko, hiki ke kōkua i ka wehe ʻana a i ʻole ka hōʻemi ʻana i ka nui o ka lāʻau lapaʻau a puni ka wahi IV. (Na kāu kauka e hoʻoholo inā kūpono kahi ʻūmiʻi mehana a anu paha.)

He aha ka mea e hana ʻia ma hope o ka 'extravasation'?

Hiki ke ʻokoʻa ma muli o kou kūlana. E mālama kāu hui lapaʻau i nā pilikia i hoʻokumu ʻia e ka extravasation. Ma hope o kēlā, e nānā lākou i kou kūlana e ʻike inā loaʻa kekahi mau pilikia hou a i ʻole e ʻoi aku ka ʻino o ke kūlana.

I kekahi manawa, hiki iā ʻoe ke hoʻomau i ka mālama ʻana ma ka hoʻohana ʻana i kahi IV site ʻokoʻa. I kekahi manawa, hiki i kāu kauka ke ʻōlelo aku e hoʻopanee ʻoe i ka mālama ʻana no kekahi mau lā a hiki i kou hoʻōla ʻana. Eia nō naʻe, e hāʻawi lākou iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ke ʻano o ka mālama ʻana iā ʻoe iho ma ka home. Eia kekahi laʻana:

• Ma hope o ka extravasation, e noi ʻia paha ʻoe e kau i nā ʻūpā anu a wela paha i kou lima no hoʻokahi lā ma ka liʻiliʻi (ma kahi o 15-20 mau minuke, ʻehā a ʻeono manawa i ka lā). E haʻi pololei kāu kauka iā ʻoe pehea e hana ai i kēia.
• Hiki iā ʻoe ke haʻi iā lākou e hoʻokiʻekiʻe i ka lima i hoʻopilikia ʻia .

E hiki anei iaʻu ke hoʻomau i ka lāʻau lapaʻau?

Aia nō hoʻi ia i kou kūlana. Hōʻike nā haʻawina e hiki i ka hapa nui o ka poʻe ke hoʻomau i ka mālama ʻana . I kekahi manawa, hiki ke hoʻololi ʻia ka IV a hiki ke hoʻomaka koke ʻia ka mālama ʻana ma hope o ka extravasation. I kekahi manawa, hiki ke hoʻopaneʻe ʻia ka mālama ʻana a hiki i ka pau ʻana o nā hōʻailona o ka extravasation.

Āhea wau e hoʻomaopopo ai i ke kauka?

Inā mau nā hōʻailona o ka extravasation no ka manawa lōʻihi ma mua o kou manaʻo, e hoʻomaopopo pono i kāu kauka .

I ka hōʻuluʻulu manaʻo, eia nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home):

I kēia manawa ua ʻike ʻoe he ʻelua manaʻo o ka huaʻōlelo 'extravasation'. ʻO kekahi ke kaʻina hana kūlohelohe i hoʻohana ʻia e nā hunaola kanesa e laha ma ke kino. ʻO kekahi he maʻi olakino e hiki ke hana i ka wā e puka mai ai nā lāʻau chemotherapy mai loko mai o ka IV.

ʻO ka mea nui, ʻo kēia pilikia i kapa ʻia ʻo 'extravasation' ʻaʻole ia he mea maʻamau i ka mālama ʻana i ka maʻi kanesa. Ua hoʻomaʻamaʻa kūikawā ʻia nā limahana lapaʻau e pale aku a mālama koke iā ia inā loaʻa.

Inā e loaʻa iā ʻoe ka chemotherapy no ke kanesa, e kamaʻilio me kāu kauka a kahu maʻi paha e pili ana i ka mea e manaʻo ai i ka wā o ka mālama ʻana a me nā hopena ʻaoʻao maʻamau. Ma kēlā ala, inā ʻike ʻoe i kekahi mea ʻokoʻa, hiki iā ʻoe ke ʻike inā he mea maʻamau a i ʻole he mea āu e pono ai e hōʻike koke. Mai hopohopo, aia kāu hui lapaʻau ma aneʻi e kōkua.

ʻO ka hoʻokaʻawale ʻana, ka mālama ʻana i ke kanesa, ka chemotherapy, ka hoʻokahe ʻana o ka IV, ka hoʻokahe ʻana o ka lāʻau mai ke aʻa koko, ka laha ʻana o ke kanesa, ka neʻe ʻana o nā cell