Ua kuhikuhi ʻia anei ʻoe i ka chemotherapy ma ke ʻano he lāʻau lapaʻau no ka maʻi kanesa? A laila ua ʻike paha ʻoe i ka ʻeha a me ka hoʻonāukiuki o ka hoʻokomo ʻana i nā cannulas a huki mau i ke koko. ʻAʻole maʻalahi ka loaʻa ʻana o kahi vein maikaʻi. ʻO ia ke kumu e kamaʻilio ai mākou e pili ana i kahi hopena maikaʻi i kēia lā. ʻO ia ka "Chemo Port". Ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kēia. No laila e nānā kākou i ke ʻano o kēia, pehea e hana ai, a he aha nā pono o ia mea. E kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.
He aha ka Chemo Port?
I ka ʻōlelo maʻalahi, he mea liʻiliʻi ka chemo port i waiho ʻia ma lalo o kou ʻili. E noʻonoʻo iā ia me he mea lā e like ka nui me kahi kālā ʻelima rupee. Hoʻokomo pinepine ʻia ia ma lalo o ka ʻili o ka umauma o luna, ka lima, a i ʻole ka ʻōpū. A laila, ua hoʻopili pololei ʻia kahi ʻōmole silicone lahilahi (kahi `catheter`) e puka mai ana mai kēia mea liʻiliʻi i kekahi o kou mau kīʻaha koko nui.
Hoʻohana ka nui o ka poʻe e mālama ʻia ana i ka maʻi kanesa i kahi puka e like me kēia. No ka mea, ma hope o ke kau ʻia ʻana o kēia, ʻaʻole pono lākou e hele ma o kahi aʻa koko i loko o ko lākou lima i kēlā me kēia manawa a lākou e hāʻawi ai iā lākou i nā lāʻau chemo, lawe i ke koko, a hāʻawi paha iā lākou i nā wai ʻē aʻe e like me ka saline. Hiki iā ʻoe ke hana pololei i kēlā mau mea āpau ma o kēia puka. No laila, kōkua kēia puka i ka maʻalahi o ka mālama ʻana i ka chemo, palekana, a emi iki ka ʻeha.
ʻO kekahi inoa no kēia ʻo "Port-a-cath".
Pehea ke ʻano o kēia awa? He aha kona mau ʻāpana?
Ma muli o ke ʻano o ka awa āu e loaʻa ai, hiki ke hele mai i ke ʻano poepoe, huinakolu, a i ʻole oval. ʻEkolu mau ʻāpana nui o kēlā me kēia awa.
| ʻĀpana nui | I ka ʻōlelo maʻalahi... |
|---|---|
| Awa | ʻO kēia ka ʻāpana nui o ka hāmeʻa. Hoʻokomo nā kauka a me nā kahu maʻi i ka lāʻau lapaʻau i loko o kēia ʻāpana. |
| Septum | Aia kēia ma waenakonu o ke awa. Hana ʻia ia me kahi ʻano laholio kūikawā. Ma hope o ke komo ʻana o ka nila, pani ʻakomi ka lua (sila ponoʻī). |
| Catheter | ʻO kēia ka ʻōmole lahilahi a maʻalahi hoʻi e hoʻopili ai i ke awa i kou aʻa. |
A ʻelua ʻano o kēia mau awa:
- Puka lumen hoʻokahi: Hoʻokahi wale nō wahi komo o kēia. ʻO kēia ke ʻano i hoʻohana nui ʻia.
- Puka lumen pālua: Loaʻa i kēia ʻelua puka komo. ʻO ia hoʻi, hiki iā ia ke hana i ʻelua mau hana i ka manawa like, e like me ka hāʻawi ʻana i ka lāʻau lapaʻau ma o kekahi a me ke kaha ʻana i ke koko ma o kekahi.
ʻAe, e nānā kākou pehea e hana ai kēia.
Ma hope o ke kau ʻia ʻana o ke awa i loko o kou kino, hiki i nā limahana lapaʻau ke hoʻohana iā ia e huki i ke koko, hāʻawi i nā lāʻau lapaʻau, a hāʻawi paha i nā wai ʻē aʻe i kou kino.
He maʻalahi loa ke ʻano o kēia hana. Hoʻokomo lākou i kahi nila kūikawā ma kou ʻili, pololei i loko o ka ʻāpana waena o ka puka (ka septum). ʻAʻole kēia e like me ke kau ʻana i kahi cannula maʻamau. ʻAʻohe pono e ʻimi i kahi aa, a ʻaʻole ia he ʻeha loa. Manaʻo ia he paʻi iki.
ʻO ka mea nui loa, ʻo ia ke kūʻokoʻa āu e loaʻa ai mai ka loaʻa ʻana a me ka hou ʻana i kou mau aa koko i kēlā me kēia manawa āu e loaʻa ai i kahi lāʻau lapaʻau. He mea hōʻoluʻolu nui nō hoʻi kēia no kou noʻonoʻo.
Pehea ʻoe e hoʻokomo ai i kahi puka chemo i loko o kou kino? He ʻoki kino nui anei kēia?
He hana ʻoki liʻiliʻi ka chemo port. Akā, ʻaʻole ia he ʻoki nui a weliweli. ʻO ka maʻamau, he hola paha ka lōʻihi. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Akā, he mea nui e loaʻa kahi hoaaloha a ʻohana paha e lawe iā ʻoe i laila a hoʻi mai.
Eia kekahi o nā mea a kāu hui lapaʻau e hana ai i ka wā o kēia ʻoki kino:
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi lāʻau hoʻomālielie e hoʻomālielie i ka ʻeha a hoʻomaha iā ʻoe.
2. A laila, hana ʻia kahi ʻoki liʻiliʻi ma kou ʻāʻī e komo ai i kahi kīʻaha koko (e like me ka aʻa jugular, aʻa subclavian, a i ʻole ka vena cava superior).
3. Hana ʻia kahi puka liʻiliʻi ma kēlā aa a hoʻokomo ʻia ka ʻōmole lahilahi (ka `catheter`) i loko.
4. A laila hana ʻia kekahi ʻoki liʻiliʻi ma lalo o ka ʻili o kou umauma, lima, a ʻōpū paha, e hana ana i kahi hakahaka liʻiliʻi ma ka papa subcutaneous, e like me kahi ʻeke liʻiliʻi.
5. Ua kau ʻia ka puka chemo i loko o ka hakahaka i hana ʻia.
6. I kēia manawa, ua lawe ʻia ka ʻōmole e puka mai ana mai ke awa ma lalo o ka ʻili a hoʻopili ʻia i ka ʻōmole i hoʻokomo mua ʻia i loko o ke aʻa.
7. ʻO ka hope loa, ua pani ʻia nā ʻoki ʻelua me nā humuhumu.
Hana ke kauka lapaʻau i kēia kaʻina hana holoʻokoʻa me ka nānā mau ʻana i kahi mīkini e hōʻike ana i nā kiʻi e like me ka X-ray (fluoroscopy). Hōʻoia kēia ua hana pololei ʻia nā mea āpau. Ma hope o ka pau ʻana o ke kaʻina hana, lawe ʻia kahi X-ray umauma e hōʻoia i ka loaʻa ʻana o ka puka ma kahi kūpono.
E hoʻomanaʻo, ʻaʻole kēia he ʻoki kino nui. Hoʻokahi ʻīniha wale nō ka ʻoki ʻia. A hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
He aha nā pōmaikaʻi o ka hoʻohana ʻana i ka Chemo Port?
Aia kekahi mau pono o ka hoʻohana ʻana i kahi chemo port. E nānā pono kākou iā lākou.
| Pōmaikaʻi | ʻO ka hōʻoluʻolu āu e loaʻa ai mai ia mea |
|---|---|
| Hoʻomaha ʻeha | Ke hoʻokomo ʻoe i ka nila i loko o ke awa, ʻike wale ʻoe i kahi paʻi iki. Ua nalowale loa ka ʻeha o ka loaʻa ʻana o kahi aa koko a me ke komo ʻana i ka nila i kēlā me kēia manawa. |
| Hoʻemi ʻia ka hōʻino ʻana o nā ʻiʻo | Hoʻopuka pololei ke awa i ka lāʻau lapaʻau i loko o kahi kīʻaha koko nui, e hoʻopau ana i ka pilikia o ka lāʻau lapaʻau e puka ana mai loko mai o ke aʻa (extravasation) a me ka hōʻino ʻana i nā ʻiʻo a puni, kahi mea hiki ke hana ʻia i kekahi manawa ke hāʻawi ʻia ka lāʻau lapaʻau ma o kahi cannula. |
| Ka maʻalahi a me ke kūʻokoʻa | Ke ho'ōla ʻia ka ʻoki ma hope o ke komo ʻana o ke awa, ua uhi piha ʻia e kou ʻili. Hiki iā ʻoe ke ʻauʻau a ʻauʻau ma ke ʻano maʻamau. ʻAʻohe pilikia o ka maʻi. |
Aia kekahi mau pilikia i loko o kēia?
ʻOiai he hana ʻoki kino kēia, aia kekahi mau pilikia liʻiliʻi, e like me nā ʻoki kino āpau. Eia naʻe, ʻaʻole hana pinepine ʻia kēia mau mea.
| Pōpilikia | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ke koko paʻa (Thrombosis) | I kekahi manawa, hiki ke hana ʻia kahi ʻōpū koko i loko o ka ʻōmole o ke awa a pani ʻia. |
| Nā kapu neʻe ʻana | Hiki i kāu kauka ke haʻi iā ʻoe e pale i ka hoʻoikaika kino a i ʻole nā hana kaumaha ma kēlā ʻaoʻao ʻoiai ʻoe e kau ana i ke awa, no ka mea hiki i kēia ke hoʻoneʻe i ke awa. |
| Nā hemahema mīkini | Hiki i nā mea e like me ka paipu palupalu ke hana pono ʻole i ka puka. |
| Hoʻokumu ʻia ʻana o ka ʻōpala | Hiki i ke ʻoki kino ke waiho i kahi ʻeha liʻiliʻi. |
| Maʻi | He mea kākaʻikahi loa kēia. Ma kahi o 2 o 100 mau kānaka e loaʻa i ka maʻi. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha, a i ʻole ka pehu ʻana, he maʻi paha ia. Inā hana ʻia kēlā, pono paha e hoʻololi i ka puka. |
Nā mea e ʻike ai ma hope o ka loaʻa ʻana o kahi awa a me ka wā e noho pū ai me ia
He aha ka mea e hana ʻia ma hope o ke hoʻokomo ʻia ʻana o ka port?
Hiki paha iā ʻoe ke ʻike i kekahi ʻeha a me ka ʻeha ma kahi i ʻoki ʻia no nā lā ʻelua a ʻekolu paha ma hope o ke komo ʻana o ke awa. He mea maʻamau kēia. Hiki iā ʻoe ke hoʻi hou i ka hapa nui o kāu mau hana maʻamau. Eia nō naʻe, e nīnau i kāu kauka ma mua o ka hoʻomaka ʻana i kekahi hoʻoikaika kino ikaika, e like me ka hele ʻana i ka hale hoʻoikaika kino.
Pehea ka lōʻihi e hiki ai iā ʻoe ke mālama i kēia mea kanu?
Hiki iā ʻoe ke mālama i kēia puka no ka lōʻihi o kou makemake, hiki ke hala i kekahi mau makahiki. Ke pau kāu mālama ʻana, hiki i kāu kauka lapaʻau ke wehe iā ia.
Pehea ʻoe e hiamoe ai me ka ipu hao ma luna?
ʻO ke kūlana maikaʻi loa e hiamoe ai, ʻo ia ma kou kua . E pale kēia i kekahi kaomi ma ke awa. ʻOi loa aku i nā pae mua o ka hoʻōla ʻana, e pale i ka hiamoe ʻana ma kou ʻōpū. Hiki i kēia ke hoʻoulu i ke kaomi ma ke awa a hoʻonui i ka ʻeha.
Hiki iā ʻoe ke hiamoe ma ka ʻaoʻao. Akā inā aia ka puka ma ka ʻaoʻao ʻākau, e huli e hiamoe ma ka ʻaoʻao hema. Inā aia ma ka ʻaoʻao hema, e huli e hiamoe ma ka ʻaoʻao ʻākau. ʻO ia hoʻi, i ʻole e kau ka ʻaoʻao me ka puka ma lalo.
Hiki iaʻu ke ʻauʻau a holoi paha iaʻu iho?
ʻAe. Hiki iā ʻoe ke ʻauʻau i 24-48 mau hola ma hope o ke ʻoki ʻana, akā ma hope o ke kūkākūkā ʻana me kāu kauka. I ka ʻauʻau ʻana, pono ʻoe e uhi i ka ʻoki me kahi pepa palaki pale wai. Ke ho'ōla loa ʻia ka ʻoki, hiki iā ʻoe ke ʻauʻau palekana, ʻauʻau, a ʻauʻau paha.
Pehea e wehe ai i ka puka ma hope o ka pau ʻana o ka mālama ʻana?
He hana maʻalahi loa nō hoʻi ka wehe ʻana i ke awa. Pono ia e hana i kahi ʻoki liʻiliʻi ma luna o ke awa, e hoʻokuʻu ana i ke awa mai nā ʻiʻo a puni, a e wehe i ka hāmeʻa holoʻokoʻa i hoʻokahi manawa. A laila pani ʻia ke ʻoki me nā humuhumu. Aia paha kekahi ʻeha, pehu, a me ka palapū no kekahi mau lā ma hope o ka wehe ʻana i ke awa. He mea maʻamau kēia.
Āhea wau e kāhea koke aku ai i ke kauka?
He mea nui loa kēia. Inā loaʻa iā ʻoe kahi chemo port a ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke i kāu kauka .
| Nā hōʻailona hōʻike e makaʻala ai | |
|---|---|
| 🔴 | Inā loaʻa iā ʻoe ka ʻeha nui, ka pehu ʻana, a i ʻole ka palapū ma kahi o ke awa. |
| 🔴 | Inā ʻulaʻula a ʻeleʻele paha ka ʻili a puni ke awa. |
| 🔴 | Inā e liki ana kekahi mea e like me ka wai mai kahi o ke awa. |
| 🔴 | Inā he kuni kou. |
Leka Lawe-Home
- He mea liʻiliʻi a pono ka chemo port e hōʻemi nui ai i ka ʻeha a me ka ʻoluʻolu ʻole e pili ana i ke koʻi pinepine ʻana i ka nila i ka wā o nā mālama chemotherapy a me nā huki koko.
- Hoʻokomo ʻia kēia ma lalo o ka ʻili ma o kahi hana ʻoki liʻiliʻi. ʻAʻohe mea nui a weliweli paha.
- ʻO nā pōmaikaʻi nui o ka hoʻohana ʻana i kahi awa, ʻo ia ka hoʻemi ʻana i ka ʻeha, ka hoʻonui ʻana i ka palekana, a me ka maʻalahi i ke ola o kēlā me kēia lā.
- ʻOiai aia kekahi mau pilikia liʻiliʻi, e like me ka maʻi a i ʻole ke koko ʻana, ʻaʻole pinepine lākou e loaʻa.
- Inā loaʻa iā ʻoe ka ʻeha nui, ka ʻulaʻula, ka pehu ʻana, a i ʻole ke kuni ma kahi o ka puka ʻana, e hoʻomaopopo koke i kāu kauka.
- Inā he mau nīnau kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka oncology.
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