Ke hāʻawi ʻia nā lāʻau lapaʻau no ke kanesa, hele anei ia i waho o ke aʻa koko a hoʻoulu i ka pehu ʻana o ka lima? E kamaʻilio kākou e pili ana i ka Extravasation!

E noʻonoʻo ua hāʻawi ʻia ʻoe i kahi hopena saline no ka mālama ʻana i ka maʻi kanesa (Chemotherapy). Ke komo mālie nei ka lāʻau lapaʻau i loko o kou kino. Akā, ua manaʻo koke ʻoe i kahi ʻeha iki a me ka ʻoluʻolu ʻole ma ka lima kahi i hoʻokomo ʻia ai ka hopena saline, kahi i hoʻokomo ʻia ai ke kui. Ma hope o kekahi manawa, lilo kēlā wahi i ʻulaʻula a hoʻomaka e pehu. ʻO kēia ka mea a mākou e kapa nei he extravasation i ka lāʻau lapaʻau. I ka ʻōlelo maʻalahi, ʻo ka lāʻau lapaʻau i manaʻo ʻia e komo i loko o ke aʻa e puka mai ana mai loko mai o ke aʻa a i loko o nā ʻiʻo. Hiki i kēia ke lilo i mea weliweli iki no kekahi e mālama ʻia ana i ka maʻi kanesa. Akā, mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau me ka maopopo a me ka maʻalahi.

He aha ka Extravasation? E hoʻomaopopo pono kākou.

Ke loaʻa iā ʻoe ka lāʻau lapaʻau no ke kanesa, a i ʻole chemotherapy, hāʻawi pololei ʻia ka lāʻau lapaʻau i loko o kou aʻa. Hoʻohana mākou i kahi laina IV, a i ʻole kahi ʻōmole palakiko liʻiliʻi (cannula) i hoʻokomo ʻia i loko o kahi aʻa ma kou lima. He ikaika loa kēia mau lāʻau lapaʻau no ka mea hana lākou e pepehi i nā hunaola kanesa e māhele wikiwiki ana.

I kēia manawa, e noʻonoʻo i ka mea e hana ʻia inā ua hou ʻia kahi paipu wai ma kahi liʻiliʻi? E kahe ana ka wai i waho, ʻeā? ʻO ia ka mea e hana ʻia ma ʻaneʻi. No kekahi kumu, ʻo ka lāʻau lapaʻau i hāʻawi ʻia ma ke ʻano intravenous, ma kahi o ka hele ʻana i loko o ke aʻa, e kahe ana i waho o ke aʻa, i loko o nā ʻiʻo a puni e like me ka ʻili, ka momona, a me nā ʻiʻo. ʻO kēia ka mea a mākou e kapa nei he extravasation .

ʻO kēia mau lāʻau lapaʻau, nona ka mana e pepehi i nā hunaola kanesa, hiki ke hōʻino i nā ʻiʻo olakino ke komo lākou i loko. ʻO ia ke kumu e pono ai mākou e hopohopo no kēia kūlana.

He aha nā hōʻailona o ka extravasation?

Hiki ke ʻike ʻia kēia mau hōʻailona ma hope koke iho o ka hāʻawi ʻia ʻana o ka lāʻau. A i ʻole e ʻike ʻia paha i kekahi mau lā ma hope. Ua hoʻokaʻawale nā ​​kauka i kēia kūlana i ʻehā mau pae (nā māka) ma muli o ke koʻikoʻi. He mea nui loa iā ʻoe e makaʻala i kēia mau hōʻailona.

He mea nui loa: Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka wā e hāʻawi ʻia ana iā ʻoe ka lāʻau lapaʻau, e haʻi koke aku i ke kahu maʻi a i ʻole ke kauka e mālama ana iā ʻoe. Mai hoʻowahāwahā wale iā ia. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.

No ke aha lā kēia e hana nei? He aha nā kumu?

Hiki ke hana ʻia ka extravasation no kekahi mau kumu.

• Ka haki ʻana o ke aʻa: Hiki ke pohā kahi aʻa palupalu i ka wā e lawelawe ʻia ai ka lāʻau lapaʻau.
• Nā hemahema o nā lako: Hiki ke liki ma muli o kahi hemahema i ka laina IV a i ʻole cannula i hoʻohana ʻia e hāʻawi i ka lāʻau lapaʻau.
• Nā hewa i ka hāʻawi ʻana i ka lāʻau lapaʻau: I kekahi manawa hiki ke hana ʻia kēia ʻano ma muli o nā mea e like me ke komo pono ʻole ʻana o ka nila i loko o ke aʻa, a i ʻole ka hāʻawi wikiwiki ʻia ʻana o ka lāʻau lapaʻau.

ʻO wai ka mea i ʻoi aku ka pilikia no kēia?

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe.

• Inā he maʻi kou e hoʻonāwaliwali ai i kou mau aa koko (e like me ka maʻi Peripheral Artery).
• Inā ua mānoanoa a paʻakikī nā aa koko ma muli o ka mālama ʻana i ka maʻi kanesa.
• Inā liʻiliʻi a palupalu loa kou mau aa koko.
• Inā neʻe nā aa koko i mua a i mua i ka wā e hoʻokomo ʻia ai ke kui.

He aha ka mea e hana ʻia inā ʻaʻole e mālama koke ʻia kēia maʻi?

Inā loaʻa kahi extravasation a lohi ka mālama ʻana, hiki ke loaʻa nā pilikia koʻikoʻi. E like me kā mākou i kūkākūkā ai ma mua, ʻo nā lāʻau lapaʻau e pepehi ana i nā hunaola kanesa e hōʻino pū i nā ʻiʻo olakino. No laila,

• Hiki ke loaʻa ka ʻeha nui.
• Hiki ke hōʻeha mau loa i ka ʻili a me nā ʻiʻo ma lalo.
• I kekahi mau hihia koʻikoʻi, hiki ke hoʻopilikia ʻia ka hana o kēlā lima a wāwae paha.

Pehea e mālama ai nā kauka i kēia?

Ua hoʻomaʻamaʻa kūikawā ʻia nā kauka a me nā kahu maʻi e hāʻawi iā ʻoe i ka chemotherapy e pale aku i kēia maʻi a e mālama iā ia inā loaʻa. E hana lākou i kēia mau hana inā ʻike lākou i kahi mea e like me kēia.

1. Ke hoʻōki koke ʻana i ka lāʻau lapaʻau: Hoʻōki koke ʻia ka lāʻau lapaʻau ma o ka laina IV.

2. Ke hoʻāʻo nei e wehe i ka lāʻau lapaʻau i kahe: Me ka hoʻohana ʻana i ka syringe, e huki i ka nui o ka lāʻau lapaʻau i kahe mai loko mai o ke aʻa koko e like me ka hiki.

3. E hāʻawi i kahi lāʻau pale: Inā he lāʻau pale no ke ʻano o ka lāʻau i ninini ʻia, e hāʻawi ʻia ma o ka laina IV.

4. Ke wehe ʻana i ka laina IV: A laila wale nō e wehe ʻia ai ka nila IV a wehe ʻia.

5. E hoʻokiʻekiʻe i ka lima i hoʻopilikia ʻia: Ua ʻōlelo ʻia e hoʻokiʻekiʻe i ka lima, me he mea lā ma luna o ka uluna, e hōʻemi i ka pehu.

6. Ke kau ʻana i nā mea poni: Hiki iā ʻoe ke kau i kahi kirīmi kūpono e hōʻemi i ka ʻeha a me nā hōʻailona ʻē aʻe.

7. Palai anu a wela paha: He hana koʻikoʻi loa kēia.

• ʻUmi Anu: He nui nā lāʻau chemotherapy e pili ana i ka hoʻopili ʻana i ka wai anuanu. Hoʻoulu ke anu i nā kīʻaha koko e ʻūlū, kahi e pale ai i ka lāʻau mai ka laha hou aku.
• ʻUmiʻumi Mehana: Hoʻohana wale ʻia nā ʻumiʻumi mehana no kekahi mau ʻano lāʻau lapaʻau. Hoʻonui ka wela i ke kahe koko i ka wahi, e kōkua ana i ka lāʻau lapaʻau e kahe wikiwiki aku.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻOkoʻa ka manawa e hana ai kēia mai kēlā kanaka a kēia kanaka. Aia ia i ke ʻano o ka lāʻau i hoʻokahe ʻia, kona nui, a me ka nui i hoʻokuʻu ʻia. Na kāu kauka e haʻi iā ʻoe i ka mea e hana ai ma ka home.

• E mālama i kou lima i ke kiʻekiʻe e like me ka hiki.
• E hoʻopili i nā ʻūmiʻi anu a wela paha e like me ke kuhikuhi a kāu kauka. ʻO ka maʻamau, paipai lākou e hoʻopili i nā ʻūmiʻi ʻehā a ʻelima mau manawa i ka lā no kahi o 15-20 mau minuke.

He aha ka ʻokoʻa ma waena o ka Extravasation a me ka Infiltration?

Ua lohe paha ʻoe i ka huaʻōlelo "infiltration." Pili nā mea ʻelua i ka liki ʻana o ke wai mai loko mai o kahi aa koko. Akā, aia kahi ʻokoʻa iki.

• Extravasation: He leaka kēia e hiki ke hōʻino i nā ʻiʻo (vesicant)He lāʻau lapaʻau. Eia kekahi laʻana, nā lāʻau chemotherapy. Hiki i kēia ke hana i nā mea e like me ka pehu a me ka make ʻana o nā ʻiʻo (necrosis).
• Ke komo ʻana: He wai ʻole kēia e hoʻoulu ai i ka ʻeha nui o nā ʻiʻo a i ʻole ka mumū . No ka laʻana, ka saline maʻamau a i ʻole kekahi mau lāʻau antibiotic. Hoʻoulu wale kēia i ka ʻulaʻula, ka mehana, a me ka ʻeha ma ia wahi. ʻAʻole make ka ʻiʻo.

I ka ʻōlelo maʻalahi, ʻo ka Extravasation ka hihia koʻikoʻi loa o ka Infiltration.