Ke koi pinepine nei ʻoe a i ʻole kahi mea aloha i nā inikini intravenous, nā infusions saline, a i ʻole nā huki koko? Hoʻomaopopo mākou i ka ʻeha, ka ʻoluʻolu ʻole, a me ka hōʻino ʻana o nā aʻa e hele pinepine mai me ka cannulation pinepine a me nā lāʻau nila. I kēia lā, ke kūkākūkā nei mākou i kahi mea lapaʻau liʻiliʻi a koʻikoʻi i hoʻolālā ʻia e hoʻolilo i ka mālama lōʻihi i ʻoi aku ka ʻoluʻolu a me ka maʻalahi no ʻoe.
He aha maoli ka Implanted Port?
I ka ʻōlelo maʻalahi, ʻo kahi puka i hoʻokomo ʻia he mea lapaʻau liʻiliʻi i waiho ʻia ma lalo o kou ʻili. Hana ia ma ke ʻano he "puka" paʻa mau loa i kahi aa nui i loko o kou kino, e ʻae ana i ke komo maʻalahi no nā lāʻau lapaʻau. Hiki paha iā ʻoe ke lohe iā ia i kapa ʻia he "port-a-cath" a i ʻole "mediport."
ʻO ka puka he diski liʻiliʻi, pālahalaha i hana ʻia me ka metala a i ʻole ka palakika. Ma ka piko, loaʻa iā ia kahi kikowaena silicone ponoʻī i kapa ʻia ʻo "septum," hiki ke hou ʻia e kahi nila. Hoʻokomo ʻia kahi paipu lahilahi a palupalu (catheter) i hoʻopili ʻia i ka diski i loko o kahi aa nui kokoke i kou puʻuwai. E hana kāu kauka i kahi hana ʻoki liʻiliʻi e kau i ka ʻōnaehana holoʻokoʻa ma lalo o kou ʻili. Ke ʻole e pono hou ka puka, hiki ke wehe ʻia i ka wā o kekahi hana liʻiliʻi ʻē aʻe.
ʻO ka pōmaikaʻi nui loa, ʻo ia ka hoʻopau ʻana i ka pono no ke kuʻi ʻana i ka nila a me ka cannulation pinepine, e ʻoi aku ka maʻalahi o kāu kaʻina hana lapaʻau, ʻoi aku ka ʻeha, a ʻoi aku ka ʻoluʻolu.
Aia kekahi mau ʻano awa like ʻole?
ʻAe, aia kekahi mau ʻano like ʻole i loaʻa. E kōkua ka papa ma lalo nei iā ʻoe e hoʻomaopopo i nā koho.
| ʻAno o ke awa | Wehewehena |
|---|---|
| Lumen hoʻokahi | Loaʻa i kahi kikowaena komo hoʻokahi. ʻO kēia ke ʻano maʻamau i hoʻohana ʻia i ka mālama maʻamau. |
| Lumen pālua | Loaʻa iā ia ʻelua mau wahi komo kaʻawale, he mea pono loa ia inā pono ʻoe e loaʻa i nā lāʻau lapaʻau he nui i ka manawa like. |
| Mana-Injectable | No kēia māhele ka hapa nui o nā awa hou. Ua hoʻolālā ʻia lākou e kū i ke kaomi kiʻekiʻe e pono ai e hoʻokomo i nā kala ʻokoʻa i ka wā o nā scan CT a i ʻole MRI. |
ʻO wai ka mea e pono ai kahi awa?
He mea kōkua ka puka no kekahi mea e pono ai nā lāʻau lapaʻau intravenous (IV) pinepine a lōʻihi paha, nā hoʻoili koko, a i ʻole nā huki koko maʻamau. Hiki i kāu kauka ke ʻōlelo aku i kahi puka nou a i ʻole kāu keiki inā ʻoe e mālama nei i nā kūlana e like me:
- Kanesa: Ke makemake ʻoe i nā kau chemotherapy pinepine.
- Nā Maʻi Maʻi Mau: Inā makemake ʻoe i nā lāʻau antibiotic intravenous ma luna o kekahi mau pule a i ʻole nā mahina.
- Ka Holo ʻole ʻana o nā Puʻupaʻa: No nā poʻe maʻi e pono ai ka mālama dialysis e hoʻomau ʻia.
- Nā maʻi ʻōpū: Nā kūlana e like me ka Inflammatory Bowel Disease (IBD) kahi e pono ai ʻoe i ka meaʻai intravenous no ka manawa lōʻihi.
- Nā Pono Ola Kino Paʻakikī ʻē aʻe: ʻO kēlā me kēia kūlana e pono ai ka hoʻouna pinepine ʻana i nā lāʻau lapaʻau a i ʻole ka hana koko hou ʻana.
Nā mea e manaʻo ai ma mua o ke kaʻina hana
Ma muli o ke kaʻina hana ʻoki kino liʻiliʻi kēia, aia kekahi mau hana hoʻomākaukau:
- E hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei. Hiki ke aʻo ʻia ʻoe e hoʻōki i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o ke kaʻina hana.
- E hana ʻia nā hoʻokolohua koko maʻamau e nānā i ka hana o kāu puʻupaʻa a me ka maikaʻi o ke kāpili ʻana o kou koko.
- E loaʻa iā ʻoe nā ʻōlelo aʻoaʻo e hoʻokē ʻai (pale i ka ʻai ʻana a i ʻole ka inu ʻana) no kekahi mau hola ma mua o ke kaʻina hana.
Pehea e hoʻokomo ʻia ai ke awa?
He hana ʻoki kino liʻiliʻi hoʻokahi hola kēia maʻamau, a hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, pono ʻoe e hele pū me kekahi e hoʻokele iā ʻoe i ka home me ka palekana.
Hoʻokomo ʻia ka hapa nui o nā awa ma lalo o ka ʻili ma ka umauma o luna. I kekahi mau hihia, hiki i kāu kauka ke kau iā ia ma kou lima o loko a i ʻole ma lalo pono o ka iwi ʻaoʻao.
I mea e hōʻoia ai i kou ʻoluʻolu, e hāʻawi kahi anesthesiologist i ka hoʻomaha e hoʻomaha a hiamoe hoʻi ʻoe, me ka anesthesia kūloko e hoʻomāʻū i ka wahi i ʻoki ʻia. No nā keiki, hoʻohana pinepine ʻia ka anesthesia laulā.
Eia ke ʻano o kāu kauka e hana ai i ke kaʻina hana:
1. Alakaʻi X-ray: Alakaʻi ʻia ke kaʻina hana e kahi ʻenehana X-ray kūikawā i kapa ʻia ʻo fluoroscopy.
2. ʻOki liʻiliʻi: Hana ʻia kahi ʻoki liʻiliʻi kokoke i ka ʻāʻī e komo ai i kahi aʻa nui (e like me ka vena cava superior, jugular, a i ʻole subclavian vein).
3. Ke Hana ʻana i ka ʻEke: Hana ʻia kahi ʻoki liʻiliʻi ʻelua ma ka umauma a i ʻole ka lima, kahi i hana ʻia ai kahi "ʻeke" liʻiliʻi ma lalo pono o ka ʻili e waiho ai i ke awa.
4. Ke Kau ʻana o ka Puka: Ua waiho paʻa ʻia ka puka i loko o kēia ʻeke.
5. Ke Hoʻohui ʻana i ka Catheter: Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu i kapa ʻia he catheter mai ke awa i loko o kou aʻa ma o ka ʻoki ʻāʻī.
6. Hōʻoia: Hana ʻia kahi X-ray umauma e hōʻoia i ka hoʻonoho pono ʻia ʻana o ke awa a me ke catheter.
7. Ke Pani ʻana i ka ʻoki: ʻO ka hope loa, ua pani ʻia nā ʻoki me ka hoʻohana ʻana i nā humuhumu hiki ke hoʻoheheʻe ʻia.
Nā Pōmaikaʻi a me nā Pōʻino: Ka Mea Pono ʻoe e ʻIke
ʻOiai ua hoʻolālā ʻia nā awa e hoʻomaikaʻi i kou kūlana ola, he mea nui e hoʻomaopopo ʻia e pili ana i nā pono a me nā pilikia kūpono.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
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Pehea e mālama ai i kāu 'port' a me ka wā e kāhea aku ai i kāu kauka
ʻAʻole pono ka ʻili ma luna o kou awa i kahi mālama kūikawā i kēlā me kēia lā. Eia nō naʻe, inā ʻaʻole ʻoe e loaʻa pinepine i nā mālama ʻana, pono e 'holoi' ʻia kou awa ma kahi o hoʻokahi manawa i ka mahina e pale aku ai i nā ʻūpā koko. Pili kēia i ka hoʻomaʻemaʻe ʻana i ka ʻōnaehana me kahi wai kūikawā, kahi hana e hana ʻia e kāu kauka a i ʻole kahi kahu maʻi kūikawā.
I mea e pale aku ai i ka maʻi, e hoʻoikaika i ka hoʻomaʻemaʻe ma mua o nā mea āpau.
- E ʻauʻau i kēlā me kēia lā.
- E holoi pinepine i kou mau lima me ke kopa no ka liʻiliʻi he 20 kekona.
- E mālama i kou wahi noho a me kou wahi moe i maʻemaʻe.
E kāhea koke i kāu kauka inā:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai hoʻokaʻulua e kelepona i kāu kauka a i ʻole e hele koke i ka ʻOihana Pilikia kokoke loa .
- Aia ke kahe koko a i ʻole ka hoʻokuʻu ʻia ʻana mai ka wahi puka.
- Lilo ka ʻāpana i ʻulaʻula, pehu, a i ʻole mehana ke pā aku.
- Loaʻa iā ʻoe ke kuni.
- Hoʻomaka ka pehu ʻana o ka lima ma ka ʻaoʻao o ke awa.
- Loaʻa iā ʻoe ka pilikia o ka hanu ʻana a i ʻole ka ʻeha o ka umauma.
- Manaʻo ʻoe ua puni ka poʻo a ua nāwaliwali paha.
He mea pono nui ka puka i hoʻokomo ʻia no ka poʻe e mālama ʻia ana no ka manawa lōʻihi, e maʻalahi ai ke ola. Mai hopohopo no ia mea; e wehewehe kāu kauka ma Nirogi Lanka i nā mea āpau e pono ai ʻoe e ʻike.
Nā Manaʻo Koʻikoʻi
- ʻO kahi 'implanted port' he mea liʻiliʻi i kau ʻia ma lalo o kou ʻili e hoʻomaʻalahi i nā lāʻau lapaʻau lōʻihi e like me ka chemotherapy, nā wai IV, a i ʻole nā huki koko.
- Hoʻopau ia i ka ʻeha a me ka ʻoluʻolu ʻole o nā lāʻau nila i hana hou ʻia a i ʻole nā hoʻokomo cannula.
- Hoʻokomo ʻia ia ma o kahi hana ʻoki kino liʻiliʻi a hiki ke wehe maʻalahi ʻia ke ʻole ia e pono hou.
- ʻO ka pilikia maʻamau ka maʻi; no laila, he mea nui ka mālama ʻana i ke olakino maikaʻi.
- E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona o ka maʻi, e like me ka ʻulaʻula, ka pehu, ke kuni, a i ʻole ka pilikia hanu.
👩🏽⚕️ Nā Nīnau i Nīnau Pinepine ʻia (FAQs)
💬 He aha ka ʻeha o ke kua haʻahaʻa (Lumbago)?
ʻOi aku ia ma mua o ka ʻeha kakahiaka! ʻO ka ʻeha o ke kua haʻahaʻa e pili ana i ka ʻeha nui, ka wela, a i ʻole ka ʻoʻoleʻa ma ka ʻāpana lumbar (ma luna o nā pūhaka, ma lalo o nā glutes), ka mea e pale ai iā ʻoe mai ka noho ʻana a kū ʻana paha. ʻOiai ʻo ia kekahi o nā maʻi maʻamau ma ka honua holoʻokoʻa, hiki i kekahi manawa ke lilo i hōʻailona hōʻailona o ka pilikia neurological koʻikoʻi.
💬 He aha nā kumu nui o ka ʻeha nui o ke kua i lalo?
ʻO ke kumu maʻamau (ma kahi o 90%) ka ʻeha o nā ʻiʻo ma muli o ke kūlana kūpono ʻole a i ʻole nā ʻano hana hāpai kūpono ʻole. ʻO nā kumu ʻē aʻe: 1) Nā disc herniated a i ʻole nā disc paheʻe e ʻomi ana i kahi aʻalolo, 2) Sciatica, kahi e pālahalaha ai ka ʻeha i lalo o ka wāwae, a i ʻole 3) Nā pōhaku puʻupaʻa a i ʻole nā maʻi (pyelonephritis).
💬 Āhea wau e ʻimi ai i ka mālama ulia pōpilikia no ka ʻeha o ke kua haʻahaʻa?
ʻOiai ʻo ka hapa nui o nā ʻeha hope liʻiliʻi e hoʻopau i loko o ʻelua pule me ka hoʻomaha a me ka lāʻau wela/anu, pono ʻoe e ʻimi koke i ka mālama ulia pōpilikia inā ʻike ʻoe i kēia mau mea: 1) Ka nalowale ʻana o ke kaohi ʻana o ka ʻōpū a i ʻole ka mimi ʻōpū a i ʻole ka mae ʻana o ka ʻōpū (e hōʻike ana i ka Cauda Equina Syndrome, he ulia pōpilikia ʻoki kino), 2) Ka nāwaliwali koke i kou mau wāwae, a i ʻole 3) ʻEha nui ke kua i hele pū me ke kuni kiʻekiʻe.
