Pono ʻoe a i ʻole kekahi āu i ʻike ai e loaʻa nā inikini, saline, a i ʻole nā laʻana koko e lawe mau ʻia? Ua ʻike mākou i ka ʻeha, ka ʻoluʻolu ʻole, a me ka hōʻino ʻana i nā aa koko e hele mai me ka hoʻokomo ʻana i kahi cannula a hou i ka nila i kēlā me kēia manawa. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi mea liʻiliʻi koʻikoʻi e maʻalahi ai kēia kaʻina hana no ka poʻe e hana ana i nā lāʻau lapaʻau lōʻihi e like me kēia.
No laila, he aha kēia 'Implanted Port'?
I ka ʻōlelo maʻalahi, he mea lapaʻau liʻiliʻi kēia i hoʻokomo ʻia ma lalo o ko kākou ʻili. ʻOi aku ka pololei, he "puka" mau loa ia i hoʻolālā ʻia e hoʻopili maʻalahi i kahi aʻa nui i loko o ko kākou kino. I kekahi manawa ua kapa ʻia kēia he 'portacath' a i ʻole 'mediport'.
Hana ʻia kēia 'puka' me kahi ʻāpana pālahalaha, liʻiliʻi e like me ka disc i hana ʻia me ka metala a i ʻole ka plastic. Ma luna ona he ʻāpana (`septum`) i hana ʻia me ka silicone, hiki ke hoʻokomo ʻia me kahi nila. Hoʻokomo pololei ʻia kahi paipu lahilahi a palupalu (`catheter`) i hoʻopili ʻia i kēia disc i loko o kahi aa nui kokoke i ko mākou puʻuwai. Hoʻokomo ke kauka i kēia ʻōnaehana holoʻokoʻa ma lalo o ka ʻili i ka wā o kahi ʻoki liʻiliʻi. Ke ʻole ʻoe e pono hou, hiki ke wehe hou ʻia me kahi ʻoki liʻiliʻi.
ʻO ka pōmaikaʻi nui o kēia, ʻo ia ka hoʻopau ʻana i ka pono no ka hoʻokomo pinepine ʻana i nā nila a me nā cannulas, e ʻoi aku ka maʻalahi o ka mālama ʻana a me ka ʻeha ʻole.
Aia kekahi mau ʻano like ʻole o kēia mau 'awa'?
ʻAe, aia kekahi mau ʻano nui. E maʻalahi iā ʻoe ke hoʻomaopopo i kēia ma kahi papa.
| ʻAno awa (ʻAno) | Ka wehewehe maʻalahi |
|---|---|
| Lumen hoʻokahi | Hoʻokahi puka komo o kēia. ʻO kēia ke ʻano i hoʻohana nui ʻia. |
| Lumen pālua | ʻElua puka komo o kēia. He mea pono loa kēia inā pono ʻoe e hāʻawi i ʻelua ʻano lāʻau lapaʻau i ka manawa hoʻokahi. |
| Mana-Injectable | He nui nā 'ports' i loaʻa i kēia lā o kēia ʻano. Hiki ke hoʻohana ʻia lākou e hoʻokomo i ka dye contrast ma ke kaomi kiʻekiʻe no nā mea e like me nā scan CT a i ʻole nā scan MRI. |
ʻO wai ka mea e pono ai kahi 'awa' e like me kēia?
He mea pono kēia no kekahi mea e pono ai nā lāʻau lapaʻau aa pinepine a lōʻihi paha, nā hoʻoili koko, a i ʻole nā huki koko. Hiki i kāu kauka ke ʻōlelo aku i kēia, ʻoiai inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau kūlana:
- Nā kūlana maʻi kanesa: Inā pono ʻoe e loaʻa i ka chemotherapy i nā manawa a pau.
- Nā maʻi lōʻihi: Inā pono, pono paha nā antibiotic intravenous no nā pule a i ʻole nā mahina.
- Ka hāʻule ʻana o nā puʻupaʻa: No ka dialysis.
- Nā maʻi o ka ʻōnaehana hoʻoheheʻe: I nā kūlana e like me ka Inflammatory Bowel Disease (IBD), pono paha ka meaʻai intravenous.
- Nā maʻi paʻakikī ʻē aʻe: ʻO kēlā me kēia kūlana e pono ai nā wai intravenous pinepine a i ʻole nā hoʻāʻo koko.
He aha ka mea e hana ʻia ma mua o ke kau ʻia ʻana o ke 'port'?
ʻOiai he hana ʻoki liʻiliʻi kēia, aia kekahi mau mea e pono ai ʻoe e hoʻomākaukau ma mua.
- Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā huaora āu e lawe nei. Pono paha kekahi mau lāʻau lapaʻau iā ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ke ʻoki ʻana.
- Hana ʻia kekahi mau hoʻokolohua koko e nānā i ka hana o nā puʻupaʻa a me ke kāpili ʻana o ke koko.
- E aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea (wikiwiki) no kekahi mau hola ma mua o ke ʻoki kino.
Pehea ʻoe e hoʻokomo ai i kēia 'puka' i loko o kou kino?
He hana ʻoki liʻiliʻi kēia e lawe pinepine ʻia ma kahi o hoʻokahi hola a hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, he mea nui e lawe mai ʻoe i kekahi e lawe iā ʻoe i ka home.
ʻO ka hapa pinepine, ua kau ʻia kēia 'puka' ma lalo o ka ʻili ma ka ʻaoʻao ʻākau o ka umauma. I kekahi manawa, hiki ke kau ʻia ma lalo o ka ʻili ma ka ʻaoʻao o loko o ka lima a i ʻole ma ka ʻōpū ma lalo o nā iwi ʻaoʻao.
E hoʻomoe kahi anesthesiologist iā ʻoe i ʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana. E hāʻawi pū lākou iā ʻoe i ka lāʻau lapaʻau e hoʻomānoino i ka wahi e hana ʻia ai ke ʻoki ʻana. E hāʻawi ʻia nā keiki i ka 'anesthesia laulā', ka mea e hoʻomoe loa ai iā lākou.
Hoʻokomo ke kauka i kēia penei:
1. Alakaʻi X-ray: Hana ʻia kēia ʻoki kino ma lalo o ke alakaʻi ʻana o kahi ʻenehana X-ray kūikawā i kapa ʻia ʻo `Fluoroscopy`.
2. ʻOki liʻiliʻi: Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻāʻī e komo ai i kahi aʻa nui (e like me ka vena cava superior, jugular, a i ʻole subclavian).
3. ʻO kekahi ʻoki ʻē aʻe: Hana ʻia kekahi ʻoki liʻiliʻi ma ka ʻili o ka umauma a i ʻole ka lima, e hana ana i kahi "ʻeke" liʻiliʻi ma lalo o ka ʻili e kau ai i ka 'puka'.
4. Ke kau nei i ka 'port':Ua waiho ʻia ke 'puka' i loko o ka ʻeke i hana ʻia.
5. Ke hoʻohui ʻana i ka paipu: Hoʻokomo ʻia ka paipu (catheter) e hele mai ana mai ka 'port' i loko o ke aʻa ma o ka ʻoki ʻana ma ka ʻāʻī a hoʻopili ʻia.
6. Hōʻoia: Lawe ʻia kahi X-ray umauma e hōʻoia i ka pono o nā mea āpau.
7. Humuhumu: ʻO ka hope loa, ua pani ʻia nā ʻoki me ka hoʻohana ʻana i nā humuhumu hiki ke hoʻoheheʻe ʻia.
He aha nā pōmaikaʻi a me nā pōʻino o ka hoʻohana ʻana i kahi 'port'?
He mau pono kēia a me nā pilikia liʻiliʻi. E makaʻala kākou i nā mea ʻelua.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
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ʻO wai ka mea mālama i ka 'port' a i ka manawa hea e pono ai iaʻu e kamaʻilio me ke kauka ?
ʻAʻole pono ka ʻili ma luna o ka puka i kekahi mālama kūikawā. Eia nō naʻe, inā ʻaʻole ʻoe e loaʻa ana i ka lāʻau lapaʻau maʻamau, pono paha ʻoe e holoi i ka puka i hoʻokahi manawa i ka mahina e pale aku ai i nā ʻūpā koko. ʻO ia hoʻi ka hoʻomaʻemaʻe ʻana me kahi hopena kūikawā. Na kāu kauka a kahu maʻi paha e hana i kēia.
I mea e pale aku ai i nā maʻi, ʻo ka maʻemaʻe ka mea mua.
- E ʻauʻau i kēlā me kēia lā.
- E holoi mau i kou mau lima me ke kopa no 20 kekona ma ka liʻiliʻi.
- E mālama i kou wahi a puni a me kou wahi moe i maʻemaʻe.
E kāhea koke i kāu kauka inā:
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻokaʻulua a e hoʻomaopopo i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) .
- Inā e kahe ana ke koko a i ʻole kekahi wai ʻē aʻe mai ke awa.
- Inā ʻulaʻula ka ʻāpana, pehu, a wela ke pā.
- Inā he kuni kou.
- Inā pehu ka lima ma ka ʻaoʻao kahi i loaʻa ai ka 'port'.
- Inā pilikia ʻoe i ka hanu ʻana a i ʻole ka ʻeha o ka umauma.
- Inā manaʻo ʻoe ua poniuniu a ua maule paha.
He mea maʻalahi loa ka 'port' no kekahi e mālama ʻia ana no ka manawa lōʻihi. Hoʻomaʻalahi ia i ke ola. No laila, mai makaʻu i kēia. E wehewehe kāu kauka i nā mea āpau iā ʻoe e pili ana i kēia.
Leka Lawe-Home
- ʻO kahi 'implanted port' he mea liʻiliʻi i kau ʻia ma lalo o ka ʻili e kōkua ai i ka mālama ʻana no ka poʻe e pono e loaʻa i nā lāʻau lapaʻau intravenous (e like me ka chemotherapy), nā infusions saline, a i ʻole nā huki koko no kahi manawa lōʻihi.
- Hoʻopau kēia i ka ʻeha a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e nā hoʻokomo pinepine ʻana o ka nila a me nā cannulas.
- Hoʻokomo ʻia kēia ma o kahi ʻoki kino liʻiliʻi a hiki ke wehe ʻia ke pau ka pono.
- ʻO ka pilikia maʻamau ka maʻi, no laila he mea nui e makaʻala loa i ka maʻemaʻe.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻulaʻula, ka pehu ʻana, ke kuni, a i ʻole ka paʻakikī o ka hanu ʻana a puni ka 'port', e kelepona koke aku i kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka ʻeha o ke kua haʻahaʻa / Lumbago?
ʻAʻole kēia he ʻeha iki wale nō ke ala ʻoe i ke kakahiaka! ʻO ka 'Lower Back Pain' he mumū/kaumaha hiki ʻole ke hoʻomanawanui ʻia ma ke kuamoʻo, nā ʻiʻo a i ʻole nā aʻalolo ma luna o kou iwi ʻūhā, ma luna o kou puʻupuʻu (ʻāpana Lumbar) a i ʻole he ʻeha ʻeha e hiki ʻole ai ke ala aʻe mai kahi moe/noho. ʻOiai ʻo ia kekahi o nā ʻeha maʻamau i ʻike ʻia e ka poʻe ma ka honua, i kekahi manawa he hōʻailona ia e palaho mau loa nā wāwae ʻelua!
💬 He aha nā kumu nui o ka ʻeha o ke kua i lalo e paʻakikī pinepine ai ke ala aʻe mai kahi moe?
ʻO ke kumu nui o kēia (90%) ʻo ia ke ʻano kūpono ʻole a me ke kaumaha o nā ʻiʻo - hana ʻia kēia i ka wā e hāpai hewa ai i nā mea kaumaha (e kūlou ana i ke kua ma kahi o ke kūlou ʻana i nā wāwae). Eia kekahi, 2) He uluna ma waena o ʻelua vertebrae e puka mai ana a ʻūmiʻi i kahi aʻalolo (Herniated Disc / Slip Disc). 3) Sciatica - Hele ka ʻeha mai ke kua i lalo i ka wāwae. 4) ʻO nā pōhaku puʻupaʻa (Nā pōhaku puʻupaʻa/Pyelonephritis) kekahi e hoʻoulu ai i kēia ʻeha.
💬 He aha nā 'hae ʻulaʻula' e hōʻike ana i kahi kūlana koʻikoʻi a pilikia paha a pono ʻoe e hele koke i ka haukapila me ka ʻole o ka hoʻopili ʻana i ka balm/lomilomi ma ka home?
Inā he pilikia maʻamau, e ho'ōla ʻia i loko o 2 mau pule me ka hau/wai wela a me ka hoʻomaha. Akā ʻo ka pōʻino nui loa! 1) Inā loaʻa iā ʻoe ka ʻeha o ke kua a nalowale koke ka mana o kāu ʻōpū mimi a i ʻole nā ʻōpū (Loss of bowel/bladder control) a i ʻole inā he maneo kou kua haʻahaʻa (Saddle anesthesia), e pala maoli kou kaula iwi kuamoʻo (Cauda Equina Syndrome / make)! 2) Inā ʻike ʻoe i ka maneo ma nā wāwae ʻelua, 3) Inā loaʻa iā ʻoe ke kuni kiʻekiʻe me ka ʻeha, hiki iā ʻoe ke lilo i maʻi lolo i loko o kekahi mau hola, pono ʻoe e hele koke i ka haukapila!
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