He aha ka Permacath? E aʻo maʻalahi kākou e pili ana i ia mea.

Ke pono ʻoe e hele i ka haukapila i nā manawa he nui i ka pule e kiʻi i ka lāʻau lapaʻau, a i ʻole ke pono kekahi me ka hāʻule ʻana o nā puʻupaʻa e hana i ka lāʻau lōʻihi, e like me ka dialysis , e hoʻomaʻemaʻe i ke koko, pehea ka ʻeha a me ka hoʻonāukiuki o ke kau ʻana i kahi nila i loko o kou kino i kēlā me kēia manawa? E noʻonoʻo i ka loaʻa ʻana o kahi aʻa hou i kēlā me kēia lā a hoʻokomo i kahi nila. I mea e pale aku ai i ia mau pilikia, hoʻohana nā kauka i kahi mea hana kūikawā. ʻO ia ka mea a mākou e kapa nei he permacath.

No laila, he aha ka Permacath?

I ka ʻōlelo maʻalahi, he ʻōmole palupalu kūikawā ( catheter ) ka permacatheter i hoʻokomo ʻia i loko o kahi kīʻaha koko nui i loko o kou kino, ʻo ia hoʻi he aa koko ma kou ʻāʻī. ʻO ka mea kūikawā e pili ana i kēia, ke hoʻokomo ʻia, hiki ke waiho ʻia ma kahi no ka manawa lōʻihi, i kekahi manawa a mau loa aku . ʻO ia ke kumu i kapa ʻia ai he 'permacatheter', ʻo ia hoʻi ' catheter mau loa'.

Ke hoʻokomo ʻia, hiki iā ʻoe ke hoʻopili pololei i kāu ʻōnaehana koko ma o kēia paipu, me ka ʻole o ka hoʻohana ʻana i nā nila i kēlā me kēia manawa. He mea maʻalahi loa ka mālama ʻana me kēia. Hoʻohana nui ʻia no:

• Hemodialysis no nā maʻi puʻupaʻa: He mea maʻalahi loa ka loaʻa ʻana o kahi permacatheter no kēia lāʻau lapaʻau, ka mea e pono ai kekahi mau hola o ka dialysis i nā manawa he nui i ka pule.
• No ka hāʻawi ʻana i nā lāʻau lapaʻau kūikawā: Pono e hāʻawi ʻia kekahi mau lāʻau lapaʻau no nā maʻi e like me ke kanesa no ka manawa lōʻihi.
• Lapaʻau Apheresis : Pili kēia i ka hoʻokaʻawale ʻana a me ka wehe ʻana i kekahi o nā ʻāpana ʻino mai ke koko. Hoʻohana ʻia kēia lāʻau no nā maʻi e like me ka leukemia a me ka maʻi sickle cell.

He aha ka ʻokoʻa ma waena o PermaKath a me nā lāʻau lapaʻau ʻē aʻe?

Aia kekahi mau ala e hoʻopili ai i kou mau kīʻaha koko no ka hemodialysis. E koho kāu kauka i ke ʻano hana kūpono loa iā ʻoe. E nānā kākou i nā ʻano hana nui.

Pehea e hoʻokomo ʻia ai ka permacatheter i loko o ke kino?

Ua like kēia me ke ʻoki ʻana i ke ala mimi . No laila, ʻaʻohe mea e hopohopo ai. Penei ka hana maʻamau.

Ma mua o ke ʻoki kino

E wehewehe pono ana kāu kauka i ke kaʻina hana iā ʻoe. E kūkākūkā ʻo ia i nā pono a me nā pōʻino a loaʻa iā ʻoe kou ʻae. I kahi pilikia, pono paha e hana ʻia kēia me ka ʻole o kou ʻae e hoʻopakele i kou ola.

I ka wā o ke ʻoki kino

He 45 mau minuke wale nō kēia e hana ai. E hōʻoia nā kauka ʻaʻole ʻoe e ʻike i kekahi ʻeha. Hiki ke hāʻawi ʻia iā ʻoe ka anesthesia laulā, a i ʻole e hoʻokomo ʻia kahi lāʻau hoʻomānoino (lidocaine) ma kahi i kau ʻia ai ka permacatheter.

Hoʻohana ke kauka i kahi ʻano hana i kapa ʻia ʻo ultrasound a i ʻole fluoroscopy (he X-ray e hiki ai iā ʻoe ke ʻike i kahi wikiō manawa maoli o loko o kou kino) e hoʻokomo pono i kēia paipu i loko o kou aa. Hoʻokomo ʻia kekahi ʻaoʻao o ka paipu i loko o ka atrium ʻākau o kou puʻuwai. Lawe ʻia kekahi ʻaoʻao ma o ka ʻili o kou umauma.

Ma hope o ke ʻoki kino

Ma hope o ke ʻoki ʻana, e kau ʻia kahi ʻaʻahu aniani e mālama i ka maʻemaʻe o ka wahi. He mea maʻamau ka manaʻo ʻana i kekahi ʻeha a me ka ʻoʻoleʻa ma ia wahi no kekahi mau lā. E hana ʻia kahi X-ray umauma e hōʻoia i ka holo pono ʻana o nā mea āpau. Hiki iā ʻoe ke hoʻi i ka home ma hope o kekahi mau hola o ka hoʻomaha. Eia kekahi, hiki ke hoʻohana ʻia ka Permacatheter no ka mālama ʻana ma hope koke iho o ke kau ʻia ʻana.

Pehea ʻoe e mālama ai i kahi permalink ma ka home?

Ma muli o ka pilikia o ka maʻi i ke kanaka me ka permacatheter, he mea nui loa ia e mālama pono iā ia a mālama pono iā ia. E hahai pono i nā ʻōlelo a kāu kauka.

• Mai hoʻokuʻu i ka wai e komo i loko o kou mau maka i ka lā mua. Mai ʻauʻau a ʻauʻau paha.
• He mea maʻamau ke puka mai ke koko liʻiliʻi mai ka Permacatheter. Eia nō naʻe, inā ua ʻeleʻele ka ʻaʻahu i ke koko, e wehe pono iā ia, holoi me ka wai, a kau i kahi mea hou.
• Mai huki a hoʻoneʻe paha i ke catheter . Inā puka mai ia ma waho o kona wahi, pono paha ʻoe e hoʻokomo i kahi mea hou.
• Mai wehe i ke poʻi ma waho o ka permacatheter. ʻO ka hana ʻana pēlā e hiki ai i ka ea ke komo, e hana ana i kahi kūlana weliweli.
• Mai hoʻopili i kekahi mau ʻaila antibiotic i ka ʻeha ke ʻole ke kauoha ʻia e kāu kauka.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka.

Inā loaʻa iā ʻoe kekahi o kēia mau mea, e hoʻomaopopo koke i kāu kauka. Inā he pilikia ia, e hele pololei i ka ʻOihana Pilikia (ETU) .

• Inā ʻoe e manaʻo i ke kuni, ke anu, a me ka haʻalulu.
• Inā pehu, ʻulaʻula, a ʻeha paha kahi i kau ʻia ai ka Permacathe.
• Inā paha ua neʻe ʻia ke catheter a i ʻole ua hele loa aku ma waho o kona wahi.
• Inā e kahe mau ana ke koko o ka ʻeha no nā minuke he 20 a ʻoi.

He aha nā pono a me nā pilikia o kahi permacatheter?

E like me kekahi kaʻina hana lapaʻau, loaʻa i ka permacatheter nā pono a me nā pilikia.

ʻAʻohe pono e makaʻu i kēia mau pilikia. ʻO ka mea nui loa, ʻo ia ka mālama pono ʻana i ka permalink me ka maʻemaʻe a me ka makaʻala i nā kumu pilikia. A laila hiki iā ʻoe ke pale aku i nā pilikia he nui.