Xav txog tias koj tau txais cov tshuaj saline rau kev kho mob qog noj ntshav (Chemotherapy). Cov tshuaj maj mam nkag mus rau hauv koj lub cev. Tab sis tam sim ntawd koj hnov mob me ntsis thiab tsis xis nyob hauv tes qhov twg cov tshuaj saline tau txhaj, qhov twg lub koob tau ntxig. Tom qab ib pliag, thaj chaw ntawd hloov liab thiab pib o. Qhov no yog qhov peb hu ua extravasation hauv kev kho mob. Hais yooj yim, cov tshuaj uas yuav tsum nkag mus rau hauv cov leeg ntshav tawm ntawm cov leeg ntshav thiab mus rau hauv cov nqaij. Qhov no tuaj yeem yog qhov kev paub txaus ntshai rau ib tus neeg uas tau txais kev kho mob qog noj ntshav. Tab sis tsis txhob txhawj, peb yuav tham txog txhua yam kom meej thiab yooj yim.
Extravasation yog dab tsi? Cia peb nkag siab meej.
Thaum koj kho mob qog noj ntshav, lossis kho mob qog noj ntshav, cov tshuaj yuav muab ncaj qha rau hauv koj cov leeg ntshav. Peb siv txoj kab IV, lossis lub raj yas me me (cannula) uas muab tso rau hauv cov leeg ntshav hauv koj txhais caj npab. Cov tshuaj no muaj zog heev vim lawv ua haujlwm tua cov hlwb qog noj ntshav uas faib sai sai.
Tam sim no xav txog seb yuav ua li cas yog tias cov yeeb nkab dej raug tho rau hauv ib qho chaw me me? Cov dej ntws tawm, puas yog? Qhov ntawd yog qhov tshwm sim ntawm no thiab. Vim li cas, cov tshuaj uas muab rau hauv cov hlab ntsha, es tsis txhob mus rau hauv cov hlab ntsha, ntws tawm ntawm cov hlab ntsha, mus rau hauv cov nqaij ib puag ncig xws li daim tawv nqaij, rog, thiab cov leeg. Qhov no yog qhov peb hu ua extravasation .
Cov tshuaj no, uas muaj zog txaus los tua cov hlwb qog noj ntshav, tuaj yeem ua puas cov nqaij noj qab haus huv thaum lawv nkag mus rau hauv. Yog vim li ntawd peb thiaj li yuav tsum txhawj xeeb txog qhov xwm txheej no.
Tiamsis qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tias tag nrho pab neeg, suav nrog cov kws kho mob thiab cov kws tu mob, uas kho koj tau kawm zoo los tiv thaiv qhov xwm txheej zoo li no kom tsis txhob tshwm sim thiab kho nws sai sai yog tias nws tshwm sim.
Cov tsos mob ntawm extravasation yog dab tsi?
Cov tsos mob no yuav tshwm sim tom qab muab tshuaj rau. Los yog lawv yuav tshwm sim ob peb hnub tom qab. Cov kws kho mob faib qhov mob no ua plaub theem (qib) nyob ntawm qhov hnyav. Nws yog ib qho tseem ceeb heev rau koj kom paub txog cov tsos mob no.
| Qib | Cov tsos mob uas koj hnov thiab pom |
|---|---|
| Qib 1 | Tej zaum yuav muaj qee qhov tsis xis nyob thiab me ntsis o ntawm qhov chaw raug tom. |
| Qib 2 | Nrog rau qhov tsis xis nyob lossis mob, tej zaum yuav muaj o, liab, thiab tej zaum yuav muaj cov hlwv me me. |
| Qib 3 | Nrog rau qhov mob kub hnyiab lossis mob ntswj, kuj muaj o, liab, tawv nqaij tsis zoo, thiab ua pob liab. |
| Qib 4 | Mob hnyav heev, nrog rau cov qhov txhab ntawm daim tawv nqaij, cov hlwv, cov tawv nqaij dawb lossis dub hloov xim (qhov no qhia txog kev puas tsuaj ntawm cov nqaij), thiab xav tias txias thaum kov. |
Tseem ceeb heev: Yog tias koj muaj cov tsos mob no thaum koj noj tshuaj, qhia rau tus kws saib mob lossis tus kws kho mob uas kho koj tam sim ntawd. Tsis txhob tsuas yog tsis quav ntsej nws xwb. Yog tias koj muaj cov tsos mob no tom qab koj mus tsev, koj yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?
Extravasation tuaj yeem tshwm sim rau ntau yam.
- Kev tawg ntawm cov leeg ntshav: Cov leeg ntshav uas tsis muaj zog tuaj yeem tawg thaum lub sijhawm noj tshuaj.
- Cov khoom siv tsis zoo: Tej zaum yuav muaj qhov xau vim muaj qhov tsis zoo ntawm txoj kab IV lossis cannula uas siv los muab tshuaj.
- Yuam Kev Thaum Muab Tshuaj: Qee zaum qhov mob no tuaj yeem tshwm sim vim yog tej yam xws li koob txhaj tshuaj tsis nkag mus rau hauv cov leeg ntshav kom raug, lossis muab tshuaj sai dhau.
Leej twg muaj feem yuav muaj qhov teeb meem no ntau dua?
Muaj ib txhia neeg yuav muaj tus mob no ntau dua.
- Yog koj muaj ib yam mob uas ua rau koj cov leeg tsis muaj zog (xws li Kab Mob Peripheral Artery).
- Yog tias cov leeg ntshav tau tuab thiab tawv vim yog kev kho mob qog noj ntshav.
- Yog tias koj cov leeg nqaij me me thiab mos heev.
- Yog tias cov leeg ntshav txav mus los thaum lub koob txhaj tshuaj raug ntxig.
Yog tias tus mob no tsis kho sai sai ces yuav ua li cas?
Yog tias muaj kev nthuav tawm ntawm cov hlab ntsha thiab kev kho mob qeeb, tej teeb meem loj tuaj yeem tshwm sim. Raws li peb tau tham ua ntej, cov tshuaj uas tua cov hlwb qog noj ntshav kuj ua rau cov nqaij noj qab haus huv puas tsuaj. Yog li ntawd,
- Tej zaum yuav muaj mob hnyav heev.
- Yuav muaj kev puas tsuaj mus tas li rau daim tawv nqaij thiab cov nqaij hauv qab.
- Hauv qee kis mob hnyav, qhov ua haujlwm ntawm sab caj npab lossis ceg ntawd yuav raug cuam tshuam.
Tiamsis tej xwm txheej loj heev no tsis tshua muaj. Vim tias koj pab neeg kho mob ua haujlwm sai thaum lawv xav tias muaj tej yam zoo li no, nws yog koj lub luag haujlwm los ceeb toom rau lawv txog tej teeb meem uas yuav tshwm sim.
Cov kws kho mob tswj qhov no li cas?
Cov kws kho mob thiab cov neeg tu mob uas muab tshuaj chemotherapy rau koj tau kawm tshwj xeeb los tiv thaiv qhov mob no thiab kho nws yog tias nws tshwm sim. Lawv yuav ua cov kauj ruam hauv qab no yog tias lawv pom qee yam zoo li no.
1. Tsum noj tshuaj tam sim ntawd: Cov tshuaj uas nkag los ntawm txoj kab IV raug tsum tam sim ntawd.
2. Sim tshem cov tshuaj uas xau tawm: Siv lub koob txhaj tshuaj, rho cov tshuaj uas tau xau tawm ntawm cov leeg ntshav kom ntau li ntau tau.
3. Muab tshuaj tua kab mob: Yog tias muaj tshuaj tua kab mob rau hom tshuaj uas tau nchuav, nws yuav raug muab los ntawm txoj kab IV.
4. Tshem cov kab IV: Tsuas yog tom qab ntawd thiaj li muab cov koob IV tshem tawm thiab tshem tawm.
5. Tsa koj txhais caj npab uas raug mob: Nws raug qhia kom tsa koj txhais caj npab kom siab, zoo li koj tsa rau ntawm ib lub hauv ncoo, kom txo qhov o.
6. Siv tshuaj pleev: Koj tuaj yeem siv tshuaj pleev kom haum rau qhov mob thiab lwm yam tsos mob.
7. Kib txias los yog kub: Qhov no yog ib kauj ruam tseem ceeb heev.
- Kev Siv Dej Txias: Ntau yam tshuaj kho mob chemotherapy yuav tsum tau siv dej txias. Qhov txias ua rau cov hlab ntsha nqaim, uas ua rau cov tshuaj tsis txhob nthuav dav ntxiv.
- Cov Tshuaj Kub: Cov tshuaj kub tsuas yog siv rau qee hom tshuaj xwb. Qhov kub ua rau cov ntshav ntws mus rau thaj chaw ntawd ntau dua, pab kom cov tshuaj ntws tawm sai dua.
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Lub sijhawm uas qhov no siv los tshwm sim txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm hom tshuaj uas xau, nws qhov concentration, thiab ntau npaum li cas tau tso tawm. Koj tus kws kho mob yuav qhia koj tias yuav tsum ua li cas hauv tsev.
- Tuav koj txhais tes kom siab li siab tau.
- Siv cov ntaub qhwv txias los yog kub raws li koj tus kws kho mob qhia. Feem ntau, lawv pom zoo kom siv cov ntaub qhwv plaub txog tsib zaug hauv ib hnub li ntawm 15-20 feeb.
Qhov txawv ntawm Extravasation thiab Infiltration yog dab tsi?
Tej zaum koj twb tau hnov lo lus "infiltration." Ob qho tib si hais txog qhov xau ntawm cov kua dej los ntawm cov leeg ntshav. Tab sis muaj qhov sib txawv me ntsis.
- Kev ntws tawm ntawm cov hlab ntsha: Qhov no yog qhov xau uas tuaj yeem ua rau cov ntaub so ntswg puas tsuaj (vesicant)Ib yam tshuaj. Piv txwv li, cov tshuaj kho mob qog nqaij hlav. Cov no tuaj yeem ua rau muaj tej yam xws li mob ua pob liab thiab tuag cov nqaij (necrosis).
- Kev Ncab: Qhov no yog cov kua uas tsis yog vesicant lossis khaus uas tsis ua rau cov nqaij puas tsuaj lossis o . Piv txwv li, cov dej ntsev ib txwm muaj lossis qee cov tshuaj tua kab mob. Qhov no tsuas yog ua rau liab, sov, thiab mob hauv thaj chaw ntawd. Cov nqaij tsis tuag.
Hais yooj yim xwb, Extravasation yog qhov teeb meem loj tshaj plaws ntawm Infiltration.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Txawm hais tias extravasation tuaj yeem tshwm sim thaum lub sijhawm kho mob qog noj ntshav, nws tsis tshua muaj heev.
- Koj pab neeg kho mob tab tom sim ua qhov zoo tshaj plaws los tiv thaiv qhov no.
- Yog koj hnov mob, kub hnyiab, o, lossis lwm yam tsis xis nyob ntawm qhov chaw txhaj tshuaj thaum lub sijhawm muab tshuaj, tsis txhob yig qhia rau tus kws saib mob lossis kws kho mob tam sim ntawd.
- Yuav luag txhua qhov kev puas tsuaj loj heev tuaj yeem tiv thaiv tau los ntawm kev ceeb toom ntxov thiab kev kho mob sai.
- Koj txoj kev nyab xeeb yog qhov tseem ceeb tshaj plaws rau pab pawg kho mob, yog li thov tham txog cov lus nug lossis kev txhawj xeeb uas koj muaj txog koj txoj kev kho mob nrog lawv.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus