Yu ɔ pɔsin we yu sabi fɔ tek injɛkshɔn, salin, ɔ blɔd sɛmpul ɔltɛm? Wi no di pen, diskɔmfɔt, ɛn damej pan di vein dɛm we kin kam wit fɔ put kanula ɛn pɔk tru di nidul ɛvri tɛm. So tide wi de tɔk bɔt wan rili impɔtant smɔl tin we de mek dis prɔses izi fɔ pipul dɛn we de du lɔng tɛm tritmɛnt lɛk dis.
So, wetin na dis ‘Implanted Port’?
Fɔ tɔk am simpul wan, dis na smɔl mɛrɛsin we dɛn kin put ɔnda wi skin. mכr prεsis, na pεrmanεnt "gεt" we dεn mek fכ kכnekt izi wan to wan big vein na wi bכdi. Sɔntɛnde dɛn kin kɔl dis `portacath` ɔ `mediport`.
Dis ‘pɔt’ na wan flat, smɔl pat we tan lɛk disk we dɛn mek wit mɛtal ɔ plastic. pan tap pan am na wan pat (`septum`) we dεn mek wit silikon, we dεn kin put insay wit nidul. wan tint, fleksibul tכb (`kateta`) we kכnekt to dis disk de insay dεn wan dεm dayrekt insay wan big vein nia wi at. Di dɔktɔ kin put dis wan ol sistɛm ɔnda di skin we dɛn de du smɔl ɔpreshɔn. We yu nɔ nid am igen, dɛn kin pul am bak wit smɔl ɔpreshɔn.
Di big bɛnifit fɔ dis na dat i nɔ de nid fɔ put nidul ɛn kanula ɔltɛm, we de mek di tritmɛnt izi fɔ am ɛn nɔ de mek i fil pen.
Difrɛn kayn dɛn ‘pɔt’ dɛn de?
Yɛs, bɔku men kayn dɛn de. I go izi fɔ yu fɔ ɔndastand dis na tebul.
| Di kayn pɔt (Tayp) . | Simpul diskripshɔn |
|---|---|
| Singl Lumen na wan | Dis gɛt wan say fɔ go insay. Dis na di kayn we we dɛn kin yuz mɔ. |
| Dabl Lumen we dɛn kɔl | Dis gɛt tu say dɛn fɔ go insay. Dis kin rili fayn if yu nid fɔ gi tu kayn mɛrɛsin di sem tɛm. |
| Pawa-Injektabl | Bɔku pan di ‘pɔt’ dɛn we de tide na dis kayn. Dɛn kin yuz dɛn fɔ injɛkt kɔntrast day pan ay prɛshɔn fɔ tin dɛn lɛk CT skan ɔ MRI skan. |
Udat nid ‘pɔt’ lɛk dis?
Dis kin fayn fɔ ɛnibɔdi we nid fɔ gɛt tritmɛnt fɔ in vein ɔltɛm ɔ fɔ lɔng tɛm, fɔ tek blɔd, ɔ fɔ pul blɔd. Yu dɔktɔ kin tɛl yu fɔ du dis, mɔ if yu ɔ yu pikin gɛt ɛni wan pan dɛn tin ya:
- Di tin dɛn we kin mek yu gɛt kansa: If yu nid fɔ gɛt kemotɛrapi ɔltɛm.
- Infεkshכn dεm we de fכ lכng tεm: If nid de, dεn kin nid fכ tek antibaytik insay di bכdi fכ wik כ mכnt.
- Kidni we nɔ de wok fayn: Fɔ dayalaysis.
- Digεstiv sistεm sik dεm: Insay kכndishכn dεm lεk Inflammatory Bowel Disease (IBD), dεn kin nid fכ it intravenכs.
- Ɔda kɔmpleks sik dɛn: Ɛni kɔndishɔn we nid fɔ de insay di bɛlɛ ɔltɛm ɔ fɔ tɛst blɔd.
Wetin kin apin bifo dɛn put di ‘pɔt’ insay?
Bikɔs dis na smɔl ɔpreshɔn, sɔm tin dɛn de we yu fɔ rɛdi fɔ bifo tɛm.
- Yu fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin ɛn vaytamɛn we yu de tek. Sɔm mɛrɛsin dɛn kin mek yu stɔp fɔ tek dɛn sɔm dez bifo dɛn du di ɔpreshɔn.
- Dɛn kin du bɔku blɔd tɛst fɔ chɛk aw di kidni de wok ɛn aw blɔd de klɔt.
- Dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin (fast) fɔ sɔm awa bifo di ɔpreshɔn.
Aw yu kin put dis ‘pɔt’ insay yu bɔdi?
Dis na smɔl ɔpreshɔn we kin tek lɛk wan awa so ɛn yu kin go na os di sem de. Bɔt, i rili impɔtant fɔ mek yu kam wit pɔsin we go kɛr yu go na os.
כltεm, dεn kin put dis ‘pכt’ כnda di skin na di rayt say na di chεst. Sɔntɛnde, dɛn kin put am bak ɔnda di skin na di insay say na di an ɔ na di bɛlɛ we de dɔŋ di rib dɛn.
Wan dɔktɔ we de mɛn yu go mek yu slip so dat yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn. Dɛn go gi yu mɛrɛsin bak fɔ mek di say we dɛn go du di ɔpreshɔn nɔ fayn. dεn go gi pikin dεm `jεnarכl anεsthεsia', we de mek dεn slip kכmplit wan.
Di dɔktɔ kin ɛnta dis lɛk dis:
1. X-ray gayd: Dɛn kin du dis ɔpreshɔn ɔnda di gayd fɔ wan spɛshal X-ray teknɔlɔji we dɛn kɔl `Fluoroscopy`.
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3. כda say we dεn kכl am: dεn de mek כda sכm sכm pat pan di skin na di chεst כ an, we de mek wan sכmכl "pכket" כnda di skin fכ put di 'pכt'.
4. Fɔ put di ‘pɔt’:Dɛn kin put di ‘pɔt’ insay di pɔkit we dɛn mek.
5. fכ kכnekt di tכb: dεn de put di tכb (kateta) we de kכmכt na di ‘pכt' insay di vein tru di say we dεn kכnεkt na di nεk εn kכnekt am.
6. Kɔnfɔmeshɔn: Dɛn kin tek ɛkstrem rayt na di chɛst fɔ mek shɔ se ɔltin de fayn.
7. Suturing: fכ finish, dεn kin kכloz di insεshכn dεm bay we dεn de yuz stich dεm we dεn kin sכlv.
Wetin na di bɛnifit ɛn bad tin dɛn we pɔsin kin du we i yuz ‘pɔt’?
Dis gɛt in bɛnifit dɛn ɛn i gɛt smɔl smɔl prɔblɛm dɛn bak. Lɛ wi no bɔt dɛn tu tin ya.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
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Udat de tek kia ɔf di ‘pɔt’ ɛn ustɛm a nid fɔ tɔk to di dɔktɔ ?
Di skin we de oba di pɔt nɔ nid ɛni spɛshal kia. Bɔt if yu nɔ de gɛt tritmɛnt ɔltɛm, yu go nid fɔ was di pɔt lɛk wan tɛm insay di mɔnt fɔ mek blɔd nɔ klɔt. Dis min se yu fɔ klin am wit spɛshal sɔlvushɔn. Na yu dɔktɔ ɔ nɔs go du dis.
Fɔ mek dɛn nɔ gɛt di sik, fɔ klin na di nɔmba wan.
- Tek shawa ɛvride.
- Was yu an fayn fayn wan wit sop ɔltɛm fɔ at le 20 sɛkɔn.
- Kip di tin dɛn we de arawnd yu ɛn di bed klin.
Kɔl yu dɔktɔ wantɛm wantɛm if:
If yu gɛt ɛni wan pan dɛn sik ya, nɔ de te ɛn tɛl yu dɔktɔ ɔ go to di Imejɛnsi Dipatmɛnt (ETU) .
- If blɔd ɔ ɔda wata de lik frɔm di pɔt.
- If di say rɛd, swel, ɛn fil wam we yu tɔch am.
- If yu gɛt fiva.
- If di an we de na di sayd we di ‘pɔt’ de dɔn swel.
- If yu gɛt prɔblɛm fɔ blo ɔ yu chɛst de pen.
- If yu fil se yu diziz ɔ yu de fil fɔdɔm.
‘Pɔt’ na big tin fɔ pɔsin we de du tritmɛnt fɔ lɔng tɛm. I de mek layf izi pasmak. So nɔ fred dis. Yu dɔktɔ go ɛksplen ɔltin to yu bɔt dis.
Mɛsej we dɛn kin kɛr go na os
- ‘implanted port’ na smɔl tin we dɛn kin put ɔnda di skin we kin mek i izi fɔ trit di wan dɛn we nid fɔ gɛt mɛrɛsin we dɛn kin put insay dɛn bɛlɛ (e.g. kemotɛrapi), salin infushɔn, ɔ pul blɔd fɔ lɔng tɛm.
- Dis kin mek i nɔ de fil pen ɛn nɔ fil fayn we pɔsin kin put nidul ɛn kanula ɔltɛm.
- Dɛn kin put dis insay tru smɔl ɔpreshɔn ɛn dɛn kin pul am we di nid nɔ de igen.
- Di prɔblɛm we kin apin pas ɔl na infekshɔn, so i impɔtant fɔ tek tɛm bad bad wan fɔ klin.
- If yu gɛt sɔm sayn dɛm lɛk fɔ rɛd, swel, fiva, ɔr i nɔ izi fɔ blo rawnd di ‘pɔt’, kɔl yu dɔktɔ wantɛm wantɛm.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Lɔwa Bak Pen / Lumbago?
Dis nɔto jɔs smɔl diskɔmfɔt we yu wek na mɔnin! ‘Lɔwa Bak Pen’ na inflamɛns/strayn we yu nɔ go ebul fɔ bia na di spayna, mɔsul ɔ nerv dɛn we de ɔp yu hip bon, ɔp yu bɔdi (Lumbar region) ɔ wan pen we de mek yu nɔ ebul fɔ kɔmɔt na bed/sidɔm. Pan ɔl we dis na wan pan di pen dɛn we pipul dɛn kin fil na di wɔl, sɔntɛnde i kin wɔn pipul dɛn se dɛn tu leg dɛn go paralayz sote go!
💬 Wetin na di men tin dɛm wae kin mek yu gɛt pen na yu bak we kin mek i nɔ izi fɔ kɔmɔt na bed?
di men rizin fכ dis (90%) na ‘rכng posishכn εn mכsul strεn' - dis kin apin we yu es hεvi tin dεm kכrekt wan (bεnd di bak insted fכ bεnd di lεg dεm). apat frכm dat, 2) wan kushכn bitwin tu vεrbra dεm de kכmכt εn pinch wan nεv (Herniated Disc / Slip Disc). 3) Sciatica - Pen de travul frɔm di bak dɔŋ di leg. 4) Kidni ston (Kidni ston/Pyelonephritis) kin mek dis pen bak.
💬 Wetin na di ‘red flag’ we de sho se yu gɛt siriɔs ɔ imejensi sityueshɔn ɛn we yu fɔ go na ɔspitul wantɛm wantɛm we yu nɔ put balm/masej na os?
If na kɔmɔn prɔblɛm, i go wɛl insay 2 wik wit ays/ɔt wata ɛn rɛst. Bɔt di big denja! 1) If yu gɛt bak pen ɛn yu nɔ ebul fɔ kɔntrol yu blad ɔ yu bɔdi wantɛm wantɛm (Lɔs fɔ kɔntrol yu bɔdi/blad) ɔ if yu lɔwa bak nɔ gɛt bɛtɛ trɛnk (Saddle anesthesia), yu spɛnal kɔd go mɔs rɔtin (Cauda Equina Syndrome / fatal)! 2) If yu de gɛt numbness na yu tu leg, 3) If yu gɛt ay fiva wit di pen, yu kin paralayz insay sɔm awa, yu nid fɔ go na ɔspitul wantɛm wantɛm!
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