Cancer vangin chemotherapy i lak a ngai tawh em? Tichuan, ruihhlo inject a, thisen lak chhuah apianga i rilru hahna leh natna i hriat chu i hre chiang hle mai thei. A chang chuan vein hmuh a harsa thin, a dik em? Chuvangin, heng zawng zawng chinfelna atan hian vawiin hian enkawlna hun awlsam zawka siamtu hmanraw bik kan sawi dawn a ni. ‘Chemo Port’ an ti a.
A awlsam zawngin Chemo Port chu eng nge ni?
A awlsam zawngin Chemo Port hi hmanraw te tak te, cheng 5 vel zeta lian a ni. Operation tenau tak neih laiin i vun hnuaiah (a tlangpuiin i rilru chunglam, kutphah emaw, pum chhungah emaw) dah a ni. He device-a silicone tube te tak te inbun hi i taksa chhunga thisen kalna kawng lian takah a inzawm a ni.
Hei hi a tum ber chu chemotherapy laia needle stick tam lutuk tihtlem a ni. Hei hmang hian thisen lak leh chemotherapy damdawi telin tui pek ang chi thilte chu awlsam takin leh natna tlem zawkin tih theih a ni. Hei hian cancer enkawlna chu tlem a ti nuamin a him zawk a ni. Mi thenkhat chuan hei hi ‘port-a-cath’ an ti bawk.
Hei hi eng ang nge a nih a, a peng hrang hrangte chu engte nge ni?
I surgeon-in brand a hman dan azirin he port hi round, triangular, oval shape-ah a awm thei. Chemo port pakhatah hian a bulpui pathum a awm a.
| Bung hrang | Hrilhfiahna |
|---|---|
| Lawngchawlhna | Hei hi device chhunga thil pawimawh ber a ni. Medical staff te hian he part ah hian damdawi hi an inject thin. |
| Septum-ah a awm a | Port lai takah rubber ang chi a awm. Hemi chhungah hian pin chu dah a ni. Mahni insiam thei tura duan a ni. |
| Catheter hmanga siam a ni | Port hi tube te tak te, flexible tak a ni a, i thisen kalna kawng nen a inzawm a ni. |
Chemo Port chi hnih a awm bawk a, chungte chu:
- Single lumen port: Hei hian access point pakhat chauh a nei. Hei hi hman tlanglawn ber chi a ni.
- Double lumen port: Hei hian access point pahnih a nei a, chuvangin needle pahnih chu a rualin dah theih a ni a, a tul anga enkawlna pek theih a ni.
Engtin nge taksaah Chemo Port hi dah a nih?
Chemo port atan chuan operation tenau a ngai a ni. Hei hian darkar khat vel a daih tlangpui. Surgery neih ni vek hian in lamah i haw thei bawk. Amaherawhchu, doctor-te chuan i thianpa keng tel turin an rawt a, in lama hruai tur che neih a pawimawh avangin.
Surgery neih chhunga thil thlengte chu hengte hi a ni:
1. Pakhatnaah chuan a hmun chu a numbed ang a, chutiang chuan engmah hrehawmna i neih loh nan.
2. Tichuan, thisen kalna kawng lian tak, entirnan jugular vein luh theihna turin kawr emaw, rilru chunglam emaw ah incision te tak te siam a ni.
3. Catheter dahna tur thisen kalna kawngah khur te tak te siam a ni.
4. Incision te tak te dang chu a rilru emaw kut emaw vun hnuaiah siam a ni a, chu chuan port dahna tur "pocket" te tak te a siam a ni.
5. Chemo Port chu pocket siamah dah a ni.
6. Catheter (tube) chu port atang chuan chu thisen kalna kawngah chuan a inzawm a ni.
7. A tawp berah chuan incision pahnih hi stitches hmanga khar a ni.
Surgery neih chhung zawng hian doctor chuan X-ray technique bik fluoroscopy tih hmangin engkim a hmun dik takah a awm tih a enfiah thin. Surgery zawhah chest X-ray pawh lak a ni a, port chu a hmunah a awm em tih enfiah a ni bawk.
Chemo Port hman hian eng hlawkna nge a neih?
Chemo port hian hlawkna engemaw zat a pe che a ni.
| Chhawr tangkai | Hrilhfiahna |
|---|---|
| Thlamuan | Needle prick pangngai aiin a na lo zawk. I pinch deuh chauh a ni. |
| Tissue tihchhiat theihna a ti tlem | Chemotherapy damdawi thenkhat chuan vein atanga an leak chhuah chuan a chhehvel tissue te chu a tichhia thei a ni. Hei hi extravasation an ti a . Port hian damdawi chu vein lian takah direct-in a kal theih avangin he risk hi a tlem hle. |
| Remchanna | Operation hnuah chuan hliam chu a dam vek tawh chuan port chu vun hnuaiah a awm vek tawh ang. A tlangpuiin shower, inbual leh tui chawi theih a ni. Hri kai theihna a awm lo. |
Hetah hian risk emaw complication emaw a awm em?
Surgery dang ang bawkin, hlauhawmna tenau tak tak a awm a, mahse hengte hi a tlem hle tih hriat reng a pawimawh.
- Thisen zam (Thrombosis): A chang chuan catheter chhungah thisen zam a lo awm thei a, port chu a block thei bawk.
- Restricted movement: Exercise strenuous emaw heavy lifting ang chi thil i tih chuan port a kal theihna chance a tlem hle. Chuvangin hetiang thil i tih hma hian doctor rawn hmasa phawt a tha.
- Mechanical problems: A chang chuan catheter a hmun atanga a tlak chhuah ang chi thil avang hian port hi a thawk tha lo thei bawk.
- Scar: Surgical incision hian scar te tak te a hnutchhiah thei.
- Infection: Hei hi a tlem hle (2%) vel mahse, infection a awm thei. Chutiang a nih chuan port chu thlak a ngai mai thei. Khawsik, na, sen, leh vun te hi natna hrik kai chhinchhiahna a ni thei.
Doctor nen engtikah nge i inbiakna tur
Chemo port i neih a, a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni .
| Vaukhânna chhinchhiahna fimkhur tûr |
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Chemo Port hmang hian engtin nge i mut thin?
A dinhmun tha ber chu i sir lama mut hi a ni.Tichuan port-ah pressure a awm tawh dawn lo. Port sir lehlamah pawh i mu thei bawk. Entirnan, port chu dinglamah a awm chuan veilam lamah mu turin hawi leh rawh. Port-a pressure siamtu lam i mut chuan, emaw, i pum chungah i mu a nih chuan rei lo te chhung chu tih loh a tha zawk.
Take-Home Thuchah a ni
- Chemo Port hi hmanraw te tak te, vun hnuaia dah a ni a, cancer enkawlna a ti awlsam hle.
- Hei hian injection tam lutuk avanga natna leh hrehawmna a ti bo a, damdawi avanga tissue tihchhiatna pawh a ti tlem bawk.
- Hei hi surgery tenau tak hmanga tih a ni a, darkar khat vel a ni. Tin, enkawl zawh veleh lakchhuah a awlsam hle bawk.
- Port site-ah natna nasa tak, sen, hring, emaw khawsik emaw i neih chuan i doctor hnenah hriattir nghal rawh .
- Chemo port hi i tan a tha em tih leh i mamawh em tih ngaihtuah turin i oncologist nen inbia ang che.
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