Cancer enkawlna (Chemotherapy) atan saline solution pek i ni tawh ang tih han ngaihtuah teh. Damdawi chu i taksaah a lut zauh zauh a. Mahse rang takin saline solution inject na, needle an dahna kut ah chuan natna leh nuam lo deuh i nei a. Hun engemaw chen hnuah chu hmun chu a sen a, a hring tan ta a ni. Hei hi damdawi lama extravasation kan tih chu a ni. A awlsam zawngin sawi ila, vein chhunga lut tur damdawi chu vein atang hian a leak chhuak a, tissue ah a leak lut thin. Hei hi cancer enkawl mek tan chuan thil hlauhawm deuh a ni thei. Mahse, lungngai suh, engkim chiang tak leh awlsam takin kan sawi dawn a ni.
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Extravasation tih hi eng nge ni? I hrethiam ang u.
Cancer enkawlna, a nih loh leh chemotherapy i neih chuan damdawi chu i thisenah direct-in pek a ni. IV line kan hmang a, a nih loh leh plastic tube te tak te (cannula) kan hmang a, chu chu i kut zungtang vein-ah dah a ni. Heng damdawi te hi a chak hle a, a chhan chu cancer cell inthen chak tak takte tihhlum tumin hna an thawk a ni.
Tunah chuan tui pipe chu hmun tlemteah a hliam a nih chuan eng nge thleng ang tih han ngaihtuah teh? Tui chu a leak chhuak a ni lawm ni? Hetah pawh hi chutiang chu a ni. Eng emaw chhan vangin damdawi thisen kal tlanga pek chu thisen zam chhunga kal ai chuan thisen kalna atang chuan a luang chhuak a, a chhehvel tissue, vun, thau leh taksa peng hrang hrangah a luang lut thin. Hei hi extravasation kan tih chu a ni .
Heng damdawi te hi cancer cells that thei khawpa chak an ni a, a chhunga an luh chuan tissue hrisel tak tak an tichhe thei a ni. Chuvang chuan he dinhmun hi kan ngaihtuah a ngai a ni.
Mahse hriat reng tur pawimawh ber chu, doctor leh nurse te pawh tiamin, nangmah enkawltu team zawng zawng hi hetiang dinhmun hi a thlen loh nan leh a lo thleng a nih chuan enkawl thuai turin training tha tak an nei a ni.
Extravasation a awm hian eng symptoms nge a neih?
Heng symptoms te hi damdawi pek zawh veleh a lang nghal thei. A nih loh leh ni engemaw zat hnuah an rawn lang thei bawk. Doctor-te chuan he natna hi a nasat dan azirin stage li (grade)-ah an ṭhen a. Heng symptoms te hi i hriat chian a pawimawh hle.
| Pawl | Symptoms i hriat leh hmuh te |
|---|---|
| Pawl 1 a ni | Sting awmna hmunah hian harsatna engemaw zat leh hliam tlem a awm thei bawk. |
| Pawl 2 a ni | Hrisel lohna emaw, natna emaw bakah hian a hring, a sen, leh a hring te te pawh a awm thei bawk. |
| Pawl 3 a ni | Kang emaw, stinging na emaw nen hian a hring nasa hle a, a sen, vun rawng a danglam a, a hring chhuak bawk. |
| Pawl 4 a ni | Natna nasa tak, vun natna, vun hring, vun rawng dum emaw dum emaw a inthlak (hei hian tissue chhiatna a kawk), leh khawih chuan khawsik tih hriatna a awm bawk. |
Pawimawh tak: Damdawi pek i nih laiin heng symptoms te hi i neih chuan i enkawltu nurse emaw doctor emaw hnenah hrilh nghal rawh. Ngaihthah mai mai suh. In haw hnua heng symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah i kal nghal tur a ni.
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Extravasation hi chhan hrang hrang vangin a awm thei.
- Vein rupture: Damdawi pek laiin vein chak lo chu a puak thei.
- Equipment chhiatna: Damdawi pekna atana hman IV line emaw cannula emaw a chhiat avangin leak a awm thei.
- Damdawi pek danah tihsual: A châng chuan he natna hi a awm thei a, chu chu needle chu thisen zam chhunga a luh ṭhat loh vang emaw, damdawi pek rang lutuk vang emaw a ni thei.
Hei hi tute nge risk sang zawka awm?
Mi thenkhat chuan he natna hi an nei tam zawk.
- I thisen kal chak lo (Peripheral Artery Disease ang chi) i neih chuan.
- Cancer enkawlna avanga thisen kalna kawng (veins) a thim leh a nghet lo a nih chuan.
- I veins te chu a te lutuk a, a nalh em em a nih chuan.
- Needle dah laiin veins te chu a kal leh haw a nih chuan.
He natna hi enkawl vat a nih loh chuan eng nge thleng ang?
Extravasation a awm a, enkawlna a tlai chuan harsatna lian tak a awm thei a ni. Kan sawi tawh ang khan cancer cell thattu damdawi hian tissue hrisel a tichhe bawk. Chuvangin,
- Natna nasa tak a awm thei.
- Vun leh a hnuaia tissue te chu a tichhia reng thei a ni.
- Thil na tak ṭhenkhatah chuan chu kut emaw, ke emaw hnathawh pawh a nghawng thei a ni.
Mahse chutiang dinhmun pawi tak chu a tlem hle. I medical team te hian hetiang thil an rinhlelh hian hma an la nghal vat thin avangin, harsatna awm thei apiang hriattir chu i mawhphurhna a ni.
Doctor-te hian engtin nge hei hi an enkawl?
Chemotherapy pe thin doctor leh nurse te hi he natna laka invenna tur leh a lo awm a nih chuan enkawl turin a bik takin an zirtir a ni. Hetiang thil an hmuh chuan a hnuaia mite hi an la ang.
1. Damdawi ei khap nghal: IV line kaltlanga damdawi ei kha tihtawp nghal a ni.
2. Damdawi leak chhuak chu paih chhuah tum: Syringe hmangin thisen zam atanga damdawi chhuak tawh chu a tam thei ang ber la chhuak rawh.
3. Antidote pe rawh: Damdawi chi khat a luang chhuak tur antidote a awm chuan IV line kaltlangin pek a ni ang.
4. IV line lakchhuah: Chumi hnuah chauh IV needle chu lakchhuah a ni a, lakchhuah a ni.
5. Kut natna chu chawi sang rawh: Kut chu chawi sangin, pillow-a dah ang maiin, a hring tihziaawmna atan dah a tha.
6. Ointment hnawih: Natna leh natna dang tihziaawmna turin cream \ha tak i hnawih thei.
7. Cold or hot frying: Hei hi step pawimawh tak a ni.
- Cold Compress: Chemotherapy damdawi tam takah chuan tui lum hnawih a ngai a. Khawsik hian thisen kalna kawng a tikhawlo a, chu chuan damdawi chu a darh lehzual loh nan a titawp a ni.
- Warm Compress: Warm compress hi damdawi chi hrang hrang atan chauh hman a ni. Chu khaw lum chuan chu hmuna thisen kal chu a tipung a, damdawi chu a chhuah thuai theih nan a pui a ni.
Eng chen nge a dam theih ang?
Hetiang thil a thlen theih hun chhung hi mi hrang hrangah a inang lo. Damdawi leak chi hrang hrang, a concentration leh engzat nge a chhuah tih ah a innghat. I doctor chuan in lama i tih tur a hrilh ang che.
- I kut chu a sang thei ang berin dah la.
- Doctor-in a tih angin compress lum emaw, lum emaw hmangin hnawih thin ang che. A tlangpuiin compress te hi ni khatah vawi li atanga vawi nga vel minute 15-20 vel hnawih an rawt thin.
Extravasation leh Infiltration hi eng nge an danglamna?
"Infiltration" tih thumal hi i hre tawh ngei ang. An pahnih hian vein atanga tui luang chhuak a kawk a ni. Mahse, a danglamna tlem a awm.
- Extravasation: Hei hi leak a ni a, tissue tichhe thei (vesicant) .Ruihhlo a ni. Entirnan, chemotherapy damdawi te. Hengte hian blistering leh tissue thihna (necrosis) ang chi thil a thlen thei a ni.
- Infiltration: Hei hi non-vesicant emaw irritant fluid a ni a, tissue tihchhiat leh inflammation lian tham a thlen lo . Entirnan, normal saline emaw antibiotics thenkhat emaw. Hei hian a hmuna sen, lum leh na chauh a thlen thin. Tissue chu a thi lo.
A awlsam zawngin Extravasation hi Infiltration case na ber a ni.
Take-Home Thuchah a ni
- Cancer enkawl lai hian extravasation a awm thei a, mahse a tlem hle.
- I medical team te chuan theihtawp chhuahin hei hi an veng mek a ni.
- Damdawi pek lai hian injection na hmunah natna, kang, hring, emaw, harsatna dang i neih chuan nurse emaw doctor emaw hnenah hrilh nghal hreh suh.
- Thil chhiatna lian tham zawng zawng deuhthaw chu hriattir hmasak leh enkawl vat chuan ven theih a ni.
- I himna hi medical team-te ngaih pawimawh hmasak ber a nih avangin i enkawlna chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan anmahni nen sawiho rawh.
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