Needle hmanga inkhung reng reng kha i chau em? ‘Implanted Port’ chungchang hi han sawi ila!

Nangmah emaw, i hriat tu emaw chuan injection, saline, emaw thisen sample lak fo a ngai em? Cannula dah luh leh needle hmanga poke chhuah apianga vein-te natna, nuam lo leh chhiatna lo thleng thin chu kan hria. Chuvangin vawiin hian hetiang hun rei tak enkawl mekte tan he process hi a awlsam phah hle a, device te tak te pawimawh tak kan sawi dawn a ni.

Chuti a nih chuan, he ‘Implanted Port’ hi eng nge ni?

A awlsam zawngin sawi ila, hei hi damdawi hmanraw te tak te, kan vun hnuaia dah a ni. A dik zawk chuan kan taksa chhunga vein lian tak nena awlsam taka inzawm thei tura siam, permanent "gate" a ni. Hei hi `portacath` emaw `mediport` emaw an ti \hin.

He ‘port’ hi thir emaw plastic emaw atanga siam, disc ang deuh, flat tak atanga siam a ni. A chungah hian silicone atanga siam part (`septum`) a awm a, chu chu needle hmanga thun theih a ni. He disc nena inzawm tube te tak te, flexible tak (`catheter`) hi kan thinlung bula vein lian takah direct-in kan dah lut a. Doctor chuan he system pumpui hi surgery tenau tak neih laiin vun hnuaiah a dah vek a. I mamawh tawh loh hunah pawh operation tenau tak hmangin lakchhuah leh theih a ni bawk.

Heng ‘port’ chi hrang hrang hi a awm em?

Ni e, chi hrang hrang lian tak tak a awm. Hei hi table pakhata hriatthiam a awlsam zawk ang.

Hetiang ‘port’ hi tuin nge mamawh?

Hei hi vein treatment ngai fo emaw, rei tak emaw, thisen pek ngai emaw, thisen lak ngai emaw tan a tangkai hle. I doctor chuan hei hi a rawt thei a, a bik takin nangmah emaw i fa emaw hian a hnuaia natnate hi i neih chuan:

• Cancer natna: Chemotherapy lak fo a ngai a nih chuan.
• Hun rei tak chhung hri kai: A tul chuan thisenah antibiotics pek a ngai thei a, kar tam tak emaw, thla tam tak emaw chhung chu a ngai thei bawk.
• Kidney failure: Dialysis atan.
• Digestive system natna: Inflammatory Bowel Disease (IBD) ang chi dinhmunah chuan thisen kalna (intravenous nutrition) pek a ngai thei.
• Natna khirh tak dang: Thil awm dan eng pawh, thisen kalna kawnga tui emaw thisen test emaw neih fo ngai.

‘Port’ dah hma hian eng nge thleng?

Hei hi surgery tenau tak a nih avangin inbuatsaih hmasak tur thil tlemte a awm.

• Damdawi leh vitamin i ei zawng zawng chu i doctor hnenah i hrilh tur a ni. Damdawi thenkhatah chuan operation hma ni engemaw zat chhung chu i ei tawh loh a ngai mai thei.
• Thisen test eng emaw zat neih a ni a, kal (kidney function) leh thisen zam (blood clotting) te enfiah thin a ni.
• Surgery hma darkar engemaw zat chhung chu engmah ei leh in loh tur (fast) turin hriattir i ni ang.

Engtin nge he ‘port’ hi i taksaah i dah luh?

Hei hi surgery tenau tak a ni a, darkar khat vel a awh tlangpui a, chu ni vek chuan in lamah i haw thei bawk. Mahse, in lama hruai tur che i rawn hruai a pawimawh hle.

A tam zawkah chuan he ‘port’ hi rilru dinglam sir vun hnuaiah dah a ni. A chang chuan, kut chhung lam emaw vun hnuaiah emaw, ruh hnuai lam pum chhungah emaw dah theih a ni bawk.

Surgery neih chhungin natna engmah i hriat loh nan anesthesiologist chuan a muthilh tir ang che. Surgery tihna hmun chu numb turin damdawi an pe bawk ang che. Naupangte chu `general anesthesia' pek an ni ang a, chu chuan an muhil vek ang.

Doctor chuan hei hi hetiang hian a luhtir a ni:

1. X-ray kaihhruaina: He surgery hi X-ray technology bik `Fluoroscopy` tih hmanga tih a ni.

2. Small incision: Vein lian tak (superior vena cava, jugular, subclavian ang chi) luh theihna turin neck area-ah incision te tak te siam a ni.

3. Incision dang: Incision te tak te dang chu rilru emaw kut emaw vun ah siam a ni a, vun hnuaiah "pocket" te tak te siamin 'port' dah a ni.

4. 'Port' dah dan:'port' chu pocket siamna chhungah dah a ni.

5. Tube inzawmkhawm: ‘port’ atanga lo chhuak tube (catheter) chu kawr chhunga incision kaltlangin vein chhungah dahin inzawmkhawm a ni.

6. Confirmation: Engkim a felfai em tih hriat nan chest X-ray lak a ni.

7. Suturing: A tawp berah chuan dissolvable stitches hmangin incision te chu khar a ni.

‘Port’ hman hian eng thatna leh that lohna nge a neih?

Hei hian a thatna bakah risk tenau tak tak a nei bawk. A pahnih hi i fimkhur ang u.

Tuin nge ‘port’ enkawl a, engtikah nge doctor ka biak a ngaih ?

Port chunga vun hian enkawlna bik a mamawh lo. Mahse, enkawlna i dawng fo lo a nih chuan thisen zam a awm loh nan thla khatah vawi khat vel port chu i flush a ngai mai thei. Hei hian solution bik hmanga tihfai tihna a ni. Hei hi i doctor emaw nurse emaw chuan a ti ang.

Infection laka inven nan faina hi number 1 a ni.

• Nitin inbual thin ang che.
• Sahbawn hmangin second 20 tal i kut chu uluk takin silfai fo ang che.
• I chhehvel leh khum fai takin vawng reng ang che.

I doctor chu ko nghal rawh:

A hnuaia symptoms te hi i neih chuan tihkhawtlai suh la, i doctor hnenah hriattir la , Emergency Department (ETU) ah kal rawh .

• Port atanga thisen emaw tui dang emaw a luang chhuak a nih chuan.
• A hmun chu a sen a, a hring a, khawih pawhin a lum tih a hriat chuan.
• Khawsik i neih chuan.
• ‘Port’ awmna sir lama kut chu a hring a nih chuan.
• Thâwk harsa emaw, rilru na emaw i neih chuan.
• I luak chhuak emaw, i muhil emaw a nih chuan.

Hun rei tak enkawl mek tan chuan ‘port’ hi a awlsam hle. Nun a ti awlsam hle. Chuvangin hei hi hlau suh. Hemi chungchang hi i doctor chuan engkim a hrilhfiah vek ang che.