Kua tohua koe ki te rongoā chemotherapy hei rongoā mate pukupuku? Kāti, e mōhio ana pea koe ki te mamae me te hoha o te whakauru i ngā cannulas me te tango toto tonu. Ehara i te mea ngāwari te kimi i tētahi uaua pai. Koia mātou ka kōrero ai mō tētahi otinga pai i tēnei rā. Ko te "Chemo Port". Kua kōrerotia pea tēnei e tō tākuta ki a koe. Nō reira, me titiro tātou he aha tēnei, me pēhea te mahi, me ngā painga o tēnei. Me kōrero tātou mō ngā mea katoa i roto i ngā kupu māmā.
He aha te Pūnaha Chemo?
He māmā noa iho, he taputapu iti te chemo port e whakatakotoria ana ki raro i tō kiri. Whakaarohia he rite te rahi ki te moni rima rūpī. I te nuinga o te wā ka whakatakotoria ki raro i te kiri o te uma o runga, o te ringa, o te puku rānei. Kātahi ka honoa tika he ngongo silicone angiangi (he 'catheter') e puta mai ana i tēnei taputapu iti ki tētahi o ō uaua toto nui.
He maha ngā tāngata e rongoatia ana ki te mate pukupuku e whakamahi ana i tētahi momo tauranga pēnei. Nā te mea i muri i te whakaurunga o tēnei, kāore rātou e hiahia ki te haere mā roto i tētahi uaua i roto i ō rātou ringa i ia wā ka hoatu e rātou he rongoā chemo, he tango toto, he hoatu rānei i ētahi atu wai pērā i te saline. Ka taea e koe te mahi i ēnei mea katoa mā roto i tēnei tauranga. Nō reira, ka āwhina tēnei tauranga ki te whakahaere i te maimoatanga chemo kia māmā ake, kia haumaru ake, kia iti ake hoki te mamae.
Ko tētahi atu ingoa mō tēnei ko "Port-a-cath".
He aha te āhua o tēnei tauranga? He aha ōna wāhanga?
I runga i te waitohu o te tauranga e hokona ana e koe, ka taea te porowhita, te tapatoru, te porowhita rānei te āhua. E toru ngā wāhanga matua o ia tauranga.
| Wāhanga matua | Hei whakarāpopototanga... |
|---|---|
| Tauranga | Koinei te wāhanga matua o te taputapu. Ka werohia e ngā tākuta me ngā nēhi te rongoā ki roto i tēnei wāhanga. |
| Septum | Kei waenganui tēnei o te putanga. He momo rapa motuhake tēnei. I muri i te werohanga o te ngira, ka kati aunoa te kōhao (ka hiritia anō). |
| Tātā | Koinei te ngongo angiangi, ngāwari hoki e hono ana i te tauranga ki tō uaua. |
Ā, e rua ngā momo o ēnei tauranga:
- Putanga kotahi-lumen: Kotahi anake te pūwāhi urunga o tēnei. Koinei te momo e whakamahia whānuitia ana.
- Putanga rua o te rūma: E rua ngā putanga whakauru o tēnei. Ko te tikanga ka taea e ia te mahi i ngā mahi e rua i te wā kotahi, pērā i te tuku rongoā mā tētahi me te tango toto mā tētahi.
Āe, kia kite tātou me pēhea te mahi.
Kia ū te tauranga ki roto i tō tinana, ka taea e ngā kaimahi hauora te whakamahi hei tango toto, hei hoatu rongoā, hei hoatu rānei i ētahi atu wai ki tō tinana.
He tino māmā te mahi i tēnei. Ka werohia he ngira motuhake mā roto i tō kiri, tika tonu ki te wāhanga waenga rapa o te pū (te septum). Kāore tēnei i rite ki te werohanga i tētahi cannula noa. Kāore he take ki te kimi i tētahi uaua, ā, kāore i te tino mamae. He rite ki te pēhi iti.
Ko te mea nui ko te herekoretanga ka puta mai i te werohanga āta i ō uaua i ia maimoatanga. He tino whakamarie hoki tēnei mōu hinengaro.
Me pēhea te whakauru i tētahi putanga chemo ki roto i tō tinana? He pokanga nui tēnei?
He pokanga iti noa te chemo port. Engari ehara i te pokanga nui, whakamataku hoki. E tata ana ki te haora te roa. Ka taea e koe te hoki ki te kāinga i taua rā anō. Engari he mea nui kia whai hoa, kia whai mema whānau rānei koe hei kawe i a koe ki reira, ki te hoki mai.
Anei ētahi o ngā mahi ka mahia e tō tīma hauora i te wā o tēnei pokanga:
1. Tuatahi, ka hoatu he rongoā whakangāwari hei whakangāwari i te mamae, hei whakangāwari hoki i a koe.
2. Kātahi ka tapahia he iti ki tō kaki hei uru atu ki tētahi oko toto (pērā i te uaua jugular, te uaua subclavian, te vena cava superior rānei).
3. Ka hangaia he kōhao iti ki taua uaua, ā, ka whakaurua te ngongo angiangi (te 'catheter') ki roto.
4. Kātahi ka tapahia tētahi atu tapahi iti i raro i te kiri o tō uma, o tō ringa, o tō puku rānei, kia puta ai he āputa iti i te paparanga kiri raro i te kiri, pērā i te putea iti.
5. Ka whakanohoia te pūwero chemo ki roto i te wāhi kua hangaia.
6. Inaianei, ka tangohia te ngongo e puta mai ana i te tauranga i raro i te kiri ka honoa ki te ngongo i whakaurua i mua ki roto i te uaua.
7. Hei whakamutunga, ka tuituia ngā tapahi e rua.
Ka mahia e te taote pokanga tēnei mahi katoa me te titiro tonu ki tētahi mīhini e whakaatu ana i ngā whakaahua pērā i te hihi-X (fluoroscopy). Mā tēnei ka tika te mahi. Kia oti te mahi, ka tangohia hoki he hihi-X o te uma hei whakarite kei te wāhi tika te pūaha.
Kia maumahara, ehara tēnei i te pokanga nui. Kotahi inihi noa te roa o te tapahi. Ā, ka taea e koe te hoki ki te kāinga i taua rā anō.
He aha ngā painga o te whakamahi i te Chemo Port?
He maha ngā painga o te whakamahi i te chemo port. Me titiro tata atu tātou ki a rātou.
| Painga | Te whakamarie e whiwhi ai koe i tēnā |
|---|---|
| Whakamamae mamae | Ina werohia te ngira ki roto i te pūaha, ka paku pēhia noa iho. Ka ngaro katoa te mamae o te kimi i te uaua me te wero i te ngira i ia wā. |
| Te whakaiti i te kino o te kiko | Ka tukuna tika te rongoā e te pūwero ki roto i tētahi oko toto nui, ka kore ai e tūpono te turuturu o te rongoā i roto i te uaua (extravasation) me te kino o te kiko e karapoti ana, he mea ka taea i ētahi wā ina tukuna te rongoā mā roto i tētahi cannula. |
| Te whai wāhitanga me te herekoretanga | Kia ora te motu i muri i te whakaurunga o te pū, ka kapi katoa i te kiri. Ka taea e koe te kaukau me te kaukau noa. Kāore he mōrearea o te mate. |
He tūponotanga kei roto i tēnei?
I te mea he mahi pokanga tēnei, he iti noa iho ngā mōrearea, pērā i ngā pokanga katoa. Heoi, kāore ēnei e tino puta pinepine ana.
| Mōrearea | Hei whakarāpopototanga... |
|---|---|
| Te toto totoka `(Thrombosis)` | I ētahi wā, ka puta he toto totoka i roto i te ngongo o te pūaha, ā, ka aukatia. |
| Ngā here nekehanga | Tērā pea ka kī atu tō tākuta kia kaua e whakakorikori tinana kaha, e mahi taumaha rānei i taua taha i a koe e pupuri ana i te tauranga, nā te mea ka neke te tauranga. |
| Ngā hapa ā-mīhini | Ka taea e ngā mea pēnei i te ngongo wetewete te kore e mahi tika te tauranga. |
| Te hanganga o te koha | Tērā pea ka waiho he koha iti i te pokanga. |
| Mate pāwera | He tino onge tēnei. Tata ki te 2 i roto i te 100 tāngata ka pangia e te mate. Mena kei a koe ngā tohu pēnei i te kirika, te mamae, te pupuhi rānei, tera pea he mate. Mena ka tupu tēnā, me whakarerekē pea te putanga. |
Ngā mea hei mōhio māu i muri i te whiwhi tauranga me te wā e noho tahi ana me taua tauranga
Ka aha i muri i te whakaurunga o te tauranga?
Tērā pea ka pāngia koe e te mamae me te māuiui i te wāhi i tapahia mō ngā rā tuatahi e rua, e toru rānei i muri i te whakaurunga o te pū. He mea noa tēnei. Ka taea e koe te hoki anō ki te nuinga o ō mahi noa. Heoi, me pātai atu ki tō tākuta i mua i te tīmatanga o tētahi mahi whakakori tinana uaua, pērā i te haere ki te whare takaro.
Kia pēhea te roa ka taea e koe te pupuri i tēnei pounamu?
Ka taea e koe te pupuri i tēnei tauranga ki tōna tūranga mō te roa e hiahia ana koe, tae atu ki ētahi tau. Kia oti katoa ō maimoatanga, ka taea e tō taote pokanga te tango.
Me pēhea te moe me te kohua kei runga?
Ko te tūnga pai rawa atu mō te moe ko te takoto i runga i tō tuara . Mā tēnei ka ārai i te pēhanga ki te uho. Ina koa i ngā wāhanga tōmua o te whakaoranga, kaua e moe i runga i tō puku. Ka pā te pēhanga ki te uho, ka whakanui ake hoki i te mamae.
Ka taea hoki e koe te moe ki te taha. Engari ki te mea kei te taha matau te pūaha, tahuri ki te taha maui hei moe. Ki te mea kei te taha maui, tahuri ki te taha matau hei moe. Arā, kia kore ai te taha kei raro te pūaha.
Ka taea e au te kaukau, te horoi rānei i ahau anō?
Āe. Ka taea e koe te kaukau i roto i ngā hāora 24-48 i muri i te pokanga, engari i muri i te kōrero ki tō tākuta anake. I te kaukau, me hipoki te motu ki te pepa kirihou ārai wai. Kia ora rawa te motu, ka taea e koe te kaukau haumaru, te kaukau, te kaukau rānei.
Me pēhea te tango i te tauranga i muri i te otinga o te maimoatanga?
He tino māmā hoki te tango i te putanga. Me tapahi iti te putanga, me whakawātea te putanga mai i ngā kiko e karapoti ana, ā, me tango katoa te taputapu i te wā kotahi. Kātahi ka tuituia te putanga ki ngā tuitui. Tērā pea ka mamae, ka pupuhi, ka maru hoki mō ētahi rā i muri i te tangohanga o te putanga. He mea noa tēnei.
Āhea ahau me waea atu ki te tākuta tonu atu?
He mea tino nui tēnei. Mēnā kei a koe tētahi putanga chemo, ā, ka pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu .
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| 🔴 | Mena ka pāngia koe e te mamae nui, te pupuhi, te maru rānei i te wāhi kei reira te tauranga. |
| 🔴 | Mena he whero, he kohakore rānei te kiri huri noa i te tauranga. |
| 🔴 | Mena kei te turuturu tetahi mea pēnei i te wai mai i te wāhi kei reira te tauranga. |
| 🔴 | Ki te mea he kirika tōu . |
Karere Tangohia ki te Kāinga
- He taputapu iti, whai hua te chemo port e tino whakaiti ana i te mamae me te kore whakamarie e pā ana ki te werohanga ngira pinepine i te wā o te maimoatanga chemotherapy me te tango toto.
- Ka whakatōkia tēnei ki raro i te kiri mā te pokanga iti. Kāore he mea nui, kāore hoki he mea whakamataku.
- Ko ngā painga matua o te whakamahi i te tauranga ko te whakaiti i te mamae, te whakanui ake i te haumaru, me te whai wāhitanga ki te oranga o ia rā.
- Ahakoa he iti noa ngā tūponotanga, pērā i te mate urutā, te toto totoka rānei, he tino onge te puta mai.
- Ki te pāngia koe e te mamae nui, te whero, te pupuhi, te kirika rānei i te wāhi e tauranga ai koe, me whakamōhio tonu atu ki tō tākuta.
- Mena he pātai āu mō tēnei, kaua e mangere ki te pātai atu ki tō tākuta mate pukupuku.
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