Kua pāngia koe e te chemotherapy mō te mate pukupuku? E mōhio ana pea koe ki te mamae me te kore whakamarie ina werohia ngā rongoā me te tango toto i ia wā. He uaua ki te kimi i tētahi uaua i ētahi wā, tika? Nō reira, hei otinga mō ēnei mea katoa, i tēnei rā kei te kōrero tātou mō tētahi taputapu motuhake hei whakangāwari ake i te wā maimoatanga. Ko tōna ingoa ko te 'Chemo Port'.
He aha te tikanga o te Chemo Port?
He kupu ngāwari noa iho, he taputapu iti te Chemo Port, tata ki te rahi o te moni 5 rūpī. Ka whakatōkia ki raro i tō kiri (i te nuinga o te wā ki te uma o runga, ki te ringa, ki te puku rānei) i te wā o te pokanga iti. Ka honoa he ngongo silicone angiangi e piri ana ki tēnei taputapu ki tētahi uaua toto nui i roto i tō tinana.
Ko te kaupapa matua o tēnei he whakaiti i te maha o ngā werohanga ngira i te wā o te chemotherapy. Mā tēnei, ka taea te mahi i ngā mahi pēnei i te tango toto me te hoatu wai tae atu ki ngā rongoā chemotherapy ki roto i te tinana me te iti ake o te mamae. Mā tēnei ka pai ake te maimoatanga mate pukupuku, ka haumaru ake hoki. Ka kiia hoki tēnei e ētahi he 'port-a-cath'.
He aha te āhua o tēnei, ā, he aha ngā wāhanga o roto?
I runga i te waitohu e whakamahia ana e tō taote pokanga, ka puta pea tēnei tauranga i roto i te āhua porowhita, tapatoru, porotītaha rānei. E toru ngā wāhanga matua o te tauranga chemo.
| Wāhanga | Whakaahuatanga |
|---|---|
| Tauranga | Koinei te wāhanga matua o te taputapu. Ka werohia te rongoā e ngā kaimahi hauora ki roto i tēnei wāhanga. |
| Septum | Ko te wāhanga rite ki te rapa kei waenganui o te putanga. Kua whakaurua te pine ki roto. He mea hanga kia hiritia e ia anō. |
| Tātā | He ngongo angiangi, ngāwari te tauranga e hono ana ki tō uaua toto. |
E rua anō ngā momo Chemo Ports:
- 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 pūwāhi urunga o tēnei, nō reira ka taea te whakauru i ngā ngira e rua i te wā kotahi hei whakarato i te maimoatanga e tika ana.
Me pēhea te tāutanga o te Chemo Port ki roto i te tinana?
Me pokanga iti te chemo port. E tata ana ki te haora te roa o tēnei. Ka taea e koe te hoki ki te kāinga i te rā tonu o te pokanga. Heoi, e kī ana ngā tākuta me kawe mai koe i tētahi hoa, he mea nui hoki kia whai hoa hei kawe i a koe ki te kāinga.
Koinei ngā mea ka puta i te wā o te pokanga:
1. Tuatahi, ka whakangāwarihia te wāhi kia kore ai koe e pāngia e te mamae.
2. Kātahi ka tapahia he wahi iti ki te taha whakarunga o te kaki, o te uma rānei hei uru atu ki tētahi uaua toto nui, hei tauira, te uaua o te hope.
3. Ka hangaia he kōhao iti ki roto i te uaua toto hei whakauru i te katitere.
4. Ka tapahia tētahi atu tapahi iti i raro i te kiri o te uma, o te ringa rānei, ka hangaia he "pōkete" iti hei whakanoho i te putanga.
5. Ka whakaurua te Chemo Port ki roto i te pute kua hangaia.
6. Ka honoa te catheter (ngongo) mai i te tauranga ki taua uaua toto.
7. Hei whakamutunga, ka tuituia ngā tapahi e rua.
I te roanga o te pokanga, ka whakamahia e te tākuta tētahi tikanga hihi-X motuhake e kiia nei ko te fluoroscopy hei whakarite kei te wāhi tika ngā mea katoa. I muri i te pokanga, ka tangohia hoki he hihi-X o te uma hei whakarite kei te tū tika te pūaha.
He aha ngā painga o te whakamahi i te Chemo Port?
He maha ngā painga o te chemo port.
| Painga | Whakamārama |
|---|---|
| Whakamarie | He iti ake te mamae i te werohanga ngira noa. He paku paku noa iho te mamae. |
| Te whakaiti i te mōrearea o te kino o te kiko | Ka taea e ētahi rongoā chemotherapy te kino i te kiko e karapoti ana mēnā ka turuturu mai i te uaua. Ka kiia tēnei ko te extravasation . Nā te mea ka taea e te putanga te uru tika atu o te rongoā ki roto i te uaua nui, he tino iti tēnei mōrearea. |
| Te whai wāhitanga | I muri i te pokanga, ina ora katoa te patunga, ka noho katoa te pūwero i raro i te kiri. Ka taea e koe te kaukau, te kaukau, me te kaukau pērā i te tikanga. Kāore he mōrearea o te mate. |
He tūponotanga, he raruraru rānei kei konei?
Pērā i ngā pokanga katoa, he iti noa ngā tūponotanga kei roto, engari he mea nui kia mahara he tino onge ēnei.
- Ngā totoka (Thrombosis): I ētahi wā ka puta he totoka i roto i te catheter ka aukati i te putanga.
- Te nekehanga here: Ki te mahi koe i ngā mahi pēnei i te whakakori tinana kaha, te hiki taumaha rānei, he iti noa te tūponotanga ka neke te tauranga. Nō reira, he pai ake te kōrero ki tō tākuta i mua i te mahi i ēnei mahi.
- Ngā raruraru ā-mīhini: I ētahi wā, kāore pea te tauranga e mahi tika nā te mea he mea pēnei i te paheke o te catheter i tōna tūranga.
- Koha: Tērā pea ka waiho he koha iti i te tapahi.
- Mate urutā: Ahakoa he tino onge tēnei (tata ki te 2%), ka pā mai pea te mate urutā. Mēnā ka pā mai tēnei, me whakawhiti pea te pūwero. Ko te kirika, te mamae, te whero, me te pupuhi he tohu pea nō te mate urutā.
Āhea te wā e kōrero ai ki tō tākuta
Mena kei a koe te chemo port, ā, ka pāngia koe e ngā tohu e whai ake nei, me whakamōhio tonu atu koe ki tō tākuta .
| Ngā tohu whakatūpato hei tirotiro māu |
|---|
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Me pēhea te moe me te whakamahi i te Chemo Port?
Ko te tūnga pai ko te moe ki tō taha.Kātahi ka kore he pēhanga ki te tauranga. Ka taea hoki e koe te moe ki te taha kē o te tauranga. Hei tauira, ki te mea kei te taha matau te tauranga, tahuri ki te taha maui ki te moe. Ki te moe koe i te taha e pēhanga ana ki te tauranga, ki te moe puku rānei koe, he pai ake kia kaua e pēhi mō tētahi wā.
Karere Tangohia ki te Kāinga
- He taputapu iti te Chemo Port ka whakatōkia ki raro i te kiri hei whakamāmā ake i te rongoā mate pukupuku.
- Ka whakakorea te mamae me te kore whakamarie e pā ana ki ngā werohanga auau, ā, ka whakaitihia te kino ki ngā kiko i puta mai i te rongoā.
- Ka mahia tēnei mā te pokanga iti e tata ana ki te haora te roa. He tino māmā hoki te tango ina oti te maimoatanga.
- 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 .
- Kōrero ki tō tākuta mate pukupuku hei whakatau mēnā he tika te chemo port māu, me te mea hoki e hiahiatia ana e koe.
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