I whakauruhia he ngongo anō hoki ki a koe i muri i te pokanga? Me kōrero tāua mō tēnei (te paipa wai o Jackson-Pratt)!

Tērā pea kua kite koe i tētahi ngongo iti me tētahi pōro iti e piri ana ki reira i muri i te pokanga. Tērā pea kua kite koe i tētahi e mōhio ana koe kei a ia tētahi. He āhua whakamataku pea tēnei mō ētahi tāngata. Engari he mea tino nui tēnei hei āwhina i te tere o te whakaora o tō patunga. I tēnei rā, ka kōrero tātou mō te āhua o tēnei `(Jackson-Pratt drain)`, `(JP drain)` rānei, me tana mahi, me pēhea te tiaki.

He aha te `(Jackson-Pratt drain)`?

He ngāwari noa iho, he ngongo angiangi, ngāwari te paipa Jackson-Pratt me tētahi pōro iti e piri ana ki reira, e whakamahia ana hei kohi me te tango i ngā wai kāore e hiahiatia (pērā i te toto me te wai lymphatic) mai i te patunga i pokangahia ai koe. He mea noa te turuturu o ēnei wai me ngā para pūtau i te patunga i muri i te pokanga. Nō reira, ko tā tēnei paipa JP he tango i taua wai mai i te patunga ka tāpiri atu ki te pōro i waho o tō tinana. Mā tēnei, ka tere ake te ora o te patunga mā te tango i ngā wai kāore e hiahiatia. Waihoki, ki te tiakina pai e koe te paipa me te patunga, ka taea e koe te whakaiti i te tūponotanga o te mate.

Me pēhea te mahi a te `(JP paipa wai)`?

Āe, me titiro tātou me pēhea te mahi a tēnei `(JP drain)`. He tino māmā noa iho. Mā te momi te mahi. Arā, ka kumea te wai i roto i te patunga.

E toru ngā wāhanga matua o tēnei `(JP paipa wai)`:

1. Te ngongo papatahi e uru ana ki roto i te patunga: He kōhao iti kei roto. Ka uru ngā wai kāore e hiahiatia mai i te patunga ki roto i te ngongo mā roto i ēnei kōhao.

2. Te ngongo iti ngāwari e puta mai ana: Koinei te mea e kawe ana i te wai mai i te patunga ki taua pōro iti. He maha ngā wā, ka herea e ngā tākuta tēnei ngongo ki te kiri mā te tuitui iti, te rīpene rānei hei ārai i te nekeneke.

3. Pūkohu kohi: He rite tēnei ki tētahi rēmana iti. Ka pēhia kia mimiti. He taupoki tō tēnei pūkohu hei hanga i tētahi hiri ārai-hau. Ina kohia te wai, ka whakatuwheratia te taupoki hei tuku.

Hei whakarāpopototanga, ina pēhia te poihau, ka ngana anō ki te pupuhi, ka hangaia he korehau iti ki roto, he momo "pēhanga kino" . Ko taua kaha te mea e meinga ai te wai kāore e hiahiatia i roto i te patunga kia rere mārire ki raro i te ngongo, kia kohia ki roto i te poihau. He tino māmā noa iho, tika?

Ko tāu noa he whakawātea i te poihau ina tata ki te haurua te kī, pēhia anō kia pai hei tango i te hau, kātahi ka kati. Kātahi ka haere tonu te `(momi)`. Ahakoa he onge, ka whakamahia hoki ētahi `(JP drain)` hei tango i te wai mā te kaha ā-papa (`gravity`) (mā tō rōpū hauora koe e kōrero mō tēnei).

Āhea te wā e hiahiatia ai he `(JP paipa wai)`?

Tērā pea kei te whakaaro koe he aha te momo mahi e whakamahia ai tēnei `(JP drain)`. Inaa, he momo `(drain)` tino noa tēnei e whakamahia ana i muri i te pokanga. Ka whakamahia ēnei e ngā tākuta hei tango i te wai mai i ngā patunga i muri i ngā momo pokanga. Anei ētahi tauira:

• Te pokanga puku; hei tauira, he pokanga hei whakatika i te hernia.
• Ngā pokanga e pā ana ki ngā ū; ngā pokanga mō te mate pukupuku o te ū, ngā mea pēnei i te "pokanga o runga".
• Ngā pokanga o te uma; i ētahi wā hei rongoā i ngā āhuatanga pēnei i te pleural effusion (te kohikohinga wai huri noa i ngā pukahukahu).
• Te pokanga hei tango i te repe tairoiti ('thyroidectomy').
• Ko ētahi pokanga whakapaipai me te kirihou, ko ētahi pokanga hanga anō.
• Te pokanga tango i ngā kōpuku lymph (lymphadenectomy).

Ko te tikanga, ko te nui o te wai ka taea te kohi i roto i te waikeri JP i te wā kotahi, tata ki te 25 ki te 50 mL. Ka rerekē pea tēnei i runga i te momo waikeri. Tērā anō tētahi momo waikeri nui ake e kiia nei ko te waikeri hemovac, ka taea te kohi i te wai nui ake, engari ko te waikeri JP te mea e whakamahia ana i te nuinga o te wā.

Me pēhea taku tiaki i taku `(JP drain)`?

Āe, me titiro tātou me pēhea te tiaki i tēnei `(JP paipa wai)` i muri i tō taenga ki te kāinga. He mea tēnei me mahi āta, engari kaua e manukanuka, mā ngā tākuta me ngā nēhi koe e ako ki te mahi i tēnei i mua i tō wehenga atu i te hōhipera.

E toru ngā mea matua hei mahi:

1. Tangohia te wai e kohia ana i roto i te `(Drain)` i ia wā.

2. Tuhia te nui me te tae o te wai.

3. Kia ma tonu te patunga me te wāhi e tāhoro ai te toto, kātahi ka whakawhitia te takai.

Tētahi atu mea, herea te pōro e kohi ana i te wai ki ō kākahu ki te "(pine haumaru)". Pērā ai, ka iti ake te tūponotanga ka paheke, ka marere.

Me pēhea te tango i te wai mai i te `(Drain)`

Tuatahi, me titiro tātou me pēhea te tātari i te wai. I mua i te mahi i tēnei, whakaritea ngā mea e hiahiatia ana.

• E rua ngā tauera iti ma.
• He tauera waipiro.
• He wahi kākahu.
• He kapu iti hei ine i ngā wai (nā te hōhipera tēnei i hoatu).

Āe, me mahi pēnei inaianei:

1. Horoia ō ringaringa kia tino horoia: Horoia ō ringaringa kia tino horoia ki te hopi me te wai mō te 20 hēkona pea. Whakamarokehia ō ringaringa ki te tauera ma, kātahi ka whakaweto i te taputapu horoi. Tērā atu rānei, ka taea e koe te whakamahi i te wai horoi ringa kei roto he waipiro.

2. `Miraka` te ngongo:He ahua rerekē tēnei, kāore? Ka mahia tēnei hei tango i te wai e mau ana i roto i te ngongo ki roto i te pōro. Mā te whakamahi i tētahi o ō ringaringa, pupurihia te ngongo kia tawhiti atu i te wāhi e tūtaki ai te `(waipuke)` ki te kiri. Me pupuri kia pūmau kia kore ai e neke, kia kore ai koe e rongo i te kukume i te patunga. Nā, mā te whakamahi i te koromatua me te matihao tohu o tō ringaringa kē, mirimiri mārietia te ngongo mai i taua wāhi ki raro ki te pōro. He rite ki te pupuhi miraka. Ki te murua e koe ki te `(waipiro horoi)`, ka ngawari te paheke atu.

3. Tangohia te wai: Nā te mea kua kohia te wai ki roto i te pōro, whakatuwheratia marietia te taupoki o te pōro. I te whakatuwheratanga o te taupoki, kaua e pā ki te kōhao ki ō maihao. Mā te mahi pēnā ka uru mai ngā huakita. Ringihia te wai mai i te pōro ki roto i te kapu ine.

4. `Tautuhi Anō` te pūangi kohikohi: Pēhia te pūangi ki te ringaringa kia tangohia te hau katoa i roto. Pēhia kia papatahi rawa. I a koe e pēhi tonu ana, whakakīia anō te taupoki ka kati. Koinei te wā ka hangaia anō te `(momi)`. Me papatahi te waenganui o te pūangi.

5. Horoia anō ō ringaringa: Horoia anō ō ringaringa kia tino pai, pērā i te taahiraa tuatahi.

Mena he nui atu i te kotahi ō paipa wai (hei tauira, i muri i te tango i te puku, tera pea e rua āu), me mahi anō hoki mō tētahi atu.

Tuhia ngā taipitopito mō te wai

Ko te mea nui e whai ake nei ko te tuhi i ētahi taipitopito mō ia wā ka tangohia e koe te wai mai i te `(waikeri)`.

• Kua tae ki te wā hei ringi i te wai.
• E hia te nui o te wai i reira (mā te titiro ki te kapu ine).
• He aha te tae o te wai?

Mā ēnei taipitopito ka āwhina te tākuta ki te aroturuki me pēhea te ora o tō patunga.

I te ora haere o te patunga, ka heke te nui o te wai e puta mai ana i te paipa i ia rā, i ia rā. Ka rerekē anō hoki te tae o te wai. He mea pai anō hoki kia mōhio ki ēnei tae:

• Whero pouri: He mea noa kia whero pouri te wai i te tīmatanga, pērā i te toto.
• Whero mārama, māwhero rānei: Ka mārama te tae o te wai i te wā e ora ana te patunga.
• Kōwhai mārama (he tae kakau witi) he mārama rānei: Ina huri te wai mai i te whero ki te kōwhai mārama, ki te mārama rānei, ko te tikanga kei te ora pai te patunga. Ka kiia hoki tēnei ko te "serous drainage" i roto i ngā kupu hauora.

Kia mōhio: Ki te huri te wai rere hei mā, kātahi ka huri hei whero pouri anō, tera pea kei te toto anō. Ki te puta tēnei, me kōrero koe ki tō tākuta. Waihoki, ki te mea he mā te wai rere, he haunga kino, he matotoru rānei, he tohu pea tēnei nō te mate. Mēnā koinā, me kōrero tonu atu koe ki tō tākuta.

Me pēhea te whakarerekē i te `(Kākahu)`

Me tika hoki te whakawhiti i te takai o te patunga. Mā te tākuta koe e tohutohu kia pēhea te auau o te whakawhiti i te takai, me pēhea hoki te mahi. Me mahi koe i te mea e tohutohu ana ia ki a koe. I mua i te whakawhiti i te takai, whakaritea ngā mea e whai ake nei:

• Ngā tauera ma.
• He wahi kākahu he kōhao kei waenganui.
• Rīpene pokanga.
• He rongoā horoi patunga (mēnā kua tohua e te tākuta).

Āe, anei te huarahi hei mahi:

1. Horoia ō ringaringa kia tino mārie.

2. Tangohia marietia te `(takai)` tawhito. Kia tūpato kei tōia te ngongo `(Drain)`.

3. Horoia anō ō ringaringa.

4. Horoia te patunga me te wāhi e tūtaki ai te paipa ki te kiri ki te hopi me te wai, ki te wai horoi patunga rānei kua tohua e tō tākuta. (Tērā pea ka kī atu tō tākuta kia horoia e koe i a koe e kaukau ana, engari kaua e tomo ki te kaukau, ki te puna kaukau rānei i a koe e whai paipa ana.) I muri i te horoi, whakamaroke i a koe ki te tauera ma.

5. Whakatakotoria te mowhiti me te tapahi i waenganui i raro i te ngongo waikeri, ki te wāhi e pā ana ki te kiri, ka whakapirihia ki te rīpene hei ārai i te nekeneke.

Me pēhea te ārai i te turuturu o te `(JP Drain)`?

He porowhita iti kei te tihi o te pōro hei wāhi e kohia ai te wai. Ka taea e koe te tāpiri i tētahi "(pine haumaru)" ki reira ka whakamau ki tō hāte, ki tō kākahu rānei. Engari kaua e whakamau ki tō tarau, ki tō whitiki rānei. Ki te pena koe, tera pea ka wareware koe, ā, tera pea ka tangohia ohoreretia.

Kia pēhea te auau o taku whakawātea i te `(Drain)`?

He mea pai kia whakawātea wawetia te pūkahukahu, arā, ina tata ki te haurua te kī. Koinei te wā e mau ana te momi. I te nuinga o te wā, me whakawātea e koe i ia 4 ki te 6 hāora i ngā rā tuatahi. I te mea ka iti haere te nui o te wai e puta mai ana, ka taea e koe te whakaiti i te auau.

Kia pēhea te roa e waiho ai te `(JP Drain)` ki tōna tūranga?

Hei tango i te `(JP Drain)`, me hoki koe ki te kite i tō tākuta. Kaua e tangohia kia tae rā anō ki te wā e kīia ai e tō tākuta. I te nuinga o te wā, kāore e waihotia ki roto mō ngā wiki e rua neke atu. Heoi, ka rerekē pea tēnei i runga i tō āhua. He mea pai kia pātai atu ki tō tākuta mō tēnei i mua i tō wehenga atu i te hōhipera.

Kia pēhea te wā me toro atu ahau ki te tākuta?

Mena kei a koe tētahi o ēnei tohu, me waea atu tonu koe ki tō tākuta. Tērā pea he tohu ēnei o te mate urutā:

• Kirika. Mena he kirika tōu neke atu i te 38 nekehanga Celsius (100.4 Fahrenheit).
• Mena he whero te wāhi i whakatakotoria ai te paipa, he pupuhi, he mahana rānei, kua piki ake rānei te mamae.
• Ki te kite koe i ngā ira whero mai i te wāhi i whara ai.
• Mena he kakara te wai e puta mai ana i te paipa, he kakariki, he miraka, he matotoru rānei.

Me kōrero anō hoki ki tō tākuta mēnā ka puta ēnei mea:

• Ki te mea te āhua nei he wetekina te paipa `(Drain)`, ki te mea rānei kua mutu te rere o te wai, me whakakī anō pea e koe, me ngana rānei ki te tango i te hau.
• Mena kua āhua wetekina te ngongo, kua ngaro rānei te "(momi)" o te pōro, ā, kua kī tonu i te hau.
• Mena ka piki haere tonu te nui o te wai mō ngā rā e rua (me heke iho).
• Ki te mārama te tae o te wai, kātahi ka huri anō hei whero pouri, hei toto rānei (he tohu tēnei kei te puta anō te toto).
• Mena kei te puta mai he wai i te tapahi (me whakawātea pea e te tākuta te waikeri).

I ētahi wā, i muri i te tango i te waikeri JP, ka kohia te wai, ka pupuhi i te wāhi i pokangahia. Ka kiia tēnei he seroma . Ehara tēnei i te āhuatanga ohorere, engari me kōrero koe ki tō tākuta.

He "Wairere Tuwhera" he "Wairere Kati" rānei te "(JP Drain)"?

He `(waikeri kati)` tēnei, arā, he pūnaha kati. Whakaarohia pēnei, ko te `(waikeri JP)` he pūnaha kati e whakarerekē ana i te pēhanga hau i roto, e kukume ana i te wai i waho o te patunga. Engari ko te wai e puta mai ana i te patunga ka mimitihia ki roto i te `(takai)` pērā i te `(waikeri tuwhera)` (hei tauira, he `(waikeri Penrose)`), i tēnei ka kohia te wai ki roto i te pōro ka pēhia, ka kukume i te wai ki waho.

Ina kua whakauruhia he `(JP drain)`, tera pea ka rite ki tētahi mea hou ki tō tinana i te tīmatanga. Tērā pea. He rite te `(JP drain)` ki tētahi mea e piri ana ki te pūnaha o tō tinana, e tango ana i te wai kāore e hiahiatia mai i te patunga, ā, e āwhina ana i a koe ki te ora.

Nā, ko ngā mea whakamutunga hei maumahara māu ko

Ko te `(Jackson-Pratt drain)`, `(JP drain)` rānei, he taputapu hei āwhina i tō patunga kia tere ake te ora, hei whakaiti hoki i te tūponotanga o te mate i muri i te pokanga. Tērā pea he ahua koretake te mahi i te tīmatanga, engari kaua e manukanuka. Ki te tiaki tika koe i a ia e ai ki tā ō tākuta me ō nēhi, ka tere ake te ora.

Ko te mea nui, ki te mea he pātai, he ruarua rānei āu, kaua e wehi ki te pātai ki tō tākuta, ki tō nēhi rānei. Ko tō oranga tinana te mea nui ki a rātou.

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