Ina me haere koe ki te hōhipera i ngā wā maha o te wiki ki te tiki rongoā, ina rānei me haere te tangata he ngoikore ōna whatukuhu ki te maimoatanga mō te wā roa, pērā i te dialysis , hei pure i te toto, he aha te mamae me te hoha o te werohanga i te ngira ki roto i tō tinana i ia wā? Whakaarohia te kimi i tētahi uaua hou i ia rā, ka werohia he ngira. Hei karo i ēnei raruraru, ka whakamahia e ngā tākuta tētahi taputapu motuhake. Koinei te mea e kiia nei e mātou he permacath.
Nā, he aha rawa te Permacath?
He whakarāpopototanga noa iho, he ngongo ngohengohe motuhake ( catheter ) te permacatheter e whakaurua ana ki roto i tētahi uaua toto nui i roto i tō tinana, he uaua i tō kaki i te nuinga o te wā. Ko te mea motuhake o tēnei, ina whakaurua, ka taea te waiho ki tōna tūranga mō te wā roa, i ētahi wā ka noho tonu . Koia i huaina ai ko te 'permacatheter', ko tōna tikanga he ' catheter pumau'.
Kia whakaurua, ka taea e koe te hono tika atu ki tō pūnaha toto mā roto i tēnei ngongo, me te kore e hiahiatia te whakamahi i ngā ngira i ia wā. He tino māmā te rongoā ki tēnei. Ko te nuinga o te whakamahinga mō:
- Hemodialysis mō ngā tūroro whatukuhu: He mea tino whai hua te whakamahi i tētahi permacatheter mō tēnei maimoatanga, e hiahia ana kia maha ngā hāora o te dialysis i ētahi wā i te wiki.
- Te hoatu rongoā motuhake: Ko ētahi rongoā e hoatu ana mō ngā mate pēnei i te mate pukupuku me hoatu mō te wā roa.
- Te maimoatanga apheresis : Kei roto i tēnei ko te wehewehe me te tango i ētahi o ngā wāhanga kino o te toto. Ka whakamahia tēnei maimoatanga mō ngā mate pēnei i te leukemia me te mate pūtau maripi.
He aha te rerekētanga i waenga i a PermaKath me ētahi atu maimoatanga?
He maha ngā huarahi hei hono atu ki ō uaua toto mō te hemodialysis. Mā tō tākuta e whiriwhiri te tikanga e pai ana māu. Me titiro tātou ki ngā tikanga matua.
| Tikanga maimoatanga | Hei whakarāpopototanga, | Ngā mea hei mōhio |
|---|---|---|
| Te pūwero AV (te pūwero Arteriovenous - AVF) | Ka honoa e te pokanga he uaua me he uaua i roto i tō ringa. | Koinei te tikanga pai rawa atu, ā, he roa te mau. Heoi, ina oti te hanga, ka roa pea ētahi marama kia kaha ai te tinana ki te whiwhi maimoatanga mā roto. |
| AV Graft (Arteriovenous graft - AVG) | Ki te kore e taea te hono i te uaua me te uaua toto, ka whakauruhia he ngongo ngohengohe, horihori ki waenganui i a rāua. | He kōwhiringa pai tēnei mō te hunga kāore e taea te hanga fistula, engari he paku teitei ake te mōrearea o te toto totoka (thrombosis). |
| Permacath | Ka whakauruhia he ngongo motuhake ki roto i tētahi uaua nui i te kaki, i te uma rānei. | Koinei te otinga pai rawa atu mēnā me tere te dialysis, mēnā rānei kāore ētahi atu tikanga e angitu. Ka taea te whakamahi tonu i muri i te whakaurunga. |
Ina koa, ko te momo permacatheter he 'poroporo' tōna, koia te mea e whakamahia ana mō te wā roa. Nā tēnei poroporo, i roto i te wā, ka tipu ngā kiko o tō tinana huri noa, ka noho tonu ki tōna tūranga, ka ārai hoki i te neke haere i roto i tō tinana. Ka ārai hoki i te urunga mai o te mate.
Me pēhea te whakauru i te permacatheter ki roto i te tinana?
He rite tēnei ki te pokanga mō te ara mimi . Nō reira, kāore he mea hei manukanuka. Koinei te āhua o te nuinga o te wā.
I mua i te pokanga
Mā tō tākuta koe e whakamārama pai i te tikanga. Ka matapakihia e ia ngā painga me ngā huakore katoa, ā, ka whiwhi i tō whakaaetanga. Mēnā he āhuatanga ohorere, me mahi pea tēnei me te kore he whakaaetanga mai i a koe hei whakaora i tō ora.
I te wā o te pokanga
E 45 meneti noa iho te roa o tēnei mahi. Mā ngā tākuta koe e whakarite kia kore ai e pāngia e te mamae. Tērā pea ka hoatu he rongoā whakamoe whānui ki a koe, ka werohia rānei he rongoā whakangote (lidocaine) ki te wāhi e whakanohoia ana te permacatheter.
Ka whakamahia e te tākuta tētahi tikanga e kīia nei ko te ultrasound, ko te fluoroscopy rānei (he hihi-X e āhei ai koe ki te mātakitaki i tētahi ataata tūturu o roto o tō tinana) hei whakauru mārire i tēnei ngongo ki roto i tō uaua. Ka whakaurua tētahi pito o te ngongo ki roto i te atrium matau o tō ngākau. Ka whakaputaina tētahi atu pito mā roto i te kiri o tō uma.
I muri i te pokanga
I muri i te pokanga, ka tāpirihia he takai mārama hei pupuri i te wāhi kia ma. He mea noa te mamae me te pakari o te wāhi mō ētahi rā. Ka mahia he hihi-X o te uma hei whakarite kia pai te haere o ngā mea katoa. Ka taea e koe te hoki ki te kāinga i muri i ētahi haora o te okiokinga. Waihoki, ka taea te whakamahi i te Permacatheter mō te maimoatanga i muri tonu i te whakaurunga.
Me pēhea te tiaki i tētahi hononga tūmau i te kāinga?
Nā te mea kei te tūpono te tangata he permacatheter tōna ki te pangia e te mate, he mea tino nui kia noho ma, kia tiakina hoki. Me whai i ngā tohutohu a tō tākuta.
- Kaua e tukua te wai kia uru ki ō kanohi i te rā tuatahi. Kaua e kaukau, kaua hoki e ruku ki raro i te wai.
- He mea noa te puta mai o te toto iti i te Permacatheter. Heoi, ki te poke te takai i te toto, tangohia marietia, horoia ki te wai, ka pania he mea hou.
- Kaua e tōia, kaua hoki e nekehia te catheter . Mēnā ka hē te tūnga, me tāpiri pea he mea hou.
- Kaua rawa e tangohia te taupoki o waho o te permacatheter. Mā te pera ka taea e te hau te tomo, ka puta he āhuatanga morearea.
- Kaua e pania he kirimi paturopi ki te patunga ki te kore e tohua e tō tākuta.
Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu.
Ki te pā mai tētahi o ēnei ki a koe, me whakamōhio wawe atu ki tō tākuta. Ki te mea he āhuatanga ohorere, haere tika atu ki te Tari Ohorere (ETU) .
- Ki te mea kei te pāngia koe e te kirika, te makariri, me te wiri.
- Mena kei te pupuhi, kei te whero, kei te mamae rānei te wāhi i pania ai te Permacathe.
- Mena kua nekehia te katitere, kua hē rānei i tōna tūranga.
- Mena ka toto tonu te patunga mō te neke atu i te 20 meneti.
He aha ngā painga me ngā mōrearea o te whakamahi i te permacatheter?
Pērā i ngā tikanga hauora katoa, he painga, he mōrearea hoki tō te permacatheter.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Te ngāwari o te hononga roa, pumau rānei ki te pūnaha toto. | Ngā Mate Pukupuku: Ka pā mai pea ngā mate kitakita, ngā mate huaketo rānei, inā koa ko te MRSA (methicillin-resistant Staphylococcus aureus), he momo kitakita e ātete ana ki ngā paturopi. |
| Ka whakakore i te mamae me te kore whakamarie e puta mai i ngā werohanga ngira pinepine. | Te toto totoka: He tūponotanga kei puta he toto totoka huri noa i te katitere. |
| Kua rite ki te whakamahi i te wā tonu ka whakaurua. | Te wetewete: Tērā pea ka neke te katitere, ka puta rānei i tōna tūranga. |
Kāore he take e wehi ai koe i ēnei mōrearea. Ko te mea nui ko te tiaki tika i te hononga tūmau me te mārama ki ngā āhuatanga mōrearea. Kātahi ka taea e koe te karo i ngā raruraru maha.
Karere Tangohia ki te Kāinga
- He ngongo roa motuhake a Permacath e āwhina ana ki te whakakore i te hiahia mō te werohanga ngira auau mō ngā maimoatanga roa pēnei i te dialysis.
- Ka whakaurua tēnei mā te pokanga iti, ā, ka taea te whakamahi tonu i muri i te whakaurunga.
- He mea nui kia tino ma te permacatheter, kia tiakina hoki kia kore ai e pangia e te mate me te toto e pupuhi ana.
- Kia tūpato tonu ki ngā tohu whakatūpato pēnei i te kirika, te pupuhi, me te toto nui. Mēnā he āwangawanga āu, me whakamōhio tonu atu ki tō tākuta.
- Me kōrero tonu ki tō tākuta mō te kōwhiringa maimoatanga e pai ana mōu.
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