Kodi mwapatsidwa mankhwala a chemotherapy ngati chithandizo cha khansa? Ndiye mwina mukudziwa momwe zimakhalira zopweteka komanso zosasangalatsa kuyika ma cannula ndikutulutsa magazi nthawi zonse. Sizophweka nthawi zonse kupeza mtsempha wabwino. Ichi ndichifukwa chake tikambirana za yankho labwino lero. Imeneyo ndi "Chemo Port". Mwina dokotala wanu wakuuzaninso za izi. Tiyeni tiwone chomwe ichi ndi, momwe chimagwirira ntchito, komanso ubwino wake. Tiyeni tikambirane chilichonse mwachidule.
Kodi Chemo Port ndi chiyani?
Mwachidule, chemo port ndi chipangizo chaching'ono chomwe chimayikidwa pansi pa khungu lanu. Taganizirani ngati chinthu chofanana ndi ndalama ya rupee zisanu. Nthawi zambiri chimayikidwa pansi pa khungu la pachifuwa chapamwamba, mkono, kapena mimba. Kenako, chubu chopyapyala cha silicone ('catheter') chomwe chimachokera ku chipangizochi chimalumikizidwa mwachindunji ku imodzi mwa mitsempha yanu yayikulu yamagazi.
Anthu ambiri omwe akulandira chithandizo cha khansa amagwiritsa ntchito doko ngati ili. Chifukwa akapatsidwa doko, safunika kudutsa m'mitsempha m'manja nthawi iliyonse akawapatsa mankhwala a chemo, kumwa magazi, kapena kuwapatsa madzi ena monga saline. Mutha kuchita zonsezi mwachindunji kudzera doko ili. Chifukwa chake doko ili limathandiza kuti chithandizo cha chemo chikhale chosavuta, chotetezeka, komanso chopweteka pang'ono.
Dzina lina la izi ndi "Port-a-cath".
Kodi doko ili likuwoneka bwanji? Kodi ziwalo zake ndi ziti?
Kutengera mtundu wa doko lomwe mwapeza, likhoza kukhala lozungulira, lamakona atatu, kapena lozungulira. Doko lililonse lili ndi zigawo zitatu zazikulu.
| Gawo lalikulu | Mwachidule... |
|---|---|
| Doko | Ichi ndi gawo lalikulu la chipangizochi. Madokotala ndi anamwino amabaya mankhwala m'gawoli. |
| Seputembala | Izi zili pakati pa doko. Zapangidwa ndi mtundu wapadera wa rabala. Singano ikalowetsedwa, dzenjelo limatseka lokha (kudzitseka lokha). |
| Chotsukira | Uwu ndi chubu chopyapyala komanso chosinthasintha chomwe chimalumikiza cholumikiziracho ndi mtsempha wamagazi anu. |
Ndipo pali mitundu iwiri ya madoko awa:
- Doko la lumen imodzi: Ili ndi malo amodzi okha olowera. Uwu ndi mtundu womwe umagwiritsidwa ntchito kwambiri.
- Ma double lumen port: Ili ndi ma double entry ports. Izi zikutanthauza kuti imatha kugwira ntchito ziwiri nthawi imodzi, monga kupereka mankhwala kudzera mu imodzi ndi kutulutsa magazi kudzera mu inayo.
Chabwino, tsopano tiyeni tiwone momwe izi zimagwirira ntchito.
Pambuyo poti chotchingiracho chaikidwa m'thupi lanu, ogwira ntchito zachipatala amatha kuchigwiritsa ntchito potenga magazi, kupereka mankhwala, kapena kupereka madzi ena m'thupi lanu.
Njira yochitira izi ndi yosavuta kwambiri. Amalowetsa singano yapadera pakhungu lanu, mwachindunji m'chigawo chapakati cha pulasitiki (septum). Izi sizili ngati kuyika cannula wamba. Palibe chifukwa chopezera mtsempha, ndipo siwopweteka kwambiri. Zimamveka ngati kukankhira pang'ono.
Chofunika kwambiri ndi ufulu womwe mumapeza pofunafuna ndikubaya mitsempha yanu nthawi iliyonse mukalandira chithandizo. Izi zidzakuthandizaninso kwambiri m'maganizo.
Kodi mumayika bwanji chotchinga cha chemo m'thupi lanu? Kodi iyi ndi opaleshoni yayikulu?
Kulandira chithandizo cha mankhwala a chemo ndi njira yocheperako yochitira opaleshoni. Koma si opaleshoni yaikulu komanso yoopsa. Nthawi zambiri imatenga pafupifupi ola limodzi. Mutha kupita kunyumba tsiku lomwelo. Koma ndikofunikira kukhala ndi mnzanu kapena wachibale kuti akutengereni kumeneko ndi kubwerera.
Nazi zina mwa zinthu zomwe gulu lanu lachipatala lidzachita panthawi ya opaleshoni iyi:
1. Choyamba, mudzapatsidwa mankhwala ochepetsa ululu kuti muchepetse ululu ndikukupangitsani kukhala omasuka.
2. Kenako, kudula pang'ono kumapangidwa pakhosi panu kuti mulowe mtsempha wamagazi (monga mtsempha wa jugular, mtsempha wa subclavian, kapena vena cava wapamwamba).
3. Mtsemphawo umatseguka pang'ono ndipo chubu chopyapyala (`catheter`) chimalowetsedwamo.
4. Kenako kudulanso pang'ono kumapangidwa pansi pa khungu la pachifuwa chanu, mkono, kapena mimba, ndikupanga malo ochepa mu subcutaneous layer, ngati thumba laling'ono.
5. Doko la chemo limayikidwa mkati mwa malo opangidwa.
6. Tsopano, chubu chochokera ku doko chimatengedwa pansi pa khungu ndikulumikizidwa ku chubu chomwe chidalowetsedwa kale mumtsempha.
7. Pomaliza, mabala onse awiri amatsekedwa ndi ma stitches.
Dokotala wa opaleshoni amachita opaleshoni yonseyi akuyang'ana makina omwe amawonetsa zithunzi monga X-ray (fluoroscopy). Izi zimatsimikizira kuti zonse zachitika bwino. Pambuyo poti opaleshoniyo yatha, X-ray ya pachifuwa imatengedwanso kuti zitsimikizire kuti doko lili pamalo oyenera.
Kumbukirani, iyi si opaleshoni yaikulu. Kuchekako ndi pafupifupi inchi imodzi yokha. Ndipo mutha kupita kunyumba tsiku lomwelo.
Kodi ubwino wogwiritsa ntchito Chemo Port ndi wotani?
Pali ubwino wambiri wogwiritsa ntchito doko la chemo. Tiyeni tiwone bwino.
| Phindu | Mpumulo umene mumapeza kuchokera pamenepo |
|---|---|
| Mpumulo wa ululu | Mukalowetsa singano mu doko, mumamva kukankhidwa pang'ono. Ululu wopeza mtsempha ndikulowetsa singano nthawi iliyonse umatha kwathunthu. |
| Kuchepetsa kuwonongeka kwa minofu | Chotengeracho chimatumiza mankhwalawo mwachindunji mumtsempha waukulu wamagazi, zomwe zimathandiza kuti mankhwalawo atuluke m'mitsempha (extravasation) ndikuwononga minofu yozungulira, zomwe nthawi zina zimatha popereka mankhwala kudzera mu cannula. |
| Kusavuta ndi ufulu | Chotupacho chikachira pambuyo poti chotupacho chaikidwa, chimaphimbidwa ndi khungu lanu lonse. Mutha kusamba ndi kusambira bwino. Palibe chiopsezo cha matenda. |
Kodi pali zoopsa zilizonse pa izi?
Popeza iyi ndi njira yochitira opaleshoni, pali zoopsa zina zazing'ono, monga momwe zimakhalira ndi opaleshoni ina iliyonse. Komabe, izi sizichitika kawirikawiri.
| Chiwopsezo | Mwachidule... |
|---|---|
| Kuundana kwa magazi `(Thrombosis)` | Nthawi zina, magazi amaundana mkati mwa chubu cha chotengeracho ndipo amatsekeka. |
| Zoletsa kuyenda | Dokotala wanu angakuuzeni kuti mupewe kuchita masewera olimbitsa thupi kapena kuchita zinthu zolemera pambali pake pamene muli ndi cholumikizira, chifukwa izi zingayambitse cholumikiziracho kusuntha. |
| Zolakwika zamakina | Zinthu monga chubu chosasunthika zingayambitse kuti doko lisagwire ntchito bwino. |
| Kupanga zipsera | Opaleshoniyo ingasiye chilonda chaching'ono. |
| Matenda | Izi sizichitika kawirikawiri. Pafupifupi anthu awiri pa anthu 100 amadwala matendawa. Ngati muli ndi zizindikiro monga malungo, kupweteka, kapena kutupa, mwina ndi matenda. Ngati zimenezo zitachitika, doko lingafunike kusinthidwa. |
Zinthu zoti mudziwe mutapeza doko komanso mukakhala nalo
Kodi chimachitika n’chiyani doko likalowetsedwa?
Mungathe kumva ululu ndi kupweteka pamalo odulidwa kwa masiku awiri kapena atatu oyambirira mutalowetsa chogwiriracho. Izi ndi zachilendo. Mutha kuyambiranso zochita zanu zambiri zachizolowezi. Komabe, funsani dokotala wanu musanayambe kuchita masewera olimbitsa thupi, monga kupita ku masewera olimbitsa thupi.
Kodi mungasunge mphika uwu kwa nthawi yayitali bwanji?
Mukhoza kusunga chotupa ichi pamalo ake kwa nthawi yonse yomwe mukufuna, zomwe zitha kutenga zaka zingapo. Chithandizo chanu chonse chikatha, dokotala wanu akhoza kuchichotsa.
Kodi mumagona bwanji muli ndi mphika?
Malo abwino ogona ndi chagada . Izi zithandiza kupewa kupanikizika kulikonse pa doko. Makamaka kumayambiriro kwa kuchira, pewani kugona chagada. Izi zingayambitse kupanikizika pa doko ndikuwonjezera ululu.
Mukhozanso kugona m'mbali. Koma ngati doko lili kumanja, tembenukirani ku sleep kumanzere. Ngati lili kumanzere, tembenukirani ku sleep kumanja. Izi zikutanthauza kuti mbali yokhala ndi doko sili pansi.
Kodi ndingathe kusamba kapena kusamba ndekha?
Inde. Mutha kusamba maola 24-48 mutatha opaleshoni, koma pokhapokha mutakambirana ndi dokotala wanu. Mukasamba, muyenera kuphimba malo odulidwawo ndi pulasitiki yosalowa madzi. Malo odulidwawo akachira kwathunthu, mutha kusamba bwino, kusamba, kapena kusambira.
Kodi ndingachotse bwanji doko pambuyo poti mankhwala atha?
Kuchotsa chotsekero ndi njira yosavuta kwambiri. Zimaphatikizapo kudula pang'ono pamwamba pa chotsekerocho, kumasula chotsekerocho ku minofu yozungulira, ndikuchotsa chipangizo chonsecho nthawi imodzi. Kenako chotsekerocho chimatsekedwa ndi kusoka. Pakhoza kukhala ululu, kutupa, ndi mabala kwa masiku angapo chotsekerocho chitachotsedwa. Izi ndi zachilendo.
Kodi ndiyenera kuyimbira dokotala nthawi yomweyo liti?
Izi ndizofunikira kwambiri. Ngati mwalandira chithandizo cha mankhwala a chemo ndipo mukukumana ndi zizindikiro zotsatirazi, imbani dokotala nthawi yomweyo .
| Zizindikiro zochenjeza zoyenera kuziganizira | |
|---|---|
| 🔴 | Ngati mukumva kupweteka kwambiri, kutupa, kapena kuvulala komwe kuli doko. |
| 🔴 | Ngati khungu lozungulira doko lili lofiira kapena losasintha mtundu . |
| 🔴 | Ngati chinthu chonga madzi chikutuluka kuchokera komwe kuli doko. |
| 🔴 | Ngati muli ndi malungo . |
Uthenga Wopita Nawo Kunyumba
- Cholumikizira cha chemo ndi chipangizo chaching'ono komanso chothandiza chomwe chimachepetsa kwambiri ululu ndi kusasangalala komwe kumachitika chifukwa cha singano zomwe zimayikidwa pafupipafupi panthawi ya chithandizo cha chemotherapy komanso kutenga magazi.
- Izi zimayikidwa pansi pa khungu kudzera mu opaleshoni yaying'ono. Sizowopsa kapena zazikulu.
- Ubwino waukulu wogwiritsa ntchito doko ndi kuchepetsa ululu, chitetezo chowonjezeka, komanso kusavuta pa moyo watsiku ndi tsiku.
- Ngakhale pali zoopsa zazing'ono, monga matenda kapena magazi kuundana, sizimachitika kawirikawiri.
- Ngati mukumva kupweteka kwambiri, kufiira, kutupa, kapena malungo pamalo olowera, dziwitsani dokotala wanu nthawi yomweyo.
- Ngati muli ndi mafunso okhudza izi, musazengereze kufunsa dokotala wanu wa khansa.
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