Kodi inuyo kapena wokondedwa wanu nthawi zambiri mumafunikira jakisoni wa m'mitsempha, kulowetsedwa m'madzi amchere, kapena kutengedwa magazi? Timamvetsetsa ululu, kusapeza bwino, ndi kuwonongeka kwa mitsempha komwe nthawi zambiri kumabwera chifukwa cha kutsekeka kwa mtsempha mobwerezabwereza ndi singano. Lero, tikukambirana za chipangizo chaching'ono, chofunikira kwambiri chachipatala chomwe chapangidwa kuti chithandizo cha nthawi yayitali chikhale chosavuta komanso chosavuta kwa inu.
Kodi kwenikweni Doko Lolowetsedwa ndi chiyani?
Mwachidule, cholumikizira choyikidwa ndi chipangizo chaching'ono chachipatala chomwe chimayikidwa pansi pa khungu lanu. Chimagwira ntchito ngati "chipata" chokhazikika komanso chotetezeka cholowera mtsempha waukulu m'thupi lanu, zomwe zimapangitsa kuti chithandizo chikhale chosavuta. Mungamvenso chikutchedwa "port-a-cath" kapena "mediport."
Chotsekeracho chili ndi diski yaying'ono, yosalala yopangidwa ndi chitsulo kapena pulasitiki. Pamwamba pake, pali silicone yodzitsekera yokha yotchedwa "septum," yomwe imatha kubowoledwa ndi singano. Chubu chopyapyala komanso chosinthasintha (catheter) cholumikizidwa ku diski chimalumikizidwa mu mtsempha waukulu pafupi ndi mtima wanu. Dokotala wanu adzachita opaleshoni yaying'ono kuti ayike dongosolo lonselo pansi pa khungu lanu. Chotsekeracho chikasowanso, chingathe kuchotsedwa panthawi ina yaying'ono.
Ubwino waukulu ndi wakuti umachotsa kufunika kogwiritsa ntchito singano mobwerezabwereza komanso kutsuka mano pafupipafupi, zomwe zimapangitsa kuti chithandizo chanu chikhale chosavuta, chosavuta kupweteka, komanso chomasuka kwambiri.
Kodi pali mitundu yosiyanasiyana ya madoko?
Inde, pali mitundu yosiyanasiyana yomwe ilipo. Tebulo lotsatirali likuthandizani kumvetsetsa zosankha.
| Mtundu wa Doko | Kufotokozera |
|---|---|
| Lumen imodzi | Ili ndi malo amodzi olowera. Uwu ndi mtundu wofala kwambiri womwe umagwiritsidwa ntchito posamalira odwala nthawi zonse. |
| Lumen Yawiri | Ili ndi malo awiri osiyana olowera, zomwe zimathandiza kwambiri ngati mukufuna kulandira mankhwala angapo nthawi imodzi. |
| Yobayidwa ndi Mphamvu | Madoko ambiri amakono ali m'gululi. Amapangidwa kuti athe kupirira kuthamanga kwambiri komwe kumafunika pobaya utoto wosiyana panthawi ya CT kapena MRI scans. |
Ndani Akufunika Doko?
Chipatala ndi chida chothandiza kwa aliyense amene amafunika chithandizo cha nthawi zonse kapena cha nthawi yayitali cha mtsempha (IV), kuikidwa magazi, kapena kutengedwa magazi nthawi zonse. Dokotala wanu angakulangizeni chipatalacho kwa inu kapena mwana wanu ngati mukusamalira matenda monga:
- Khansa: Mukafuna nthawi zambiri kulandira chithandizo cha chemotherapy.
- Matenda Osatha: Ngati mukufuna mankhwala opha maantibayotiki kudzera m'mitsempha kwa milungu ingapo kapena miyezi ingapo.
- Kulephera kwa Impso: Kwa odwala omwe akufunika chithandizo chopitilira cha dialysis.
- Matenda a m'mimba: Matenda monga matenda a kutupa m'matumbo (IBD) komwe mungafunike kudya zakudya zopatsa mphamvu kwa nthawi yayitali.
- Zosowa Zina Zovuta pa Thanzi: Vuto lililonse lofuna kupereka mankhwala pafupipafupi kapena kuyezetsa magazi mobwerezabwereza.
Zoyenera Kuyembekezera Musanayambe Kuchita Opaleshoni
Popeza iyi ndi njira yaying'ono yochitira opaleshoni, pali njira zingapo zokonzekera:
- Uzani dokotala wanu za mankhwala onse ndi zowonjezera zomwe mukumwa. Mungalangizidwe kuti musiye kumwa mankhwala ena masiku angapo musanachite opaleshoniyi.
- Mudzayesedwa magazi nthawi zonse kuti muwone momwe impso zanu zimagwirira ntchito komanso momwe magazi anu amaundana.
- Mudzalandira malangizo oti musala kudya (kupewa kudya kapena kumwa) kwa maola angapo musanachite opaleshoniyi.
Kodi Doko Limayikidwa Bwanji?
Kawirikawiri opaleshoni iyi imatenga ola limodzi, ndipo nthawi zambiri mumatha kupita kunyumba tsiku lomwelo. Komabe, muyenera kukhala ndi munthu woti akuperekezeni kuti akuyendetseni bwino kunyumba.
Ma doko ambiri amaikidwa pansi pa khungu pamwamba pa chifuwa. Nthawi zina, dokotala wanu angaike mkati mwa mkono wanu kapena pansi pa nthiti.
Kuti muwonetsetse kuti muli omasuka, dokotala wogonetsa anthu adzakupatsani mankhwala ochepetsa ululu kuti mukhale omasuka komanso ogona, komanso mankhwala oletsa ululu am'deralo kuti asamachite dzanzi pamalo odulira. Kwa ana, mankhwala oletsa ululu nthawi zambiri amagwiritsidwa ntchito.
Umu ndi momwe dokotala wanu amachitira izi:
1. Malangizo a X-ray: Njirayi imatsogozedwa ndi ukadaulo wapadera wa X-ray wotchedwa fluoroscopy.
2. Kucheka Kakang'ono: Kucheka kakang'ono kumapangidwa pafupi ndi khosi kuti kufikire mtsempha waukulu (monga vena cava wapamwamba, jugular, kapena subclavian vein).
3. Kupanga Thumba: Kuchekanso pang'ono kwachiwiri kumachitika pachifuwa kapena pamkono, pomwe "thumba" laling'ono limapangidwa pansi pa khungu kuti likhale ndi thumba.
4. Kuyika Doko: Doko limayikidwa bwino mkati mwa thumba ili.
5. Kulumikiza Catheter: Chubu chopyapyala komanso chosinthasintha chotchedwa catheter chimalumikizidwa kuchokera ku doko kupita ku mtsempha wanu kudzera mu khosi lodulidwa.
6. Kutsimikizira: X-ray ya pachifuwa imachitidwa kuti zitsimikizire kuti cholowera ndi catheter zili pamalo abwino.
7. Kutseka Chodulira: Pomaliza, zodulirazo zimatsekedwa pogwiritsa ntchito zosokera zosungunuka.
Ubwino ndi Zoopsa: Zimene Muyenera Kudziwa
Ngakhale kuti madoko apangidwa kuti apititse patsogolo moyo wanu, ndikofunikira kudziwa zambiri za ubwino ndi zoopsa zomwe zingachitike.
| Ubwino | Zoopsa |
|---|---|
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Momwe mungasamalire 'doko' lanu komanso nthawi yoti muyimbire dokotala wanu
Khungu lomwe lili pamwamba pa chitseko chanu silifuna chithandizo chapadera cha tsiku ndi tsiku. Komabe, ngati simulandira chithandizo cha pafupipafupi, chitseko chanu chiyenera 'kutsukidwa' pafupifupi kamodzi pamwezi kuti magazi asaundane. Izi zimaphatikizapo kuyeretsa dongosolo ndi madzi apadera, njira yomwe idzachitidwa ndi dokotala wanu kapena namwino wapadera.
Kuti mupewe matenda, samalani kwambiri za ukhondo kuposa china chilichonse.
- Sambani kapena sambani tsiku lililonse.
- Sambani m'manja mwanu pafupipafupi ndi sopo kwa masekondi osachepera 20.
- Sungani malo okhala ndi zofunda zanu kukhala zaukhondo.
Imbani dokotala wanu nthawi yomweyo ngati:
Ngati mukukumana ndi zizindikiro zotsatirazi, musazengereze kulankhula ndi dokotala wanu kapena pitani ku Dipatimenti Yodzidzimutsa yapafupi nthawi yomweyo .
- Pali kutuluka magazi kapena kutuluka magazi kuchokera pamalo olowera.
- Malowa amakhala ofiira, otupa, kapena ofunda akakhudza.
- Umayamba kutentha thupi.
- Dzanja lomwe lili mbali ya doko likuyamba kutupa.
- Mumavutika kupuma kapena kupweteka pachifuwa.
- Mukumva chizungulire kapena kukomoka.
Kuika thumba loikidwa m'thupi ndi njira yabwino kwambiri kwa iwo omwe akulandira chithandizo cha nthawi yayitali, zomwe zimapangitsa moyo kukhala wosavuta. Musadandaule nazo; dokotala wanu ku Nirogi Lanka adzakufotokozerani zonse zomwe muyenera kudziwa.
Mfundo Zofunika Kwambiri
- 'Cholumikizira choikidwa' ndi chipangizo chaching'ono chomwe chimayikidwa pansi pa khungu lanu chomwe chimapangitsa kuti chithandizo cha nthawi yayitali monga chemotherapy, madzi a m'mitsempha, kapena kutulutsa magazi chikhale chosavuta.
- Zimachotsa ululu ndi kusasangalala komwe kumachitika chifukwa cha kuyika singano mobwerezabwereza kapena kuyika cannula.
- Imayikidwa kudzera mu opaleshoni yaying'ono ndipo imatha kuchotsedwa mosavuta ikapanda kufunikiranso.
- Vuto lofala kwambiri ndi matenda opatsirana; chifukwa chake, kusunga ukhondo wokwanira ndikofunikira.
- Fufuzani thandizo lachipatala mwamsanga ngati muwona zizindikiro za matenda, monga kufiira, kutupa, kutentha thupi, kapena vuto la kupuma.
👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Ululu wa Msana Wapansi (Lumbago) ndi chiyani?
Ndi ululu woposa kupweteka kwa m'mawa kokha! Ululu wa m'munsi mwa msana umaphatikizapo kusapeza bwino, kutentha, kapena kuuma kwa lumbar region (pamwamba pa chiuno, pansi pa glutes), zomwe zingakulepheretseni kukhala kapena kuyimirira. Ngakhale kuti ndi matenda ofala kwambiri padziko lonse lapansi, nthawi zina ukhoza kukhala chizindikiro cha vuto lalikulu la mitsempha.
💬 Kodi ndi zifukwa ziti zazikulu zomwe zimayambitsa ululu waukulu wa msana?
Choyambitsa chofala kwambiri (pafupifupi 90%) ndi kupsinjika kwa minofu chifukwa cha kaimidwe kosayenera kapena njira zosayenera zonyamulira. Zina mwa zifukwa zake ndi izi: 1) Ma disc otsekeka kapena otsetsereka omwe amakanikiza mitsempha, 2) Sciatica, komwe ululu umatuluka pansi pa mwendo, kapena 3) Miyala kapena matenda a impso (pyelonephritis).
💬 Kodi ndiyenera kupeza chithandizo chadzidzidzi liti chifukwa cha ululu wa msana?
Ngakhale ululu wambiri wammbuyo umatha mkati mwa milungu iwiri mutapuma komanso kulandira chithandizo cha kutentha/kuzizira, muyenera kupeza chithandizo chadzidzidzi ngati mukukumana ndi izi: 1) Kutaya mphamvu ya matumbo kapena chikhodzodzo kapena dzanzi m'mimba (zomwe zikusonyeza kuti muli ndi Cauda Equina Syndrome, yomwe ndi ngozi ya opaleshoni), 2) Kufooka mwadzidzidzi kwa miyendo yanu, kapena 3) Kupweteka kwambiri kwa msana komwe kumayenderana ndi kutentha thupi kwambiri.
