Kodi inuyo kapena munthu amene mumamudziwa muyenera kupatsidwa jakisoni, saline, kapena magazi nthawi zonse? Tikudziwa ululu, kusapeza bwino, komanso kuwonongeka kwa mitsempha komwe kumachitika chifukwa cholowetsa cannula ndikuboola singano nthawi zonse. Lero tikulankhula za chipangizo chaching'ono chofunikira kwambiri chomwe chimapangitsa kuti njirayi ikhale yosavuta kwa anthu omwe akulandira chithandizo cha nthawi yayitali ngati ichi.
Ndiye, kodi 'Implanted Port' iyi ndi chiyani?
Mwachidule, ichi ndi chipangizo chaching'ono chachipatala chomwe chimayikidwa pansi pa khungu lathu. Mwachidule, ndi "chipata" chokhazikika chomwe chimapangidwa kuti chilumikizane mosavuta ndi mtsempha waukulu m'thupi lathu. Izi nthawi zina zimatchedwa `portacath` kapena `mediport`.
'Doko' ili limapangidwa ndi gawo laling'ono longa diski lopangidwa ndi chitsulo kapena pulasitiki. Pamwamba pake pali gawo (`septum`) lopangidwa ndi silicone, lomwe lingalowetsedwe ndi singano. Chubu chopyapyala, chosinthasintha (`catheter`) cholumikizidwa ku diski iyi chimalowetsedwa mwachindunji mumtsempha waukulu pafupi ndi mtima wathu. Dokotala amaika dongosolo lonseli pansi pa khungu panthawi ya opaleshoni yaying'ono. Mukapanda kulifunanso, likhoza kuchotsedwanso ndi opaleshoni yaying'ono.
Ubwino waukulu wa izi ndikuti zimachotsa kufunika koika singano ndi ma cannula pafupipafupi, zomwe zimapangitsa kuti chithandizo chikhale chosavuta komanso chosavuta kupweteka.
Kodi pali mitundu yosiyanasiyana ya 'madoko' awa?
Inde, pali mitundu ikuluikulu ingapo. Zidzakhala zosavuta kuti mumvetse izi patebulo.
| Mtundu wa doko (Mtundu) | Kufotokozera kosavuta |
|---|---|
| Lumen imodzi | Ili ndi khomo limodzi lolowera. Ili ndi mtundu womwe umagwiritsidwa ntchito kwambiri. |
| Lumen Yawiri | Izi zili ndi njira ziwiri zolowera. Izi ndizothandiza kwambiri ngati mukufuna kupereka mitundu iwiri ya mankhwala nthawi imodzi. |
| Yobayidwa ndi Mphamvu | Ma 'port' ambiri omwe alipo masiku ano ndi amtunduwu. Angagwiritsidwe ntchito poika utoto wosiyana pa mphamvu yayikulu pazinthu monga CT scans kapena MRI scans. |
Ndani akufunikira 'doko' ngati ili?
Izi ndi zothandiza kwa aliyense amene akufunika chithandizo cha mitsempha pafupipafupi kapena kwa nthawi yayitali, kuikidwa magazi, kapena kutengedwa magazi. Dokotala wanu angakulimbikitseni izi, makamaka ngati inu kapena mwana wanu muli ndi vuto lililonse mwa izi:
- Matenda a khansa: Ngati mukufuna kulandira mankhwala a chemotherapy nthawi zonse.
- Matenda a nthawi yayitali: Ngati pakufunika, maantibayotiki operekedwa m'mitsempha angafunike kwa milungu kapena miyezi.
- Kulephera kwa impso: Kwa dialysis.
- Matenda a m'mimba: Pa matenda monga matenda a kutupa m'matumbo (IBD), zakudya zopatsa mphamvu m'mitsempha zingafunike.
- Matenda ena ovuta: Matenda aliwonse omwe amafunika kuyezetsa magazi pafupipafupi kapena kuikidwa m'mitsempha.
Kodi chimachitika n’chiyani 'doko' lisanakhazikitsidwe?
Popeza iyi ndi opaleshoni yaying'ono, pali zinthu zingapo zomwe muyenera kukonzekera pasadakhale.
- Muyenera kuuza dokotala wanu za mankhwala ndi mavitamini omwe mukumwa. Mankhwala ena angafunike kuti musiye kumwa masiku angapo opaleshoni isanachitike.
- Mayeso angapo a magazi amachitika kuti aone momwe impso zimagwirira ntchito komanso momwe magazi amaundana.
- Mudzalangizidwa kuti musadye kapena kumwa chilichonse (mosadya) kwa maola angapo opaleshoni isanachitike.
Kodi mumayika bwanji 'doko' ili m'thupi lanu?
Iyi ndi opaleshoni yaying'ono yomwe nthawi zambiri imatenga pafupifupi ola limodzi ndipo mutha kupita kunyumba tsiku lomwelo. Komabe, ndikofunikira kuti mubweretse munthu woti akutengereni kunyumba.
Kawirikawiri, 'chophimba' ichi chimayikidwa pansi pa khungu kumbali yakumanja ya chifuwa. Nthawi zina, chimayikidwanso pansi pa khungu kumbali yamkati ya mkono kapena m'mimba pansi pa nthiti.
Dokotala wogonetsa anthu ogonetsa adzakugonetsani tulo tofa nato kuti musamve kupweteka kulikonse panthawi ya opaleshoni. Adzakupatsaninso mankhwala oti achepetse ululu pamalo omwe opaleshoniyo idzachitikire. Ana adzapatsidwa 'anesthesia wamba', yomwe imawapangitsa kugona tulo tofa nato.
Dokotala amalemba izi motere:
1. Chitsogozo cha X-ray: Opaleshoni iyi imachitika pogwiritsa ntchito ukadaulo wapadera wa X-ray wotchedwa `Fluoroscopy`.
2. Kucheka pang'ono: Kucheka pang'ono kumapangidwa m'dera la khosi kuti mufike mtsempha waukulu (monga vena cava wapamwamba, jugular, kapena subclavian).
3. Kucheka kwina: Kucheka kwina kakang'ono kumapangidwa pakhungu la pachifuwa kapena mkono, ndikupanga "thumba" laling'ono pansi pa khungu kuti liyike 'doko'.
4. Kuyika 'doko':'Doko' limayikidwa mkati mwa thumba lomwe linapangidwa.
5. Kulumikiza chubu: Chubu (catheter) chochokera ku 'doko' chimalowetsedwa mu mtsempha kudzera mu chotupa cha pakhosi ndikulumikizidwa.
6. Kutsimikizira: Chithunzi cha X-ray pachifuwa chimatengedwa kuti zitsimikizire kuti zonse zili bwino.
7. Kusoka: Pomaliza, mabala amatsekedwa pogwiritsa ntchito masitichi osungunuka.
Kodi ubwino ndi kuipa kogwiritsa ntchito 'doko' ndi kotani?
Izi zili ndi ubwino wake komanso zoopsa zazing'ono. Tiyeni tidziwe zonse ziwiri.
| Ubwino | Zoopsa |
|---|---|
|
|
Ndani amasamalira 'doko' ndipo ndiyenera kulankhula ndi dokotala liti?
Khungu lomwe lili pamwamba pa chitsekocho silifunikira chisamaliro chapadera. Komabe, ngati simukulandira chithandizo nthawi zonse, mungafunike kutsuka chitsekocho kamodzi pamwezi kuti mupewe magazi kuundana. Izi zikutanthauza kuchiyeretsa ndi yankho lapadera. Izi zidzachitidwa ndi dokotala kapena namwino wanu.
Kuti tipewe matenda, ukhondo ndi chinthu choyamba.
- Sambani tsiku lililonse.
- Sambani m'manja mwanu bwino ndi sopo kwa masekondi osachepera 20.
- Sungani malo ozungulira inu ndi bedi lanu kukhala aukhondo.
Imbani dokotala wanu nthawi yomweyo ngati:
Ngati muli ndi zizindikiro zotsatirazi, musazengereze ndipo dziwitsani dokotala wanu kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) .
- Ngati magazi kapena madzi ena akutuluka kuchokera ku doko.
- Ngati malowo ndi ofiira, otupa, ndipo akumva kutentha mukakhudza.
- Ngati muli ndi malungo.
- Ngati mkono womwe uli m'mbali mwa 'doko' uli wotupa.
- Ngati mukuvutika kupuma kapena kupweteka pachifuwa.
- Ngati mukumva chizungulire kapena kukomoka.
'Port' ndi njira yabwino kwambiri kwa munthu amene akulandira chithandizo cha nthawi yayitali. Zimapangitsa moyo kukhala wosavuta. Choncho musachite mantha ndi izi. Dokotala wanu adzakufotokozerani zonse zokhudza izi.
Uthenga Wopita Nawo Kunyumba
- 'Cholumikizira choikidwa' ndi chipangizo chaching'ono chomwe chimayikidwa pansi pa khungu chomwe chimapangitsa kuti chithandizo chikhale chosavuta kwa iwo omwe akufunika kulandira mankhwala a m'mitsempha (monga chemotherapy), kulowetsedwa m'madzi amchere, kapena kutengedwa magazi kwa nthawi yayitali.
- Izi zimachotsa ululu ndi kusasangalala komwe kumachitika chifukwa cholowetsa singano ndi ma cannula pafupipafupi.
- Izi zimayikidwa kudzera mu opaleshoni yaying'ono ndipo zimatha kuchotsedwa ngati palibe chifukwa chochizira.
- Vuto lofala kwambiri ndi matenda, choncho ndikofunikira kusamala kwambiri za ukhondo.
- Ngati mukumva zizindikiro monga kufiira, kutupa, kutentha thupi, kapena kuvutika kupuma mozungulira 'doko', funsani dokotala nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
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Ngati ndi vuto lofala, lidzachira pakatha milungu iwiri ndi ayezi/madzi otentha ndikupumula. Koma choopsa chachikulu! 1) Ngati mukumva kupweteka kwa msana ndipo mwadzidzidzi mukulephera kulamulira chikhodzodzo kapena matumbo anu (Kutaya mphamvu ya matumbo/chikhodzodzo) kapena ngati msana wanu wachita dzanzi (Saddle anesthesia), msana wanu udzawola (Cauda Equina Syndrome / kufa)! 2) Ngati mukumva dzanzi m'miyendo yonse iwiri, 3) Ngati muli ndi malungo aakulu chifukwa cha ululu, mutha kupuwala m'maola ochepa, muyenera kupita kuchipatala nthawi yomweyo!
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