Kodi munaikidwanso chubu mutachitidwa opaleshoni? Tiyeni tikambirane za (madzi otuluka mumtsinje wa Jackson-Pratt)!

Mwina mwawonapo chubu chaching'ono ndi mpira waung'ono wolumikizidwa nacho mutachita opaleshoni. Kapena mwawonapo munthu amene mumamudziwa ali nacho. Izi zitha kukhala zoopsa pang'ono kwa anthu ena. Koma kwenikweni ndi chinthu chofunikira kwambiri chomwe chimathandiza bala lanu kuchira mwachangu. Lero, tikambirana mwachidule za `(drain ya Jackson-Pratt)`, kapena `(drain ya JP)`, mwachidule, ndi chiyani, chomwe chimagwira ntchito, komanso momwe mungachisamalire.

Kodi `(Jackson-Pratt drain)` ndi chiyani?

Mwachidule, ngalande ya Jackson-Pratt ndi chubu chopyapyala, chosinthasintha chokhala ndi mpira waung'ono womangiriridwapo womwe umagwiritsidwa ntchito kusonkhanitsa ndikutulutsa madzi osafunikira (monga magazi ndi madzi a lymphatic) kuchokera pabala pomwe mudachitidwa opaleshoni. Ndizachilendo kuti madzi ndi zinyalala za maselo izi zituluke pabala mutachita opaleshoni. Chifukwa chake, chomwe ngalande iyi ya JP imachita ndikutulutsa madziwo kuchokera pabala ndikuwonjezera ku mpirawo kunja kwa thupi lanu. Mwanjira imeneyi, kutulutsa madzi osafunikira kumathandiza kuti bala lichiritsidwe mwachangu. Komanso, ngati mutasamalira bwino ngalande ndi bala, mutha kuchepetsa chiopsezo cha matenda.

Kodi `(JP drain)` imagwira ntchito bwanji?

Chabwino, tsopano tiyeni tiwone momwe `(JP drain)` iyi imagwirira ntchito. Ndi yosavuta kwambiri. Imagwira ntchito poyamwa. Ndiko kuti, imatulutsa madzi m'bala.

Pali magawo atatu akuluakulu a `(JP drain)` iyi:

1. Chidutswa cha chubu chosalala chomwe chimalowa m'bala: Ichi chili ndi mabowo ang'onoang'ono. Madzi osafunikira ochokera kubala amalowa m'chubu kudzera m'mabowo awa.

2. Chubu chaching'ono chosinthasintha chomwe chimatuluka: Ichi ndi chomwe chimatenga madzi kuchokera pachilonda kupita ku mpira waung'onowo. Nthawi zambiri, madokotala amamangirira chubu ichi pakhungu ndi suture kapena tepi yaying'ono kuti chisasunthe.

3. Babu losonkhanitsira: Ili lili ngati mandimu ang'onoang'ono. Limafinyidwa kuti lipange kuyamwa. Babu ili lili ndi chivundikiro chomwe chimapanga chisindikizo chopanda mpweya. Madzi akasonkhana, chivundikirocho chimatsegulidwa kuti chituluke.

Mwachidule, mukakanikiza buluni ndikuyesera kuidzazanso, vacuum yaying'ono imapangidwa mkati, mtundu wa "kupanikizika koipa" . Mphamvu imeneyo ndiyo imapangitsa kuti madzi osafunikira m'balalo ayende pang'onopang'ono pansi pa chubu ndikusonkhana mu buluni. Zosavuta kwambiri, eti?

Chomwe muyenera kuchita ndikutulutsa madzi mu baluni ikadzaza pafupifupi theka, ikanikeni bwino kachiwiri kuti muchotse mpweya ndikutseka. Kenako `(suction)` imapitirira. Ngakhale kuti ndi yosowa, `(JP drain)` ina imagwiritsidwanso ntchito kuchotsa madzi pogwiritsa ntchito mphamvu yokoka (`gravity`) (gulu lanu lachipatala lidzakuuzani za izi).

Kodi `(JP drain)` imafunika liti?

Tsopano mwina mukudabwa kuti `(JP drain)` iyi imagwiritsidwa ntchito pa opaleshoni yanji. Kwenikweni, iyi ndi mtundu wofala kwambiri wa `(drain)` womwe umagwiritsidwa ntchito pambuyo pa opaleshoni. Madokotala amagwiritsa ntchito izi kuchotsa madzi m'mabala pambuyo pa opaleshoni zosiyanasiyana. Nazi zitsanzo zingapo:

• Opaleshoni ya m'mimba; mwachitsanzo, opaleshoni yokonza hernia.
• Opaleshoni yokhudzana ndi mabere; opaleshoni ya khansa ya m'mawere, kapena zinthu monga "opaleshoni yapamwamba".
• Opaleshoni pachifuwa; nthawi zina pochiza matenda monga pleural effusion (madzimadzi ozungulira mapapo).
• Opaleshoni yochotsa chithokomiro (`thyroidectomy`).
• Opaleshoni yokongoletsa ndi yokongoletsa (opaleshoni yokonzanso).
• Opaleshoni yochotsa ma lymph node (lymphadenectomy).

Kawirikawiri, kuchuluka kwa madzi omwe angasonkhanitsidwe mu ngalande ya JP nthawi imodzi ndi pafupifupi 25 mpaka 50 mL. Izi zimatha kusiyana pang'ono kutengera mtundu wa ngalande. Palinso mtundu waukulu wa ngalande wotchedwa hemovac drain womwe ungasonkhanitse madzi ambiri, koma ngalande ya JP ndiyo yomwe imagwiritsidwa ntchito kwambiri.

Kodi ndingasamalire bwanji `(JP drain)` yanga?

Chabwino, tsopano tiyeni tiwone momwe tingasamalire `(JP drain)` iyi mukafika kunyumba. Ichi ndi chinthu chomwe chiyenera kuchitika mosamala, koma musadandaule, madokotala ndi anamwino adzakuphunzitsani momwe mungachitire izi musanatuluke kuchipatala.

Pali zinthu zitatu zazikulu zoyenera kuchita:

1. Kuchotsa madzi omwe amasonkhana mu `(Drain)` nthawi ndi nthawi.

2. Lembani kuchuluka ndi mtundu wa madziwo.

3. Sungani bala ndi malo otulutsira madzi oyera ndipo sinthani bandeji.

Chinthu chinanso, sungani mpira womwe umasonkhanitsa madziwo ku zovala zanu ndi ``(phini yotetezera)''. Mwanjira imeneyi, padzakhala mwayi wochepa woti ugwere ndikutuluka.

Momwe mungachotsere madzi mu `(Drain)`

Choyamba, tiyeni tiwone momwe tingatulutsire madziwo. Musanachite izi, konzani zinthu zomwe mukufuna.

• Matawulo awiri oyera ang'onoang'ono.
• Chopukutira mowa.
• Chidutswa cha gauze.
• Kapu kakang'ono koyezera zakumwa (izi zidzaperekedwa ndi chipatala).

Chabwino, tsopano chitani motere:

1. Sambani m'manja mwanu bwino: Sambani m'manja mwanu bwino ndi sopo ndi madzi kwa masekondi osachepera 20. Pukutani m'manja mwanu ndi thaulo loyera ndikuzimitsa pompo. Kapena, mungagwiritse ntchito mankhwala oyeretsera m'manja okhala ndi mowa.

2. `Mkaka` pa chubu:Izi zikumveka zachilendo pang'ono, sichoncho? Izi zimachitika kuti madzi aliwonse omwe angakhale mkati mwa chubu atuluke mu mpira. Ndi dzanja lanu limodzi, gwirani chubucho pang'ono kutali ndi komwe `(drain)` imakumana ndi khungu. Mukufuna kuchigwira mwamphamvu kuti chisasunthe, kuti musamve kukoka pabala. Tsopano, pogwiritsa ntchito chala chachikulu ndi chala chakutsogolo cha dzanja lanu lina, pukutani chubucho pang'onopang'ono kuchokera pamalo amenewo kupita ku mpirawo. Zili ngati kupopera mkaka. Ngati mupukuta ndi `(alcohol wipe)`, idzatsika mosavuta.

3. Chotsani madzi: Tsopano popeza madzi asonkhana mu mpira, tsegulani mosamala chivundikiro cha mpirawo. Mukatsegula chivundikirocho, musakhudze dzenje ndi zala zanu. Kuchita zimenezi kungayambitse majeremusi. Tsopano tsanulirani madzi ochokera mu mpirawo mu chikho choyezera.

4. `Yambitsaninso` babu losonkhanitsira: Tsopano finyani babu bwino ndi dzanja kuti muchotse mpweya wonse mkati. Finyani mpaka litaphwanyika kwathunthu. Pamene mukufinyabe, manganinso chivundikirocho ndikuchitseka. Apa ndi pamene `(suction)` imapangidwanso. Pakati pa babu payenera kukhala lathyathyathya.

5. Sambani m'manja mwanu kachiwiri: Sambani m'manja mwanu bwino monga momwe zinalili poyamba.

Ngati muli ndi njira zotulutsira madzi zopitilira imodzi (monga, mutachotsa mastectomy, mungakhale ndi ziwiri), chitani chimodzimodzi ndi njira inayo.

Lembani zambiri zokhudza madzi

Chinthu china chofunika kwambiri ndi kulemba tsatanetsatane wa nthawi iliyonse yomwe muchotsa madzi mu `(drain)`.

• Yakwana nthawi yoti madzi atuluke.
• Kodi panali madzi angati (poyang'ana chikho choyezera).
• Kodi mtundu wa madziwo ndi wotani?

Mfundo zimenezi zithandiza dokotala kuyang'anira momwe bala lanu likuchira.

Pamene bala likuchira, kuchuluka kwa madzi otuluka mu ngalande kuyenera kuchepa tsiku ndi tsiku. Mtundu wa madziwo umasinthanso. Ndi bwinonso kudziwa mitundu iyi:

• Kufiira kwakuda: Ndizachilendo kuti madziwo akhale ofiira akuda, ngati magazi, poyamba.
• Chofiira chopepuka kapena pinki: Madziwo adzawala ngati bala likuchira.
• Wachikasu wopepuka (wamtundu wa udzu) kapena wowonekera bwino: Madziwo akasintha kuchoka pa ofiira kupita pa achikasu chopepuka kapena chowonekera bwino, zimatanthauza kuti bala likuchira bwino. Izi zimatchedwanso "serous drainage" m'mawu azachipatala.

Dziwani: Ngati kutuluka kwa magazi kumasintha mtundu kenako n’kukhala kofiira kwambiri, kungakhale kutuluka magazi kachiwiri. Ngati izi zitachitika, muyenera kuuza dokotala wanu. Komanso, ngati kutuluka kwa magaziko kuli koyera ngati mkaka, kuli ndi fungo loipa, kapena kuli kokhuthala, kungakhale chizindikiro cha matenda. Pankhaniyi, muyeneranso kuuza dokotala wanu nthawi yomweyo.

Momwe mungasinthire `(Mavalidwe)`

Kusintha bandeji pa bala kuyeneranso kuchitika bwino. Dokotala adzakuuzani kangati kuti musinthe bandejiyo ndi momwe mungachitire. Muyenera kuchita monga momwe akunenerani. Musanasinthe bandejiyo, konzani izi:

• Matawulo oyera.
• Chidutswa cha gauze chokhala ndi mpata pakati.
• Tepi yopangira opaleshoni.
• Chotsukira mabala (ngati dokotala wakupatsani).

Chabwino, nayi momwe mungachitire:

1. Sambani m'manja mwanu bwino.

2. Chotsani mosamala `(dressing)` yakale. Samalani kuti musakoke chubu cha `(Drein)`.

3. Sambani m'manja kachiwiri.

4. Tsukani bala ndi malo omwe ngalande imakumana ndi khungu ndi sopo ndi madzi kapena chotsukira mabala chomwe dokotala wanu wakupatsani. (Dokotala wanu angakuuzeni kuti muzisambe pamene mukusamba, koma musalowe m'bafa kapena dziwe losambira pamene muli ndi ngalande.) Mukatsuka, dzipukutireni ndi thaulo loyera.

5. Ikani chidutswa cha gauze ndi chodulidwacho pakati pansi pa chubu chotulutsira madzi, pomwe chimakhudza khungu, ndikuchimata kuti chisasunthe.

Kodi mumateteza bwanji `(JP Drain)` kuti isatuluke?

Pali kachingwe kakang'ono pamwamba pa mpirawo komwe madziwo amasonkhana. Mutha kumangirira ``(phini yotetezera)`` ndikuyimangirira ku shati kapena diresi lanu. Koma musaimangirire ku thalauza lanu kapena lamba. Ngati mutero, mungaiwale ndipo ingatuluke mwadzidzidzi.

Kodi ndiyenera kutulutsa madzi mu `(Drain)` kangati?

Ndi bwino kutulutsa madzi m'chikhodzodzo mwachangu momwe mungathere, kutanthauza kuti, chikadzaza pafupifupi theka. Apa ndiye pamene chokoka chili pamalo ake. Nthawi zambiri, muyenera kuchotsa madziwo maola 4 mpaka 6 aliwonse kwa masiku angapo oyamba. Pamene kuchuluka kwa madzi omwe akutuluka kukuchepa, mutha kuchepetsa kuchuluka kwa madzi omwe akutuluka.

Kodi `(JP Drain)` idzasiyidwa nthawi yayitali bwanji pamalopo?

Kuti muchotse `(JP Drain)`, muyenera kubwerera kukaonana ndi dokotala wanu. Musachotse mpaka dokotala wanu atakuuzani. Nthawi zambiri, sichidzasiyidwa kwa milungu yoposa iwiri. Komabe, izi zitha kusiyana malinga ndi matenda anu. Ndibwino kufunsa dokotala wanu za izi musanatuluke kuchipatala.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati muli ndi zizindikiro izi, muyenera kuyimbira dokotala nthawi yomweyo. Izi zitha kukhala zizindikiro za matenda:

• Malungo. Ngati muli ndi malungo opitirira madigiri Celsius 38 (100.4 Fahrenheit).
• Ngati malo omwe adayikidwapo ngalande ndi ofiira, otupa, kapena ofunda, kapena ngati ululu wawonjezeka.
• Ngati muwona mizere yofiira kuchokera pamalo omwe panali bala.
• Ngati madzi ochokera mu ngalande akununkha, ndi obiriwira, ngati mkaka, kapena okhuthala.

Komanso, uzani dokotala wanu ngati zinthu izi zitachitika:

• Ngati chitoliro cha `(Drain)` chikuoneka kuti chatayikira, kapena ngati madziwo akuoneka kuti asiya kuyenda, mungafunike kulimbitsanso kapena kuyesa kuchotsa mpweya.
• Ngati chubucho chikuoneka kuti chamasuka, kapena ngati mpirawo wataya ``(suction)`` yake ndipo uli wodzaza ndi mpweya.
• Ngati kuchuluka kwa madzi kukupitirira kuwonjezeka kwa masiku awiri (kwenikweni kuyenera kuchepa).
• Ngati madziwo ayamba kuoneka ngati ofiira kapena ofiira ngati magazi (ichi ndi chizindikiro chakuti magazi akutulukanso).
• Ngati madzi akutuluka mu chotupacho (dokotala angafunike kuchotsa madzi otuluka mu ngalande).

Nthawi zina, madzi amatha kusonkhana pamalo ochitira opaleshoni akachotsedwa, ndipo madzi amatha kutupa. Izi zimatchedwa seroma . Izi si zadzidzidzi, koma muyenera kuuza dokotala wanu za izi.

Kodi `(JP Drain)` ndi `Open Drain` kapena `Closed Drain`?

Iyi ndi `(drain yotsekedwa)`, zomwe zikutanthauza kuti ndi njira yotsekedwa. Taganizirani motere, `(drain ya JP)` ndi njira yotsekedwa yomwe imasintha kuthamanga kwa mpweya mkati ndikutulutsa madzi kuchokera pabala. M'malo mwa madzi kutuluka pabala ndikuyamwa mu `(dressing)` monga mu `(drain yotseguka)` (mwachitsanzo, `(drain ya Penrose)`), mu iyi madzi amasonkhana mu mpira womwe umafinyidwa ndikutulutsa madziwo.

Mukakhala ndi `(JP drain)` m'malo mwake, poyamba zingamveke ngati chinthu chatsopano chachilendo m'thupi lanu. Mwanjira ina, zimamveka choncho. `(JP drain)` ili ngati chinthu chomwe chalumikizidwa ndi dongosolo la thupi lanu, kutulutsa madzi osafunikira kuchokera pabala ndikukuthandizani kuchira.

Kotero, zinthu zomaliza zokumbukira ndi

`(Jackson-Pratt drain)`, kapena `(JP drain)`, ndi chipangizo chomwe chingathandize bala lanu kuchira mwachangu ndikuchepetsa chiopsezo cha matenda mutachita opaleshoni. Zingakhale zovuta pang'ono kuthana nazo poyamba, koma musadandaule. Ngati mutasamalira bwino monga momwe madokotala ndi anamwino anu amakuuzani, zidzakuthandizani kuchira mwachangu.

Chofunika kwambiri ndichakuti ngati muli ndi mafunso kapena kukayikira kulikonse, musaope kufunsa dokotala kapena namwino wanu. Umoyo wanu ndiye chinthu chofunikira kwambiri kwa iwo.

` Dothi la Jackson-Pratt, Dothi la JP, dothi la opaleshoni, chisamaliro cha mabala, chisamaliro cha pambuyo pa opaleshoni, opaleshoni, kuchiritsa mabala, chisamaliro cha pambuyo pa opaleshoni, chisamaliro cha dothi, chisamaliro cha mabala