Iwe kana mumwe munhu waunoda anowanzo da jekiseni remutsinga, kuiswa munyu, kana kutorwa ropa here? Tinonzwisisa kurwadziwa, kusagadzikana, uye kukuvara kwetsinga kunowanzo uya nekudzokororwa kwetsvina uye zvimiti zvetsono. Nhasi, tiri kukurukura nezvemuchina mudiki, unokosha wekurapa wakagadzirirwa kuita kuti kurapwa kwenguva refu kuve nyore uye kwakakunakira.
Chii chaizvo chinonzi Implanted Port?
Zvichitaurwa zviri nyore, chinhu chinoiswa muropa mudziyo mudiki wekurapa unoiswa pasi peganda rako. Unoshanda se "gedhi" rinogara riripo, rakachengeteka retsinga huru mumuviri wako, zvichiita kuti kurapwa kuve nyore. Unogona zvakare kunzwa richinzi "port-a-cath" kana "mediport."
Chivharo ichi chine dhisiki diki rakati sandara rakagadzirwa nesimbi kana purasitiki. Pamusoro, chine silicone centre inozvivharira yoga inonzi "septum," iyo inogona kuboorwa netsono. Chubhu yakatetepa, inochinjika (catheter) yakabatana nedhisiki inoiswa mutsinga huru iri pedyo nemoyo wako. Chiremba wako achaita kuvhiya kudiki kuti aise system yese pasi peganda rako. Kana chivharo chisisina basa, chinogona kubviswa panguva imwe chete.
Chinhu chikuru ndechekuti inobvisa kudiwa kwezvishandiso zvetsono kakawanda uye kupwanya masero kakawanda, zvichiita kuti kurapwa kwako kuve nyore, kusarwadze, uye kunyaradze zvakanyanya.
Kune mhando dzakasiyana dzemaports here?
Ehe, kune mhando dzakasiyana-siyana dziripo. Tafura inotevera ichakubatsira kunzwisisa sarudzo dzacho.
| Rudzi rweChiteshi | Tsananguro |
|---|---|
| Lumen imwe chete | Ine nzvimbo imwe chete yekupinda. Iyi ndiyo mhando inonyanya kushandiswa mukutarisira varwere nguva dzose. |
| Kupenya kaviri | Ine nzvimbo mbiri dzakasiyana dzekupinda, izvo zvinobatsira zvikuru kana uchida kugamuchira mishonga yakawanda panguva imwe chete. |
| Inobaiwa Nesimba | Mapombi mazhinji emazuva ano ari muchikamu ichi. Akagadzirwa kuti agone kutsungirira kumanikidzwa kwakanyanya kunodiwa pakuisa madhayi ekuenzanisa panguva yekuongorora CT kana MRI. |
Ndiani Anoda Chiteshi?
Chivharo (port) chishandiso chinobatsira kune chero munhu anoda kurapwa ne intravenous (IV) nguva nenguva kana kwenguva refu, kuwedzerwa ropa, kana kutorwa ropa nguva dzose. Chiremba wako anogona kukurudzira chivharo ichi kwauri kana kumwana wako kana uri kugadzirisa zvirwere zvakaita se:
- Gomarara: Kana uchida kurapwa nechemotherapy nguva nenguva.
- Utachiona Husingaperi: Kana uchida mishonga inorwisa mabhakitiriya inopinzwa mutsinga kwemavhiki kana mwedzi yakati wandei.
- Kutadza kushanda kweitsvo: Kune varwere vanoda kurapwa kwe dialysis nguva dzose.
- Matambudziko Ekugaya: Matambudziko akadai seInflammatory Bowel Disease (IBD) apo ungangoda kudya kwenguva refu uchishandisa intravenous.
- Zvimwe Zvinodiwa Pahutano Hwakaoma: Chero mamiriro ezvinhu anoda kuti munhu apiwe mishonga nguva nenguva kana kuti apinzwe ropa kakawanda.
Zvaunotarisira Usati Waita Ongororo
Sezvo iyi iri nzira diki yekuvhiya, pane matanho mashoma ekugadzirira:
- Udza chiremba wako nezvemishonga yese uye zvekudya zvinovaka muviri zvauri kutora. Unogona kukurudzirwa kuti umbomira mimwe mishonga mazuva mashoma usati watanga kurapwa.
- Uchaongororwa ropa nguva dzose kuti uone mashandiro anoita itsvo dzako uye kuti ropa rako rakagwamba sei.
- Uchagamuchira mirairo yekutsanya (kurega kudya kana kunwa) kwemaawa akati wandei usati watanga kurapwa.
Chiteshi Chinoiswa Sei?
Uku kuvhiyiwa kudiki kunowanzoitwa kweawa imwe chete, uye kazhinji unokwanisa kuenda kumba zuva rimwe chete. Zvisinei, unofanira kunge uine mumwe munhu anokuperekedza kuti akuendese kumba zvakanaka.
Mapombi mazhinji anoiswa pasi peganda pamusoro pechipfuva. Muzvimwe zviitiko, chiremba wako anogona kuiisa paruoko rwako rwemukati kana pasi pembabvu.
Kuti uve nechokwadi chekuti wakasununguka, chiremba weanotindivadza achapa mushonga wekunyaradza kuti ugare wakasununguka uye uine hope, pamwe chete neanotindivadza yemunharaunda kuti isashande panzvimbo yakachekwa. Kune vana, anesthesia inowanzo shandiswa.
Heino maitiro anoita chiremba wako:
1. Gwaro reX-ray: Maitiro acho anotungamirirwa netekinoroji yeX-ray inonzi fluoroscopy.
2. Kuchekwa Kudiki: Kuchekwa kudiki kunoitwa pedyo nemutsipa kuti pasvike tsinga huru (yakadai se superior vena cava, jugular, kana subclavian vein).
3. Kugadzira Homwe: Cheka diki kechipiri pachipfuva kana paruoko, apo "homwe" diki inogadzirwa pasi peganda kuti igare gomba.
4. Kuiswa kwePort: Port yacho yakaiswa zvakanaka mukati mehomwe iyi.
5. Kubatanidza Catheter: Chubhu yakatetepa, inochinjika inonzi catheter inoiswa mutsinga kubva pachiteshi ichipinda mutsinga yako kuburikidza nepaburi remutsipa.
6. Kuongorora: X-ray yechipfuva inoitwa kuti ive nechokwadi chekuti gomba necatheter zviri panzvimbo yakanaka.
7. Kuvhara Kucheka: Pakupedzisira, mavanga anovharwa uchishandisa masitichi anonyungudika.
Zvakanakira uye Njodzi: Zvaunofanira Kuziva
Kunyange zvazvo madoko akagadzirirwa kuvandudza hupenyu hwako, zvakakosha kuti uzive nezvezvakanakira uye njodzi dzinogona kuitika.
| Mabhenefiti | Njodzi |
|---|---|
|
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Maitiro ekutarisira 'port' yako uye nguva yekufonera chiremba wako
Ganda riri pamusoro peganda rako haridi kurapwa kwakakosha zuva nezuva. Zvisinei, kana usingawanzorapwa, ganda rako rinofanira 'kugezwa' kanenge kamwe chete pamwedzi kudzivirira kuungana kweropa. Izvi zvinosanganisira kuchenesa muviri nemvura yakakosha, nzira ichaitwa nachiremba wako kana mukoti ane hunyanzvi.
Kuti udzivise kutapukirwa, tanga nekuchengetedza hutsanana kupfuura zvimwe zvose.
- Shambi kana kugeza zuva nezuva.
- Geza maoko ako nguva nenguva nesipo kwemasekondi makumi maviri.
- Chengeta nzvimbo yako yekugara uye magumbeze akachena.
Fonera chiremba wako nekukasika kana:
Kana ukaona chimwe chezviratidzo zvinotevera, usanonoka kutaura nachiremba wako kana kuenda kuDhipatimendi reEmergency riri pedyo newe nekukasika .
- Pane kubuda ropa kana kubuda ropa kubva panzvimbo yakavharwa.
- Nzvimbo yacho inotsvuka, inozvimba, kana kunzwa ichidziya kana ikabatwa.
- Unotanga fivha.
- Ruoko rwuri parutivi rwechiteshi runotanga kuzvimba.
- Unonzwa kuoma kufema kana kurwadziwa pachipfuva.
- Unonzwa dzungu kana kuti kupera simba.
Kuiswa kwepamuviri kwakaiswa chinhu chinobatsira zvikuru kune avo vari kurapwa kwenguva refu, zvichiita kuti hupenyu huve nyore. Usazvidya mwoyo nazvo; chiremba wako kuNirogi Lanka achakutsanangurira zvese zvaunoda kuziva.
Zvinhu Zvinokosha Zvaunofanira Kuziva
- 'Implanted port' mudziyo mudiki unoiswa pasi peganda rako unoita kuti kurapwa kwenguva refu kuve nyore senge chemotherapy, IV fluids, kana kutorwa kweropa.
- Inobvisa marwadzo nekusagadzikana kwekushandisa tsono kakawanda kana kuisa cannula.
- Inoiswa kuburikidza nekuvhiyiwa kudiki uye inogona kubviswa zviri nyore kana isisadiwi.
- Dambudziko rinowanzoitika hutachiona; saka, kuchengetedza utsanana hwakasimba kwakakosha.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukaona zviratidzo zvehutachiona, zvakaita sekutsvuka, kuzvimba, fivha, kana kutadza kufema zvakanaka.
👩🏽⚕️ Mibvunzo Inowanzo bvunzwa (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Marwadzo emusana wepazasi (Lumbago)?
Hazvisi kungorwadziwa mangwanani chete! Kurwadziwa kwemusana wepazasi kunosanganisira kusagadzikana kwakanyanya, kupisa, kana kuomarara munzvimbo yechiuno (pamusoro pehudyu, pasi pegumbo), izvo zvinogona kukudzivisa kugara kana kumira. Kunyange zvazvo iri imwe yezvirwere zvakajairika pasi rose, dzimwe nguva inogona kuva chiratidzo chekukanganisa kukuru kwetsinga dzeropa.
💬 Ndezvipi zvikonzero zvikuru zvekurwadziwa kwemusana wepazasi?
Chikonzero chinonyanya kukosha (inenge 90%) kushushikana kwetsandanyama nekuda kwekusamira zvakanaka kana nzira dzisina kunaka dzekusimudza. Zvimwe zvikonzero zvinosanganisira: 1) Madhisiki ane herniated kana akatsvedza anodzvinyirira tsinga, 2) Sciatica, apo kurwadziwa kunoyerera pasi pegumbo, kana 3) Matombo eitsvo kana hutachiona (pyelonephritis).
💬 Ndirini pandinofanira kutsvaga rubatsiro rwekukurumidzira nekuda kwekurwadziwa kwemusana wepasi?
Kunyange zvazvo marwadzo madiki emusana achipera mukati memavhiki maviri nekuzorora uye kurapwa nekupisa/kutonhora, unofanira kutsvaga rubatsiro rwekukurumidzira kana ukasangana ne: 1) Kurasikirwa nekutonga kwemudumbu kana dundira kana kuti kusanzwa zvakanaka munzvimbo yegumbo (zvinoratidza Cauda Equina Syndrome, inova emergency yekuvhiyiwa), 2) Kushaya simba kamwe kamwe mumakumbo ako, kana 3) Kurwadziwa kwakanyanya kwemusana kunoperekedzwa nefivha yakanyanya.
