Iwe kana mumwe munhu waunoziva munofanira here kupiwa jekiseni, saline, kana kutora ropa nguva nenguva? Tinoziva kurwadziwa, kusagadzikana, uye kukuvara kwetsinga kunouya nekuiswa kwecannula nekubaya netsono nguva dzese. Saka nhasi tiri kutaura nezvechinhu chidiki chakakosha chinoita kuti maitiro aya ave nyore kune vanhu vari kurapwa kwenguva refu seizvi.
Saka, chii chinonzi 'Implanted Port' iyi?
Zvichitaurwa zviri nyore, ichi chishandiso chidiki chekurapa chinoiswa pasi peganda redu. Zvakanyanya kunaka, i "gedhi" rinogara riripo rakagadzirirwa kubatana zviri nyore netsinga huru mumuviri wedu. Izvi dzimwe nguva zvinonzi `portacath` kana `mediport`.
'Port' iyi yakagadzirwa nechikamu chidiki chakaita sedhisiki chakati sandara chakagadzirwa nesimbi kana purasitiki. Pamusoro payo pane chikamu (`septum`) chakagadzirwa nesilicone, chinogona kuiswa netsono. Chubhu yakatetepa, inochinjika (`catheter`) yakabatana nedhisiki iyi inoiswa zvakananga mutsinga huru iri pedyo nemoyo wedu. Chiremba anoisa system iyi yese pasi peganda panguva yekuvhiyiwa kudiki. Kana usingachaida, inogona kubviswa zvakare nekuvhiyiwa kudiki.
Chinhu chikuru chakanakira izvi ndechekuti zvinobvisa kudiwa kwekuiswa kwetsono uye ma cannulas kakawanda, zvichiita kuti kurapwa kuve nyore uye kusanyanya kurwadza.
Kune marudzi akasiyana e'maports' aya here?
Ehe, kune mhando huru dzakawanda. Zvichava nyore kuti unzwisise izvi patafura.
| Rudzi rwechiteshi (Rudzi) | Tsananguro iri nyore |
|---|---|
| Lumen imwe chete | Iyi ine musuwo mumwe chete. Iyi ndiyo mhando inonyanya kushandiswa. |
| Kupenya kaviri | Iyi ine nzira mbiri dzekupinda nadzo. Izvi zvinobatsira zvikuru kana uchida kupa mhando mbiri dzemishonga panguva imwe chete. |
| Inobaiwa Nesimba | Mazhinji ema "ports" aripo nhasi ndeerudzi urwu. Anogona kushandiswa kuisa contrast dye pa pressure yakanyanya pazvinhu zvakaita seCT scans kana MRI scans. |
Ndiani anoda 'chiteshi' chakadai?
Izvi zvinobatsira kune chero munhu anoda kurapwa kwetsinga nguva nenguva kana kwenguva refu, kuwedzerwa ropa, kana kutorwa ropa. Chiremba wako anogona kukurudzira izvi, kunyanya kana iwe kana mwana wako muine chimwe chezvirwere zvinotevera:
- Zvirwere zvegomarara: Kana uchida kurapwa nechemotherapy nguva dzose.
- Kutapukirwa kwenguva refu: Kana zvichidikanwa, mishonga inorwisa mabhakitiriya inogona kudiwa kwemavhiki kana mwedzi.
- Kutadza kushanda kweitsvo: Yekurapa dialysis.
- Zvirwere zvemudumbu: Muzvirwere zvakaita seInflammatory Bowel Disease (IBD), kudya kunovaka muviri netsinga kunogona kudiwa.
- Zvimwe zvirwere zvakaoma: Chero chirwere chinoda mvura inopinzwa mutsinga kana kuongororwa ropa nguva nenguva.
Chii chinoitika 'chiteshi' chisati chaiswa?
Sezvo uku kuri kuvhiyiwa kudiki, pane zvinhu zvishoma zvaunofanira kugadzirira usati waita.
- Unofanira kuudza chiremba wako nezvemishonga nemavhitamini auri kutora. Mimwe mishonga ingada kuti urege kuitora mazuva mashoma usati wavhiyiwa.
- Kuongororwa ropa kwakawanda kunoitwa kuti kuonekwe mashandiro anoita itsvo uye kuonda kweropa.
- Uchaudzwa kuti usadye kana kunwa chero chinhu (kutsanya) kwemaawa akati wandei usati wavhiyiwa.
Unoisa sei 'port' iyi mumuviri wako?
Uku kuvhiyiwa kudiki kunowanzo tora awa imwe chete uye unogona kuenda kumba zuva rimwe chete. Zvisinei, zvakakosha kuti uuye nemumwe munhu kuti akutore uende naye kumba.
Kazhinji, 'chivharo' ichi chinoiswa pasi peganda kurudyi rwechipfuva. Dzimwe nguva, chinogonawo kuiswa pasi peganda riri mukati meruoko kana mudumbu pasi pembabvu.
Chiremba weanotindivadza achakurarisa kuitira kuti usanzwe kurwadziwa panguva yekuvhiyiwa. Achakupawo mushonga wekuti usanzwa kurwadziwa panzvimbo pachaitwa kuvhiyiwa. Vana vachapihwa `anesthesia', iyo inovaita kuti varare zvachose.
Chiremba anotaura izvi seizvi:
1. Kutungamirirwa neX-ray: Kuvhiyiwa uku kunoitwa uchishandisa tekinoroji yeX-ray inonzi `Fluoroscopy`.
2. Kuchekwa kudiki: Kuchekwa kudiki kunoitwa munzvimbo yemutsipa kuti pasvike tsinga huru (yakadai se superior vena cava, jugular, kana subclavian).
3. Kucheka kumwe: Kucheka kumwe kudiki kunoitwa paganda rechipfuva kana ruoko, zvichiita kuti pave ne "homwe" diki pasi peganda kuti paiswe 'port'.
4. Kuisa 'chiteshi':'Port' inoiswa muhomwe yakagadzirwa.
5. Kubatanidza chubhu: Chubhu (catheter) inobva ku'port' inopinzwa mutsinga kuburikidza nekucheka kwemutsipa uye inobatana.
6. Kusimbiswa: X-ray yechipfuva inotorwa kuti ive nechokwadi chekuti zvese zviri mugwara.
7. Kusunga: Pakupedzisira, maburi anovharwa uchishandisa masitichi anonyungudika.
Ndezvipi zvakanakira nezvakaipa zvekushandisa 'port'?
Izvi zvine zvazvakanakira pamwe nenjodzi diki. Ngatizivei zvese zviri zviviri.
| Mabhenefiti | Njodzi |
|---|---|
|
|
Ndiani anotarisira 'chiteshi' uye ndinofanira kutaura nachiremba riini?
Ganda riri pamusoro pegomba haridi kutarisirwa kwakakosha. Zvisinei, kana usiri kurapwa nguva dzose, ungangoda kugeza gomba iri kanenge kamwe chete pamwedzi kudzivirira kuungana kweropa. Izvi zvinoreva kurichenesa nemushonga wakakosha. Izvi zvichaitwa nachiremba wako kana nesi.
Kudzivirira hutachiona, kuchena ndiko kunonyanya kukosha.
- Shambii zuva nezuva.
- Gara uchigeza maoko ako nesipo zvakanaka kwemasekondi makumi maviri.
- Chengeta nzvimbo yako nemubhedha zvakachena.
Fonera chiremba wako nekukasika kana:
Kana uine chimwe chezviratidzo zvinotevera, usanonoka wozivisa chiremba wako kana kuenda kuEmergency Department (ETU) .
- Kana ropa kana chimwe chinhu chiri kubuda kubva pachiteshi.
- Kana nzvimbo yacho yakatsvuka, yakazvimba, uye ichinzwa kupisa kana ukabatwa.
- Kana uine fivha.
- Kana ruoko rwuri padivi panowanikwa 'chiteshi' rwakazvimba.
- Kana uchinetseka kufema kana kurwadziwa pachipfuva.
- Kana uchinzwa dzungu kana kuti kupera simba.
'Port' chinhu chakanaka kune munhu ari kurapwa kwenguva refu. Zvinoita kuti hupenyu huve nyore. Saka usatya izvi. Chiremba wako achakutsanangurira zvese nezvenyaya iyi.
Mharidzo Yekuenda Nayo Kumba
- 'Implanted port' mudziyo mudiki unoiswa pasi peganda unobatsira kurapwa kweavo vanoda kurapwa netsinga (semuenzaniso chemotherapy), kuiswa munyu, kana kutorwa ropa kwenguva yakareba.
- Izvi zvinobvisa marwadzo nekusagadzikana kunokonzerwa nekuiswa netsono uye ma cannula kakawanda.
- Izvi zvinoiswa kuburikidza nekuvhiyiwa kudiki uye zvinogona kubviswa kana pasina chikonzero.
- Dambudziko rinowanzoitika hutachiona, saka zvakakosha kungwarira zvakanyanya nezvehutsanana.
- Kana ukaona zviratidzo zvakaita sekutsvuka, kuzvimba, fivha, kana kufema zvakaoma pedyo ne "port", taura nachiremba wako nekukasika.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Marwadzo emusana wepazasi/Lumbago?
Izvi hazvisi kungonzwa kusagadzikana zvishoma paunomuka mangwanani! 'Lower Back Pain' kuzvimba/kumanikidzwa kusingatsungiririki mumusana, tsandanyama kana tsinga dziri pamusoro pepfupa rehudyu, pamusoro pemagaro ako (Lumbar region) kana kurwadziwa kunoremadza kunoita kuti zvisakwanise kubuda pamubhedha/kugara. Kunyangwe iri riri rimwe remarwadzo anowanzoonekwa nevanhu pasi rose, dzimwe nguva inyevero yekuti makumbo ese achaoma zvachose!
💬 Ndezvipi zvikonzero zvikuru zvinokonzera kurwadziwa kwemusana zvinoita kuti zviome kubuda pamubhedha?
Chikonzero chikuru cheizvi (90%) 'kumira zvisina kunaka uye kumanikidzwa kwemhasuru' - izvi zvinoitika kana munhu akasimudza zvinhu zvinorema zvisiri izvo (kukotamisa musana panzvimbo pekukotamisa makumbo). Pamusoro pezvo, 2) Kutsvinda pakati pemapfupa maviri emusana kunobuda nekubaya tsinga (Herniated Disc / Slip Disc). 3) Sciatica - Marwadzo anofamba kubva kumusana achidzika pasi pegumbo. 4) Matombo eitsvo (Matombo eitsvo/Pyelonephritis) anokonzerawo kurwadziwa uku.
💬 Ndezvipi zviratidzo zvinoratidza mamiriro ezvinhu akaoma kana emergency uye kuti unofanira kuenda kuchipatara nekukasika usina kuzora balm/massage kumba?
Kana iri dambudziko rinowanzoitika, rinopora mumavhiki maviri nechando/mvura inopisa uye kuzorora. Asi njodzi huru! 1) Kana uchinzwa kurwadziwa kwemusana uye kamwe kamwe uchirasikirwa nekudzora dundira rako kana ura (Kurasikirwa nekudzora ura/dundira) kana kuti musana wako wepazasi wava nechinhu chinonetsa (Saddle anesthesia), musana wako uchaora zvechokwadi (Cauda Equina Syndrome / inouraya)! 2) Kana uri kunzwa kusanzwa mumakumbo ese ari maviri, 3) Kana uine fivha yakanyanya nekuda kwekurwadziwa, unogona kuoma mitezo mumaawa mashoma, unofanira kuenda kuchipatara nekukasika!
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment