Wakamboiswawo chubhu mushure mekuvhiyiwa here? Ngatitaurei nezve (drain yaJackson-Pratt) iyi!

Ungave wakaona chubhu diki nebhora diki zvakabatanidzwa pairi mushure mekuvhiyiwa. Kana kuti ungave wakaona mumwe munhu waunoziva aine rimwe. Izvi zvinogona kutyisa vamwe vanhu. Asi chinhu chakakosha chinobatsira ronda rako kupora nekukurumidza. Nhasi, tichataura nezve `(drain yaJackson-Pratt)`, kana `(drain yaJP)` muchidimbu, chii, chii chainoita, uye kuti ingaitarisirwa sei.

Chii chinonzi `(Jackson-Pratt drain)`?

Zvichitaurwa zviri nyore, dhayeti yeJackson-Pratt ichubhu yakatetepa, inochinjika ine bhora diki rakabatanidzwa pairi rinoshandiswa kuunganidza nekuburitsa mvura isingadiwe (senge ropa nemvura yelymphatic) kubva paronda rawakavhiyiwa. Zvakajairika kuti mvura iyi nemarara emasero zvibude kubva paronda mushure mekuvhiyiwa. Saka, chinoitwa nedhayeti iyi yeJP ndeyekubvisa mvura iyoyo kubva paronda woiisa mubhora kunze kwemuviri wako. Nenzira iyi, kubuda kwemvura isingadiwe kunobatsira kuti ronda ripore nekukurumidza. Zvakare, kana ukachengetedza zvakanaka dhayeti neronda, unogona kuderedza njodzi yehutachiona.

`(JP drain)` inoshanda sei?

Zvakanaka, ngationei kuti `(JP drain)` iyi inoshanda sei. Zviri nyore kwazvo. Inoshanda nekusveta. Kureva kuti, inoburitsa mvura kubva muronda.

Kune zvikamu zvikuru zvitatu zve `(JP drain)` iyi:

1. Chidimbu chechubhu chakati sandara chinopinda muronda: Ichi chine maburi madiki. Mvura isingadiwe kubva muronda inopinda muchubhu kuburikidza nemaburi aya.

2. Chubhu diki inochinjika inobuda: Ndiyo inotakura mvura kubva paronda kuenda kubhora diki iroro. Kazhinji, vanachiremba vanosunga chubhu iyi paganda nejira diki kana tepi kuti isafambe.

3. Babu rekuunganidza: Iri rakafanana neremoni diki. Rinosvinwa kuti ribudise mvura. Babu iri rine chivharo chinoita kuti mvura isapinda. Kana mvura yacho yaungana, chivharo chinovhurwa kuti chibudiswe.

Zvichitaurwa zviri nyore, paunodzvanya bharumu woedza kurifuridza zvakare, gomba diki rinogadzirwa mukati, rudzi rwe "negative pressure" . Simba iroro ndiro rinoita kuti mvura isingadiwe muronda ienderere zvishoma nezvishoma muchubhu youngana mubharumu. Zviri nyore, handiti?

Chaunofanira kuita chete kuburitsa mvura mubharumu kana razara hafu, woridzvanya zvakanaka zvakare kuti ubvise mhepo worivhara. Zvadaro `(suction)` inoenderera mberi. Kunyange zvisingawanzoitiki, mamwe `(JP drain)` anoshandiswawo kubvisa mvura negravity (`gravity`) (chikwata chako chekurapa chichakuudza nezveizvi).

`(JP drain)` inodiwa riini?

Zvino ungave uchishamisika kuti iyi `(JP drain)` inoshandiswa kuitei. Kutaura zvazviri, iyi imhando yakajairika ye`(drain)` inoshandiswa mushure mekuvhiyiwa. Vanachiremba vanoshandisa izvi kubvisa mvura kubva mumaronda mushure mekuvhiyiwa kwakasiyana-siyana. Heano mimwe mienzaniso mishoma:

• Kuvhiyiwa kwedumbu; semuenzaniso, kuvhiyiwa kwekugadzirisa hernia.
• Kuvhiyiwa kwekenza yemazamu; kuvhiyiwa kwekenza yemazamu, kana zvinhu zvakaita se "kuvhiyiwa kwepamusoro".
• Kuvhiyiwa pachipfuva; dzimwe nguva pakurapa zvirwere zvakaita se pleural effusion (kuungana kwemvura yakakomberedza mapapu).
• Kuvhiyiwa kubvisa gland re thyroid (`thyroidectomy`).
• Kuvhiyiwa kwekunaka uye kwepurasitiki, kuvhiyiwa kwekuvakazve.
• Kuvhiyiwa kwekubvisa ma lymph node (lymphadenectomy).

Kazhinji, huwandu hwemvura inogona kuunganidzwa mumugero weJP panguva imwe chete hunosvika 25 kusvika 50 mL. Izvi zvinogona kusiyana zvishoma zvichienderana nerudzi rwemugero. Kunewo mhando yakakura yemugero wehemovac inogona kuunganidza mvura yakawanda, asi mugero weJP ndiwo unonyanya kushandiswa.

Ndingachengetedza sei `(dhayeti reJP)` rangu?

Zvakanaka, ngationei kuti tingagadzirisa sei `(JP drain)` iyi kana masvika kumba. Ichi chinhu chinofanira kuitwa nokungwarira, asi musazvidya mwoyo, vanachiremba nevanamukoti vachakudzidzisai maitiro ekuita izvi musati mabuda muchipatara.

Pane zvinhu zvitatu zvikuru zvekuita:

1. Kubvisa mvura inoungana mu`(Drain)` nguva nenguva.

2. Nyora pasi huwandu neruvara rwemvura yacho.

3. Chengeta ronda nenzvimbo yekubudisira mvura yakachena uye chinja bhandi.

Chimwezve chinhu, sunga bhora rinounganidza mvura iyi kuzvipfeko zvako ne "(safety pin)". Nenzira iyi, pane mukana mudiki wekuti itsvedzerere yobuda pachena.

Maitiro ekubvisa mvura kubva mu `(Drain)`

Kutanga, ngationei kuti tingadurura sei mvura yacho. Usati waita izvi, gadzirira zvaunoda.

• Matauro madiki maviri akachena.
• Chidziyo chedoro.
• Chidimbu chegauze.
• Kapu diki yekuyeresa mvura (inopihwa kuchipatara).

Zvakanaka, zvino ita seizvi:

1. Geza maoko ako zvakanaka: Geza maoko ako zvakanaka nesipo nemvura kwemasekondi makumi maviri. Omesa maoko ako netauro rakachena wodzima pombi. Neimwe nzira, unogona kushandisa sanitizer yemaoko ine doro.

2. `Mukaka` muchubhu:Izvi zvinonzwika zvisinganzwisisike, handiti? Izvi zvinoitirwa kuburitsa mvura chero ipi zvayo inogona kunge yakavharirwa mukati mechubhu mubhora. Neruoko rwako rumwe, bata chubhu kure nepanosangana `(drain)` neganda. Unoda kuibata zvakasimba kuti isafambe, kuitira kuti usanzwa kudhonzwa paronda. Zvino, uchishandisa chigunwe chikuru nemunwe wekumberi werumwe ruoko rwako, pukuta chubhu zvinyoro nyoro kubva ipapo zvichidzika kuenda kubhora. Zvakafanana nekupomba mukaka. Kana ukaipukuta ne`(alcohol wipe)`, ichatsvedza nyore nyore.

3. Bvisa mvura: Zvino mvura yaungana mubhora, vhura chivharo chebhora nokungwarira. Paunovhura chivharo, usabata gomba neminwe yako. Kuita izvi kunogona kuisa utachiona. Zvino dururira mvura kubva mubhora mukapu yekuyera.

4. `Dzorerazve` girobhu rekuunganidza: Zvino dzvanya girobhu zvakanaka neruoko kuti ubvise mweya wese uri mukati. Dzvinya kusvika ranyatsoti sandara. Uchiri kudzvanya, simbisa chivharo zvakare wochivhara. Apa ndipo panobva pagadzirwa `(suction)`. Pakati pegirobhu panofanira kunge pakati sandara.

5. Geza maoko ako zvakare: Geza maoko ako zvakanaka zvakare sepakutanga.

Kana uine nzira dzinopfuura imwe chete dzekubvisa tsvina (semuenzaniso, mushure mekuvhiyiwa mastectomy, ungangove nedziviri), ita zvimwe chete kune imwe.

Nyora ruzivo nezvemvura yacho

Chinhu chinotevera chakakosha ndechekunyora pasi zvimwe zvinhu nezvenguva yega yega yaunobvisa mvura kubva mu `(drain)`.

• Yava nguva yekudurura mvura.
• Mvura yaiva yakawanda sei (nekutarisa kapu yekuyera).
• Ruvara rwemvura yacho rwakaita sei?

Mashoko aya achabatsira chiremba kutarisa kuti ronda rako riri kupora sei.

Ronda parinopora, huwandu hwemvura inobuda mudhiraivha hunofanira kudzikira zuva nezuva. Ruvara rwemvura inobudawo ruchachinja. Zvakanakawo kuziva nezvemavara aya:

• Tsvuku yakasviba: Zvakajairika kuti mvura yacho ive tsvuku yakasviba, seropa, pakutanga.
• Tsvuku kana kuti pingi: Mvura yacho inopenya ruvara sezvo ronda richipora.
• Yero yakachenuruka (yakaita seruvara rwehuswa) kana yakajeka: Kana mvura yacho ikachinja kubva pakuva tsvuku kuenda pakuva yero yakachenuruka kana yakajeka, zvinoreva kuti ronda riri kupora zvakanaka. Izvi zvinonziwo "serous drainage" mukurapa.

Cherechedza: Kana tsvina yacho ikachinja ruvara yozotsvuka zvakare, inogona kunge iri kubuda ropa zvakare. Kana izvi zvikaitika, unofanira kuudza chiremba wako. Uyewo, kana tsvina yacho iri chena semukaka, ine hwema hwakaipa, kana kuti yakakora, inogona kunge iri chiratidzo chehutachiona. Kana zvakadaro, unofanira kuudza chiremba wako nekukasika.

Maitiro ekuchinja `(Dressing)`

Kuchinja mapfekero paronda kunofanirawo kuitwa nemazvo. Chiremba achakuudza kuti unofanira kuchinja mapfekero kangani uye kuti unofanira kuzviita sei. Unofanira kuzviita sezvaanokuudza. Usati wachinja mapfekero, gadzirira zvinotevera:

• Matauro akachena.
• Chidimbu chegauze chine mukaha pakati.
• Tepi yekuvhiya.
• Mushonga wekuchenesa maronda (kana wakanyorerwa nachiremba).

Zvakanaka, heino maitiro ekuzviita:

1. Geza maoko ako zvakanaka.

2. Bvisa `(dressing)` yekare nokungwarira. Chenjerera kusadhonza chubhu ye`(Drein)`.

3. Geza maoko ako zvakare.

4. Chenesa ronda nenzvimbo iyo dhireni inosangana neganda nesipo nemvura kana mushonga wekuchenesa maronda wakanyorerwa nachiremba wako. (Chiremba wako anogona kukuudza kuti uigeze paunenge uchigeza, asi usapinde mubhavhu kana mudziva rekushambira uine dhireni.) Mushure mekugeza, pukuta netauro rakachena.

5. Isa chidimbu chegauze nepakati pechinochekwa pasi pechubhu yekudhonza mvura, painobata ganda, wochinama kuti chisafambe.

Unoita sei kuti `(JP Drain)` isadonhedze mvura?

Pane kachitenderedzo kadiki pamusoro pebhora panoungana mvura. Unogona kubatanidza ``(safety pin)``` pairi woisungirira pahembe kana padhirezi rako. Asi usaisungirire pabhurugwa rako kana bhandi. Kana ukadaro, ungakanganwa uye inogona kungoerekana yabuda.

Ndinofanira kubvisa `(Drain)` kangani?

Zvakanakisisa kubvisa tsvina mudundira nekukurumidza, ndiko kuti, kana razara hafu. Apa ndipo panosvika pokusveta. Kazhinji, unofanira kubvisa tsvina mumaawa mana kusvika matanhatu ega ega kwemazuva mashoma ekutanga. Sezvo huwandu hwemvura inobuda huchiderera, unogona kuderedza kuwanda kwayo.

`(JP Drain)` ichasara kwenguva yakareba sei panzvimbo?

Kuti ubvise `(JP Drain)`, uchafanirwa kudzokera kunoona chiremba wako. Usaibvise kusvika chiremba wako akuudza kuti uibvise. Kazhinji, haizosiyiwi mukati kwemavhiki anopfuura maviri. Zvisinei, izvi zvinogona kusiyana zvichienderana nemamiriro ako ezvinhu. Zvakanaka kubvunza chiremba wako nezvazvo usati wabuda muchipatara.

Ndinofanira kuona chiremba nguvai?

Kana uine chimwe chezviratidzo izvi, unofanira kufonera chiremba wako nekukasika. Izvi zvinogona kuva zviratidzo zvehutachiona:

• Fivha. Kana uine fivha inodarika madhigirii Celsius 38 (100.4 Fahrenheit).
• Kana nzvimbo yakaisirwa dhiraivha yakatsvuka, yakazvimba, kana kuti ichidziya, kana kuti kurwadziwa kwawedzera.
• Kana ukaona mitsetse mitsvuku kubva panzvimbo yeronda.
• Kana mvura inobva mudhireni ichinhuwa, yakaita segirini, ine mukaka, kana kuti gobvu.

Udza chiremba wako zvakare kana zvinhu izvi zvikaitika:

• Kana pombi ye`(Drain)` ichiita seyakasununguka, kana kuti mvura yacho ichiita seyamira kuyerera, ungangoda kuisimbisa zvakare kana kuedza kubvisa mhepo.
• Kana chubhu ichiita seyakasununguka, kana kuti bhora rarasa ``(kudhonza)`` uye razara nemhepo.
• Kana huwandu hwemvura hukaramba huchiwedzera kwemazuva maviri (hunofanira kunge huchiderera).
• Kana mvura yacho ikava neruvara rwakatsvuka kana kuti ropa rava kubuda zvakare (ichi chiratidzo chekuti ropa rava kubuda zvakare).
• Kana mvura iri kubuda paburi (chiremba angangoda kubvisa tsvina).

Dzimwe nguva, mushure mekunge drain yeJP yabviswa, mvura inogona kuungana yozvimba panzvimbo yekuvhiyiwa. Izvi zvinonzi seroma . Izvi hazvisi zvekukurumidzira, asi unofanira kuudza chiremba wako nezvazvo.

Ko `(JP Drain)` i`Open Drain` here kana kuti `Closed Drain`?

Iyi i "(drain yakavharwa)`, zvinoreva kuti isystem yakavharwa. Funga nezvazvo nenzira iyi, `(drain yeJP)` isystem yakavharwa inochinja kumanikidzwa kwemhepo mukati uye inoburitsa mvura kubva muronda. Panzvimbo pekuti mvura ibude muronda yosvetwa mu "(dressing)` semu "(drain yakazaruka)` (semuenzaniso, `(drain yePenrose)`), mune iyi mvura inoungana mubhora rinosvinwa roburitsa mvura.

Kana uine `(JP drain)` panzvimbo, zvinogona kunzwa sekunge chinhu chitsva chisinganzwisisike mumuviri wako pakutanga. Neimwe nzira, zvinoita. `(JP drain)` yakaita sechimwe chinhu chakabatana nemuviri wako, chichiburitsa mvura isina kufanira kubva paronda uye chichikubatsira kupora.

Saka, zvinhu zvekupedzisira zvekurangarira ndeizvi

`(Jackson-Pratt drain)`, kana `(JP drain)`, chishandiso chinogona kubatsira ronda rako kupora nekukurumidza uye kuderedza njodzi yehutachiona mushure mekuvhiyiwa. Chinogona kunzwa chisina kugadzikana pakutanga, asi usazvidya mwoyo. Kana ukanyatsoibata sezvakaudzwa navanachiremba vako nevanamukoti, ichakubatsira kupora nekukurumidza.

Chinhu chakakosha ndechekuti kana muine mibvunzo kana kusava nechokwadi, musatya kubvunza chiremba wenyu kana nesi. Kugara zvakanaka kwenyu ndicho chinhu chakakosha kwavariwo.

` Dhure reJackson-Pratt, dhare reJP, dhare repakuvhiyiwa, kutarisirwa kwemaronda, kutarisirwa mushure mekuvhiyiwa, kuvhiyiwa, kuporeswa kwemaronda, kutarisirwa mushure mekuvhiyiwa, kutarisirwa kwemaronda, kutarisirwa kwemaronda, kutarisirwa kwemaronda