Ngaba unikwe i-chemotherapy njengonyango lomhlaza? Ngoko mhlawumbi uyazi ukuba kubuhlungu kwaye kuyacaphukisa kangakanani ukufaka ii-cannulas kunye nokutsala igazi rhoqo. Akulula rhoqo ukufumana umthambo olungileyo. Yiyo loo nto siza kuthetha ngesisombululo esilungileyo namhlanje. Leyo yi-"Chemo Port". Mhlawumbi ugqirha wakho ukuxelele ngale nto. Ngoko ke makhe sibone ukuba yintoni le, isebenza njani, kwaye zithini izibonelelo zayo. Masithethe ngayo yonke into ngokulula.
Yintoni iChemo Port?
Ngamafutshane, i-chemo port sisixhobo esincinci esifakwa phantsi kwesikhumba sakho. Cinga ngaso njengento enobukhulu obulingana ne-rupees ezintlanu. Sihlala sifakwa phantsi kwesikhumba sesifuba esingaphezulu, ingalo, okanye isisu. Emva koko, ityhubhu encinci ye-silicone (i-'catheter') evela kwesi sixhobo sincinci iqhagamshelwe ngqo kwenye yemithambo yakho emikhulu yegazi.
Abantu abaninzi abafumana unyango lomhlaza basebenzisa i-port efana nale. Kuba emva kokuba ifakiwe, akufuneki badlule emthanjeni engalweni yabo ngalo lonke ixesha bebanika amayeza e-chemo, bethatha igazi, okanye bebanika ezinye izinto ezifana ne-saline. Ungakwenza konke oko ngqo ngale-port. Ngoko ke le port inceda ekwenzeni unyango lwe-chemo lube lula kancinci, lukhuseleke, kwaye lungabi buhlungu kangako.
Elinye igama lale nto yi "Port-a-cath".
Injani le port? Zithini iindawo zayo?
Ngokuxhomekeke kuhlobo lwechweba olifumanayo, lingaba ngqukuva, linxantathu, okanye libe yi-oval. Ichweba ngalinye linamacandelo amathathu aphambili.
| Inxalenye ephambili | Kalula nje... |
|---|---|
| Izibuko | Le yinxalenye ephambili yesixhobo. Oogqirha kunye nabongikazi bafaka amayeza kule nxalenye. |
| Septemba | Oku kuphakathi kwezibuko. Kwenziwe ngohlobo oluthile lwerabha. Emva kokuba inaliti ifakiwe, umngxuma uzivaleka ngokuzenzekelayo (ukuzitywina). |
| I-Catheter | Le yityhubhu ebhityileyo neguquguqukayo edibanisa i-port nemithambo yegazi yakho. |
Kwaye kukho iintlobo ezimbini zezi zibuko:
- I-Single lumen port: Le inendawo yokufikelela enye kuphela. Le yeyona ndlela isetyenziswa kakhulu.
- I-Double lumen port: Le ine-entry ports ezimbini. Oku kuthetha ukuba inokwenza imisebenzi emibini ngaxeshanye, njengokunika amayeza ngesinye kunye nokutsala igazi ngesinye.
Kulungile, ngoku masibone ukuba oku kusebenza njani.
Emva kokuba i-port ibekwe emzimbeni wakho, abasebenzi bezonyango banokuyisebenzisa ukutsala igazi, ukunika amayeza, okanye ukunika ezinye izinto ezilulwelo emzimbeni wakho.
Indlela okwenziwa ngayo oku ilula kakhulu. Bafaka inaliti ekhethekileyo eluswini lwakho, ngqo kwindawo ephakathi yerabha ye-port (i-septum). Oku akufani nokufaka i-cannula eqhelekileyo. Akukho mfuneko yokufumana umthambo, kwaye akubuhlungu kakhulu. Kuvakala ngathi kukutyhala kancinci.
Eyona nto ibalulekileyo yinkululeko oyifumanayo xa kufuneka ufumane kwaye uhlabe imithambo yakho ngalo lonke ixesha xa ufumana unyango. Oku kuya kuba luncedo olukhulu kuwe ngokwengqondo.
Uyifaka njani i-chemo port emzimbeni wakho? Ngaba olu lutyando olukhulu?
I-chemo port yindlela yotyando encinci. Kodwa ayilotyando olukhulu noloyikekayo. Idla ngokuthatha malunga neyure. Ungagoduka ngaloo mini inye. Kodwa kubalulekile ukuba nomhlobo okanye ilungu losapho eliza kukuthatha lize likubuyisele apho.
Nazi ezinye zezinto eziza kwenziwa liqela lakho lezonyango ngeli xesha lotyando:
1. Okokuqala, uza kunikwa iyeza lokuthomalalisa iintlungu nokukugcina uphumle.
2. Emva koko, kwenziwa umngxuma omncinci entanyeni yakho ukuze kufikelelwe kwimithambo yegazi (njenge-jugular vein, i-subclavian vein, okanye i-superior vena cava).
3. Kwenziwa umngxuma omncinci kuloo mthambo kwaye umbhobho omncinci (i-'catheter') ufakwa kuwo.
4. Emva koko kwenziwa olunye utyando oluncinci phantsi kwesikhumba sesifuba sakho, ingalo, okanye isisu, nto leyo eyenza kube nesithuba esincinci kumaleko ongaphantsi komhlaba, njengengxowa encinci.
5. I-chemo port ibekwe ngaphakathi kwendawo edaliweyo.
6. Ngoku, ityhubhu evela kwi-port ithathwa phantsi kwesikhumba ize iqhagamshelwe kwityhubhu eyayifakwe ngaphambili kwi-vein.
7. Ekugqibeleni, zombini izikrweqe zivalwa ngezititshi.
Ugqirha wenza yonke le nkqubo ngelixa ejonga rhoqo umatshini obonisa imifanekiso efana ne-X-ray (fluoroscopy). Oku kuqinisekisa ukuba yonke into yenziwe ngokuchanekileyo. Emva kokuba inkqubo igqityiwe, kuthathwa i-X-ray yesifuba ukuqinisekisa ukuba i-port ikwindawo efanelekileyo.
Khumbula, olu asilotyando olukhulu. Ukusika kumalunga ne-intshi enye kuphela. Ungaya ekhaya ngaloo mini inye.
Zithini iingenelo zokusebenzisa iChemo Port?
Kukho iingenelo ezininzi zokusebenzisa i-chemo port. Makhe sizijonge ngokusondeleyo.
| Inzuzo | Uncedo olufumanayo kuyo |
|---|---|
| Ukuphelisa iintlungu | Xa ufaka inaliti kwi-port, uziva nje ukutyhalwa okuncinci. Intlungu yokufumana umthambo nokufaka inaliti ngalo lonke ixesha iphela ngokupheleleyo. |
| Ukunciphisa umonakalo wezicubu | I-port ihambisa amayeza ngqo kwimithambo yegazi emikhulu, isusa umngcipheko wokuba amayeza aphume emthanjeni (extravasation) kwaye onakalise izicwili ezingqongileyo, nto leyo ngamanye amaxesha enokwenzeka xa kunikwa amayeza nge-cannula. |
| Ukukhululeka kunye nokululama | Nje ukuba inxeba liphole emva kokuba i-port ifakiwe, ligqunywe lulusu lwakho ngokupheleleyo. Ungahlamba kwaye uqubhe ngokuqhelekileyo. Akukho mngcipheko wosulelo. |
Ngaba kukho naziphi na iingozi koku?
Ekubeni le yinkqubo yotyando, kukho iingozi ezincinci, njengakuyo nayiphi na inkqubo yotyando. Nangona kunjalo, ezi azenzeki rhoqo.
| Umngcipheko | Kalula nje... |
|---|---|
| Ihlwili legazi `(Thrombosis)` | Ngamanye amaxesha, ihlwili legazi linokuvela ngaphakathi kwityhubhu ye-port lize livaleke. |
| Imiqathango yokuhambahamba | Ugqirha wakho angakuxelela ukuba uphephe ukuzilolonga okunzima okanye imisebenzi yokuthwala ubunzima kwicala elo ngelixa une-port endaweni yayo, kuba oku kunokubangela ukuba i-port ihambe. |
| Iziphene zoomatshini | Izinto ezifana netyhubhu ekhululekileyo zinokubangela ukuba i-port ingasebenzi kakuhle. |
| Ukwakheka kwamanxeba | Utyando lunokushiya isilonda esincinci. |
| Usulelo | Oku kunqabile kakhulu. Malunga nabantu ababini kwabayi-100 bafumana usulelo. Ukuba uneempawu ezifana nomkhuhlane, iintlungu, okanye ukudumba, isenokuba lusulelo. Ukuba oko kuyenzeka, i-port inokufuneka itshintshwe. |
Izinto ekufuneka uzazi emva kokufumana ichweba kunye nokuhlala nalo
Kwenzeka ntoni emva kokuba izibuko lifakiwe?
Usenokuva iintlungu kunye nobuhlungu kwindawo yokusikwa kwiintsuku ezimbini okanye ezintathu zokuqala emva kokufakwa kwe-port. Oku kuqhelekile. Ungaqhubeka nemisebenzi yakho emininzi eqhelekileyo. Nangona kunjalo, jongana nogqirha wakho ngaphambi kokuba uqale naluphi na umthambo onzima, njengokuya ejimini.
Ungayigcina ixesha elingakanani le mbiza?
Ungaligcina eli candelo likwindawo yalo ixesha elide kangangoko ufuna, elinokuba yiminyaka eliqela. Xa lonke unyango lwakho lugqityiwe, ugqirha wakho angalisusa.
Ulala njani unxibe imbiza?
Indawo efanelekileyo yokulala kukulala ngomqolo . Oku kuya kuthintela naluphi na uxinzelelo kwi-port. Ingakumbi kwizigaba zokuqala zokuchacha, kuphephe ukulala ngesisu sakho. Oku kunokubangela uxinzelelo kwi-port kwaye kwandise iintlungu.
Ungalala ecaleni. Kodwa ukuba i-port ikwicala lasekunene, jika uye ku-sleep kwicala lasekhohlo. Ukuba ikwicala lasekhohlo, jika uye ku-sleep kwicala lasekunene. Oko kuthetha ukuba, icala eline-port alikho phantsi.
Ndingahlamba okanye ndizihlambe?
Ewe. Ungahlamba emva kweeyure ezingama-24-48 emva kotyando, kodwa kuphela emva kokubonisana nogqirha wakho. Xa uhlamba, kufuneka ugqume inxeba ngeplastiki engangeni manzi. Nje ukuba inxeba liphole ngokupheleleyo, ungahlamba ngokukhuselekileyo, uhlambe, okanye uqubhe.
Ndingayisusa njani i-port emva kokuba unyango lugqityiwe?
Ukususa i-port nayo yinkqubo elula kakhulu. Ibandakanya ukwenza i-incision encinci phezu kwe-port, ukukhulula i-port kwizicubu ezijikelezileyo, kunye nokususa isixhobo sonke ngexesha elinye. I-incision emva koko ivalwa nge-stitches. Kunokubakho iintlungu, ukudumba, kunye nokukrweleka kangangeentsuku ezimbalwa emva kokuba i-port isusiwe. Oku kuqhelekile.
Ndifanele ndimtsalele nini ugqirha ngoko nangoko?
Oku kubaluleke kakhulu. Ukuba une-chemo port kwaye ufumana naziphi na iimpawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko .
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| 🔴 | Ukuba ufumana iintlungu eziqatha, ukudumba, okanye ukukrweleka apho kukho khona ichweba. |
| 🔴 | Ukuba ulusu olujikeleze izibuko lubomvu okanye lutshintshe umbala . |
| 🔴 | Ukuba into efana nolwelo iyavuza ukusuka apho ikhoyo izibuko. |
| 🔴 | Ukuba unomkhuhlane . |
Umyalezo Wokuya Ekhaya
- I-chemo port sisixhobo esincinci nesiluncedo esinciphisa kakhulu iintlungu kunye nokungonwabi okunxulunyaniswa neenaliti ezisetyenziswa rhoqo ngexesha lonyango lwe-chemotherapy kunye nokutsalwa kwegazi.
- Oku kufakelwa phantsi kolusu ngenkqubo encinci yotyando. Akuyonto inkulu okanye yoyikisayo.
- Iingenelo eziphambili zokusebenzisa ichweba kukunciphisa iintlungu, ukhuseleko olongezelelekileyo, kunye nokulula kobomi bemihla ngemihla.
- Nangona kukho iingozi ezincinci, ezinje ngosulelo okanye amahlwili egazi, azifane zenzeke.
- Ukuba ufumana iintlungu eziqatha, ukubomvu, ukudumba, okanye umkhuhlane kwindawo yokungena, yazisa ugqirha wakho ngoko nangoko.
- Ukuba unemibuzo malunga noku, ungathandabuzi ukubuza i-oncologist yakho.
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