Ngaba wena okanye umntu omaziyo kufuneka nifumane inaliti, i-saline, okanye iisampuli zegazi rhoqo? Siyazi iintlungu, ukungonwabi, kunye nomonakalo kwimithambo yegazi oza nokufaka i-cannula kunye nokubhoboza inaliti ngalo lonke ixesha. Ngoko ke namhlanje sithetha ngesixhobo esincinci esibaluleke kakhulu esenza le nkqubo ibe lula kakhulu kubantu abafumana unyango olufana nolu ixesha elide.
Ngoko ke, yintoni le 'Implanted Port'?
Ngamafutshane, esi sisixhobo esincinci sezonyango esifakwe phantsi kolusu lwethu. Ngokuchanekileyo, "sisango" esihlala sihleli esenzelwe ukuqhagamshela ngokulula kumthambo omkhulu emzimbeni wethu. Oku ngamanye amaxesha kubizwa ngokuba yi-'portacath' okanye 'mediport'.
Le 'port' yenziwe yinxalenye encinci efana nediski ethe tyaba, eyenziwe ngesinyithi okanye ngeplastiki. Ngaphezulu kwayo kukho inxalenye (`septum`) eyenziwe ngesilicone, enokufakwa ngenaliti. Ityhubhu encinci, eguquguqukayo (`catheter`) eqhagamshelwe kule diski ifakwe ngqo kumthambo omkhulu kufutshane nentliziyo yethu. Ugqirha ubeka yonke le nkqubo phantsi kolusu ngexesha lotyando oluncinci. Xa ungasayidingi, ingasuswa kwakhona ngotyando oluncinci.
Eyona nzuzo inkulu yoku kukuba isusa isidingo sokufakwa rhoqo kweenaliti kunye nee-cannula, nto leyo eyenza unyango lube lula kakhulu kwaye lube ngamava angebuhlungu kangako.
Ngaba kukho iintlobo ezahlukeneyo zezi 'zibuko'?
Ewe, kukho iintlobo ezininzi eziphambili. Kuya kuba lula kuwe ukuyiqonda le nto kwitheyibhile.
| Uhlobo lwezibuko (Uhlobo) | Inkcazo elula |
|---|---|
| I-Lumen enye | Le inomnyango omnye. Le yeyona ndlela isetyenziswa kakhulu. |
| I-Lumen ephindwe kabini | Le ineendlela ezimbini zokungena. Oku kuluncedo kakhulu ukuba kufuneka unike iintlobo ezimbini zamayeza ngaxeshanye. |
| Ifakwa ngombane | Uninzi 'lweeports' ezikhoyo namhlanje zezohlobo olufana nolu. Zingasetyenziselwa ukufaka idayi yomahluko xa kuxinzelelo oluphezulu kwizinto ezifana ne-CT scans okanye i-MRI scans. |
Ngubani ofuna 'izibuko' elinje?
Oku kuluncedo nakubani na ofuna unyango lwemithambo rhoqo okanye oluhlala ixesha elide, utofelo-gazi, okanye ukutsalwa kwegazi. Ugqirha wakho angacebisa oku, ingakumbi ukuba wena okanye umntwana wakho ninezinye zezi meko zilandelayo:
- Iimeko zomhlaza: Ukuba kufuneka ufumane i-chemotherapy rhoqo.
- Usulelo oluhlala ixesha elide: Ukuba kuyimfuneko, amayeza okubulala iintsholongwane anokufuneka kangangeeveki okanye iinyanga.
- Ukungasebenzi kakuhle kwezintso: Kwi-dialysis.
- Izifo zenkqubo yokugaya ukutya: Kwiimeko ezifana neSifo seNtsholongwane yokuVuvukala (IBD), kunokufuneka ukondliwa ngemithambo yegazi.
- Ezinye izifo ezintsonkothileyo: Nasiphi na isifo esifuna ulwelo olufakwa kwimithambo yegazi rhoqo okanye uvavanyo lwegazi.
Kwenzeka ntoni ngaphambi kokuba 'izibuko' lifakwe?
Ekubeni olu lutyando oluncinci, kukho izinto ezimbalwa ekufuneka uzilungiselele kwangaphambili.
- Ufanele uxelele ugqirha wakho malunga namayeza kunye neevithamini ozisebenzisayo. Amanye amayeza anokufuna ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando.
- Kuye kwenziwa uvavanyo lwegazi oluninzi ukujonga ukusebenza kwezintso kunye nokugabha kwegazi.
- Uya kucetyiswa ukuba ungatyi okanye ungaseli nantoni na (ngokuzila ukutya) kangangeeyure ezininzi ngaphambi kotyando.
Uyifaka njani le 'port' emzimbeni wakho?
Olu lutyando oluncinci oludla ngokuthatha malunga neyure kwaye ungagoduka ngaloo mini inye. Nangona kunjalo, kubalulekile ukuba uze nomntu oza kukuthatha akuse ekhaya.
Amaxesha amaninzi, le 'port' ibekwa phantsi kwesikhumba kwicala lasekunene lesifuba. Ngamanye amaxesha, ingabekwa phantsi kwesikhumba kwicala langaphakathi lengalo okanye esiswini esingaphantsi kweembambo.
Ingcali yokubulala iintlungu iza kukwenza ulale ukuze ungeva ntlungu ngexesha lotyando. Baza kukunika amayeza okubulala iintlungu kwindawo apho utyando luza kwenziwa khona. Abantwana baza kunikwa 'i-anesthesia jikelele', ebenza balale ngokupheleleyo.
Ugqirha ungena ngolu hlobo lulandelayo:
1. Isikhokelo se-X-ray: Olu tyando lwenziwa kusetyenziswa iteknoloji ekhethekileyo ye-X-ray ebizwa ngokuba yi-'Fluoroscopy'.
2. Ukusikwa okuncinci: Kusikwa okuncinci kwindawo yentamo ukuze kufikelelwe kumthambo omkhulu (ofana ne-vena cava ephezulu, i-jugular, okanye i-subclavian).
3. Olunye utyando: Olunye utyando oluncinci lwenziwa eluswini lwesifuba okanye lwengalo, nto leyo eyenza "ipokotho" encinci phantsi kwesikhumba ukuze kubekwe 'izibuko'.
4. Ukubeka 'izibuko':'Izibuko' lifakwa ngaphakathi kwipokotho eyenziweyo.
5. Ukudibanisa ityhubhu: Ityhubhu (i-catheter) evela 'kwi-port' ifakwa emthanjeni nge-incision entanyeni ize idityaniswe.
6. Isiqinisekiso: Kuthathwa i-X-ray yesifuba ukuqinisekisa ukuba yonke into ilungile.
7. Ukuthungwa: Okokugqibela, imigqomo ivalwa kusetyenziswa izititshi ezinyibilikayo.
Zithini iingenelo kunye neengxaki zokusebenzisa 'izibuko'?
Oku kunezibonelelo zako kunye neengozi ezincinci. Masiqaphele zombini ezi zinto.
| Iinzuzo | Iingozi |
|---|---|
|
|
Ngubani onyamekela 'izibuko' kwaye kufuneka ndithethe nini nogqirha ?
Ulusu oluphezu kwe-port aludingi nyango lukhethekileyo. Nangona kunjalo, ukuba awufumani unyango rhoqo, kunokufuneka uhlambe i-port phantse kube kanye ngenyanga ukuthintela ukuqhekeka kwegazi. Oku kuthetha ukuyicoca ngesisombululo esikhethekileyo. Oku kuya kwenziwa ngugqirha wakho okanye umongikazi.
Ukuthintela usulelo, ucoceko luphambili.
- Hlamba yonke imihla.
- Hlamba izandla zakho kakuhle ngesepha ubuncinane imizuzwana engama-20.
- Gcina indawo ekufutshane nebhedi yakho icocekile.
Fowunela ugqirha wakho ngoko nangoko ukuba:
Ukuba unezinye zeempawu ezilandelayo, musa ukulibazisa kwaye wazise ugqirha wakho okanye uye kwiSebe leNgxamiseko (ETU) .
- Ukuba igazi okanye olunye ulwelo luvuza kwizibuko.
- Ukuba indawo ibomvu, idumbile, kwaye ivakala ishushu xa uyichukumisa.
- Ukuba unomkhuhlane.
- Ukuba ingalo ecaleni apho 'izibuko' likhona idumbile.
- Ukuba unengxaki yokuphefumla okanye intlungu esifubeni.
- Ukuba uziva unesizungu okanye utyhafile.
'I-port' iluncedo kakhulu kumntu ofumana unyango olude. Yenza ubomi bube lula kakhulu. Ngoko ke musa ukoyika oku. Ugqirha wakho uza kukuchazela yonke into ngale nto.
Umyalezo Wokuya Ekhaya
- 'I-implanted port' sisixhobo esincinci esifakwa phantsi kwesikhumba esilungiselela unyango kwabo bafuna ukufumana amayeza emithanjeni (umz. i-chemotherapy), i-saline infusions, okanye ukutsalwa kwegazi ixesha elide.
- Oku kususa iintlungu kunye nokungonwabi okubangelwa kukufakwa rhoqo kweenaliti kunye nee-cannula.
- Oku kufakwa ngotyando oluncinci kwaye kunokususwa xa imfuneko ingasekho.
- Eyona ngxaki ixhaphakileyo kusulelo, ngoko ke kubalulekile ukuba ulumke kakhulu malunga nococeko.
- Ukuba ubonakalisa iimpawu ezinje ngokuba bomvu, ukudumba, umkhuhlane, okanye ubunzima bokuphefumla ecaleni 'kwezibuko', qhagamshelana nogqirha wakho ngoko nangoko.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni i-Lower Back Pain/Lumbago?
Oku akukokungonwabi nje okuncinci xa uvuka kusasa! 'Intlungu Yomqolo Osezantsi' kukudumba/uxinzelelo olunganyamezelekiyo kumqolo, kwimisipha okanye kwimithambo-luvo engaphezulu kwethambo lakho lesinqe, ngaphezulu kweempundu zakho (ummandla weLumbar) okanye intlungu ebangela ukuba kube nzima ukuphuma ebhedini/ekuhlaleni. Nangona le yenye yezona ntlungu zixhaphakileyo ezifunyanwa ngabantu emhlabeni, ngamanye amaxesha sisilumkiso sokuba imilenze yomibini iza kukhubazeka ngonaphakade!
💬 Zeziphi izizathu eziphambili zentlungu esezantsi komqolo ezidla ngokwenza kube nzima ukuphuma ebhedini?
Isizathu esiphambili soku (90%) 'kukuma okungalunganga kunye noxinzelelo lwemisipha' - oku kwenzeka xa uphakamisa izinto ezinzima ngendlela engafanelekanga (ugoba umqolo endaweni yokugoba imilenze). Ukongeza, 2) Umqamelo phakathi kwamathambo amabini uphuma kwaye ucinezele umthambo (iHerniated Disc / Slip Disc). 3) I-Sciatica - Intlungu ihamba ukusuka emqolo iye emlenzeni. 4) Amatye ezintso (amatye ezintso/i-Pyelonephritis) nawo abangela le ntlungu.
💬 Zeziphi 'iimpawu ezibonisa imeko enzima okanye engxamisekileyo kwaye kufuneka uye esibhedlele ngokukhawuleza ngaphandle kokufaka i-balm/massage ekhaya?
Ukuba yingxaki eqhelekileyo, iya kuphola kwiiveki ezi-2 ngamanzi abandayo/ashushu kunye nokuphumla. Kodwa eyona ngozi inkulu! 1) Ukuba uneentlungu zomqolo kwaye ngequbuliso ulahlekelwa kulawulo lwesinyi sakho okanye amathumbu (Ukulahlekelwa kulawulo lwamathumbu/isinyi) okanye ukuba umqolo wakho ongezantsi awunamandla (i-Saddle anesthesia), umqolo wakho ngokuqinisekileyo uya kubola (iCauda Equina Syndrome / iyabulala)! 2) Ukuba uziva ungenamandla kwimilenze yomibini, 3) Ukuba unomkhuhlane ophezulu ngenxa yentlungu, ungakhubazeka kwiiyure ezimbalwa, kufuneka uye esibhedlele ngoko nangoko!
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho