Ngaba nawe ufake ityhubhu emva kotyando? Makhe sithethe ngale (umsele wokukhupha amanzi kaJackson-Pratt)!

Usenokuba ukhe wabona ityhubhu encinci kunye nebhola encinci enamathele kuyo emva kotyando. Okanye usenokuba ukhe wabona umntu omaziyo enayo. Oku kunokuba yinto eyoyikisayo kwabanye abantu. Kodwa eneneni yinto ebaluleke kakhulu enceda inxeba lakho liphole ngokukhawuleza. Namhlanje, siza kuthetha ngento eyiyo le `(i-drain kaJackson-Pratt)`, okanye `(i-drain kaJP)` ngamafutshane,, yintoni eyenzayo, kunye nendlela yokuyinyamekela.

Yintoni `(uJackson-Pratt drain)`?

Ngamafutshane, umsele wokukhupha amanzi iJackson-Pratt yityhubhu encinci, eguquguqukayo enebhola encinci eqhotyoshelwe kuyo esetyenziselwa ukuqokelela nokukhupha ulwelo olungafunekiyo (njengegazi kunye nolwelo lwe-lymphatic) kwinxeba apho wenze khona utyando. Kuqhelekile ukuba olu lwelo kunye nenkunkuma yeeseli ziphume kwinxeba emva kotyando. Ngoko ke, into eyenziwa yile msele we-JP kukukhupha ulwelo oluvela kwinxeba uze ulufake ebholeni ngaphandle komzimba wakho. Ngale ndlela, ukuphuma kolwelo olungafunekiyo kunceda inxeba ukuba liphilise ngokukhawuleza. Kwakhona, ukuba unyamekela kakuhle umsele wokukhupha amanzi kunye nenxeba, unokunciphisa umngcipheko wosulelo.

Isebenza njani i-`(JP drain)`?

Kulungile, ngoku masibone ukuba le `(JP drain)` isebenza njani. Ilula kakhulu. Isebenza ngokufunxa. Oko kukuthi, ikhupha ulwelo enxebeni.

Kukho iinxalenye ezintathu eziphambili zale `(i-JP drain)`:

1. Iqhekeza elithe tyaba letyhubhu elingena enxebeni: Eli linemingxuma emincinci kulo. Ulwelo olungafunekiyo oluvela enxebeni lungena kwityhubhu ngale mingxuma.

2. Ityhubhu encinci eguquguqukayo ephumayo: Yiyo le ithwala ulwelo oluvela enxebeni ukuya kuloo bhola incinci. Oogqirha badla ngokuyibopha le tyhubhu eluswini nge-suture okanye iteyiphu encinci ukuze ingashukumi.

3. Ibhalbhu yokuqokelela: Le ifana nelamuni encinci. Icinezelwa ukuze ifunxe. Le bhalbhu inesiciko esenza isitywino esingangeni moya. Xa ulwelo luqokelelana, isivalo siyavulwa ukuze sikhululeke.

Ngamafutshane, xa ucinezela ibhaluni uze uzame ukuyivuthela kwakhona, kwakheka i-vacuum encinci ngaphakathi, uhlobo oluthile "loxinzelelo olubi" . Loo mandla yiwo abangela ukuba ulwelo olungafunekiyo enxebeni luhambe kancinci kancinci luye kwityhubhu luze luqokeleleke kwibhaluni. Kulula kakhulu, akunjalo?

Okufuneka ukwenze kukukhupha ibhaluni xa sele igcwele isiqingatha, uyicinezele kakuhle kwakhona ukuze ususe umoya uze uyivale. Emva koko i-`(suction)` iyaqhubeka. Nangona ingaqhelekanga, ezinye i-`(JP drain)` zikwasetyenziswa ukususa ulwelo ngomxhuzulane (`gravity`) (iqela lakho lezonyango liza kukuxelela ngale nto).

Ifuneka nini i-`(JP drain)`?

Ngoku usenokuba uzibuza ukuba loluphi uhlobo lotyando olusetyenziselwa le `(JP drain)`. Enyanisweni, olu luhlobo oluqhelekileyo lwe `(drain)` olusetyenziswa emva kotyando. Oogqirha basebenzisa ezi zinto ukususa ulwelo emanxebeni emva kotyando olwahlukeneyo. Nazi imizekelo embalwa:

• Utyando lwesisu; umzekelo, utyando lokulungisa i-hernia.
• Utyando olunxulumene namabele; utyando lomhlaza webele, okanye izinto ezifana "notyando oluphezulu".
• Utyando lwesifuba; ngamanye amaxesha xa kunyangwa izifo ezifana ne-pleural effusion (ukuqokelelwa kolwelo olujikeleze imiphunga).
• Utyando lokususa i-thyroid gland (`i-thyroidectomy`).
• Utyando oluthile lobuhle kunye nolweplastiki, utyando lokwakha ngokutsha.
• Utyando lokususa amaqhuqhuva e-lymph (i-lymphadenectomy).

Ngokwesiqhelo, ubungakanani bolwelo olunokuqokelelwa kumsele we-JP ngexesha elinye bumalunga nama-25 ukuya kuma-50 mL. Oku kunokwahluka kancinci ngokuxhomekeke kuhlobo lomsele. Kukwakho nohlobo olukhulu lomsele olubizwa ngokuba yi-hemovac drain olunokuqokelela ulwelo oluninzi, kodwa umsele we-JP ngowona usetyenziswa rhoqo.

Ndingayinyamekela njani i-`(i-JP drain)` yam?

Kulungile, ngoku makhe sibone indlela yokunyamekela le `(JP drain)` emva kokuba ufikile ekhaya. Le yinto ekufuneka yenziwe ngononophelo oluthile, kodwa ungakhathazeki, oogqirha kunye nabahlengikazi baza kukufundisa indlela yokwenza oku ngaphambi kokuba uphume esibhedlele.

Kukho izinto ezintathu eziphambili ekufuneka zenziwe:

1. Ukususa ulwelo oluqokelelana kwi-`(Drain)` rhoqo.

2. Gcina inqaku malunga nobungakanani kunye nombala wolwelo.

3. Gcina inxeba kunye nendawo yokukhupha amanzi icocekile kwaye utshintshe ibhandeji.

Enye into, qinisa ibhola eqokelela ulwelo kwimpahla yakho nge "(iphini yokhuseleko)". Ngale ndlela, amathuba okuba ityibilike ize ikhululeke ayancipha.

Indlela yokususa ulwelo kwi-`(Drain)`

Okokuqala, makhe sibone indlela yokukhupha amanzi. Ngaphambi kokuba wenze oku, lungisa izinto ozifunayo.

• Iitawuli ezimbini ezincinci ezicocekileyo.
• Isiciko sotywala.
• Isiqwenga segauze.
• Ikomityi encinci yokulinganisa ulwelo (le uyinikwa sisibhedlele).

Kulungile, yenza ngolu hlobo:

1. Hlamba izandla zakho kakuhle: Hlamba izandla zakho kakuhle ngesepha namanzi ubuncinane imizuzwana engama-20. Zomise izandla zakho ngetawuli ecocekileyo uze ucime itephu. Okanye, ungasebenzisa isicoci sezandla esisekelwe kutywala.

2. `Ubisi` kwityhubhu:Oku kuvakala kungaqhelekanga, akunjalo? Oku kwenzelwa ukukhupha naluphi na ulwelo olunokubanjwa ngaphakathi kwityhubhu lungene ebholeni. Ngesinye sezandla zakho, bamba ityhubhu kancinci kude nalapho `(idreyini)` idibana khona nolusu. Ufuna ukuyibamba ngokuqinileyo ukuze ingashukumi, ukuze ungaziva utsala inxeba. Ngoku, usebenzisa ubhontsi nomnwe wesandla sakho esinye, hlikihla ityhubhu kancinci ukusuka kuloo ndawo ukuya ezantsi ukuya ebholeni. Kufana nokupompa ubisi. Ukuba uyisula nge-`(i-alcohol wipe)`, iya kutyibilika lula.

3. Susa ulwelo: Ngoku ekubeni ulwelo luqokelelene ebholeni, vula ngononophelo umphezulu webhola. Xa uvula umphezulu, musa ukuwuchukumisa umngxuma ngeminwe yakho. Ukwenza njalo kunokungenisa iintsholongwane. Ngoku galela ulwelo oluvela ebholeni kwikomityi yokulinganisa.

4. `Seta kwakhona` ibhalbhu yokuqokelela: Ngoku cinezela ibhalbhu kakuhle ngesandla ukuze ususe wonke umoya ongaphakathi. Cinezela ide ibe tyaba ngokupheleleyo. Ngelixa usacinezela, qinisa kwakhona isigqubuthelo uze usivale. Kulapho `(suction)` idalwa khona kwakhona. Umbindi webhalbhu kufuneka ube tyaba.

5. Hlamba izandla zakho kwakhona: Hlamba izandla zakho kakuhle kwakhona njengakwinyathelo lokuqala.

Ukuba unemibhobho engaphezulu kwesinye (umzekelo, emva kokususwa kwesisu, usenokuba nemibini), yenza okufanayo nakwesinye.

Bhala iinkcukacha malunga nolwelo

Into elandelayo ebaluleke kakhulu kukubhala phantsi iinkcukacha ezithile ngalo lonke ixesha ususa ulwelo kwi-`(drain)`.

• Lixesha lokukhupha ulwelo.
• Ubungakanani ulwelo olwalukho (ngokujonga indebe yokulinganisa).
• Umbala wolwelo uthini?

Ezi nkcukacha ziza kunceda ugqirha ukuba ajonge indlela ephola ngayo inxeba lakho.

Njengoko inxeba liphola, ubungakanani bolwelo oluphuma emseleni kufuneka bunciphe imihla ngemihla. Umbala wolwelo uya kutshintsha. Kukwalungile ukwazi le mibala:

• Ubomvu obumnyama: Kuqhelekile ukuba ulwelo lube bomvu obumnyama, njengegazi, ekuqaleni.
• Ubomvu okanye upinki okhanyayo: Ulwelo luya kukhanya ngombala njengoko inxeba liphola.
• Umthubi okhanyayo (onombala wengca) okanye ocacileyo: Xa ulwelo lutshintsha ukusuka kubomvu ukuya kumthubi okhanyayo okanye ocacileyo, oko kuthetha ukuba inxeba liyaphola kakuhle. Oku kukwabizwa ngokuba yi-"serous drainage" ngokwezonyango.

Qaphela: Ukuba ulwelo lujika lube mhlophe luze luphinde lube bomvu bumnyama, lusenokuba luphinde luphume igazi. Ukuba oku kuyenzeka, kufuneka uxelele ugqirha wakho. Kwakhona, ukuba ulwelo lumhlophe njengobisi, lunevumba elibi, okanye lutyebile, lunokuba luphawu losulelo. Kwimeko enjalo, kufuneka uxelele ugqirha wakho ngoko nangoko.

Indlela yokutshintsha `(Ingubo)`

Ukutshintsha i-cloth enxebeni nako kufuneka kwenziwe ngokuchanekileyo. Ugqirha uza kukuxelela ukuba kufuneka uyitshintshe kangaphi i-cloth kwaye ukwenze njani oko. Kufuneka ukwenze kanye njengoko ekuxelela. Ngaphambi kokuba utshintshe i-cloth, lungiselela oku kulandelayo:

• Iitawuli ezicocekileyo.
• Isiqwenga segauze esinomngxuma phakathi.
• Iteyiphu yotyando.
• Isicoci senxeba (ukuba sichazwe ngugqirha).

Kulungile, nantsi indlela yokwenza oku:

1. Hlamba izandla zakho kakuhle.

2. Susa ngononophelo `(idressing)` endala. Lumka ungatsali ityhubhu `(Drain)`.

3. Hlamba izandla zakho kwakhona.

4. Coca inxeba kunye nendawo apho umsele udibana khona nolusu ngesepha namanzi okanye ngesixhobo sokucoca amanxeba esinikwe ngugqirha wakho. (Ugqirha wakho angakuxelela ukuba uhlambe xa uhlamba, kodwa ungangeni ebhafini okanye edamini ngelixa umsele ukhona.) Emva kokuhlamba, zithambise ngetawuli ecocekileyo.

5. Beka isiqwenga segauze esisikiweyo phakathi phantsi kombhobho wokukhupha amanzi, apho sichukumisa khona ulusu, uze usinamathisele ngeteyipu ukuze singashukumi.

Uyigcina njani i-`(JP Drain)` ingavuzi?

Kukho iluphu encinci phezulu kwebhola apho ulwelo luqokelelana khona. Ungancamathisela i-``(iphini yokhuseleko)`` kuyo uze uyibophelele kwihempe okanye kwilokhwe yakho. Kodwa ungayibophelele kwibhulukhwe okanye kwibhanti yakho. Ukuba wenza njalo, ungalibala kwaye ingasuka ngequbuliso.

Ndifanele ndikhuphe kangaphi i-`(Drain)`?

Kungcono ukukhupha isinyi ngokukhawuleza, oko kukuthi, xa sele sigcwele isiqingatha. Kulapho ke isifunxi sikhona. Ngokwesiqhelo, kuya kufuneka usikhuphe ubuncinane rhoqo emva kweeyure ezi-4 ukuya kwezi-6 kwiintsuku ezimbalwa zokuqala. Njengoko inani lolwelo oluphumayo lincipha, unganciphisa ukuphindaphinda.

Iza kushiywa ixesha elingakanani indawo ye-`(JP Drain)`?

Ukuze ususe i-`(JP Drain)`, kuya kufuneka ubuyele kugqirha wakho. Musa ukuyisusa de ugqirha wakho akuxelele ukuba uyisuse. Uninzi lwexesha, ayizukushiywa ngaphakathi kangangeeveki ezimbini. Nangona kunjalo, oku kunokwahluka ngokuxhomekeke kwimeko yakho. Kungumbono olungileyo ukubuza ugqirha wakho ngale nto ngaphambi kokuba uphume esibhedlele.

Ndifanele ndibonane nogqirha nini?

Ukuba unayo nayiphi na kwezi mpawu, kufuneka ufowunele ugqirha wakho ngoko nangoko. Ezi zinokuba ziimpawu zosulelo:

• Umkhuhlane. Ukuba unomkhuhlane ongaphezulu kwama-38 degrees Celsius (100.4 Fahrenheit).
• Ukuba indawo apho umsele wawubekwe khona ibomvu, idumbile, okanye ifudumele, okanye ukuba intlungu inyukile.
• Ukuba ubona imicu ebomvu kwindawo yenxeba.
• Ukuba ulwelo oluvela kumsele wokukhupha amanzi lunuka, luluhlaza, lufana nobisi, okanye lutyebile.

Kwakhona, xelela ugqirha wakho ukuba ezi zinto zenzeka:

• Ukuba umbhobho we-`(Drain)` ubonakala ukhululekile, okanye ukuba ulwelo lubonakala luyekile ukuhamba, kunokufuneka uluqinise kwakhona okanye uzame ukususa umoya.
• Ukuba ityhubhu ibonakala ngathi ikhululekile, okanye ukuba ibhola ilahlekelwe yi-``(suction)`` yayo kwaye igcwele umoya.
• Ukuba ubungakanani bolwelo buqhubeka busanda kangangeentsuku ezimbini (kufanele ukuba buyancipha).
• Ukuba ulwelo lukhanya ngombala luze luphinde lube bomvu okanye lube mdaka ngebala (olu luphawu lokuba ukopha kuphinde kwenzeke).
• Ukuba ulwelo luphuma kwindawo etyumkileyo (ugqirha usenokufuna ukucoca umsele wokukhupha amanzi).

Ngamanye amaxesha, emva kokuba umsele we-JP ususiwe, ulwelo lunokuqokelelana luze ludumbe kwindawo yotyando. Oku kubizwa ngokuba yi-seroma . Oku akuyongxaki ingxamisekileyo, kodwa kufuneka uxelele ugqirha wakho ngayo.

Ingaba i-`(JP Drain)` yi-`Open Drain` okanye yi-`Cleared Drain`?

Le yi-`(i-closed drain)`, oko kuthetha ukuba yinkqubo evaliweyo. Cinga ngayo ngolu hlobo, i-`(JP drain)` yinkqubo evaliweyo etshintsha uxinzelelo lomoya ngaphakathi kwaye ikhuphe ulwelo enxebeni. Endaweni yokuba ulwelo luphume enxebeni luze lufunxwe kwi-`(dressing)` njengakwi-`(open drain)` (umzekelo, i-`(Penrose drain)`), kule `ulwelo luqokelelana kwibhola ecinezelweyo ize ikhuphe ulwelo.

Xa une-`(JP drain)` endaweni yayo, ingavakala ngathi yinto entsha engaqhelekanga emzimbeni wakho ekuqaleni. Ngandlela thile, iyenzeka. I-`(JP drain)` ifana nento enamathele kwinkqubo yomzimba wakho, ikhupha ulwelo olungafunekiyo enxebeni kwaye ikuncede uphilise.

Ngoko ke, izinto zokugqibela ekufuneka uzikhumbule zezi

I-`(i-Jackson-Pratt drain)`, okanye `(i-JP drain)`, sisixhobo esinokunceda inxeba lakho liphole ngokukhawuleza kwaye sinciphise umngcipheko wosulelo emva kotyando. Kusenokuvakala kungakhululekanga ukujongana nayo ekuqaleni, kodwa ungakhathazeki. Ukuba uyinyamekela ngokufanelekileyo njengoko oogqirha bakho kunye nabahlengikazi bekuxelela, iya kukunceda uphile ngokukhawuleza.

Eyona nto ibalulekileyo kukuba ukuba unemibuzo okanye amathandabuzo, ungoyiki ukubuza ugqirha wakho okanye umongikazi. Impilo-ntle yakho yeyona nto ibalulekileyo nakubo.

Umsele wokukhupha amanzi eJackson -Pratt, umsele wokukhupha amanzi eJP, umsele wokukhupha utyando, ukhathalelo lwamanxeba, ukhathalelo emva kotyando, utyando, ukuphiliswa kwamanxeba, ukhathalelo emva kotyando, ukhathalelo lomsele wokukhupha amanzi, ukhathalelo lwamanxeba