Ingabe unikezwe i-chemotherapy njengokwelashwa komdlavuza? Khona-ke cishe uyazi ukuthi kubuhlungu futhi kuyacasula kangakanani ukufaka ama-cannula bese ukhipha igazi njalo. Akulula ngaso sonke isikhathi ukuthola umthambo omuhle. Yingakho sizokhuluma ngesisombululo esihle namuhla. Leso yi-"Chemo Port". Mhlawumbe udokotela wakho ukutshelile ngalokhu. Ngakho ake sibone ukuthi kuyini lokhu, kusebenza kanjani, nokuthi yiziphi izinzuzo zako. Ake sixoxe ngakho konke ngamagama alula.
Iyini i-Chemo Port?
Kalula nje, i-chemo port iyithuluzi elincane elifakwa ngaphansi kwesikhumba sakho. Cabanga ngalo njengento elingana nohlamvu lwemali lwama-rupee amahlanu. Ngokuvamile lifakwa ngaphansi kwesikhumba sesifuba esingaphezulu, ingalo, noma isisu. Ngemuva kwalokho, ipayipi elincane le-silicone (i-'catheter') elivela kule divayisi encane lixhunywe ngqo komunye wemithambo yakho emikhulu yegazi.
Abantu abaningi abathola ukwelashwa komdlavuza basebenzisa i-port efana nale. Ngoba ngemva kokufakwa, akudingeki badlule emthanjeni engalweni yabo njalo lapho bebanika imithi ye-chemo, bethatha igazi, noma bebanika olunye uketshezi olufana nosawoti. Ungakwenza konke lokho ngqo ngale-port. Ngakho-ke le-port isiza ukwenza ukwelashwa kwe-chemo kube lula, kuphephe, futhi kungabi buhlungu kakhulu.
Elinye igama lalokhu yi-"Port-a-cath".
Libukeka kanjani leli chweba? Ziyini izingxenye zalo?
Kuye ngohlobo lwe-port oyitholayo, ingaba yindilinga, unxantathu, noma i-oval. I-port ngayinye inezingxenye ezintathu eziyinhloko.
| Ingxenye eyinhloko | Kalula nje... |
|---|---|
| Ichweba | Lena yingxenye eyinhloko yale divayisi. Odokotela nabahlengikazi bafaka umuthi kule ngxenye. |
| Septhemba | Lokhu kuphakathi nendawo yokuvala. Kwenziwe ngohlobo olukhethekile lwerabha. Ngemva kokufakwa kwenaliti, imbobo ivala ngokuzenzakalelayo (ukuzivala). |
| I-Catheter | Leli yipayipi elincane neliguquguqukayo elixhumanisa imbobo nomthambo wegazi lakho. |
Futhi kunezinhlobo ezimbili zalezi zimbobo:
- Imbobo ye-lumen eyodwa: Lena inendawo yokufinyelela eyodwa kuphela. Lolu uhlobo oluvame ukusetshenziswa kakhulu.
- I-double lumen port: Lokhu kunezindawo ezimbili zokungena. Lokhu kusho ukuthi kungenza imisebenzi emibili ngesikhathi esisodwa, njengokunikeza imithi ngesinye kanye nokudonsa igazi ngesinye.
Kulungile, manje ake sibone ukuthi lokhu kusebenza kanjani.
Ngemva kokuba i-port ibekwe emzimbeni wakho, abasebenzi bezokwelapha bangayisebenzisa ukudonsa igazi, ukunikeza imithi, noma ukunikeza ezinye izinto eziwuketshezi emzimbeni wakho.
Indlela okwenziwa ngayo lokhu ilula kakhulu. Bafaka inaliti ekhethekile esikhumbeni sakho, ngqo engxenyeni ephakathi ye-port (i-septum). Lokhu akufani nokufaka i-cannula evamile. Asikho isidingo sokuthola umthambo, futhi awubuhlungu kakhulu. Kuzwakala sengathi ucindezelwa kancane.
Into ebaluleke kakhulu inkululeko oyitholayo ngokuthola nokuhlaba imithambo yakho njalo uma uthola ukwelashwa. Lokhu kuzoba impumuzo enkulu kuwe ngokwengqondo.
Uyifaka kanjani i-chemo port emzimbeni wakho? Ingabe lokhu kuwukuhlinzwa okukhulu?
I-chemo port inqubo yokuhlinzwa encane. Kodwa akuyona inqubo enkulu neyesabisayo. Ngokuvamile kuthatha cishe ihora. Ungaya ekhaya ngalolo suku. Kodwa kubalulekile ukuba nomngane noma ilungu lomndeni elizokuthatha likuyise lapho futhi likubuyisele khona.
Nazi ezinye zezinto ithimba lakho lezokwelapha elizozenza phakathi nalokhu kuhlinzwa:
1. Okokuqala, uzonikezwa umuthi wokuqeda izinhlungu ukuze unciphise ubuhlungu futhi uhlale uphumule.
2. Ngemuva kwalokho, kwenziwa i-incision encane entanyeni yakho ukuze kufinyelelwe emthanjeni wegazi (njenge-jugular vein, i-subclavian vein, noma i-superior vena cava).
3. Kwenziwa imbobo encane kulowo mthambo bese kufakwa ipayipi elincane (i-'catheter') kuwo.
4. Bese kwenziwa omunye umsike omncane ngaphansi kwesikhumba sesifuba sakho, ingalo, noma isisu, okudala isikhala esincane engqimbeni engaphansi kwesikhumba, njengesikhwama esincane.
5. Imbobo ye-chemo ifakwa ngaphakathi kwesikhala esidaliwe.
6. Manje, ithubhu elivela echwebeni lithathwa ngaphansi kwesikhumba bese lixhunywa kuthubhu elalifakwe emthanjeni ngaphambilini.
7. Ekugcineni, zombili izimbobo zivalwa ngezithungo.
Udokotela ohlinzayo wenza yonke le nqubo ngenkathi ebheka njalo umshini okhombisa izithombe ezifana ne-X-ray (fluoroscopy). Lokhu kuqinisekisa ukuthi konke kwenziwa kahle. Ngemva kokuba inqubo isiqediwe, i-X-ray yesifuba nayo iyathathwa ukuqinisekisa ukuthi imbobo isendaweni efanele.
Khumbula, lokhu akuyona indlela enkulu yokuhlinzwa. Ukusika kungamasentimitha ambalwa nje kuphela. Futhi ungaya ekhaya ngalolo suku.
Yiziphi izinzuzo zokusebenzisa i-Chemo Port?
Kunezinzuzo eziningana zokusebenzisa i-chemo port. Ake sizihlolisise.
| Inzuzo | Impumuzo oyitholayo kuyo |
|---|---|
| Ukuqeda ubuhlungu | Uma ufaka inaliti embotsheni, uzwa ukusunduzwa okuncane kuphela. Ubuhlungu bokuthola umthambo nokufaka inaliti isikhathi ngasinye buphela ngokuphelele. |
| Ukulimala kwezicubu okuncishisiwe | I-port iletha umuthi ngqo emthanjeni omkhulu wegazi, isusa ingozi yokuthi umuthi uphume emthanjeni (extravasation) futhi wonakalise izicubu ezizungezile, okuyinto engenzeka ngezinye izikhathi lapho unikeza umuthi nge-cannula. |
| Ukulula kanye nenkululeko | Uma inxeba selipholile ngemva kokufakwa kwe-port, limbozwe ngokuphelele yisikhumba sakho. Ungageza futhi ubhukude ngendlela evamile. Akukho bungozi bokutheleleka. |
Ingabe kukhona izingozi kulokhu?
Njengoba lokhu kuyinqubo yokuhlinzwa, kunezingozi ezincane, njenganoma yikuphi ukuhlinzwa. Kodwa-ke, lokhu akwenzeki kaningi.
| Ingozi | Kalula nje... |
|---|---|
| Ihlule legazi `(Thrombosis)` | Ngezinye izikhathi, ihlule legazi lingakheka ngaphakathi kwepayipi le-port bese livaleka. |
| Imikhawulo yokunyakaza | Udokotela wakho angakutshela ukuthi ugweme ukuzivocavoca okunzima noma imisebenzi yokuthwala izinsimbi kulolo hlangothi ngenkathi une-port endaweni yayo, njengoba lokhu kungabangela ukuthi i-port ihambe. |
| Amaphutha emishini | Izinto ezifana nepayipi elikhululekile zingabangela ukuthi imbobo ingasebenzi kahle. |
| Ukwakheka kwezibazi | Ukuhlinzwa kungashiya isilonda esincane. |
| Ukutheleleka | Lokhu akuvamile kakhulu. Cishe abantu ababili kwabayi-100 bathola ukutheleleka. Uma unezimpawu ezifana nomkhuhlane, ubuhlungu, noma ukuvuvukala, kungaba ukutheleleka. Uma lokho kwenzeka, i-port ingadinga ukushintshwa. |
Izinto okufanele uzazi ngemva kokuthola ichweba kanye nokuhlala nalo
Kwenzekani ngemva kokufakwa kwetheku?
Ungase uzwe ubuhlungu kanye nobuhlungu endaweni yokusikwa kwezicubu ezinsukwini ezimbili noma ezintathu zokuqala ngemuva kokufakwa kwe-port. Lokhu kuvamile. Ungaqhubeka nemisebenzi yakho eminingi evamile. Kodwa-ke, hlola nodokotela wakho ngaphambi kokuqala noma yikuphi ukuvivinya umzimba okunzima, njengokuya ejimini.
Ungaligcina isikhathi esingakanani leli bhodwe?
Ungagcina leli thambo lisendaweni yalo isikhathi eside ngangokunokwenzeka, okungaba iminyaka eminingana. Uma konke ukwelashwa kwakho sekuqediwe, udokotela wakho ohlinzayo angalisusa.
Ulala kanjani ugqoke imbiza?
Indawo engcono kakhulu yokulala iwukulala ngomhlane . Lokhu kuzovimbela noma yikuphi ukucindezeleka embotsheni. Ikakhulukazi ezigabeni zokuqala zokululama, gwema ukulala ngesisu sakho. Lokhu kungabangela ukucindezeleka embotsheni futhi kwandise ubuhlungu.
Ungalala futhi ohlangothini. Kodwa uma i-port ingakwesokudla, jika uye ku-sleep ohlangothini lwesobunxele. Uma ingakwesobunxele, jika uye ku-sleep ohlangothini lwesokudla. Lokho kusho ukuthi, uhlangothi olune-port alukho ngaphansi.
Ngingageza noma ngizigeze?
Yebo. Ungageza emahoreni angama-24-48 ngemuva kokuhlinzwa, kodwa kuphela ngemuva kokubonisana nodokotela wakho. Lapho ugeza, kufanele umboze indawo ethintekile ngepulasitiki engangeni manzi. Uma indawo ethintekile isiphelile ngokuphelele, ungageza ngokuphephile, ugeze, noma ubhukude.
Ngingayisusa kanjani imbobo ngemva kokuba ukwelashwa sekuqediwe?
Ukususa imbobo nakho kuyinqubo elula kakhulu. Kuhilela ukwenza ukusika okuncane phezu kwembobo, ukukhulula imbobo ezicutshini ezizungezile, bese kususwa yonke idivayisi ngesikhathi esisodwa. Imbobo ivalwa ngokuthunga. Kungase kube nobuhlungu, ukuvuvukala, kanye nokulunywa izinsuku ezimbalwa ngemva kokususwa kwembobo. Lokhu kuvamile.
Kufanele ngishayele udokotela ucingo ngokushesha nini?
Lokhu kubaluleke kakhulu. Uma une-chemo port futhi uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha .
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| 🔴 | Uma uzwa ubuhlungu obukhulu, ukuvuvukala, noma ukuphuka lapho kukhona khona imbobo. |
| 🔴 | Uma isikhumba esizungeze imbobo sibomvu noma sishintsha umbala . |
| 🔴 | Uma into efana noketshezi ivuza lapho kukhona khona ichweba. |
| 🔴 | Uma unomkhuhlane . |
Umlayezo Wokuya Nawe Ekhaya
- I-chemo port iyithuluzi elincane neliwusizo elinciphisa kakhulu ubuhlungu nokungakhululeki okuhlobene nezinti zezinaliti ezivame ukwenziwa ngesikhathi sokwelashwa ngamakhemikhali kanye nokudonswa kwegazi.
- Lokhu kufakwa ngaphansi kwesikhumba ngenqubo encane yokuhlinzwa. Akuyona into enkulu noma eyesabekayo.
- Izinzuzo eziyinhloko zokusebenzisa i-port ukunciphisa ubuhlungu, ukuphepha okwandisiwe, kanye nokulula empilweni yansuku zonke.
- Nakuba kunezingozi ezincane, njengokutheleleka noma ukuqhekeka kwegazi, azivamile ukwenzeka.
- Uma uzwa ubuhlungu obukhulu, ukubomvu, ukuvuvukala, noma umkhuhlane endaweni yokungena, yazisa udokotela wakho ngokushesha.
- Uma unemibuzo ngalokhu, ungangabazi ukubuza udokotela wakho wezifo zomdlavuza.
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