Ingabe wena noma othandekayo wakho uvame ukudinga imijovo yemithambo yegazi, ukufakwa kwe-saline, noma ukukhishwa kwegazi? Siyaqonda ubuhlungu, ukungakhululeki, kanye nomonakalo wemithambo yegazi ovame ukuza nokufakwa kwe-cannulation okuphindaphindiwe kanye nezinti zezinaliti. Namuhla, sixoxa ngedivayisi yezokwelapha encane, ebalulekile eyenzelwe ukwenza ukwelashwa kwesikhathi eside kube lula futhi kube lula kuwe.
Iyini ngempela i-Implanted Port?
Kalula nje, i-port efakiwe iyithuluzi elincane lezokwelapha elifakwa ngaphansi kwesikhumba sakho. Lisebenza njengesango elihlala njalo nelivikelekile emthanjeni omkhulu emzimbeni wakho, okuvumela ukufinyelela kalula ekwelashweni. Ungase uzwe futhi libizwa ngokuthi "i-port-a-cath" noma "i-mediport."
Imbobo yakhiwe yidiski encane, eyisicaba eyenziwe ngensimbi noma ngepulasitiki. Phezulu, inesikhungo se-silicone esizivalayo esibizwa ngokuthi "i-septum," esingabhobozwa ngenaliti. Ipayipi elincane, eliguquguqukayo (i-catheter) elinamathiselwe kwidiski lifakwe emthanjeni omkhulu eduze kwenhliziyo yakho. Udokotela wakho uzokwenza inqubo encane yokuhlinzwa ukuze abeke lonke uhlelo ngaphansi kwesikhumba sakho. Uma imbobo ingasadingeki, ingasuswa ngesikhathi senqubo encane.
Inzuzo enkulu ukuthi iqeda isidingo sezinti zezinaliti eziphindaphindwayo kanye nokuhlanza njalo, okwenza inqubo yakho yokwelapha ibe lula kakhulu, ingabuhlungu kakhulu, futhi ikhululeke kakhulu.
Ingabe kunezinhlobo ezahlukene zamachweba?
Yebo, kunezinhlobo eziningana ezahlukene ezitholakalayo. Ithebula elilandelayo lizokusiza uqonde izinketho.
| Uhlobo Lwechweba | Incazelo |
|---|---|
| I-Lumen Eyodwa | Inendawo yokufinyelela eyodwa. Lolu uhlobo oluvame kakhulu olusetshenziswa ekunakekelweni okuvamile. |
| I-Lumen Ephindwe Kabili | Iqukethe izindawo ezimbili zokufinyelela ezihlukene, okuzuzisa kakhulu uma udinga ukuthola imithi eminingi ngesikhathi esisodwa. |
| Okujovwa Ngogesi | Amachweba amaningi esimanje angaphansi kwalesi sigaba. Aklanyelwe ukumelana nokucindezela okuphezulu okudingekayo ukuze kufakwe amadayi okungafani ngesikhathi sokuskena kwe-CT noma i-MRI. |
Ubani Odinga Ichweba?
I-port iyithuluzi eliwusizo kunoma ubani odinga ukwelashwa okuvamile noma kwesikhathi eside nge-intravenous (IV), ukumpontshelwa igazi, noma ukukhishwa kwegazi njalo. Udokotela wakho angase akuncomele i-port yakho noma ingane yakho uma uphatha izimo ezifana nalezi:
- Umdlavuza: Uma udinga izikhathi zokwelashwa ngamakhemikhali njalo.
- Izifo Ezingamahlalakhona: Uma udinga ama-antibiotic afakwa emthanjeni amasonto noma izinyanga eziningana.
- Ukwehluleka Kwezinso: Ezigulini ezidinga ukwelashwa okuqhubekayo kwe-dialysis.
- Izinkinga Zokugaya Ukudla: Izimo ezifana ne-Inflammatory Bowel Disease (IBD) lapho ungadinga khona ukudla okunomsoco isikhathi eside ngemithambo yegazi.
- Ezinye Izidingo Zempilo Eziyinkimbinkimbi: Noma yisiphi isimo esidinga ukwelashwa njalo noma ukuhlolwa kwegazi okuphindaphindiwe.
Okufanele Ukulindele Ngaphambi Kwenqubo
Njengoba lokhu kuyinqubo encane yokuhlinzwa, kunezinyathelo ezimbalwa zokulungiselela:
- Yazisa udokotela wakho ngayo yonke imithi kanye nezithasiselo ozithathayo. Ungase welulekwe ukuthi umise imithi ethile ezinsukwini ezimbalwa ngaphambi kwenqubo.
- Uzohlolwa igazi njalo ukuze kuhlolwe ukusebenza kwezinso zakho nokuthi igazi lakho liqine kangakanani.
- Uzothola imiyalelo yokuzila ukudla (ukugwema ukudla noma ukuphuza) amahora ambalwa ngaphambi kwenqubo.
I-Port ifakwa kanjani?
Lokhu kuvame ukuba ukuhlinzwa okuncane okuthatha ihora elilodwa, futhi ngokuvamile uzokwazi ukuya ekhaya ngalolo suku. Kodwa-ke, kufanele ube nomuntu ozokuhambisa ekhaya ngokuphephile.
Izimbobo eziningi zifakwa ngaphansi kwesikhumba esifubeni esingaphezulu. Kwezinye izimo, udokotela wakho angase azibeke engalweni yakho engaphakathi noma ngaphansi nje kwekheji lezimbambo.
Ukuqinisekisa ukuthi ukhululekile, udokotela wezinzwa uzokunikeza umuthi wokudambisa ukuze uhlale uphumule futhi ulele, kanye nomuthi wokubulala izinzwa wendawo ukuze uvale indawo yokusikwa. Ezinganeni, umuthi wokubulala izinzwa ojwayelekile uvame ukusetshenziswa.
Nansi indlela udokotela wakho ayenza ngayo le nqubo:
1. Isiqondiso se-X-ray: Le nqubo iqondiswa ubuchwepheshe be-X-ray obukhethekile obubizwa ngokuthi i-fluoroscopy.
2. Ukusikwa Okuncane: Ukusikwa okuncane kwenziwa eduze kwentamo ukuze kufinyelelwe emthanjeni omkhulu (njenge-vena cava ephezulu, i-jugular, noma i-subclavian vein).
3. Ukwakha Isikhwama: Kwenziwa ukusika okuncane kwesibili esifubeni noma engalweni, lapho kwenziwa khona "isikhwama" esincane ngaphansi kwesikhumba ukuze kugcinwe imbobo.
4. Ukubekwa Kwembobo: Imbobo ibekwe kahle ngaphakathi kwaleli phakethe.
5. Ukuxhuma i-Catheter: Ithubhu elincane neliguquguqukayo elibizwa ngokuthi i-catheter lifakwa ngentambo lisuka echwebeni liye emthanjeni wakho ngokusebenzisa ukusikwa kwentamo.
6. Ukuqinisekiswa: Kwenziwa i-X-ray yesifuba ukuqinisekisa ukuthi i-port kanye ne-catheter zibekwe kahle.
7. Ukuvala Ukusika: Ekugcineni, ukusika kuvalwa kusetshenziswa izithungo ezincibilikayo.
Izinzuzo Nezingozi: Okufanele Ukwazi
Nakuba amachweba eklanyelwe ukuthuthukisa ikhwalithi yempilo yakho, kubalulekile ukwazi izinzuzo kanye nezingozi ezingaba khona.
| Izinzuzo | Izingozi |
|---|---|
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Indlela yokunakekela 'i-port' yakho nokuthi kufanele ushayele nini udokotela wakho ucingo
Isikhumba esingaphezulu kwe-port yakho asidingi ukwelashwa okukhethekile kwansuku zonke. Kodwa-ke, uma ungatholi ukwelashwa okuvamile, i-port yakho idinga 'ukuhlanzwa' cishe kanye ngenyanga ukuvimbela ukuqhekeka kwegazi. Lokhu kuhilela ukuhlanza uhlelo ngoketshezi olukhethekile, inqubo ezokwenziwa udokotela wakho noma umhlengikazi okhethekile.
Ukuze uvimbele ukutheleleka, beka phambili inhlanzeko ngaphezu kwakho konke okunye.
- Geza noma ugeze nsuku zonke.
- Geza izandla zakho njalo ngensipho okungenani imizuzwana engama-20.
- Gcina indawo ohlala kuyo kanye nezingubo zokulala zihlanzekile.
Shayela udokotela wakho ngokushesha uma:
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, ungalibali ukuxhumana nodokotela wakho noma uqhubekele ngokushesha eMnyangweni Wezimo Eziphuthumayo oseduze .
- Kukhona ukopha noma ukuphuma kwegazi endaweni yokungena.
- Indawo iba bomvu, ivuvuke, noma izwakale ifudumele uma uyithinta.
- Uba nomkhuhlane.
- Ingalo eseceleni kwechweba iqala ukuvuvukala.
- Uba nobunzima bokuphefumula noma ubuhlungu esifubeni.
- Uzizwa unesizungu noma uphelelwe amandla.
Imbobo efakwe isitshalo iyinto elula kakhulu kulabo abathola ukwelashwa kwesikhathi eside, okwenza impilo ibe lula kakhulu. Ungakhathazeki ngakho; udokotela wakho eNirogi Lanka uzochaza konke okudingeka ukwazi.
Izinto Ezibalulekile Okufanele Uzicabangele
- 'I-implanted port' iyithuluzi elincane elifakwa ngaphansi kwesikhumba sakho elenza kube lula ukwelashwa kwesikhathi eside njengokwelashwa ngamakhemikhali, uketshezi lwe-IV, noma ukudonswa kwegazi.
- Iqeda ubuhlungu kanye nokungakhululeki kwezinti zezinaliti eziphindaphindwayo noma ukufakwa kwe-cannula.
- Ifakwa ngenqubo encane yokuhlinzwa futhi ingasuswa kalula uma ingasadingeki.
- Inkinga evame kakhulu ukutheleleka; ngakho-ke, ukugcina inhlanzeko eqinile kubalulekile.
- Funa usizo lwezokwelapha ngokushesha uma ubona izimpawu zokutheleleka, njengokubomvu, ukuvuvukala, umkhuhlane, noma ukucindezeleka kokuphefumula.
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 Kuyini Ubuhlungu Bomhlane Ophansi (i-Lumbago)?
Kungaphezu nje kobuhlungu basekuseni! Ubuhlungu obuphansi emhlane buhilela ukungakhululeki okukhulu, ukusha, noma ukuqina esifundeni se-lumbar (ngaphezu kwezinqe, ngaphansi kwezinsika), okungakuvimbela ukuthi uhlale noma ume. Nakuba kungenye yezifo ezivame kakhulu emhlabeni jikelele, ngezinye izikhathi kungaba uphawu oluyisixwayiso lokuphazamiseka okukhulu kwezinzwa.
💬 Yiziphi izimbangela eziyinhloko zobuhlungu obukhulu obuphansi emhlane?
Imbangela evame kakhulu (cishe u-90%) ukucindezeleka kwemisipha ngenxa yokuma kabi noma amasu okuphakamisa angafanele. Ezinye izimbangela zifaka: 1) Ama-disc aqhekekile noma ashelelayo acindezela inzwa, 2) I-Sciatica, lapho ubuhlungu buphuma khona emlenzeni, noma 3) Amatshe ezinso noma izifo (i-pyelonephritis).
💬 Kufanele ngifune nini usizo oluphuthumayo ngenxa yobuhlungu obuphansi emhlane?
Nakuba ubuhlungu obukhulu bomhlane buphela zingakapheli amasonto amabili ngokuphumula kanye nokwelashwa ngokushisa/ngokubandayo, kufanele ufune usizo oluphuthumayo ngokushesha uma uhlangabezana nalokhu: 1) Ukulahlekelwa ukulawula amathumbu noma esinyeni noma ukuba ndikindiki endaweni yembongolo (okubonisa i-Cauda Equina Syndrome, okuyisimo esiphuthumayo sokuhlinzwa), 2) Ubuthakathaka obungazelelwe emilenzeni yakho, noma 3) Ubuhlungu obukhulu bomhlane obuhambisana nomkhuhlane ophezulu.
