Ingabe wena noma othile omaziyo kufanele nithole imijovo, amasampula egazi ahlanzekile, noma amasampula egazi njalo? Siyazi ubuhlungu, ukungakhululeki, kanye nomonakalo emithanjeni okuhambisana nokufaka i-cannula nokubhoboza inalithi njalo. Ngakho-ke namuhla sikhuluma ngedivayisi encane ebaluleke kakhulu eyenza le nqubo ibe lula kakhulu kubantu abathola ukwelashwa kwesikhathi eside njengale.
Ngakho-ke, iyini le 'I-Implanted Port'?
Kalula nje, lena idivayisi encane yezokwelapha efakwe ngaphansi kwesikhumba sethu. Ngokuqondile, "isango" elihlala njalo elenzelwe ukuxhuma kalula emthanjeni omkhulu emzimbeni wethu. Lokhu ngezinye izikhathi kubizwa ngokuthi `i-portacath` noma `i-mediport`.
Leli 'port' lenziwe ngengxenye encane efana nediski eyisicaba eyenziwe ngensimbi noma ngepulasitiki. Phezu kwalo kukhona ingxenye (`septum`) eyenziwe nge-silicone, engafakwa ngenaliti. Ipayipi elincane, eliguquguqukayo (`catheter`) elixhunywe kule diski lifakwa ngqo emthanjeni omkhulu eduze kwenhliziyo yethu. Udokotela ubeka lonke lolu hlelo ngaphansi kwesikhumba ngesikhathi sokuhlinzwa okuncane. Uma ungasaludingi, lungasuswa futhi ngokuhlinzwa okuncane.
Inzuzo enkulu yalokhu ukuthi iqeda isidingo sokufakwa kwezinaliti njalo kanye nama-cannula, okwenza ukwelashwa kube lula kakhulu futhi kungabi buhlungu kakhulu.
Ingabe kunezinhlobo ezahlukene zalezi 'zimbobo'?
Yebo, kunezinhlobo eziningana eziyinhloko. Kuzoba lula ngawe ukukuqonda lokhu etafuleni.
| Uhlobo lwembobo (Uhlobo) | Incazelo elula |
|---|---|
| I-Lumen Eyodwa | Lena inomnyango owodwa. Lolu uhlobo oluvame ukusetshenziswa kakhulu. |
| I-Lumen Ephindwe Kabili | Lokhu kunezindlela ezimbili zokungena. Lokhu kuwusizo kakhulu uma udinga ukunikeza izinhlobo ezimbili zemithi ngesikhathi esisodwa. |
| Okujovwa Ngogesi | Amaningi 'ama-port' atholakalayo namuhla angalolu hlobo. Angasetshenziswa ukufaka idayi yokungafani ngomfutho ophezulu ezintweni ezifana ne-CT scans noma i-MRI scans. |
Ubani odinga 'ichweba' elinje?
Lokhu kuwusizo kunoma ubani odinga ukwelashwa kwemithambo yegazi njalo noma isikhathi eside, ukumpontshelwa igazi, noma ukudonswa kwegazi. Udokotela wakho angancoma lokhu, ikakhulukazi uma wena noma ingane yakho ninezinye zezimo ezilandelayo:
- Izimo zomdlavuza: Uma udinga ukuthola i-chemotherapy njalo.
- Ukutheleleka kwesikhathi eside: Uma kudingeka, kungadingeka ama-antibiotic ngemithambo yegazi amasonto noma izinyanga.
- Ukwehluleka kwezinso: Kwe-dialysis.
- Izifo zesistimu yokugaya ukudla: Ezimweni ezifana ne-Inflammatory Bowel Disease (IBD), kungadingeka ukondliwa ngemithambo yegazi.
- Ezinye izifo eziyinkimbinkimbi: Noma yisiphi isimo esidinga uketshezi olufakwa emthanjeni noma ukuhlolwa kwegazi njalo.
Kwenzekani ngaphambi kokuba 'ichweba' lifakwe?
Njengoba lokhu kungukuhlinzwa okuncane, kunezinto ezimbalwa okudingeka uzilungiselele kusengaphambili.
- Kufanele utshele udokotela wakho nganoma yimiphi imithi namavithamini owaphuzayo. Eminye imithi ingadinga ukuthi uyeke ukuyiphuza ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Kuhlolwa igazi eliningana ukuhlola ukusebenza kwezinso kanye nokujiya kwegazi.
- Uzokwaziswa ukuthi ungadli noma uphuze lutho (ngokushesha) amahora amaningana ngaphambi kokuhlinzwa.
Uyifaka kanjani le 'port' emzimbeni wakho?
Lokhu ukuhlinzwa okuncane okuvame ukuthatha cishe ihora futhi ungaya ekhaya ngalolo suku. Kodwa-ke, kubalulekile ukuthi ulethe umuntu ozokuthatha akuyise ekhaya.
Ngokuvamile, lesi 'sivalo' sibekwa ngaphansi kwesikhumba ngakwesokudla kwesifuba. Ngezinye izikhathi, singabekwa ngaphansi kwesikhumba ohlangothini lwangaphakathi lwengalo noma esiswini ngaphansi kwezimbambo.
Udokotela wezinzwa uzokulalisa ukuze ungezwa ubuhlungu ngesikhathi sokuhlinzwa. Bazokunikeza nomuthi wokwenza indawo lapho kuzokwenziwa khona ukuhlinzwa ibe buhlungu. Izingane zizonikezwa 'i-anesthesia ejwayelekile', ebenza balale ngokuphelele.
Udokotela ufaka lokhu kanje:
1. Isiqondiso se-X-ray: Lokhu kuhlinzwa kwenziwa ngaphansi kwesiqondiso sobuchwepheshe obukhethekile be-X-ray obubizwa ngokuthi i-'Fluoroscopy'.
2. Ukusikwa okuncane: Ukusikwa okuncane kwenziwa endaweni yentamo ukuze kufinyelelwe emthanjeni omkhulu (njenge-vena cava ephezulu, i-jugular, noma i-subclavian).
3. Okunye ukusikwa: Kwenziwa okunye ukusikwa okuncane esikhumbeni sesifuba noma sengalo, okudala "iphakethe" elincane ngaphansi kwesikhumba ukuze kubekwe 'imbobo'.
4. Ukubeka 'ichweba':'I-port' ifakwa ngaphakathi kwesikhwama esakhiwe.
5. Ukuxhuma ithubhu: Ithubhu (i-catheter) evela 'echwebeni' ifakwa emthanjeni ngokusebenzisa ukusikwa entanyeni bese ixhunywa.
6. Ukuqinisekiswa: Kuthathwa i-X-ray yesifuba ukuqinisekisa ukuthi konke kuhamba kahle.
7. Ukuthungwa: Okokugcina, izimbobo ziyavalwa kusetshenziswa izithungo ezincibilikayo.
Yiziphi izinzuzo kanye nokungalungi kokusebenzisa 'i-port'?
Lokhu kunezinzuzo zako kanye nezingozi ezincane. Masiqaphele kokubili.
| Izinzuzo | Izingozi |
|---|---|
|
|
Ubani onakekela 'i-port' futhi kunini lapho kudingeka ngikhulume nodokotela ?
Isikhumba esingaphezulu kwe-port asidingi ukunakekelwa okukhethekile. Kodwa-ke, uma ungatholi ukwelashwa njalo, kungadingeka ukuthi ugeze i-port cishe kanye ngenyanga ukuze uvimbele ukuqhekeka kwegazi. Lokhu kusho ukuyihlanza ngesisombululo esikhethekile. Lokhu kuzokwenziwa udokotela wakho noma umhlengikazi.
Ukuze kuvinjelwe izifo, ukuhlanzeka kuyinto yokuqala.
- Geza nsuku zonke.
- Geza izandla zakho kahle ngensipho okungenani imizuzwana engama-20.
- Gcina indawo okuyo kanye nombhede wakho kuhlanzekile.
Shayela udokotela wakho ngokushesha uma:
Uma unezinye zezimpawu ezilandelayo, ungalibali bese wazisa udokotela wakho noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) .
- Uma igazi noma olunye uketshezi luvuza lusuka echwebeni.
- Uma indawo ibomvu, ivuvukele, futhi izwakala ishisa uma uyithinta.
- Uma unomkhuhlane.
- Uma ingalo ohlangothini lapho 'ichweba' likhona ivuvukele.
- Uma unenkinga yokuphefumula noma ubuhlungu esifubeni.
- Uma uzizwa unesizungu noma uphelelwa amandla.
'I-port' iyindlela elula kakhulu kumuntu othola ukwelashwa kwesikhathi eside. Kwenza impilo ibe lula kakhulu. Ngakho ungesabi lokhu. Udokotela wakho uzokuchazela konke ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- 'I-implanted port' iyithuluzi elincane elifakwa ngaphansi kwesikhumba elenza kube lula ukwelashwa kulabo abadinga ukuthola imithi efakwa emthanjeni (isib. i-chemotherapy), ukufakwa kwe-saline, noma ukukhishwa kwegazi isikhathi eside.
- Lokhu kuqeda ubuhlungu kanye nokungakhululeki okubangelwa ukufakwa njalo kwezinaliti kanye nama-cannula.
- Lokhu kufakwa ngokuhlinzwa okuncane futhi kungasuswa uma isidingo singasekho.
- Inkinga evame kakhulu ukutheleleka, ngakho-ke kubalulekile ukuqaphela kakhulu ukuhlanzeka.
- Uma uba nezimpawu ezifana nokubomvu, ukuvuvukala, umkhuhlane, noma ubunzima bokuphefumula eduze 'kwe-port', xhumana nodokotela wakho ngokushesha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini Ubuhlungu Bomhlane Ophansi / I-Lumbago?
Lokhu akusikho nje ukungakhululeki okuncane uma uvuka ekuseni! 'Ubuhlungu Bomhlane Ophansi' ukuvuvukala/ukucindezeleka okungabekezeleleki emgogodleni, emisipheni noma emithanjeni engaphezulu kwethambo lakho lesinqe, ngaphezu kwezinqe zakho (isifunda se-Lumbar) noma ubuhlungu obukhubazayo obenza kube nzima ukuphuma embhedeni/ukuhlala. Nakuba lokhu kungenye yezinhlungu ezivame kakhulu ezizwiwa abantu emhlabeni, ngezinye izikhathi kuyisixwayiso sokuthi imilenze yomibili izokhubazeka unomphela!
💬 Yiziphi izimbangela eziyinhloko zobuhlungu beqolo obuphansi ezivame ukwenza kube nzima ukuvuka embhedeni?
Isizathu esiyinhloko salokhu (90%) 'ukuma okungalungile kanye nokucindezeleka kwemisipha' - lokhu kwenzeka lapho uphakamisa izinto ezisindayo ngendlela engafanele (ukugoba umhlane esikhundleni sokugoba imilenze). Ngaphezu kwalokho, 2) Umcamelo phakathi kwamathambo amabili uphuma futhi ucindezele inzwa (i-Herniated Disc / i-Slip Disc). 3) I-Sciatica - Ubuhlungu buhamba kusukela emhlane buyehla emlenzeni. 4) Amatshe ezinso (amatshe ezinso/i-Pyelonephritis) nawo abangela lobu buhlungu.
💬 Yiziphi 'izimpawu ezibomvu' ezibonisa isimo esibucayi noma esiphuthumayo nokuthi kufanele uye esibhedlela ngokushesha ngaphandle kokufaka i-balm/massage ekhaya?
Uma kuyinkinga evamile, izophola emavikini ama-2 ngeqhwa/amanzi ashisayo kanye nokuphumula. Kodwa ingozi enkulu! 1) Uma unesifo somhlane futhi ngokuzumayo ulahlekelwa ukulawula isinye noma amathumbu akho (Ukulahlekelwa ukulawula amathumbu/isinye) noma uma umhlane wakho ongezansi ungasasebenzi (i-Saddle anesthesia), umgogodla wakho uzobola nakanjani (i-Cauda Equina Syndrome / ebulalayo)! 2) Uma ubhekene nokungasasebenzi emilenzeni yomibili, 3) Uma unomkhuhlane omkhulu ngenxa yobuhlungu, ungakhubazeka emahoreni ambalwa, udinga ukuya esibhedlela ngokushesha!
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