Ingabe nawe ufake ipayipi ngemva kokuhlinzwa? Ake sixoxe ngale (ipayipi lokudonsa amanzi likaJackson-Pratt)!

Kungenzeka ukuthi uke wabona ipayipi elincane kanye nebhola elincane elinamathiselwe kulo ngemva kokuhlinzwa. Noma kungenzeka ukuthi uke wabona othile omaziyo enalo. Lokhu kungaba yinto esabekayo kwabanye abantu. Kodwa empeleni kuyinto ebaluleke kakhulu esiza inxeba lakho ukuthi liphole ngokushesha. Namuhla, sizoxoxa ngokuthi liyini leli `(ipayipi likaJackson-Pratt)`, noma `(ipayipi likaJP)` ngamafuphi, ukuthi lenzani, nokuthi linakekelwa kanjani.

Kuyini `(ukukhishwa kukaJackson-Pratt)`?

Kalula nje, ipayipi lokukhipha uketshezi likaJackson-Pratt liyipayipi elincane, eliguquguqukayo elinebhola elincane elinamathiselwe kulo elisetshenziselwa ukuqoqa nokukhipha uketshezi olungafuneki (njengegazi noketshezi lwe-lymphatic) enxebeni lapho uhlinzwe khona. Kujwayelekile ukuthi lawa ma-fluid kanye nemfucumfucu yamaseli kuphume enxebeni ngemva kokuhlinzwa. Ngakho-ke, okwenziwa yileli payipi le-JP ukukhipha lolo ketshezi enxebeni bese ulufaka ebholeni ngaphandle komzimba wakho. Ngale ndlela, ukukhipha uketshezi olungafuneki kusiza inxeba ukuthi liphole ngokushesha. Futhi, uma unakekela kahle kokubili ipayipi lokukhipha uketshezi kanye nenxeba, unganciphisa ingozi yokutheleleka.

Isebenza kanjani i-`(JP drain)`?

Kulungile, manje ake sibone ukuthi le `(i-JP drain)` isebenza kanjani. Kulula kakhulu. Isebenza ngokumunca. Okusho ukuthi, ikhipha uketshezi enxebeni.

Kunezingxenye ezintathu eziyinhloko zale `(i-JP drain)`:

1. Ingxenye eyisicaba yepayipi engena enxebeni: Lena inezimbobo ezincane kuyo. Uketshezi olungafuneki oluvela enxebeni lungena epayipini ngalezi zimbobo.

2. Ipayipi elincane eligobekayo eliphumayo: Yilokhu okuthwala uketshezi oluvela enxebeni luye kulelo bhola elincane. Ngokuvamile, odokotela bazobopha leli payipi esikhumbeni nge-suture encane noma i-tape ukuze linganyakazi.

3. Ibhalbhu yokuqoqa: Lokhu kufana nelamula elincane. Licindezelwa ukuze likhiphe amanzi. Leli bhalbhu linesivalo esidala isivalo esingangeni moya. Lapho uketshezi luqoqana, isivalo siyavulwa ukuze silukhulule.

Kalula nje, uma ucindezela ibhaluni bese uzama ukulifutha futhi, kwakheka i-vacuum encane ngaphakathi, uhlobo "lokucindezela okungekuhle" . Lawo mandla yiwo abangela ukuthi uketshezi olungafuneki enxebeni lugeleze kancane kancane epayipini bese luqoqana ebhaluni. Kulula kakhulu, akunjalo?

Okumele ukwenze nje ukukhipha ibhaluni uma seligcwele cishe ingxenye, ulicindezele kahle futhi ukuze ususe umoya bese ulivala. Bese kuqhubeka uku-`(suction)`. Nakuba kungavamile, amanye ama-`(JP drain)` asetshenziselwa ukususa uketshezi ngamandla adonsela phansi (`gravity`) (ithimba lakho lezokwelapha lizokutshela ngalokhu).

Kunini lapho kudingeka khona i-`(JP drain)`?

Manje ungase uzibuze ukuthi hlobo luni lokuhlinzwa olusetshenziselwa le `(JP drain)`. Empeleni, lolu uhlobo oluvame kakhulu lwe-`(drain)` olusetshenziswa ngemva kokuhlinzwa. Odokotela basebenzisa lokhu ukususa uketshezi emanxebeni ngemva kokuhlinzwa okuhlukahlukene. Nazi izibonelo ezimbalwa:

• Ukuhlinzwa kwesisu; isibonelo, ukuhlinzwa kokulungisa i-hernia.
• Ukuhlinzwa okuhlobene namabele; ukuhlinzwa komdlavuza webele, noma izinto ezifana "nokuhlinzwa okuphezulu".
• Ukuhlinzwa esifubeni; ngezinye izikhathi lapho kwelashwa izimo ezifana ne-pleural effusion (ukunqwabelana koketshezi emaphashini).
• Ukuhlinzwa kokususa indlala yegilo (`i-thyroidectomy`).
• Ukuhlinzwa kobuhle nokwepulasitiki, ukuhlinzwa okwakha kabusha.
• Ukuhlinzwa kokususwa kwama-lymph node (i-lymphadenectomy).

Ngokuvamile, inani loketshezi olungaqoqwa emseleni we-JP ngesikhathi esisodwa lingaba ngu-25 kuya ku-50 mL. Lokhu kungahluka kancane kuye ngohlobo lomsele. Kukhona nohlobo olukhulu lomsele olubizwa ngokuthi umsele we-hemovac olungaqoqa uketshezi oluningi, kodwa umsele we-JP yiwona osetshenziswa kakhulu.

Ngingayinakekela kanjani i-`(i-JP drain)` yami?

Kulungile, manje ake sibone ukuthi singayinakekela kanjani le `(i-JP drain)` uma usufikile ekhaya. Lokhu kuyinto okudingeka yenziwe ngokucophelela, kodwa ungakhathazeki, odokotela nabahlengikazi bazokufundisa ukuthi ungakwenza kanjani lokhu ngaphambi kokuba uphume esibhedlela.

Kunezinto ezintathu eziyinhloko okufanele zenziwe:

1. Ukususa uketshezi oluqongelela ku-`(Drain)` ngezikhathi ezithile.

2. Bhala phansi inani nombala woketshezi.

3. Gcina inxeba nendawo yokukhipha amanzi ihlanzekile bese ushintsha ibhandeji.

Okunye futhi, qinisa ibhola eliqoqa uketshezi ezingutsheni zakho nge-"(iphini lokuphepha)". Ngaleyo ndlela, mancane amathuba okuthi lishelele futhi likhululeke.

Indlela yokususa uketshezi ku-`(Drain)`

Okokuqala, ake sibone ukuthi ungawukhipha kanjani uketshezi. Ngaphambi kokwenza lokhu, lungisa izinto ozidingayo.

• Amathawula amabili amancane ahlanzekile.
• Isepha sotshwala.
• Ingcezu ye-gauze.
• Inkomishi encane yokulinganisa uketshezi (lokhu ukunikezwe yisibhedlela).

Kulungile, manje yenza kanje:

1. Geza izandla zakho kahle: Geza izandla zakho kahle ngensipho namanzi okungenani imizuzwana engama-20. Sula izandla zakho ngethawula elihlanzekile bese uvala umpompi. Ngaphandle kwalokho, ungasebenzisa isihlanzi sezandla esinotshwala.

2. `Ubisi` ipayipi:Lokhu kuzwakala kungavamile, akunjalo? Lokhu kwenzelwa ukukhipha noma yiluphi uketshezi olungase luvaleleke ngaphakathi kwepayipi lungene ebholeni. Ngesinye sezandla zakho, bamba ipayipi kancane kude nalapho `(idreyini)` ihlangana khona nesikhumba. Ufuna ukuyibamba ngokuqinile ukuze ingashukumi, ukuze ungezwa lutho ludonsa inxeba. Manje, usebenzisa isithupha nomunwe wesandla sakho, hlikihla ipayipi kancane kusukela kulelo phuzu liye phansi liye ebholeni. Kufana nokupompa ubisi. Uma uyisula nge-`(i-alcohol wipe)`, izoshelela kalula.

3. Susa uketshezi: Manje njengoba uketshezi seluqoqene ebholeni, vula ngokucophelela isivalo sebhola. Uma uvula isivalo, ungathinti imbobo ngeminwe yakho. Ukwenza kanjalo kungangenisa amagciwane. Manje thelela uketshezi oluvela ebholeni endebeni yokulinganisa.

4. `Setha kabusha` ibhalubhu yokuqoqa: Manje cindezela kahle ibhalubhu ngesandla ukuze ususe wonke umoya ongaphakathi. Cindezela kuze kube yilapho isicaba ngokuphelele. Ngenkathi usacindezela, qinisa futhi isivalo bese usivala. Yilapho `(ukumunca)` kudalwa khona futhi. Iphakathi lebhalubhu kufanele libe sicaba.

5. Geza izandla zakho futhi: Geza izandla zakho kahle futhi njengasesigabeni sokuqala.

Uma unemisele engaphezu kweyodwa (isibonelo, ngemva kokuhlinzwa kwebele, ungase ube nemibili), yenza okufanayo nakwenye.

Qopha imininingwane mayelana noketshezi

Into elandelayo ebaluleke kakhulu ukubhala phansi imininingwane ethile ngesikhathi ngasinye lapho ususa uketshezi ku-`(drain)`.

• Isikhathi sokukhipha uketshezi.
• Kwakungakanani uketshezi olwalukhona (ngokubheka indebe yokulinganisa).
• Uyini umbala walolu ketshezi?

Le mininingwane izosiza udokotela ukuthi aqaphele ukuthi inxeba lakho liphola kanjani.

Njengoba inxeba liphola, inani loketshezi oluphuma emgodini kufanele lehle usuku nosuku. Umbala woketshezi nalo uzoshintsha. Kuhle futhi ukuqaphela le mibala:

• Ubomvu obumnyama: Kujwayelekile ukuthi uketshezi lube bomvu obumnyama, njengegazi, ekuqaleni.
• Ubomvu noma upinki okhanyayo: Uketshezi luzokhanya ngombala njengoba inxeba liphola.
• Ophuzi okhanyayo (onombala wotshani) noma ocacile: Uma uketshezi lushintsha lusuka kobomvu luye kophuzi okhanyayo noma ocacile, kusho ukuthi inxeba liyaphola kahle. Lokhu kubizwa nangokuthi "i-serous drainage" ngokwezokwelapha.

Qaphela: Uma uketshezi luphenduka lube mhlophe bese luphenduka lube bomvu futhi, kungase kube ukopha futhi. Uma lokhu kwenzeka, kufanele utshele udokotela wakho. Futhi, uma uketshezi lumhlophe njengobisi, lunephunga elibi, noma lujiyile, kungaba uphawu lokutheleleka. Kuleso simo, kufanele utshele udokotela wakho ngokushesha.

Indlela yokushintsha `(Ingubo)`

Ukushintsha i-dressing enxebeni nakho kufanele kwenziwe ngendlela efanele. Udokotela uzokutshela ukuthi kufanele uyishintshe kangaki i-dressing nokuthi ungayenza kanjani. Kufanele ukwenze njengoba ekutshela. Ngaphambi kokushintsha i-dressing, lungiselela okulandelayo:

• Amathawula ahlanzekile.
• Ingcezu ye-gauze enesikhala phakathi.
• Itheyiphu yokuhlinzwa.
• Isihlanzi samanxeba (uma udokotela ekunikezile).

Kulungile, nansi indlela yokukwenza:

1. Geza izandla zakho kahle.

2. Susa ngokucophelela `(i-dressing)` endala. Qaphela ukuthi ungadonsi ipayipi `(Drain)`.

3. Geza izandla zakho futhi.

4. Hlanza inxeba nendawo lapho ipayipi lihlangana khona nesikhumba ngensipho namanzi noma ngesihlanzi senxeba esinikezwe udokotela wakho. (Udokotela wakho angakutshela ukuthi uligeze ngenkathi ugeza, kodwa ungangeni ebhavini noma echibini ngenkathi unepayipi elingaphakathi.) Ngemva kokugeza, zigcobe ngethawula elihlanzekile.

5. Beka ucezu lwe-gauze olusikiwe phakathi nendawo ngaphansi kwepayipi lokukhipha amanzi, lapho luthinta khona isikhumba, bese ulunamathisela nge-tape ukuze luvimbele ukuthi lunganyakazi.

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

Kukhona iluphu encane phezulu kwebhola lapho uketshezi luqoqana khona. Unganamathisela i-``(iphini lokuphepha)`` kulo bese ulibopha ehembeni noma engutsheni yakho. Kodwa ungalibophi ebhulukweni noma ebhandeni lakho. Uma wenza kanjalo, ungase ukhohlwe futhi lingase liphume ngokuzumayo.

Kufanele ngithulule kangaki i-`(Drain)`?

Kungcono ukukhipha isinyi ngokushesha okukhulu, okungukuthi, uma sesigcwele cishe ingxenye. Yilapho ukumunca sekukhona. Ngokuvamile, kuzodingeka ukuthi ukhiphe okungenani njalo emahoreni amane kuya kwayisithupha ezinsukwini ezimbalwa zokuqala. Njengoba inani loketshezi oluphumayo lehla, unganciphisa imvamisa.

Kuzohlala isikhathi esingakanani `(JP Drain)` endaweni?

Ukuze ususe i-`(JP Drain)`, kuzodingeka ubuyele emuva uyobona udokotela wakho. Ungayisusi kuze kube yilapho udokotela wakho ekuyala ukuba uyisuse. Esikhathini esiningi, ngeke ishiywe isikhathi esingaphezu kwamasonto amabili. Kodwa-ke, lokhu kungahluka kuye ngesimo sakho. Kungumqondo omuhle ukubuza udokotela wakho ngalokhu ngaphambi kokuba uphume esibhedlela.

Ngingambona nini udokotela?

Uma unezinye zalezi zimpawu, kufanele ushayele udokotela wakho ucingo ngokushesha. Lezi kungaba izimpawu zokutheleleka:

• Umkhuhlane. Uma unomkhuhlane ongaphezu kwama-degree Celsius angu-38 (100.4 Fahrenheit).
• Uma indawo lapho kwafakwa khona ipayipi lokuhambisa amanzi ibomvu, ivuvukele, noma ifudumele, noma uma ubuhlungu bukhuphukile.
• Uma ubona imicu ebomvu endaweni yenxeba.
• Uma uketshezi oluvela emseleni lunuka, luluhlaza okotshani, lufana nobisi, noma lujiyile.

Futhi, tshela udokotela wakho uma lezi zinto zenzeka:

• Uma ipayipi elithi `(Drain)` libonakala likhululekile, noma uma uketshezi lubonakala sengathi luyekile ukugeleza, kungadingeka ukuthi uluqinise futhi noma uzame ukususa umoya.
• Uma ithubhu libonakala sengathi likhululekile, noma uma ibhola lilahlekelwe ``(ukumunca)`` kwalo futhi ligcwele umoya.
• Uma inani loketshezi liqhubeka nokwanda izinsuku ezimbili (kufanele linciphe ngempela).
• Uma uketshezi lukhanya ngombala bese luphenduka lube bomvu noma lube nombala wegazi futhi (lokhu kuyisibonakaliso sokuthi ukopha kuyaphinda kwenzeka).
• Uma uketshezi luphuma endaweni eboshiwe (kungase kudingeke udokotela asuse indle).

Ngezinye izikhathi, ngemva kokususwa komsele we-JP, uketshezi lungaqoqana futhi luvuvuke endaweni yokuhlinzwa. Lokhu kubizwa ngokuthi i-seroma . Lokhu akuyona into ephuthumayo, kodwa kufanele utshele udokotela wakho ngakho.

Ingabe i-`(JP Drain)` iyi-`Open Drain` noma i-`Cleared Drain`?

Lokhu kuyi-`(i-closed drain)`, okusho ukuthi iyisistimu evaliwe. Cabanga ngale ndlela, i-`(JP drain)` iyisistimu evaliwe eshintsha umfutho womoya ngaphakathi futhi ikhiphe uketshezi enxebeni. Esikhundleni sokuthi uketshezi luphume enxebeni bese lumuncwa lungene ku-`(dressing)` njengase-`(open drain)` (isibonelo, i-`(Penrose drain)`), kulokhu uketshezi luqoqana ebholeni elicindezelwayo bese likhipha uketshezi.

Uma une-`(JP drain)` endaweni yayo, kungase kuzwakale njengokungezwa okusha okungajwayelekile emzimbeni wakho ekuqaleni. Ngandlela thile, kuyenzeka. I-`(JP drain)` ifana nokuthile okunamathele ohlelweni lomzimba wakho, okukhipha uketshezi olungadingekile esilondeni futhi kukusize ululame.

Ngakho-ke, izinto zokugcina okufanele uzikhumbule yilezi

I-`(i-Jackson-Pratt drain)`, noma i-`(i-JP drain)`, iyithuluzi elingasiza isilonda sakho siphole ngokushesha futhi linciphise ingozi yokutheleleka ngemva kokuhlinzwa. Kungase kuzwakale kungakhululekile ukubhekana nayo ekuqaleni, kodwa ungakhathazeki. Uma uyinakekela kahle njengoba odokotela nabahlengikazi bakho bekutshela, izokusiza ukuthi ululame ngokushesha.

Into ebaluleke kakhulu ukuthi uma unemibuzo noma ukungabaza, ungesabi ukubuza udokotela wakho noma umhlengikazi. Inhlalakahle yakho iyona nto ebaluleke kakhulu kubo.

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