Ingabe nawe ufake ipayipi lokudonsa amanzi ngemva kokuhlinzwa? Ake sixoxe ngalokhu!

Kungenzeka ukuthi uke wabona umsele omncane ufakwa emzimbeni wakho ngemva kokuhlinzwa, noma kungenzeka ukuthi nawe uke wawuthola. Kungazwakala kungakhululekile, akunjalo? Kodwa ungakhathazeki, lokhu kuyinto ebaluleke kakhulu ezosiza isilonda sakho siphole ngokushesha futhi sinciphise izinkinga. Ngakho-ke namuhla, ake sixoxe kabanzi ngale msele wokuhlinzwa.

Iyini ipayipi lokuhlinzwa?

Kalula nje, i-drain yokuhlinzwa iyithuluzi elincane elisetshenziselwa ukukhipha uketshezi endaweni yakho yokuhlinzwa, okungukuthi, inxeba lakho. Ngemva kokuhlinzwa, njengoba inxeba liphola, uketshezi olufana nemfucumfucu yamaseli, igazi elithile, namanzi kuzophuma. Uma lokhu kuqongelela ngaphakathi kwenxeba, kungabambezela ukuphola futhi ngezinye izikhathi kuholele ekuthelelekeni. Ngakho-ke le drain ibekwa ukuze kukhishwe lolo ketshezi futhi kusize inxeba ukuba liphilise ngokushesha. Uma inakekelwa kahle, inganciphisa kakhulu ingozi yokutheleleka.

Ngesikhathi unaleli payipi endaweni yalo, kuzodingeka ugcine irekhodi lokuthi kuphuma uketshezi olungakanani usuku ngalunye nokuthi lunombala onjani. Lolu lwazi luzosiza udokotela wakho aqonde ukuthi inxeba liphola kanjani nokuthi kufanele likhishwe nini ipayipi. Lungasiza futhi ekutholeni noma yiziphi izinkinga, njengokutheleleka, kusenesikhathi.

Yebo, ukuba nale payipi emlonyeni wakho kuzozwakala kungavamile futhi kungakhululekile. Kuzothatha isikhathi ukujwayela. Kodwa khumbula, lokhu kuyingxenye ebaluleke kakhulu yenqubo yakho yokuphulukiswa, futhi kungokwesikhashana. Ngisho noma kubonakala kungasabonakali manje, le payipi yokuhlinza izosheshisa ukuphulukiswa kwakho.

Kunini lapho kudingeka khona ipayipi lokuhlinzwa?

Odokotela abahlinzayo bafaka la mapayipi ngemva kwezinhlobo ezahlukene zokuhlinzwa. Kuye ngokuhlinzwa okwenzile, ipayipi lingafakwa ngalezi zizathu:

• Vimbela uketshezi ukuthi lungaqongelelani ngaphakathi kwesilonda.
• Khipha ubomvu noma uketshezi olunegciwane.
• Vimbela igazi ekuqongeleleni ngaphakathi kwesilonda (i-hematoma).
• Vimbela ukunqwabelana koketshezi olucacile (i-seroma).

Udokotela ufaka le tube ngenkathi ungazi lutho, okungukuthi, ngaphansi kwe-anesthesia. Ngakho awuyizwa uma ifakwa.

Zisebenza kanjani lezi zindle zokuhlinzwa?

Wonke amapayipi akhipha uketshezi oluvela enxebeni, njengegazi kanye ne-lymph, emzimbeni. Kodwa-ke, indlela okwenziwa ngayo lokhu iyahlukahluka kuye ngohlobo lwepayipi.

• Izinhlelo zokukhipha amanzi ezivulekile: Lezi zinepayipi elivulekile ohlangothini olulodwa. Ukuphela kwepayipi kufakwa ngaphakathi kwenxeba, bese uketshezi oluphuma kolunye uhlangothi luqoqwa engxenyeni ye-gauze esetshenziswa esikhumbeni sakho. Amandla adonsela phansi akhipha uketshezi enxebeni bese eyifaka ku-gauze. I-'Penrose drain' ingenye yezinhlelo ezinjalo ezivulekile.

• Izinhlelo zokudonsa amanzi/zokudonsa amanzi ezivaliwe:Ukuphela kwalokhu kungaphakathi kwenxeba, kanti okunye kuxhunywe esitsheni esincane esenzelwe ukuqoqa uketshezi. Umfutho womoya odalwa ukucindezela lesi sitsha udonsa kancane kancane uketshezi esilondeni bese uluqoqa esitsheni. Ama-drain e-`Jackson-Pratt (JP)` kanye ne-`Hemovac drains` yizinhlelo ezivaliwe.

Yiziphi izinhlobo eziyinhloko zamapayipi okuhlinzwa?

Izinsimbi zokuhlinza ziza ngezinhlobo eziningi ezahlukene kanye namamodeli, kodwa odokotela abaningi abahlinzayo basebenzisa izinhlobo ezintathu eziyinhloko:

1. Ipayipi likaJackson-Pratt (JP): Leli yipayipi elide, eliguquguqukayo. Kolunye uhlangothi kunesitsha esincane sokuqoqa esimise okwebhalbhu. Olunye uhlangothi lwepayipi lufakwa enxebeni. Uhlangothi lwebhalbhu lubheke kude nomzimba. Uma leli bhalbhu licindezelwa, lidonsa uketshezi enxebeni. Leli payipi 'lokudonsa i-JP' liwuhlobo oluvame ukusetshenziswa kakhulu lwepayipi lokuhlinzwa.

2. Ipayipi le-Penrose: Ipayipi le-Penrose liyipayipi elithambile neliguquguqukayo elineziphetho ezimbili. Uma ingxenye eyodwa ifakwa enxebeni, uketshezi luphuma kulo. Njengoba enye ingxenye iphuma enxebeni, uketshezi luyaphuma. Lolu ketshezi luqoqana ecezwini le-gauze elibekwe esikhumbeni.

3. Ishubhu le-Hemovac: I-`Hemovac drain` isebenza ngendlela efanayo ne-`JP drain`. Kodwa-ke, esikhundleni sebhalbhu esitsheni lapho uketshezi luqoqana khona, iyishubhu eliyisilinda eliguquguqukayo. Lidonsa uketshezi uma licindezelwa. Lingaqoqa uketshezi oluningi kune-`JP drain`.

Yiziphi izinkinga ezingavela emifuleni yokuhlinzwa?

Izinzuzo zokufakwa kwe-catheter yokuhlinzwa zidlula kakhulu izinkinga ezingaba khona. Kodwa-ke, kunezinto ezimbalwa okufanele uziqaphele:

• Kukhona ingozi yokutheleleka.
• Indawo lapho ipayipi lingena khona esikhumbeni ingaba lubomvu futhi ilume .
• Ipayipi lingaphuma ngengozi , livuza uketshezi, noma livaleke .

Kodwa ungakhathazeki! Eziningi zalezi zinkinga zingavinjelwa ngokugcina inxeba lihlanzekile nokulandela imiyalelo kadokotela wakho ngokucophelela. Uma unemibuzo mayelana nendlela yokunakekela ipayipi lakho, qiniseka ukuthi ubuza udokotela wakho noma umhlengikazi.

Ngingayinakekela kanjani i-drain yami?

Ithimba lakho lezokwelapha lizokunikeza imiyalelo yokuthi ungalinakekela kanjani inxeba lakho kanye namapayipi owafakile. Le miyalelo ingahluka kuye ngohlobo lokuhlinzwa owahlinzwa ngalo kanye nohlobo lwamapayipi owafakile. Kufanele ulandele le miyalelo ngokucophelela.

Ngokuvamile, ukunakekela inxeba kusho ukuligcina lihlanzekile futhi lingenazo izifo. Kuzodingeka ushintshe ibhandeji njalo, ususe noma yiluphi uketshezi oluqongelela emiseleni evaliwe, bese uqopha noma yiluphi uketshezi oluphumayo.

Indlela yokushintsha ibhandeji ohlelweni lokukhipha amanzi oluvulekile

Udokotela wakho uzokutshela ukuthi kufanele uyishintshe kangaki ibhandishi (ngokuvamile ucezu lwe-gauze) nokuthi kufanele uyihlanze yini inxeba. Kungcono ukunakekela inxeba eduze kwesinki lapho ungageza khona izandla zakho. Hlanza izandla zakho kahle njalo bese uzihlanza ngaphambi kokuphatha ibhandishi nangaphambi kokuthinta inxeba.

1. Geza izandla zakho kahle ngensipho namanzi (noma sebenzisa isihlanzisi esinotshwala). Sebenzisa ithawula ukuvala umpompi.

2. Susa ibhandishi elidala bese ulilahla.

3. Geza izandla zakho futhi bese ugqoka amagilavu ​​​​ahlanzekile (angenamagciwane).

4. Geza inxeba njalo ngensipho namanzi noma ngesihlanzi senxeba.

5. Patha isikhumba ngomile ngethawula elihlanzekile.

6. Beka ibhandishi elisha phezu kwenxeba. Indlela okwenzayo ngayo lokhu ingahluka kancane kuye ngohlobo lwepayipi onalo.

Indlela yokususa uketshezi emapayipini avaliwe

Ezinhlelweni ezivaliwe, njengoba isitsha esibamba uketshezi sigcwala, inani loketshezi elingalukhipha kuso liyancipha. Yingakho udinga ukususa uketshezi kuso njalo. Thulula isitsha uma sesigcwele cishe ingxenye.

1. Geza izandla zakho kahle.

2. Ngesandla sakho esingenamandla, bamba ipayipi elingangebanga lomunwe ukusuka lapho lingena khona enxebeni. Libambe ngokuqinile. Lokhu kuzovimbela ipayipi ekudonseni inxeba esinyathelweni esilandelayo futhi kubangele ubuhlungu.

3. Ngesandla sakho esilawulayo, bamba ithubhu elingaphansi kwendawo oyibambe kuyo, bese ucindezela uketshezi olungaphakathi kwethubhu ungene esitsheni.

4. Susa isivalo esitsheni sokuqoqa bese uthela uketshezi enkomishini yokulinganisa.

5. Uma sekungenalutho, cindezela isitsha ngenkathi ubeka isivalo. Lesi sinyathelo sokugcina yisona esidala umfutho womoya ngaphakathi kwepayipi futhi sikhiphe uketshezi.

Ukugcina amanothi mayelana noketshezi (umbala kanye nobuningi)

Kufanele futhi ulandelele uketshezi oluphumayo, okungukuthi, ukuthi lubukeka kanjani. Njengoba inxeba liphola, uketshezi lushintsha umbala. Lungaba nombala wegazi (ofana negazi), uketshezi olufana negazi nolucacile (ofana ne-serosanguineous), futhi ekugcineni lube sobala (ofana ne-serous - ngokuvamile luphuzi). Lokhu kushintsha kombala kuyisibonakaliso sokuthi uyaphola:

• Ubomvu obumnyama (igazi eliningi)
• Obomvu kancane noma opinki (ohlanganiswe negazi noketshezi olucacile)
• Ophuzi okhanyayo (onombala wotshani) noma ocacile (uketshezi olucacile kakhulu)

Kufanele futhi uqaphele ukuthi ulahlekelwa uketshezi olungakanani. Ukwehla kokulahlekelwa uketshezi usuku nosuku nakho kuyisibonakaliso sokuthi uyalulama.

• Uma kuyipayipi le-Penrose, bhala phansi ukuthi ibhandishi lishintshwe nini nokuthi i-gauze yayimanzi kangakanani.
• Uma kuyi-'JP drain' noma i-'Hemovac', bhala phansi isikhathi lapho ipayipi lakhishwa khona kanye nokuthi kungakanani uketshezi olwalusesitsheni sokuqoqa. Bheka inani elisendebeni yokulinganisa bese ubhala phansi inani.

Kufanele kugcinwe isikhathi esingakanani amapayipi okuhlinzwa endaweni yawo?

Kuya ngohlobo lokuhlinzwa okwenzile, inani loketshezi olukhiphayo, kanye nezinye izinto ezimbalwa. Abanye abantu kungadingeka bahlale epayipini amahora angama-24 noma ngaphansi, kanti abanye kungadingeka bahlale epayipini kuze kube amasonto amahlanu.

Njengoba inxeba liphola, inani loketshezi oluphumayo kufanele lehle kancane kancane. Ukulandelela ukuthi uketshezi olungakanani olulahlekayo kuzosiza udokotela wakho azi ukuthi kungcono nini ukususa ipayipi.

Ngaphambi kokuba uphume esibhedlela, buza udokotela wakho ukuthi uzodinga ukuhlala isikhathi esingakanani epayipini.

Indlela yokususa ipayipi lokuhlinzwa

Ungase uzizwe ungakhululekile noma uzizwe sengathi uyadonsa lapho udokotela ekhipha ipayipi lokuhlinzwa. Ngokuvamile lisuswa kanje:

1. Udokotela uhlanza indawo ngesibulali-magciwane.

2. Sika umthungo onamathele enxebeni.

3. Umpristi uzokhipha ipayipi. Kuleli qophelo, ungase uzwe umuzwa wokudonsa noma wokucindezela.

4. Okokugcina, uma kukhona ukopha, mboze ngebhandeji ukuze uvimbele.

Kuzoba nembobo encane esikhumbeni sakho lapho kwakukhona khona ipayipi. Kungathatha amasonto ambalwa ukuthi iphole ngokuphelele, futhi ungase ube nesibazi esincane lapho kwakukhona khona ipayipi.

Kufanele ngimbone nini udokotela wami?

Uma ubona lezi zimpawu zokutheleleka, bheka udokotela wakho ngokushesha:

• Uma umkhuhlane ungama-degrees Fahrenheit angu-100.4 (38 Celsius) noma ngaphezulu.
• Uma indawo yenxeba ibomvu, ivuvukile, ifudumele, noma ibuhlungu .
• Uma ubona imicu ebomvu endaweni yenxeba.
• Uma uketshezi oluvela esilondeni lunuka kabi, luluhlaza, noma lujiyile .

Futhi, uma ipayipi lingasebenzi, noma uma ubona noma yiziphi izimpawu zezinye izinkinga, shayela ngokushesha:

• Uma izithungo zakho zikhululekile.
• Uma ipayipi liphuma enxebeni.
• Uma inani loketshezi oluphumayo liqhubeka nokwanda izinsuku ezimbili (kufanele linciphe).
• Uma uketshezi lube bomvu, luphuzi kancane, noma lucacile, bese luphenduka lube bomvu futhi (lokhu kuyisibonakaliso sokopha).
• Uma kukhona ipayipi lokukhipha amanzi elivaliwe, uketshezi seluqalile ukuphuma enxebeni lesilonda.
• Esimisweni esivaliwe, uma uketshezi luyeka ngokuzumayo ukukhishwa epayipini.

Uma unokungabaza ngokuthi unakekela kahle yini inxeba noma ipayipi lakho, qiniseka ukuthi ubuza udokotela wakho. Kungcono ngaso sonke isikhathi ukuba uphephile kunokuzisola nokugwema ukuthola ukutheleleka.

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

Nakuba kungase kuzwakale kungakhululekile futhi kungakhululekile ngezinye izikhathi, i-drain yokuhlinzwa iyisinyathelo esisodwa nje sokululama kwakho okuphelele. Ngaphambi kokuba uphume esibhedlela, ithimba lakho lezokwelapha lizochaza ukuthi ungayinakekela kanjani i-drain. Uma sebephuma, ungangabazi ukubuza imibuzo. Uma usufikile ekhaya, yenza ukunakekela i-drain kanye ne-wond kube yingxenye yenqubo yakho yansuku zonke. Yinike udokotela wakho, futhi ugcine irekhodi eliqaphile loketshezi oluphumayo. Ngikufisela ukululama okusheshayo!

` ipayipi lokuhlinzwa, ipayipi lokuhlinzwa, ukuphulukiswa kwenxeba, ukunakekelwa ngemva kokuhlinzwa, ipayipi lokudonsa i-JP, ipayipi lokudonsa i-Penrose, ipayipi lokudonsa i-Hemovac