Iinqwelo, ii-PICC, kunye neePorts
I-Chemotherapy inokunikezwa njengezibhengezo, iipilisi, kunye neentlobo, kodwa ukunyonywa yindlela eqhelekileyo yokulandela utyando. Ukusebenzisa i-chemotherapy infusions, iziyobisi ziya kunikwa ngegazi lakho.
Amachiza e- chemotherapy e- Fluid ayilungiswa kwiingxowa ezixhonywe kwi-pole ye-IV kwaye zixhunyaniswe kwi-catheters. I-term catheter ingadideka njengabantu abaninzi bacinga ngamacathters asetyenziselwa ukucoca umchamo xa umntu egula. Kodwa i-catheter kule ndawo ibhekiselele kwinkqubo yamathambo evumela ukuba i-chemotherapy iqhube kwi-bloodstream yakho kwizinga elilawulwayo. Ukufumana i-chemotherapy ye-IV, uya kufuna esinye isixhobo esinikezela ukufikelela kwesinye semithanjeni yakho.
Kukho iindlela ezahlukeneyo ezifumanekayo zokufikelela iimvini zakho. Ezi zinto zivela kwi-short-term ye-IV elula, njengokuba uza kufuneka ufumane ama-fluid emva kokuhlinzwa, ukuya kuma-catheters kunye namachweba. Ezinye izixhobo zikhethwa ngokuxhomekeka kubude bexesha oya kufumana i-chemotherapy. Kukho nezinye iziyobisi zamachiza e-cotherapy eziyingozi kakhulu ukuba zinikezelwe kwi-IV yendabuko kwi-vein ye-périphheral kwaye zifuna i-port. Makhe sijonge ezi zigqibo, izibonelelo kunye nokungahambi kakuhle, kunye nendlela wena kunye nodokotela wakho angenza ngayo isigqibo esona sikhulu sokhathalelo lwakho.
I-Catheters yexesha elifutshane elifutshane
Xa utyunjelwa okanye utyhilo nje kuphela lwe-chemotherapy uthabatha i-catheter yexeshana elifutshane ngokuqhelekileyo yindlela efanelekileyo. (Ezinye i-agent ze-chemotherapy agents, nangona kunjalo, akunakunikwa ngale ndlela).
Le mizila ephazamisayo, uhlobo oluninzi lwabantu oluqhelene nalo, luquka inaliti kunye nobude obufutshane bhubhu ephelela kwi-portal injection. Ubungakanani bentsalane yakho kunye nethubhu kuxhomekeke kukuphi uhlobo lwenkqubo oya kuyidinga kunye nemeko yeemvini zakho. Umongikazi uza kufaka inaliti emthanjeni esandleni sakho okanye engalweni, kwaye uyibamba kunye netyhubhu ibe yindawo. Xa inkqubo yakho iphelile, i-catheter isuswa.
Abantu abaninzi banenkxalabo malunga nenaliti engalo yabo, kodwa ngokuqhelekileyo inaliti isetyenziselwa ukufaka i-catheter kwaye isuswe, ishiya kuphela i-catheter elula kwaye iguquguqukayo.
I-Mid-Term IV Catheters:
Ukuba ufuna i-catheter endaweni enye ukuya kwiiveki ezintandathu, i-catheter yangekota-mizuzu efana nomgca we- PICC (i-catheter yangaphakathi) ingasebenza kuwe. Njengama-catheters e-short-term ye-IV, uya kuba nobude bebhasi, kodwa ubuninzi balo buya kuba phakathi kwe-vein veins, kunye nomgca omfutshane we-tubing ngaphandle kwekhumba lakho eliphela nge-cap.
Ngokungafani ne-catheter yexesha elide le-IV, le mizila ayifinyelele yonke indlela entliziyweni yakho. Umongikazi uza kufaka umgca wekontrali kwisandla sakho kwaye uyakukhusela kwindawo. Ekubeni iifayile zePICC zifakwe kwiimfucu ezijulile kwingalo yakho, inokuthi idibanise indawo ye-insertion nge-anesthetic yangaphakathi ngaphambi kokufaka inaliti. I-ultrasound ukuba isetyenziselwa ukukunceda ukufumana ezi zithintelo zemithanjeni kwaye ukhokele inaliti endaweni.
Xa udinga iigciwane kunye nokugonywa, umongikazi wakho unokufikelela kwi-portal catheter endaweni yokubamba inaliti elukhumbeni. Oku kunceda kakhulu ukuba "unomthi onzima" kwaye ufumanisa umlanjana we-peripheral kunzima. Imigca ye-PICC ingasetyenziselwa ukufaka igazi.
Xa kuthelekiswa nomgca we-IV wembambano, imigca ye-PICC inokuthenjwa ngakumbi kwaye ihlala ihlala ihlala njalo. Zivumela kwakhona ukuba zininzi iimali zamanzi eziza kunikwa. Ngomgca we-IV umgca wecala (ukuvuza kwe-agent e-chemotherapy kwi-tissue ezungeze indawo yokufikelela) ngamanye amaxesha kunokuba yingxaki, kwaye ukuba nomgca we-PICC kunciphisa amathuba okuba oku kuya kwenzeka.
Imiphumo emibi ifaka umngcipheko wokusuleleka, ukugqitywa komgca wePICC, kunye neengcamango zentliziyo ezingavamile xa ukuphela kwecatheter kusondele kakhulu entliziyweni yakho (i-x-ray iya kwenziwa ukuba kupheliswe phi i-catheter ukuphepha oku ngxaki).
Ixesha elide le-IV Catheters kunye namachweba:
Ukuba uya kuba ne-chemotherapy e-infusions emininzi, umzekelo, ezine ezine-infusions, i-device ye-vascular provencular (VAD) yexesha elide inokuthi ibe yinto ekhethekileyo.
Efana ne-mid-term IV catheters, uza kuba nomgca we-tubing ngaphakathi kwimbalo okanye kwisifuba somfuba, kodwa lo uya kuhamba phantse yonke indlela eya entliziyweni yakho, ekupheleni kwidini elikhulu. Ii-VAD zangexesha elide zikhona iikathetha ezixutywe ngamagqabi angaphandle okanye izixhobo zokufikelela kwiisavulli, ezibizwa ngokuba zizibuko. Umongikazi wakho uya kukwazi ukusebenzisa nayiphi na ifowuni ukulawula unyango.
Imizekelo yezixhobo zexesha elide ze-IV zezi:
- I-portalath, i-PassPort, i-InfusaPort, i-Medi-Port, ebandakanya i-port infusion ehlala phantsi kwesikhumba sakho.
- I-catheter ene-Central couster (CVC): i-Broviac, i-Groshong, okanye i-Hickman Catheters, elineendlela ezixubileyo kunye neentsimbi zangaphandle zentsimbi.
Izibheno ziqhelekileyo zisetyenziselwa ukhemotherapy kunye nomhlaza wesifuba kwaye zihlala zifakwa kwinkqubo yokuhlinzwa ngexesha lotyando lomhlaza webele. Kulungile ukuba ichweba ibelwe ubuncinane iintsuku ezisibhozo ngaphambi kokungena kwakho kuqala. Iingxaki zibandakanya ithuba lokuba ichweba lakho liya kugxinwa (thrombosis) okanye isifo siya kukhula. Ichweba linokubangela ukunciphisa amancinci ngokunyakaza kweengalo yakho kwaye ushiye inqabana encinane.
Ukongezelela ekunikezeni i-chemotherapy, i-port ingasetyenziselwa ukugawula igazi okanye ukunikezela ngamathambo egazi abomvu okanye iiplatelet.
Ukwenza izigqibo malunga neeCatheters kunye namachweba
Enoba ucinga nge-pipeline IV, umgca we-PICC, okanye i-port for chemotherapy, qiniseka ukuba uxubusha zonke iinketho zakho nge-oncologist yakho kunye nodokotela ogqirha. Baya kuba nako ukunika iingcebiso ezifanelekileyo ezisekelwe kwiimfuno zakho zonyango kunye nezinto ozikhethile.
Thatha umzuzwana ufunde malunga nokuthelekisa nokusetyenziswa kwechweba ngokubhekiselele kwi-IV , kubandakanywa neenzuzo kunye neengozi zendlela nganye.
Khumbula ukuba ezi zixhobo aziyi kuba nawe ngonaphakade, kwaye emva kokuba unyango luphelile, unako ukususa.
> Imithombo:
> I-American Society of Clinic Oncology. IiCatheters kunye neePorts kwiCarcer Treament. Ukuhlaziywa 09/16. https://www.cancer.net/navigating-cancer-care/how-cancer-treated/chemotherapy/catheters-and-ports-cancer-treatment