Ukuba uya kufumana i- chemotherapy ngaphezu kwexesha elide, okanye ukuba ungumgqatswa wegazi okanye umtshini wokutshintshwa komnyo , umboneleli wakho wezempilo unokuncoma umgca ophakathi, okanye i-catheter ye-venous central (CVC). Ii-CVC zikwabizwa ngokuba zixhobo zokufikelela kwiindawo ezihamba phambili (VADs).
Ii-CVC zi-catheters ezifakwe kwiimvumba zesandla sakho okanye esifubeni kwaye zibe nephuzu elikulo mkhuhlane omkhulu kufuphi nentliziyo yakho ebizwa ngokuba yi- vena cava ephezulu .
La ma-catheters ahlala kwindawo eninzi ixesha kwaye avumela ababoneleli ngezempilo ukuba banike imithi kunye nemveliso yegazi, kwaye bathathe iisampula zegazi ngaphandle kokuba baphoxe ngokuphindaphindiweyo iimvini zakho.
Kukho iintlobo ezintathu eziphambili zeCVC ezisetyenziselwa izigulane zeengcingo zegazi: iimizila ezixubileyo, ngokufakwe kwinqanaba le-CVC (imigca ye-PICC), kunye nokufakelwa kwamachweba.
CVC
I-CVC eneenkcukacha zibizwa ngokuba ngamagama amaninzi ahlukeneyo. Imizekelo ye-CVC ekhonkxiweyo iquka i-Broviac, iHickman, i-Neostar, iLeonard, ne-Groshong.
Ngokuqhelekileyo, ii-CVC ezifakwe kwi-CVC zifakwe kwi-suite yokupakisha okanye kwi-room institute. Ngoxa uza kuphaphama ngexesha lokufakela, ugqirha wakho uya kukunika unyango ukuze uhlale ukhululekile kwaye ukhululekile, kunye ne-anesthetic yangaphakathi ukuze udibanise indawo apho i-catheter ingena khona emzimbeni.
Ugqirha ofaka i-catheter uya kwenza izibini ezincinci kwisifuba sakho. Omnye uya kuba ngamasentimitha ambalwa ngaphezu kwelinsi yakho (ebizwa ngokuba yindawo yokuphumayo), kwaye enye iya kuphakanyiswa phezulu, phantsi kwekholaji yakho (ebizwa ngokuba ngumnyango okanye indawo yokufaka).
Emva koko, baya kwenza umgca ngaphantsi kwesikhumba phakathi kwezi zimbini. I-CVC ifakwe kwi-site ye-exit ukuya kwisiza sokungena uze ungene emthanjeni phantsi kwe-collarbone yakho.
I-tunnel iya kuphilisa ngexesha elide kwaye isebenza ngeenjongo ezimbini. Okokuqala, kwenza kube nzima ukuba iibhaktheriya zikhuphuke kwi-tube kunye negazi lakho, kwaye okwesibini, kunceda ukubamba i-catheter endaweni.
Kuya kubakho ukugqoka kusetyenziswe kwisayithi, kwaye i-catheter iya kufuna ukuhluthwa okhethekileyo ukuyigcina isebenza kakuhle. Iqela lakho lononophelo lwezempilo liya kukunika imfundo malunga nendlela yokujonga i-CVC yakho ene-tunnel xa ubuyela ekhaya.
Ukufakela ngenye indlela ifakwe iCVC (Umgca wePICC)
Iifayile zePVC, okanye imigca yePICC, zivame ukucingwa ukuba ziindawo ezinkulu kakhulu ezinengalo engengalo. Nangona kunjalo, nangona zifakwe entengeni yakho, ziyi-catheters eziphambili, oko kukuthi, ukuphela kwe-catheter ihlala kwi-vein enkulu kufuphi nentliziyo yakho.
Ii-PICC zihlala zifakwe kwinkqubo engumntu oyinyumba okanye ngumongikazi othile okanye ugqirha. Ngethuba lokufakela, uya kuvuka kwaye uqaphele. Umboneleli wezempilo ofaka i-catheter ngokuqhelekileyo uya kuphazamisa indawo ngaphakathi ngaphakathi, okanye ngaphezu kwayo, kunye ne-anesthetic yendawo. Ngamanye amaxesha, baya kusebenzisa i-ultrasound ukuze bafumane imbono yesisu. Emva koko baya kungena kwi-vein nge-needle enkulu, engasisigxina kunye nentambo yesikhephe ngokusebenzisa inaliti kunye nasesiswini.
Xa i-catheter isendaweni, inokuthi iqhutywe okanye ikhuseleke ngoko ingenakukhishwa ngengozi. Kuya kubakho ukugqoka kusetyenziswe kwisayithi. Ukuba uya kubuyela ekhaya nge-PICC yakho, ilungu losapho okanye umnakekeli uya kufumana imfundo malunga nendlela yokunyamekela ikhenta.
Iipropati ezifakiwe
Izibhengezo ezifakwe kwiichweba, ngamanye amaxesha zibizwa ngokuba yi-port-a-caths, zixhobo ezincinci ezinekathati ezifakwe. Esi sixhobo siqhutyelwa phantsi kwesikhumba, ngokuqhelekileyo kwisifuba esingaphezulu, kwaye i-catheter ifakwa kwisistim se-venous. Xa isixhobo sikhona, akukho nxalenye yeCVC engaphandle komzimba; zonke ziphantsi kwesikhumba.
Xa lixesha lokuba wenze umsebenzi wegazi okanye unyango olunikeziweyo, umongikazi uya kufumana i-CVC ngenaliti ekhethekileyo ehamba ngesikhumba sakho nasesangweni. Ezinye izigulane zikhalaza ngesithintelo sokubumba xa inaliti ifakiwe.
Xa i-port efakweyo ayisebenzi, akukho ukugqoka okufunekayo.
Ukuba uya ekhaya kunye nechweba, unokufuna ukubuyela kwisibhedlele okanye kwisikhungo somhlaza rhoqo ukuba iCVC igxothwe kwaye igcinwe.
Inzuzo
- Ingaphantsi kwenaliti ihamba ngokunyanga kwakho kunyango
- Imiqulu emikhulu yomkhuhlane ingafumaneka ngokukhawuleza
- Amanye amayeza anomsindo kwiimvumba ezincinci zomzimba wakho ukuba zinokunikezelwa kuphela ngeCVC
Iingxaki
- I-CVC kufuneka iphathwe ngononophelo ukukhusela usulelo kunye neengxaki
- Utshintsho kumfanekiso wakho womzimba
- Ukufakwa kufaka ingozi ethile yonyango, njengazo zonke iinkqubo zokutyanda
- Ngokuqhelekileyo idinga ukugcinwa kunye nokubonelela ekhaya
Imibuzo yokubuza uMboneleli wakho wezeMpilo
- Kutheni ndifuna iCVC?
- Ndikulindele ixesha elingakanani ukuba ndiza kufuneka?
- Luhlobo luni lwesondlo olufunayo?
- Ndiyifumana phi indawo yokubonelela kwayo?
- Yiyiphi indleko yokufaka nokugcina le fowuni?
- Ziziphi iimiphumo ezilindelekileyo? Ziziphi ezo ndimele ndixhalabele ngazo?
- Ndidibana nobani ukuba ndinemibuzo okanye iingxaki?
Xa Ufanele Uxhalabele NgeCVC Yakho?
Ukuba unayo impawu okanye iimeko ezilandelayo, kufuneka ufune uncedo lwonyango ngokukhawuleza:
- Ukuphefumula ngokukhawuleza
- Iintlungu zesifuba
- I-CVC ephukile okanye eyonakalisiweyo, okanye iCVC ephumayo
- Ikhutshwe okanye iCVC ikhutshwe kancane
- Fever
- Ubomvu, ukuvuvukala okanye ukukhutshwa kwindawo yokufaka indawo
- Ukuvuvuka kwentamo, ingalo okanye ubuso
Ngaphantsi
Ii-CVC zinokukwenza iinkalo ezininzi zonyango kwi-cancer yakho yegazi. Ziye zenzelwe ukusetyenziswa kwexesha elide kwaye zinikezela ngeenkonzo zokunakekelwa kwempilo kwiimitha ezinkulu zegazi emzimbeni wakho. Enyanisweni, ezinye iindlela zonyango okanye iindlela zokwelapha zifuna ukusetyenziswa kweCVC.
Nangona kwiindlela ezininzi ezinokuba neCVC zinokulungeleka, nazo ziyi-portal evela kwilizwe langaphandle liye kwigazi lakho kwaye zineengozi ehambelana nazo. Ukuqinisekisa ukuba i-catheter yakho ifumaneka kwaye ikhuselekile ukuyisebenzisa xa kuyimfuneko, kubalulekile ukukhusela intsholongwane nokukwazi ukugcina i-CVD yakho.
Imithombo:
Goodman, M. Chemotherapy: Iimigaqo zoLawulo. E-Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Ubunakekeli beCancer : Imigaqo kunye ne-5th American Society Cancer, uJones noBartlett: eSudbury, MA.
I-Central Venous Catheters, i-American Cancer Society, 02/11/2016.