Kana chiremba wako akakurudzira chipatro chemotherapy yechemotherapy , izvi zvinorevei? Ndezvipi zvinobudirira uye zvakanakira kwechikepe pakunofananidzwa nedzimwe nzira dzokusvikirwa dzakadai sedzakagadzirwa (IV) mutsara kana PICC mutsara?
Ngatitarisei zvakananga kuti kuva nechiteshi chinosanganisira zvakakosha (zvinowedzera) uye zvisingabatsiri (kurega) kwekuve nehanhi kana podhi-o-cath, uye nzira dzaungagona kudzivirira zvinetso zvakadai sehutachiona kana kudziviswa the port.
Chii Chiratidzo cheKemotherapy?
Imwe chemotherapy (iyo inozivikanwawo se "port-a-cath") chinhu chiduku chinoshandiswa pasi peganda rako kubvumira nyore kuwana ropa rako.
Pareji Inoshandiswa Rini?
Nzvimbo inogona kushandiswa kuteva ropa uye inopa chemotherapy mishonga. Inogonawo kushandiswa kana uchida kuwedzerwa ropa remasero matsvuku eropa kana maplatelet. Pasina gwenga, kana kuti PICC mutsara, nhengo itsva inopinza (IV) inoda kuiswa nguva imwe neimwe kana une chemotherapy, uye yakatsaurwa nemitsara IV inofanira kuiswa kana iwe uchida kubuda kweVV kana kuwedzerwa ropa.
Chemotherapy
Zvichida kana kwete chiremba wako anokurudzira gomba rinogona kuvimba nezvinhu zvakati. Mimwe mishonga yemakemikrasi inogona kupiwa chete kuburikidza nechiteshi, sezvavari kukanganisa kuendeswa kune mutezo wepakati.
Kana iwe uchange uine huwandu hwemakemikirini emakemikrasi (vamwe veo oncologist vanokurudzira girazi kana iwe uchida kurapa kupfuura mana), chikepe chinowanzova nyore pane kuisa IV nguva imwe neimwe.
Uye vamwe vanhu vane mitsetse iyo yakaoma zvikuru kupinda, ichiita gomba chisarudzo chakanaka kudarika kuisa IV.
Kuti uite chisarudzo chakanakisisa kwauri iwe pachako, rega chiremba wako azive kana nyanzvi dzakawana zviri nyore kana kuti zvakaoma kuteura ropa kana kuisa IV muruoko rwako kana ruoko munguva yakapfuura. (Iwe ungangodaro wakanzwa chizivo chekunyora kuti uri "tsvimbo yakaoma" kana "tsvimbo yakaoma").
Piro Iri Kuiswa Sei?
Nzvimbo inowanzoiswa munguva imwecheteyo yekuvhiya iyo inogona kuitwa nehutano hwemunharaunda. Vazhinji vanachiremba vanosarudza kuti iwe unotakura chikwata chako kwemavhiki mashoma usati watanga chemotherapy (kana zvichibvira) uye zvidzidzo zvinoratidza kuti kuva nechikwata chako chakaiswa mazuva masere isati yasvika kugadziriswa kunoderedza ngozi yezvinetso. Kana iwe uri kuita chirongwa chekuvhiya chekenza yako, yakadai selobectomy yemukenza wemapapu kana chirwere chekenza yepazamu, chiremba wako anogona kuisa gomba panguva imwechete imwe yokuvhiya kwako kunoitwa. Apo chikwangwani chinoiswa panguva yekuvhiyiwa, iwe uchange watova nehuwandu hwehutano hwakanaka munzvimbo.
Paunenge uchiisa, dhiramu resimbi rose kana kuti plastiki raiswa pasi peganda rako kuburikidza ne-inch-or-two-long incision. Izvi zvingave zviri panzvimbo yako yepamusoro chepamusoro kana dzimwe nguva ruoko rwako rwepamusoro. Ichi chiteshi chinosungirirwa kune catheter tube iyo yakasungirwa mune imwe yezviputi zvakakura pedyo nemutsipa wako, zvakadai semusana we subclavia kana jugular vein, uye inoguma pedyo nepamusoro pemwoyo wako. Mushure mekufambiswa kwechiteshi chako chiremba wako achaita x-ray kuti ave nechokwadi chokuti kuguma kwechiteshi chako chiri munzvimbo yakakodzera.
Mushure mokunge chikwata chako chaiswa, iwe uchacherechedza kudurusa kweganda rako, pamusoro pechikepe.
Munguva yeropa inokwevera kana chemotherapy infusions, mukoti achaisa nenyuchi muchikepe chako mune imwe nzvimbo inonzi "septum," ne resealing rubber centre pachiteshi chako. Sezvo chikwangwani chiri pasi peganda rako, uchakwanisa kushambidza uye kushambira usina kunyanya kufunga nezvekutora utachiona muchiteshi chako.
Kubatsirwa uye Kubatsira
Sezvakaita chero nzira ipi zvayo yokuvhiya, pane zvose zviri zviviri zvinobatsira uye zvisingabatsiri kuva nechikwata che chemotherapy chakaiswa. Zvinofungidzirwa kuti pari dzinopfuura mamiriyoni mashanu dzinoshandiswa muUnited States gore rega rega, saka vanachiremba vanoziva kwazvo nzira iyo uye yakanyatsodzidza.
Zvakanakira kuva nechikwata che chemotherapy pamusoro pekushandisa tsika yekare inosanganisira:
- Kunyaradza kunonyaradza: Nesina rimwe chete rinosungirira mukati meganda rako kazhinji zvinenge zvichidiwa kuti uwane ganda rako. Nokurapa kweAV uye neropa rekare rinoswededza, dzimwe nguva dzakawanda zvingano zvesimbi zvinodiwa kuwana musha wakanaka, kunyanya kana mishonga yako yakakanganiswa kubva pakuwedzerwa ropa kunokwidza uye kuvhara. (Chemotherapy inogona kukonzera kuchinja mumutsipa wako unoita kuti zvive zvakaoma kuvhara nenyuchi.)
- Kudzivisa kunonoka: Hausi kungodzivisa kunonoka kwekuita kuti mukoti wako aedze kuwana mutsara wakanaka kutora ropa kana kupa chemotherapy, asi kuva nechiteshi kunogona kuderedza nguva yakakodzera kugadzirira ruoko rwako kana ruoko kuti uratidze.
- Kupedza mukana we "extravasation:" Kana iyo inoshandiswa IV, mishonga inowedzera kukwikwidza (extravasate) mumasukisi akakomberedza ruoko rwako kana ruoko. Sezvo mishonga yemakemikrasi yakawanda inokonzera mhuka, gomba rinogona kuderedza dambudziko rekuputi-rine chokuita nekudonha kwemishonga iyi.
- Kushambidza kushambidza nekushambira: Sezvo ganda rakakwana pasi peganda, unogona kushambidza uye kunyange kushambira usinganetseki pamusoro pengozi yehutachiona.
Kukanganisika Kunokwanisika kweKemotherapy Port
Zvimwe zvinokonzera uye zvinetso zvine chokuita nechiteshi chemotherapy zvinosanganisira:
- Ngozi yekugadzirwa kwekuvhiya kuti iise ganda: Mishonga ipi yekuvhiya inogona kutakura mungozi yehutachiona. Zvinowanzosangana nazvo (izvo zvinowanikwa pasi pezana pezana nezana revanhu) zvekuisa zvinogona kusanganisira kubuda ropa (sekuti kana mhepo inonzi subclavia inoputirwa) uye pneumothorax (kuwa kwemapapu) kana mapapu ako akangoerekana avharwa panguva yekuita.
- Utachiona: Ngozi yehutachiona yakasiyana pane zvidzidzo asi haisi isiri. Kana chikwangwani chinotapukirwa, kazhinji chinofanira kubviswa uye kushandiswa. Kutsvakurudza kuri kuongorora nzira dzokuderedza dambudziko iri, saka zvakakosha kutaurirana neoncologist yako pamusoro pekushandisa zvakakwana ganda rako.
- Thrombosis: Chivharo chinogona kugadzirwa muchiteshi kana catheter, ichichiita kuti chirege kushanda. Pakati pe12 ne64 muzana yevanhu vane ganda rakagadzirirwa chemotherapy inokura thrombosis (clot) mu catheter (kazhinji inokonzera kudiwa kwechikepe kuti chigadziriswe.)
- Zvinetso zvemichina zvinokonzera gomba kurega kushanda: Mune zvimwe zviitiko, zvinetso zvemagetsi, zvakadai sokufambisa katheter kana kuparadzana kwechikepe kubva paganda, zvinogona kukonzera ganda kurega kushanda.
- Zvisizvo mubasa: Kunyange zvazvo mabasa akadai sekugeza nekushambira kazhinji akaita zvakanaka, oncologist yako inogona kukurudzira kuramba uchidzidzira kuti usimbise muviri wako wepamusoro kana zvombo kusvikira gomba rako richibviswa.
- Kusvibiswa: Kutaura kuwanda kwekenza kurapwa, chivara kubva pachikepe chinenge chiduku chiduku. Asi vamwe vanhu vangawana ruvara pamapfupa avo ekumusoro vachivhiringidza zvikonzero zvezvipfeko kana nokuti chiratidzo chokuti iwe wakamboenda nechikwereti chemotherapy.
Kuchengetedza Utachiona
Ongororo dzinoverengeka mumakore achangobva kutarisa akatarisa nzira dzokuderedza ngozi yebhakitiriya kukoroni pachigodhi uye njodzi inotevera inotapukirwa ( sepsis ). Sepsis ihutachiona hwe "muviri wose" umo mabhakitiriya aripo muropa uye anogona kunge akaoma zvikuru. Kunyange zvazvo kushandiswa kwemishonga inorwisa mabhakitiriya kusati kwawanikwa kuibatsira, kubvisa catheter nemishonga inorwisa mabhakitiriya / heparin inoratidzika kuderedza ngozi. Kuchenesa kweganda hakuratidzi kuti kunobatsira panguva ino, asi kushandisa zvipfeko zvakakonzerwa nemishonga inorwisa mabhakitiriya inogona kubatsira. Zvinofungidzirwawo kuti kuchengetedza chikepe neimwe nzira kunze kwekuita situres (stitches) kunogona kuderedza ngozi yeutachiona. Sezvakataurwa, iyi inzvimbo yekutsvakurudza kushingaira uye iwe unogona kubvunza yako oncologist izvo zvino zvakakurudzirwa.
Dambudziko reThrombosis
Kuvhara kana kuputika muchiteshi kunowanzova chikonzero uye chikonzero chinogara chichigadziriswa chikepe uye chinowanzosimbiswa. Zvinowanzosvibisa ganda ne heparin uye saline hazviiti sekuita misiyano yakawanda, uyewo kuderedzwa kwave kuchionekwa nekushandisa heparin yairo shoma (kunyange yakawedzera kubuda ropa). Vaya vari mumatambudziko makuru ndeavo vane nhoroondo yemvura yakadzika inopisa munguva yakapfuura. Nzvimbo yekuguma kwe catheter inogona kuitawo kusiyana. Kakawanda, zvakadaro, njodzi yeprombose muchiteshi inonyanya kudarika iyo iri mumutsara wePICC.
Iyo Iyo Inopesana Sei Nenzira yePICC
PICC inomiririra "inopinza inowanikwa mukatikati catheter." PICC mutsara inowanzoiswa mumutsara wehupfupi-nguva yekurapa (somuenzaniso, nokuda kwekuwanika kunozodiwa kwevhiki imwe chete kusvika matanhatu). Mitsara yePICC yakaiswa muruoko rwako pedyo neganda rako (subcutaneous) uye usasvike sepedyo pamwoyo wako sechiteshi chengarava.
Iyo Yakabviswa Sei?
Apo iwe nechiremba wako uine chivimbo chokuti gwenga rako harisi zvarinodiwa, rinogona kubviswa kuburikidza nekuvhiya nyore nyore.
Chii Chauchafanira Kuziva Kana Uine Gedhi?
Zvichave zvakakosha kubvunza chiremba wenyu kana chikepe chenyu chichinyanya kutarisirwa, zvakadai sokufambisa nemishonga yekubatsira kudzivirira kubvisa kubva pakuumba.
Nguva Yekudaidza Chiremba Wako
Sezvo utachiona uine hukama hwakawanda kupfuura dzose dzekuve nechiteshi, taura nachiremba wako kana iwe uchinge uchitanga fever kana kuti ucherechedze chero ruvara rwekutsvaira, kupfugama, kurwadziwa kana kukonzera mukati pegungwa rako.
> Sources:
> American Society of Clinical Oncology. Cancer.Net. 09/2016. http://www.cancer.net/navigating-cancer-care/how-cancer-treated/chemotherapy/catheters-and-ports-cancer-treatment
> Heibl, C. et al. Matambudziko anowanikwa nekushandiswa kwePort-a-Cath muvarwere vane chirwere chakaipa kana hematological: imwechete-centre inotarisira kuongorora. European Journal of Cancer Care . 2010. 19 (5): 676-81.
> Madabhavi, I., Patel, A., Sarkar, M. et al. Chidzidzo Chekushandisa kwe "PORT" Catheter muVirwere Nekenza: Chiitiko Chimwe-Chiitiko. Clinical Medicine Insights: Oncology . 2017. 11: 1179554917691031.
> Narducci, F. et al. Zvose zvinogadziriswa venous access port systems uye zvinokonzerwa nezvipingamupinyi: gore rimwe chete rinotarisira kudzidza mune kenza yekenza. European Journal of Oncology Surgery . 2011. 37 (10): 913-8.