Zviratidzo nezviratidzo zvekutarisa
Zvimwe zvinoshandiswa apo mishonga yemakemikrasi kana zvimwe zvinodhaka zvinodhaka kunze kwemuviri kana mukati meganda, zvichiita kuti zviitike. Mu chemotherapy, zvinodhaka zvinoshandiswa kuva zvikamu zviviri zvakapoteredza zvichienderana nemigumisiro yavanoita pamatumbu pavanenge vachiwedzera-kuvhiringidza uye vesicants.
Extravasation ye Irritants
Mishonga inopisa ndiyo iyo inokonzera kukanganisa kwenguva pfupi, zvisingakanganisi zvisikwa pavanocheka.
Kana paine kuwedzera kwemishonga inogumbura, iwe uchaona humwe hutsvuku, kuzvimba, kuora uye kunetseka kunogona kuitika panzvimbo yako ye intravenous (IV) catheter.
Kana imwe yemishonga iyi ichidonha, mutapi wako wehutano achabvisa mishonga, tanga mutsva IV uye upe zvakasara zvemishonga kuburikidza newebsite itsva. Kurapa kwekuwedzerwa kwemishonga inogumbura kunonyanya kuisa pakuita kuti nzvimbo yacho ichinetseke sezvinogona. Mutapi wehutano wako anogona kukurudzira mishonga inorwadza, zvakadai seTylenol, uye inotonhora inomesa sezvinodiwa.
Mimwe mienzaniso yehasha dzinowanzopiwa mukurapwa kweukweikemia uye lymphoma dzinosanganisira, cytarabine, bleomycin, etoposide, uye dacarbazine.
Extravasation of Vesicants
Vesicants zvinodhaka zvinogona kukonzera kukanganisa kwakanyanya kumatomu kana dzichidonha kunze kwemuviri. Muchiitiko ichi, iwe uchaonawo kubwinya uye kuzvimba, asi zvinenge zvichiitika kuti kusagadzikana paIndaneti inowedzera kuonekwa.
Zvimwe zvezviratidzo zvekuwedzera zvinogona kunge zvisingaoneki kusvikira maawa akawanda mushure mekuitika. Zvichienderana nehuwandu hwezvinodhaka izvo zvakasvibiswa, zvinogona kunge zvichinyangadza, kupenya uye kupenya kweganda pane nzvimbo. Zvinokwanisika kuti kutora mazuva mashomanana usati wanyatsopera zviyero zvinokonzerwa nehutachiona.
Kukosha kwechirwere chinoshandiswa kubva kune chekudya kunobva pane zvinodhaka, chiyero chakakonzerwa, kuwedzera kwechirwere uye zviito zvakatorwa pakarepo zvinotevera extravasation.
Mukoti wako kana chiremba achagadzirisa mishonga uye edza kufarira zvakanyanya mishonga yavanogona. Ichashanda kushandura kana kutonhorera (zvichienderana nemishonga) uye inogona kushandiswa kana kuisa mushonga unobatsira kubatsira kuderedza utachiona hwemhuka. Kana pane ruvara rwehutano, boka rako rekuchengetedza utano rinowanzotarisa nzvimbo ine marker kuitira kuti ivo vataure kana zviri nani kana kuti zvakanyanya. Sezvo nehasha dzinopesana nemishonga yokurapa, mutarisiri wako wehutano achada kupa zvakasara zve chemotherapy kuburikidza nehuwandu hweIndaneti.
Iwe unogona kudikanwa kuona chiremba kana chikafu chakaipa.
Mienzaniso yezvinodhaka zvinosanganisira vincristine, vinblastine, vinorelbine, idarubicin, doxorubicin, uye daunorubicin.
Basa Rako Mukudzivirira Zvimwe Zvinyorwa
Kunyange zvazvo vanamukoti navanachiremba vanokupai chemo vakadzidziswa mukurayira mishonga iyi, njodzi dzinogona kuitika. Kana chemo yako iri pangozi yakanyanya yekuvhiringidzika kwechirwere, chiremba wako angasarudza kuisa kati catheter catheter (CVC) . Zvimwe zvinowanikwa kubva kuCVC, nepo zvichiri kuitika, zvisinganyanyi kukosha.
Kune chikamu chako, pane zvinhu zvishomanana zvaunogona kuita kuti udzivirire zvimwe zvisiri izvo:
- Tora nzvimbo yako yepravenous kana CVC nekutarisira.
- Dzivisa kugunzva nzvimbo yeHIV kana kubata mukati mekudzivirira kwako.
- Rega mukoti wako kana chiremba azive pakarepo kana iwe uchitanga kuva nezviratidzo zvekutsvaira, kunyorera kana kuchenesa kune yako IV nzvimbo panguva yekudzivirira.
- Kana ukacherechedza chero ruvara kana kuvhara mushure mokusiya kenza yemukenza, dana chiremba wako pakarepo.
Summing Up
Chemotherapy extravasations hazvina kujairika. Chirongwa chechirwere sechinhu chakaipa kana chinogumbura chichabatsira kugona kuwanda kwekukuvadza kunogona kukonzera. Kunyange zvazvo imwe nhanho inotorwa kunodzivirira extravasation, inogona kuitika.
Basa rako semurwere nderokurega mukoti kana chiremba wako azive kana iwe uchicherechedza chero shanduko pane nzvimbo yako yepravenous panguva kana mushure mekutengesa chemo.
Sources:
Goodman, M. Chemotherapy: Mazano Ekutungamira. Mu Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Kuchengetedza Kanzera: Mazano uye Maitiro 5th ed American Cancer Society, Jones uye Bartlett: Sudbury, MA.
JA Pérez Fidalgo, MD, uye. al. "Kutungamirira chemotherapy extravasation: ESMO-EONS Clinical Practice Guidelines." Annals of Oncology Volume 23, Issue suppl 7, Pp. vii167-vii173.