Nhamba, PICC, uye Ports
Chemotherapi inogona kupiwa sehupfuti, mapiritsi, uye kuvhiringidza, asi kuvhiringidza ndiyo nzira inowanzosangana nekuvhiya. Pamakemikrasira infusions, madhiragi achapiwa kuburikidza neropa rako.
Fluid chemotherapy mishonga inogadzirirwa mumabhegi ayo akaiswa pachigadziko che IV uye akabatanidzwa kune catheters. Izwi catheter rinogona kuvhiringidza sezvo vanhu vazhinji vachifunga nezvemakateti anoshandiswa kukwevera urini kana mumwe munhu arwara. Asi catheter munharaunda iyi inongoreva nzira yehutachi inobvumira kuti chemotherapy inodonhedzera muropa rako pamutengo wakatarwa. Kugamuchira kemikrasi ye-IV, iwe unoda imwe chigadziro chinopa kukwanisa kune imwe yemasipiresi ako.
Pane maitiro akasiyana-siyana akasiyana-siyana anowanikwa pakuwana mishonga yako. Izvo zvinotangira kubva pfupi shoma-IV, zvakadai sokunge iwe unofanirwa kugamuchira mvura inoshandiswa mushure mekuvhiyiwa, kune catheters nemakungwa. Zvimwe zvigadzirwa zvinoshandiswa zvichienderana nekureba kwenguva yauchave uri kugamuchira chemotherapy. Kunewo mamwe makemikrasira emishonga anokonzera kuti apiwe mune imwe tsika IV mune mhirizhonga yepakati uye inoda hove. Ngatitarisei nezvezvisarudzo izvi, maitiro avo uye kukanganisa, uye kuti iwe uye chiremba wako unogona sei kuita sarudzo yakanakisisa yekutarisira kwako.
Mhemberero dzenguva shomanana IV Catheters
Paunenge uchivhiyiwa kana kuti mashomanana echemotherapy infusions kateti yenguva shomanana IV ndiyo inowanzosarudza. (Dzimwe chemotherapy agents, zvisinei, haigoni kupa nenzira iyi).
Iyi migwagwa inopindira, iyo vanhu vakawanda vanoziva nayo, inosanganisira nenyuchi uye nguva shoma yehubhu inopedzisira mune jira rejeni. Uhu hwesingano yako nehubhu hunoenderana nemhando ipi yehutano iwe uhwo huchada uye pamwe nemamiriro emuviri wako. Mumwe mukoti achaisa tsono muvhara iri muruoko rwako kana ruoko, uye tape iyo uye tube inzvimbo. Kana maitiro ako apfuura, catheter inobviswa.
Vanhu vazhinji vari kushushikana netsanga mumaoko avo, asi kazhinji nhovo inoshandiswa kuisa catheter ndokubva yabviswa, asiya chete catheter iri nyore uye yakajeka panzvimbo.
Mid-Term IV Catheters:
Kana uchida catheter panzvimbo yevhiki imwe chete kusvika kumatanhatu, pakati pe-catheter yenguva yakafanana neyo PICC line (paripherally inowanikwa central catheter) inogona kukushandira. Kufanana nekanguva yenguva yechina catheters, iwe uchava nehurefu hwehuputi, asi huzhinji hwacho huchava mukati memutsipa wemaoko, neine mutsara mutsva webhubhu kunze kweganda rako rinoguma ne cap.
Kusiyana nekanguva yakareba ye-IV catheter, mitsara iyi haifaniri kusvika pamwoyo wako wose. Mumwe mukoti achaisa catheter mutsara muruoko rwako uye anohuchengetedza panzvimbo. Sezvo mitsetse yePICC inowanzoiswa mumaketeni akadzika mumaoko ako, inogona kuvhara nzvimbo yekuisa nzvimbo neyekuita maunesheni asati aisa nenyuchi. Ultrasound kana kazhinji inoshandiswa kubatsira kubatsira nzvimbo idzi dzakadzika uye utungamirire netare panzvimbo.
Paunenge uchida majekiseni uye nekushungurudzwa, mukoti wako anokwanisa kupinda pangozi ye catheter pane kusunga nenyuchi muchiganda chako. Izvi zvinonyanya kubatsira kana iwe uri "tsvimbo yakaoma" uye kuwana mutsara weperiyuta kwakaoma. Mitsara yePICC inogona kushandiswawo kuteura ropa.
Inofananidzwa nekunze kwevhesi IV, mitsara yePICC yakavimbika uye yakasimba. Inobvumirawo kuti zviyero zvakakura zvemvura inopiwe. Nechirwere chechina IV line extravasation (kuputika kwechemotherapy agent muhutachi rwakapoteredza nzvimbo yekuwana) dzimwe nguva kunogona kuva dambudziko, uye kuva nemuganhu wePICC kunoderedza mukana wekuti izvi zvichaitika.
Zvimwe zvinosanganisa zvinosanganisira njodzi yehutachiona, kuvhara mutsara wePICC, uye kusava nemafungiro emwoyo asingagumi kana kuguma kwecatheter kwaswedera pedyo nemwoyo wako (x-ray ichaitwa kuti uone kuti kuguma kwekateti iripi kunodzivisa izvi complication).
Mhemberero dzenguva refu IV Catheters uye Ports:
Kana iwe uchange uine makemikirini emakemikirini (infotheons) akawanda, somuenzaniso, mana kana kupfuura akawanda, chirwere chinogara kwenguva refu yeV Vascular access (VAD) chinogona kunge chakanakisisa.
Sezvakaita pakati pemakore ekupedzisira IV catheters, iwe uchava nemugero wekutakura mukati mejoka kana muchifuva chepfupa, asi iyi ichaenda kunenge iyo yose kusvika pamwoyo wako, kupedzisira mumhepo huru. Nguva yakareba VADs inogadziriswa catheters nekunze injenji yekuvhara kana kushandiswa kwemashoni ekusvikirira vascular, ayo anonziwo mabheni. Mukoti wako achakwanisa kushandisa chero chipangizo kuti ape marapirwo.
Mienzaniso yezvinhu zvenguva refu ndeye:
- Yakaiswa gomba (IVAD): Portacath, PassPort, InfusaPort, Medi-Port, iyo inosanganisira gorozi rinopedzisira rakamira pasi peganda rako.
- Central Central vase catheter (CVC): Broviac, Groshong, kana Hickman Catheters, iyo inogadziriswa mitsara nekunze injection caps.
Migwagwa inowanzoshandiswa pamakemikrasi uye nekenza yemvere uye inowanzoiswa mukuvhiya panguva yekuvhiyiwa kwekenza yemazamu. Zvakakosha kana chiteshi chacho chinoiswa mazuva masere mushure mekutanga kwekudzivirira kwako. Kukanganisa kunosanganisira mukana wekuti chikepe chako chichavharwa (thrombosis) kana kuti hutachiona huchakura. Ikoko rinogona kukonzera zvimwe zvishoma zvishoma nekufamba kwesimba rako uye richasiya chiduku chiduku shure.
Mukuwedzera pakupa chemotherapy, gwati rinogona kushandiswa kuteura ropa kana kupa hutsinye hwemasero matsvuku eropa kana maplatelet.
Kuita Zvisarudzo Pamusoro peCatheters uye Ports
Pasinei nokuti uri kutarisa kune imwe nzvimbo IV, PICC mutsara, kana chikwata che chemotherapy, iva nechokwadi chekukurukurirana zvose zvaunogona kusarudza neo oncologist uye chiremba. Vachakwanisa kukupa mazano ezvebasa zvichibva pane zvaunoda kurapwa uye zvido zvako.
Tora nguva kuti udzidze pamusoro uye uenzanise kushandiswa kwechigodhi maererano neI , kusanganisira zvikomborero uye njodzi dzemhando imwe neimwe.
Yeuka kuti izvi zvigadzirwa hazvizove newe nokusingaperi, uye kana chirwere chapera, unogona kuvabvisa.
> Sources:
> American Society of Clinical Oncology. Catheters uye Ports muCancer Treament. Updated 09/16. https://www.cancer.net/navigating-cancer-care/how-cancer-treated/chemotherapy/catheters-and-ports-cancer-treatment