Chemotherapy inosanganisa mishonga, uye zvinoreva kuti iwe uchabatanidzwa nemisero, IV nheyo, mapepa ebhururu, uye Huber sindano. Usavhunduka nguva yekutanga iwe uchiona iyo yakareba, yakapetwa chemo-sindle-yakagadzirirwa kuita kuti kurapa kuve nyore kwauri. Dzidza kuti ungadzivirira sei kubata kwetsono, tsvaga hukuru hwetsano iwe unoda, uye kuti Huber sindano yakachengeteka sei iwe nemureri wako.
Huber Needle Basics
A Huber inonyanya kugadzirwa nenyuchi isina kushandiswa inoshandiswa nechokuita chemotherapy (port-a-cath.) Sungiri yeH Huber ine nheyo refu, yakasvibiswa iyo inogona kupinda muchiganda chako pamwe chete ne-silicone septum yeropa rako rakasimwa. Icho chidimbu chesimbwa cheH Huber hachizobvisi chikamu chesilicone kubva pachiteshi chako-izvi zvinodzivirira chunk ye silicone kana ganda kubva pakunogara mumaketani ako (iyo yose-yakawanda-yakaoma) uye inoita kuti huni rako rigare kwenguva refu. Dr. Ralph L. Huber, chiremba wemazino, akagadzira chidimbu chakakosha, chinoshandiswa, chinogadziriswa nenyuchi uye Dr. Edward B. Tuohy, anesthesiologist, akaigadzirisa kuti ishandiswe mumagunha catheters.
Huber Nesumbu Dzinoshanda Kune Vatendi Vakawanda
Huber sindete dzakaoma kushanda mumiganhu yakawanda. Aya masero anogona kushandiswa pakugadzirirwa kwekodzero yekupa chemotherapy , antibiotics, saline fluid, kana kuwedzerwa ropa. Huber sindano dzinogona kuruboshwe panzvimbo panzvimbo kwemaawa mashomanana kana kupfuura mazuva akawanda kana zvichidiwa. Varwere vakawanda vanobatsirwa neshandwe-Huber-idzi dzinoshandiswa mu dialysis , kuchinja kwema-lap-band, kuwedzerwa ropa , uye kurapwa kwekenza yakaoma.
Kwete Zvose Nyuchi Dzakasiyana
Huber sindano dzinouya muhupamhi hwakareba uye majiji. Iwe unofanirwa kuziva ruzivo rwetsono runoshanda nechiteshi chako. Kana mukoti wako achishandisa shanduro yeH Huber iri shoma kwazvo, haikwanisi kushanda zvakanaka kuti ropa rako rive kana kuti kuiswa kwako. Kana Huber iri pfupi, inogona kunzwa inorwadza uye yakasimba. Saizvozvowo, nhengo yeH Huber iyo yakareba kwenguva refu kuti ganda rako ringazununguka kana kupota-pota, zvichikonzera kukuvara kwesikisi yesilicone. Vanachiremba vazhinji vanoputika vanochengetedza Huber sindete uye catheter yakagadzirirwa panzvimbo netipi kana bhenji inowanzoita.
Kusiyana Nezvidikanwi Zvidimbu zveMakata Akasiyana
Nyeredzi, kufanana nekuderedza ports, dzinouya zvakasiyana-siyana. Kuvhiringidzirwa nendira kunofanira kunge kwakakura kusiyanisa rudzi rwegwenzi rakasimudzwa raunayo. Huber sindano dzinouya mu "0.5" kusvika ku 1.5 "urefu hwekushandiswa pamwe nekuderedza ports. Aya mashizha anowanzopfeka-coded uye anouya nemadhenari akasiyana; 21 - 25 gauge. Bvunza mukoti wako wekuisira muchengeti wehurefu nejiji yeHiber sindete inoshanda zvakanakisisa nechiteshi chako. Chengetedza ruzivo urwu mubhuku rako rehutano. Kana iwe ukashanyira kliniki yakasiyana kana chipatara, ruzivo urwu runogona kukuchengetedza humwe marwadzo uye kudzivirira dzimwe nhovo dzesinga.
Deredza Utano Hwako Nevamwe Mukaka Mvura
Inyoyo yeH Huber inofanira kushandiswa kupinza chiteshi chako chemo. Nzvimbo yakasimba, yakagadzirwa neH Huber inenge ichinetseka kupfuura iyo isina-tapered sindano uye ichapenya kuburikidza neganda uye silicone yakachena. Urwu urwu rwesingano harubvise ruvara rweganda kana silicone, saka ganda rako richazvigadzirisa, uye ganda rako rinoporesa zvakanaka kana netazi ichibviswa. Kana iwe uchida kudzivisa kurwadziwa kwetsono, tsvaga "sream cream" -iyo nguva vanamukoti vanowanzoshandisa Lidocaine gel kana Emla cream.Kana imwe nyuchi yako iri panzvimbo yako, haufaniri kuibvunda kana kuigadzirisa, nokuti izvo zvinokanganisa septum silicone.
Nzvimbo Kuchengetedzwa Kwevarwere uye Vanamukoti
Intravenous chemotherapy inopiwa kuburikidza nesimbi uye catheter, iyo inofanira kubviswa pamagumo ekurapa. Nyore inobatana nemishonga yako chemo uye ropa rako rinopa. Kuti udzivirire utachiona uye nenyuchi dzenguva dzengano, kune zvipfeko zvakachengetedzwa zvinoshandiswa kushandiswa nemasero. Mapapiro epurasitiki uye varindi vemazano paholo yako Huber inokuchengetedza iwe uye mukoti wako kubva mukukuvara uye utachiona. Mushure mokushandiswa, nenyuchi dzichachengetedzwa zvakachengeteka, pamwe chete nedhaka remarara. Iwe uchange uine bhanhire pamusoro penheyo yako kuvhara mushure mekurapa-iva nechokwadi chekuchengeta iyo pamaminitsi gumi nemashanu kubva mushure mekudzivirira kwako kuchengetedza nzvimbo yacho yakachena uye kudzivirira kupera.
Sezvatinonzwa pamusoro pekurapa kwechiremba mumishonga, kuziva nheyo yako uye kuti iwe ungazvichengeta sei panguva uye pashure pekuchera chemotherapy ndeimwe nzira iyo iwe unogona kuva iwe mumutsigiri wako mukuchengetedzwa kwekenza .
Sources:
Goossens, G., Mwedzi, P., Jerome, M, uye M. Stas. Zvinotarisirwa Kurapirini Kuongororwa kwePolperf Safe, A Safety Huber Needle, muCarcer Patients. Nyaya yeV Vascular Access . 2011. 12 (3): 200-6.
Guiffant, G., Durussel, J., Flaud, P., Vigier, J., uye J. Merckx. Kubhururuka Ports Dzakasikwa Dzakasvibiswa Zvitsva Zvokushandisa Zvimwewo, uye Inogadziriswa neHuber Point Needle Bevel Orientation: Kuongorora kwekuongorora uye kuverenga Numerical. Zvirwere Zvokurapa (Auckland) . 2012. 5: 31-7.