Chemoport Insertion

Chii chinonzi Chemoport?

Chemoport intra-dermal kana sub-dermal line kana nzvimbo yekupinda yakaitwa pachipfuva kana ruoko rwevarwere kubatsira intravenous (IV) chemotherapy. Chemoport inosanganisira kuisa mudziyo pasi peganda rako iyo inopa vascular kuwana kune IV marapirwo uye jekiseni rekusiyanisa zvinhu zvekuongorora bvunzo. Kuiswa uku kunopa kuwana nyore kuyerera kweropa rako.

Chemoport inonzi zvakare mediport, cancer port kana port-a-cath. Zvichienderana nezvinodiwa nemurwere uye zvinodiwa, chiremba wako anogona kushandisa mhando dzakasiyana dzechemoports. Aya marudzi e chemoports anosiyana mukureba uye rudzi rwekurapa.

Mhando dzakasiyana dze chemoports ndedzinotevera:
 

• Catheter yepakati yemutsinga ine mugero: Sezvinoreva zita racho, catheter yepakati yetsinga inoiswa pasi peganda rechipfuva chako uye yakabatana netsinga yepakati uchishandisa nzira yekuvhiya. Chikamu chekunze cheiyi port chine catheter inorembera kunze kweganda rako. Catheter iyi ine maburi akawanda. Inoiswa pasi peganda rako kwemwedzi yakati wandei.
• Chiteshi chemukati medumbu: Chivharo ichi chinewo rudzi rwecatheter inozivikanwa seTenckhoff catheter. Catheter iyi inoiswa pasi peganda redumbu rako.
• Nzvimbo Inopinda Mutsinga Inogona Kuiswa: Chivharo ichi chinonziwo medi-port kana kuti Port-a-Cath. Chakagadzirwa nesimbi isingatsvi, purasitiki kana titanium. Nzvimbo yekupinda mutsinga mudziyo wakaita sedhiramu. Unoiswa pasi peganda rechipfuva chako kana ruoko rwepamusoro. Une chubhu yecatheter yakabatana nemudziyo unobatanidza tsinga yepakati.
• Mutsetse wePICC: Mutsetse wePeripherally Inserted Central Catheter (PICC) wakagadzirwa nepurasitiki. Ichi chinhu chinoshandiswa kwenguva pfupi chakaita secatheter. Chakabatana neimwe yetsinga huru dzeruoko rwako.
   

Nei Chemoport Inodikanwa?

Chikonzero chikuru chekudyara chemoport ndechekuisa chemotherapy mishonga muropa remurwere.

Kana mushonga wako wekemo ukasanganiswa neradiation therapy (radiation therapy), kaviri kana akawanda chemoports inogona kushandiswa kune zvese zvinangwa, kureva, kubaya majekiseni emakemikari pamwe nekusiyanisa zvinhu.

Mhando dzakasiyana dze chemoports dzinoshanda zvakasiyana zvinodiwa kune varwere vegomarara.
 

• Tunneled central venous catheter inoshandiswa kuzadza mishonga yechemotherapy kuburikidza nepombi yekunze (catheter) inobatana zvakananga nechepakati pechipfuva chako.
• Intra-peritoneal point inodiwa pamhando yepamusoro yechemotherapy (inonziwo intra-peritoneal chemotherapy) kurapa gomarara remudumbu.
• Yakasimwa venous yekuwana nzvimbo inodiwa kwenguva refu chemotherapy process. Sirinji isina-coring inoshandiswa kubaya zvinodhaka zve chemo kuburikidza neganda rako mu catheter chubhu. Sirinji isina-coring yakagadzirwa zvakanyanya pamuromo wayo kuti ibvumidze kusimba kana ichienzaniswa neyakajairwa.
• Mutsetse wePICC unowanzo kudiwa kana kurapwa kwako kwechemotherapy kuri kwenguva pfupi ine kupfupika kwemishonga yemakemikari.

Chemoport inogona kuiswa sezvo iine zvinotevera zvinobatsira:
 

• Chemoports inoderedza njodzi dzekukuvadzwa kunokonzerwa nemhasuru dzako nematishu.
• Inopa kuwanda kwekuwana kune tsinga dzemuviri wako kuitira kuitisa akasiyana marudzi ekurapa cancer panguva imwe chete yenguva. Madoko maviri kana akawanda anogona kushandiswa pakurapa panguva imwe chete.
• Chemoports inobvumira wako oncologist kuti agare achitora ropa revarwere vekenza pasina kubaya tsono nguva yega yega. Zviyero zveropa zvinounganidzwa kuburikidza necatheter.
• Chemoports inodzivirira njodzi dzekubuda ropa. Izvi zvinowedzera sechinhu chekuwedzera kune varwere vegomarara vane yakaderera platelet count.
• Kudyara chemoport inzira inoshanda kwazvo yekupinza chemotherapy mishonga nguva nenguva kumba kwemurwere.
   

Pre-operative Gadziriro

Kugadzirira kwepreoperative kunosanganisira matanho akasiyana-siyana anokosha asati adyara chemoport device. Zvimwe zvinhu zvehurongwa hwako zvinogona kukonzera kukanganisa pachemoport implantation process. Naizvozvo, zvinodikanwa kuita gadziriro dzakakodzera usati waisa chemoport mukati memuviri wako.
 

• Miedzo Yeropa: Chiremba wako achaita ongororo yeropa kuitira kuti aone mazinga ehemoglobin, masero machena eropa, shuga yeropa uye nguva yekuvhara ropa. Kuvepo kwehutachiona mukati memuviri wako kunogona zvakare kusimbiswa uchishandisa iyi ongororo yeropa. Kana chimwe chezviitiko zvisingawanzoitiki zvichiitika mukati memuviri wako, chiremba wako anoda kunonoka nzira ye chemoport implantation. Chekutanga, anozobata aya matambudziko ehutano uye ozoenderera mberi nemaimplants.
• Kuongorora Kwepanyama: Zvinosungirwa kuita tsika yekuongorora muviri isati yaiswa chemoports. Kuongorora uku kunosanganisira kuongorora hutano hwako pamwe nekudzidza nezvenhoroondo yekurapa kwako.
• Mishonga: Kurukurai nezvemhando dzose dzemishonga yaunotora nguva dzose. Kana iwe ukashandisa anti-platelet mishonga, semuenzaniso, aspirin, kana zvinodhaka zvinoderedza ropa sewarfarin, unogona kukumbirwa kuti uzviregedze kwenguva pfupi kusvikira kuiswa kwechemoports. Kunyangwe, varwere vane coronary stems kana simbi yemoyo mavharuvhu havagone kuregedza kutora kwemishonga iyi kunyangwe ikakumbirwa kwenguva pfupi. Kune vanhu vakadai, oncologists vanoshandisa imwe nzira yekugadzirisa nyaya iyi.
• Kusarudza Rudzi rweChemoport: Zvichienderana nenhoroondo yako yekurapa uye mamwe mamiriro ehutano, chiremba achasarudza yakanakisa mhando ye chemoport yekushandisa kune yako kenza. Sezvambotaurwa, intra-peritoneal port inowanzo shandiswa kune varwere vegomarara remudumbu. Saizvozvo, mamwe marudzi echemoports anogona kushandiswa zvichienderana nehutano hwako hunodiwa uye nguva yechemotherapy yako. Iye / iye anozofunga nezve nzvimbo yekuisirwa, kureva, kubatanidza aya madoko kune tsinga dzeruoko rwako kana chipfuva.
   

Chiremba wako achakudzidzisa zvachose nezve maitiro e chemoport fixation. Anozotaurawo mabhenefiti uye njodzi dzemaitiro aya. Iwe unorayirwa kuti uteedzere mirairo yese yepreoperative usati waiswa uku. Murairo unonyanya kukosha ndeyekudya uye kunwa mvura. Varwere vanofanirwa kudzivirira kudya kana kunwa chero rudzi rwechikafu kweanenge maawa matanhatu isati yagadziriswa. Zvisinei, unogona kunwa mvura maawa maviri kuvhiyiwa kwako kusati kwatanga.
 

Zvimwe zvinodikanwa zve preoperative care zvinosanganisira hurongwa hwenguva yekusimwa. Iyi purogiramu inonyanya kuenderana nemhando ipi yechemotherapy imwe iri kuitika. Vamwe varwere vangangoda infusion pfupi asi vamwe vanogona kutora chemotherapy kwenguva yakareba. Nguva yechemotherapy yako inoenderana nerudzi, chiyero, nhanho uye zvimwe zvechirwere chegomarara rako pamwe nekukura kwemuviri wako. Varwere vachatsanangurwa pamusoro pezvinhu zvose izvi zvakare.