Izinaliti, ama-PICC, namaPorts
I-Chemotherapy inganikezwa njengama-shots, amaphilisi, kanye nama-infusions, kodwa ama-infusions yiyona ndlela evame kakhulu ukuhlinzwa okulandelayo. Ukuze i-chemotherapy infusions, izidakamizwa zizonikezwa ngegazi lakho.
Izidakamizwa zamakhemikhali e- fluids zilungiselelwe ngezikhwama ezibekwe epilini le-IV futhi zixhunywe kuma-catheters. I-catheter yegama ingase idideke njengoba abantu abaningi becabanga ngamacatheters asetshenziselwa ukukhipha umchamo uma umuntu egula. Kodwa i-catheter kulokhu kulungiselelwa imane ibhekisela ohlelweni lwezinambuzane ezivumela ukuthi i-chemotherapy iqhubekele egazini lakho ngezinga elilawulwayo. Ukuze uthole i-chemotherapy ye-IV, uzodinga enye idivaysi enika ukufinyelela komunye wemithanjeni yakho.
Kunezinketho eziningi ezihlukahlukene ezitholakalayo zokufinyelela imithanjeni yakho. Lezi zivela elula yesikhashana se-IV, njengokuthi uzodinga ukuthola uketshezi emva kokuhlinzwa, kumathengisi namachweba. Amanye amadivaysi angcono kakhulu kuye ngokuthi ubude besikhathi uzobe uthola i-chemotherapy. Kukhona nezinye izidakamizwa zamakhemikhali ezithinteka kakhulu ekunikezeni i-IV yendabuko emgodini we-peripheral futhi zidinga ichweba. Ake sibheke lezi zikhethelo, izinzuzo zabo kanye nokungahleleki, nokuthi wena nodokotela wakho bangenza kanjani isinqumo esingcono kakhulu sokunakekela kwakho.
Amakhemikhali e-Short-Term IV
Uma usuhlinzwa noma ukuphela kwe-chemotherapy infusions i-catheter ye-short-term ngokuvamile iyindlela engcono kakhulu. (Amanye ama-chemotherapy agents, noma kunjalo, angeke anikezwe ngale ndlela).
Le migqa enobungozi, uhlobo oluthile abantu abajwayele ngalo, oluhlanganisa inaliti nobude obufushane bhubhu ephela engozini yomjovo. Ubukhulu besinaliti yakho kanye nethubhu kuxhomeke kunoma yiluphi uhlobo lwenqubo oyodinga kanye nesimo semithanjeni yakho. Umhlengikazi uzofaka inaliti emthanjeni esandleni sakho noma engalweni, bese uyiphatha kanye nethubhu ibe yindawo. Uma inqubo yakho iphelile, i-catheter isusiwe.
Abantu abaningi bakhathazekile ngenaliti engalweni yabo, kodwa ngokuvamile kaningi inaliti isetshenziselwa ukufaka umcengezi bese isuswa, ishiya isikhala esincane esithambile nesinezimo.
Ama-Catheters aseMiddle IV:
Uma udinga i-catheter endaweni yamaviki ayisithupha kuya kwamasonto ayisithupha, i-catheter ephakathi nendawo efana nomugqa we- PICC (ingcatheter yangaphakathi efakwe ngaphakathi) ingase ikusebenzele. Njengama-catheters ama-IV aphansi, uzoba nobude bokushukela, kodwa iningi lalo lizoba phakathi kwe-vein ye-arm, nge-line emfushane ye-tubing ngaphandle kwesikhumba sakho esiphela nge-cap.
Ngokungafani ne-catheter ye-IV yesikhathi eside, le migqa ayifinyeleli yonke indlela enhliziyweni yakho. Umhlengikazi uzofaka umugqa wesikhala emlonyeni wakho futhi awuvikele. Njengoba imigqa ye-PICC ivame ukufakwa emithanjeni ejulile engalweni yakho, ingase ibambezele indawo yokufaka indawo nge-anesthetic yangakini ngaphambi kokufaka inaliti. I-Ultrasound uma ijwayele ukusetshenziselwa ukuthola lezi zinsana ezijulile futhi uqondise inaliti endaweni.
Uma udinga ama-injection kanye ne-infusions, umhlengikazi wakho angakwazi ukufinyelela ku-portal ye-catheter esikhundleni sokunamathela inaliti esikhumbeni sakho. Lokhu kusiza ngokukhethekile uma "unamathela kanzima" futhi uthola imithwalo yezinzwa kunzima. Imigqa ye-PICC ingasetshenziselwa ukudweba igazi.
Uma kuqhathaniswa nomugqa we-IV wendawo, imigqa ye-PICC inokwethenjelwa futhi ihlala isikhathi eside. Zivumela futhi ukuthi kunikezwe amanani amaningi kakhulu oketshezi. Ngomugqa we-IV wochungechunge lwe-extravasation (ukuvuza kwe-agent ye-chemotherapy zibe izicubu ezizungezile indawo yokufinyelela) ngezinye izikhathi kungaba yinkinga, futhi ukuba nomugqa we-PICC kunciphisa amathuba okuthi lokhu kuzokwenzeka.
Imiphumela emibi ihlanganisa ubungozi bokutheleleka, ukumbozwa komugqa we-PICC, kanye nemigomo engavamile yenhliziyo uma ukuphela kwe-catheter kuseduze kakhulu nenhliziyo yakho (i-x-ray izokwenziwa ukuze ubone ukuthi ukuphela komcathisi kuwukugwema lokhu inkinga).
Ama-Catheters kanye namachweba ase-Long-term IV:
Uma uzobe unezifo eziningana zokwelapha ngamakhemikhali, isibonelo, izifo ezine noma ngaphezulu, idivaysi yokufinyelela ye-vascular (VAD) yesikhathi eside (VAD) ingase ibe yindlela engcono kakhulu.
Okufanayo kuya phakathi nesikhathi se-IV catheters, uzoba nomugqa wezilimo ngaphakathi kwesigca noma isifuba sekhanda, kodwa lokhu kuzohamba cishe yonke indlela eya enhliziyweni yakho, ukuphela emthanjeni omkhulu. Ama-VAD ahlala isikhathi eside angama-catheter ane-tunne anama-caps angenayo yangaphandle noma amadivaysi angenawo ama-vascular access, aphinde abizwa ngokuthi amachweba. Umhlengikazi wakho uzokwazi ukusebenzisa noma iyiphi idivaysi yokuphatha imithi.
Izibonelo zezinsimbi zesikhathi eside ze-IV ziyi:
- Ichweba elifakiwe (i-IVAD): i-Portacath, i-PassPort, i-InfusaPort, i-Medi-Port, ehlanganisa ichweba lokunciphisa elihlala phansi elingaphansi kwesikhumba sakho.
- I-catheter enezinyosi eziphakathi (i-CVC): i-Broviac, i-Groshong, noma i-Hickman Catheters, emigqa ene-tunneled ne-outer caps caps.
Amapayipi asetshenziselwa uketshezi lwe-chemotherapy nomdlavuza wesifuba futhi avame ukufakwa enkambweni yokuhlinzeka ngesikhathi sokuhlinzwa komdlavuza webele. Kuhle uma ngabe leli port lifakwa okungenani izinsuku eziyisishiyagalolunye ngaphambi kokukhipha kwakho kuqala. Izinkinga zifaka ithuba lokuthi ichweba lakho lizovalwa (thrombosis) noma ukutheleleka kuzokwakhiwa. Ichweba lingabangela ukulinganiselwa okuncane kokuhamba kwengalo yakho futhi kuzoshiya isikhala esincane.
Ngaphezu kokunikeza i-chemotherapy, ichweba lingasetshenziselwa ukudweba igazi noma ukunikeza amagciwane amangqamuzana egazi abomvu noma amaplatelet.
Ukwenza Izinqumo Mayelana Namakhemikhali Namaphakethe
Kungakhathaliseki ukuthi uhlola i-peripheral IV, i-PICC line, noma i-port for chemotherapy, qiniseka ukuthi uxoxisana nazo zonke izinketho zakho nge-oncologist yakho nodokotela ohlinzayo. Bayokwazi ukukunikeza iseluleko esisebenzayo esekelwe ezidingweni zakho zokwelashwa eziqondile kanye nezintandokazi zakho.
Thatha isikhashana ufunde futhi uqhathanise ukusetshenziswa kwechweba ngokuhambisana ne-IV , kufaka phakathi izinzuzo nezingozi zendlela ngayinye.
Khumbula ukuthi lawa madivaysi ngeke abe nawe kuze kube phakade, futhi uma ukwelashwa sekuphelile, ungawahambisa.
> Imithombo:
> Society of American of Clinical Oncology. Ama-Catheters namachweba e-Cancer Treament. Kubuyekezwe 09/16. https://www.cancer.net/navigating-cancer-care/how-cancer-treated/chemotherapy/catheters-and-ports-cancer-treatment