Ukwelashwa kwe-Chemotherapy kuhilela izinaliti, futhi lokho kusho ukuthi uzobamba izinwele, izinaliti ezine, izinaliti ze-butterfly kanye nezinaliti ze-Huber. Ungethuki okokuqala uma ubona ukuthi inaliti ende ende, ephihliwe i-chemo-iklanyelwe ukwenza ukwelashwa kube lula kuwe. Funda ukuthi ungavimbela kanjani ukushaya kwenaliti, wazi ubukhulu besinaliti oyidingayo, nokuthi inaliti ye-Huber inokuphepha kanjani wena nomhlengikazi wakho.
I-Huber Needle Basics
I- Huber iyinaliti ejulile eyenziwe nge- chemotherapy port (a port-a-cath.) Inaliti yeH Huber inephuzu elide, elibekiwe elikwazi ukungena esikhunjeni sakho kanye ne-septum ye-silic ye-intanethi yakho. Iphoyinti elinyanyisiwe lensimbi ye-Huber ngeke lisuse ingxenyana ye-silicone kusuka echwebeni lakho-lokhu kuvimbela u-chunk we-silicone noma isikhumba ekungeneni emgqeni wakho we-catheter (okuyinkimbinkimbi yonke ejwayelekile) futhi kwenza ichweba lakho lihlale isikhathi eside. UDkt. Ralph L. Huber, udokotela wamazinyo, waklama isicucu se-needle esicacile, esicacile, esiqondisayo futhi uDkt. Edward B. Tuohy, isifo sokubulala izinzwa, wasilungisa ukuba sisebenzise emathinini emgogodla.
Izinhlamvu ze-Huber Zisebenzela Iziguli Eziningi
Izinaliti ze-Huber zisebenza kanzima kuzilungiselelo eziningana. Lezi zinaliti zingasetshenziselwa ukuqokwa kwe-infusion ukunikeza i- chemotherapy , i-antibiotics, i-saline fluid, noma ukumpontshelwa igazi. Izinaliti ze-Huber zingase zishiye endaweni yamahora ambalwa noma ngaphezulu kwezinsuku ezimbalwa uma kudingeka. Iziguli eziningi zithola izinaliti zeHuber-lezi zisetshenziswe ku- dialysis , ukulungiswa kwe- lap-band, ukumpontshelwa igazi , kanye nokuphathwa kwemithi yomdlavuza.
Akuzona Zonke Izilingo Ezilinganayo
Izinaliti ze-Huber ziza ngobude nezinamba eziningana. Kufanele wazi ubukhulu benaliti esebenza ne-port yakho. Uma umhlengikazi wakho esebenzisa inaliti ye-Huber emfushane kakhulu, ngeke isebenze kahle ukudweba kwegazi lakho noma ukumnika kwakho. Uma i-Huber ifushane kakhulu, ingase izwe ubuhlungu futhi ifinyelele. Ngokufanayo, inaliti yeHuber ede kakhulu kangangokuthi i-port yakho ingazamazama noma ifinyelele, idale ukulimala uphawu lwe-silicone. Abahlengikazi abaningi abangenalutho bayothola inaliti yeHiber kanye ne-catheter ehlelwe nge-tape noma i-bandage evamile.
Izindwangu Ezihlukene Zamachweba Ahlukene
Izinaliti, njengezikhumulo zokungenisa, ziza ngobukhulu obuhlukahlukene. Izinaliti zokumnika kufanele zilinganiselwe ukufanisa uhlobo lwechweba elifakiwe elinawo. Izinaliti ze-Huber zifika ubude obungama-0.5 "kuze kufike ku-1.5" ukuze kusetshenziswe ngamapayipi okumnika. Lezi zinaliti zivame ukufaka umbala futhi zifike ngamaritha ahlukene; 21 - 25 gauge. Buza umhlengikazi wakho we-infusion ngobude nobubanzi be-sinder ye-Huber ehamba kahle ngechweba lakho. Gcina lolu lwazi kubhukwana lakho lempilo. Uma uvakashela umtholampilo noma esibhedlela, lolu lwazi lungazilondoloza ubuhlungu futhi luvimbele izinti eziningi zezinaliti.
Nciphisa Ubuhlungu Bakho Ngomunye Umlayezo Wokumemeza
Inaliti ye-Huber kufanele isetshenziselwe ukufinyelela ku-port yakho ye-chemo. Iphoyinti elinamandla, elifakwe ku-Huber lizoba buhlungu obukhulu kunaliti elingenayo i-tapered futhi lizokhipha isikhumba ne-silicone ngokuhlanzekile. Lolu hlobo lwesinaliti alususi isikhumba sesikhumba noma i-silicone, ngakho-ke i-port yakho izozivuselela, futhi isikhumba sakho sizophulukisa kahle uma inaliti ihoxisiwe. Uma ufuna ukuvimbela ubuhlungu benduku yenaliti, sebenzisa ezinye "ukhilimu omnandi" -uhlengikazi wegama ngokuvamile basebenzisa i-Lidocaine gel noma u-Emla ukhilimu. Uma inaliti yakho isendaweni echwebeni lakho, ungayidli noma ulihlanekeze, ngoba okuzolimaza i-septum ye-silicone.
Ukuphepha Kwesidingo Seziguli Nezingane
I-chemotherapy engenayo ihlinzekwa ngokusebenzisa inaliti ne-catheter, okumele isuswe ekupheleni kokwelashwa. Inaliti ixhumana nemithi yakho ye-chemo kanye negazi lakho. Ukuze uvimbele ukutheleleka kanye nezinduku zezinaliti zengozi, kukhona amadivaysi okuphepha aklanyelwe ukusetshenziswa nalezi zinaliti. Amapulangwe epulasitiki kanye nabalindi benaliti ku-sinder yakho ye-Huber kukuvikela wena nomhlengikazi wakho ekulimazeni nasekutheleleni. Ngemuva kokusetshenziswa, izinaliti zizolahlwa ngokuphepha, kanye nenkunkuma yezokwelapha. Uzoba ne-bandage phezu kwenaliti yakho yokukhishwa ngemuva kokwelashwa-qiniseka ukuthi uyigcine emaminithini angu-15-30 ngemva kokumnika kwakho ukugcina indawo ihlanzekile futhi ivimbele ukuvuza.
Njengoba sizwa ngamaphutha ezokwelapha emithi, ukwazi inaliti yakho nokuthi ungayinakekela kanjani emva nangemva kokukhipha imithi yokwelashwa yindlela eyodwa ongayisebenzisa ngayo umeluleki wakho ekunakekeleni umdlavuza .
Imithombo:
Goossens, G., Amons, P., Jerome, M., noMn. Stas. Ukuhlolwa Kwemitholampilo Ye-Polyperf Safe, Isilondolozi Sokuphepha E-Huber, Emidlalweni Ye-Cancer. I-Journal ye-Vascular Access . 2011. 12 (3): 200-6.
Guiffant, G., Durussel, J., Flaud, P., Vigier, J., noJer. Merckx. Amaphakheji okuqhuma ama-Devices Access Implyable Imply Access Devices, kanye nomthelela we-Huber Point Needle Orientation Orientation: Izivivinyo zokuhlola kanye nokuQubha kwezibalo. Amadivaysi Ezokwelapha (Auckland) . 2012. 5: 31-7.