25 lakh+
Iziguli Ezijabule
Abanolwazi futhi
odokotela abanekhono
17
Izikhungo Zokunakekela Ezempilo
Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi
Ucwaningo lubonisa ukufakwa kwe-chemoport kuyinqubo ephephile kakhulu enezinkinga ezimbalwa kuphela. Lo mshini omncane unikeza inani elikhulu ezigulini ezidinga ukufinyelela njalo nangesikhathi eside egazini lazo ukuze zithole ukwelashwa.
I-chemoport catheter ixhuma ngqo emithanjeni emaphakathi futhi isindisa iziguli ezintini yenaliti eziphindaphindiwe. Odokotela benza inqubo ngaphansi kwe-anesthesia yendawo ezimweni eziningi. Yonke le nqubo ithatha isikhathi esingaphansi kwehora ukuqeda. Udokotela ohlinzayo ngokuvamile ubeka ichweba odongeni lwesifuba lwangaphambili lwesiguli, olunikeza indawo ephephile nefinyeleleka kalula.
Inqubo yakha ikamelo elifakelwayo elixhuma emithanjeni ephakathi nge-catheter. Ngakho-ke odokotela abadingi ukucinga imithambo efanelekile ngesikhathi ngasinye sokwelashwa. Lokhu kwenza inqubo ikhululeke futhi isebenze kahle ezigulini.
Izibhedlela ze-CARE zihlinzeka ngemininingwane yokuxilongwa nokwelashwa komdlavuza kusuka odokotela abanekhono nodokotela abahlinzayo. Odokotela bethu bahlanganisa ubuchwepheshe obuvela kwezokwelapha, emisebeni kanye i-oncology yokuhlinzwa. Abahlengikazi abanekhono besibhedlela baqinisekisa ukuthi ama-chemoports asebenza kahle ngokuhlanza indawo yokushutheka nokushintsha izingubo zokugqoka njalo ezinsukwini ezinhlanu. Indlela yethu yokuguquguquka evamile ngosawoti we-heparinised igcina idivayisi isebenza isikhathi eside futhi ivimbela ukuvinjelwa.
I-Chemoport Insertion Surgery Odokotela Abangcono Kakhulu eNdiya
Isibhedlela sisebenzisa izindlela zokuhlinza ezithuthukile ukuze sibeke izikhungo zamakhemikhali. Odokotela bethu abahlinzayo bakhetha phakathi kwesu le-Seldinger le-percutaneous kanye nezindlela zokusika ezivulekile ngokusekelwe kulokho okudingwa yisiguli ngasinye. Lapha sisebenzisa i-X-ray imaging (fluoroscopy) eqhubekayo ukuze siqondise ukubekwa. Le ndlela yokucophelela iholele emazingeni ezinkinga aphansi kakhulu kunamazinga ajwayelekile.
Izibhedlela ze-CARE zibeka izikhungo zamakhemikhali ezigulini ezine:
Isibhedlela siphakamisa iziguli izinketho eziningana ze-chemoport. Lokhu kubandakanya:
Uhlobo lwechweba luzophakanyiswa udokotela ngokusekelwe ezidingweni ezithile zesiguli, futhi, la machweba anciphisa ukulimala kwezicubu futhi avumele ukufinyelela emithanjeni eminingi ukuze kuthuthukiswe ukwelashwa okuningi ngesikhathi esisodwa.
Ngaphambi kwenqubo yokufaka i-Chemoport, udokotela wakho uzohlola izithombe ze-imaging. Lezi zikena zisiza ekutholeni indawo engcono kakhulu yokufinyelela ye-venous yokubeka i-chemoport yakho ukuqinisekisa ukuthi ukufakwa kuphephile futhi kunembile ngangokunokwenzeka.
Ukuhlinzwa kuthatha ngaphansi kwehora ngaphansi i-anesthesia yendawo noma i-sedation encane. Izinyathelo ezibandakanyekayo ekubekweni kwe-chemoport zimi kanje:
Ungaya ekhaya ngalo lolo suku.
Ukufakwa kwe-Chemoport ngokuvamile kuphephile. Ezinye izingozi zihlanganisa:
Izehlakalo ezimbi kakhulu njenge-pneumothorax, i-hemothorax, ne-air embolism azivamile kakhulu. Izibonelo zezinkinga ezingathi sína, kodwa ezingavamile zihlanganisa i-pneumothorax (iphaphu eligoqekile), i-hemothorax (igazi odongeni lwesifuba), noma i-air embolism (umoya osegazini).
Iningi lezinhlelo zomshwalense zihlanganisa amachweba we-chemo njengoba edingeka ekwelapheni umdlavuza. Izinhlelo zezempilo ezibucayi zivame ukumboza izindleko zokuhlala esibhedlela kanye nezindleko zokwelashwa ngamakhemikhali. Izinkampani zomshwalense zivame ukubona idivayisi njengebalulekile ekulethweni kwemithi, okusiza ukunciphisa izindleko zakho eziphuma ephaketheni.
Ukuthola eminye imibono kukusiza ukuthi wenze ukukhetha okufanele mayelana nokwelashwa kwakho. Khuluma nochwepheshe abambalwa ukuze uqinisekise ukuthi uyayidinga yini inqubo nokuthi uyithole nini. Lokhu kubaluleka uma unezimpawu ezingajwayelekile noma ukhathazekile ngezinkinga ezingase zibe khona.
Ukufakwa kwe-Chemoport kwenza umehluko omkhulu ezigulini ezidinga ukwelashwa kwesikhathi eside. Lo mshini omncane unciphisa kakhulu ukucindezeleka kwezinti zezinaliti eziphindaphindiwe futhi uvikela imithambo emonakalweni obangelwa imithi enamandla. Inqubo iphephe ngokuphawulekayo futhi inezinkinga ezincane futhi ithatha isikhathi esingaphansi kwehora ngokubulala izinzwa yendawo.
Ukusebenza kahle kwesibhedlela i-CARE e-Hyderabad kusenza sibe ukukhetha okuphezulu kule nqubo. Ubungcweti bokuhlinza bethimba lethu buhlanganisa amasu asezingeni eliphezulu nokunakekelwa okuphelele kwangemuva. Indlela yesibhedlela yokunakekelwa kwe-chemoport ihlanganisa ukuhlanzwa okuvamile kanye nezinqubo ezilandelwayo ezisiza iziguli ukuthi zithole izinzuzo eziphezulu kudivayisi yazo.
Izibhedlela Ezihamba phambili Zokuhlinza I-Chemoport Insertion eNdiya
Inqubo yokufaka i-chemoport ibeka idivayisi encane, efakekayo ngaphansi kwesikhumba, ngokuvamile esifubeni ngaphansi kwethambo lekholomu. Idivayisi ixhuma ku-catheter egijima emthanjeni omkhulu futhi idale ukufinyelela okuthembekile emgudwini wegazi ukuze ilethwe imithi noma idonswe igazi. Imbobo ibukeka njengediski encane, efana nekota kodwa ijiyile, futhi ibonakala njengeqhubu elincane ngaphansi kwesikhumba.
Odokotela batusa le nqubo ezigulini ezidinga ukufinyelela kwe-venous isikhathi eside ekwelapheni okufana ne-chemotherapy. Ukuhlinzwa kusiza iziguli:
Iziguli ezinezimila ezithuthukile noma ezine-metastatic ezidinga ukwelashwa ngamakhemikhali noma ukwelashwa okuhlosiwe zenza amakhandidethi alungile. Le nqubo isiza iziguli ezine-colorectal, ibele, kanye ne-hepatobiliary-umdlavuza we-pancreatic nezinye izifo. Iziguli ezithola ukwelashwa okungathukuthelisa noma ukulimaza imithambo emincane zithola le nketho iwusizo.
Ucwaningo lubonisa ukuhlinzwa kokufaka i-chemoport kuphephile ngamanani aphansi ezinkinga.
Ukuhlinzwa kuthatha imizuzu engu-30-60. Iziguli eziningi ziqeda inqubo lingakapheli ihora bese zibuyela ekhaya ngalo lolo suku.
Ukufakwa kwe-Chemoport kufaneleka njengenqubo encane. Iziguli ngokuvamile ziya ekhaya ngalo lolo suku njengoba kuyinqubo yokulaliswa ngaphandle. Udokotela ohlinzayo wenza ukusika okuncane, okungaba intshi ubude.
Ukuhlinzwa kunezingozi ezithile, ezihlanganisa:
Iziguli zizwa ubuhlungu obuncane izinsuku ezingu-1-2 ngemva kokuhlinzwa. Indawo yokufaka iphulukisa phakathi kwezinsuku ezingu-5-7. Ungaqala kabusha imisebenzi evamile ngokushesha ngemva kokubekwa, kodwa kufanele ugweme ukuvivinya umzimba okunzima. Izihlambi zilungile ngemva kwamahora angu-48, kodwa linda izinsuku ezingu-7 ngaphambi kokugeza okuqondile, usebenzisa amabhavu ashisayo, noma ukubhukuda.
Iziguli zizivumelanisa kahle ne-chemoport yazo ngokuhamba kwesikhathi. Nakhu ongabhekana nakho isikhathi eside:
I-anesthesia yendawo iyisinqumo esijwayelekile sokufakwa kwe-chemoport. Odokotela bathulisa indawo yechweba ukuze bakugcine unethezekile. Ezinye izibhedlela zinikeza i-sedation encane nge-anesthesia yendawo uma uzizwa unovalo. Ungakhetha i-anesthesia ejwayelekile uma ukhetha ukungahlali uphapheme phakathi nenqubo.
Odokotela bakhetha umthambo we-jugular wangaphakathi olungile wokubeka ama-chemoports. Lo mthambo uxhuma ngqo ku-high vena cava. Umthambo we-jugular wangaphakathi ongakwesokudla uholela ezifweni ezimbalwa uma uqhathaniswa nohlangothi lwesobunxele. Umthambo we-jugular wangaphakathi ongakwesobunxele uba inketho yokusekelayo ezimweni ezimbili:
I-chemoport yakho ihlala uze uqedele ukwelashwa. Ukususwa kuyindlela esheshayo yokulaliswa esibhedlela ngaphansi kwe-anesthesia yendawo ethatha imizuzu engu-15-20. Odokotela abaningi basusa ichweba ezinyangeni eziyisi-6-12 ngemuva kokuphela kokwelashwa ngamakhemikhali. Izifo ezisolwayo zidinga ukususwa ngokushesha. Udokotela wenza ukusika okuncane phezu kwechweba, asuse idivayisi, futhi avale ngemithungo.