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Iziguli Ezijabule

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Izikhungo Zokunakekela Ezempilo

Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi

Inqubo Yokufaka Ye-Chemoport Ethuthukisiwe

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.

Kungani Izibhedlela Zeqembu Le-CARE Kuyisinqumo Sakho Esiphezulu Senqubo Yokufaka I-Chemoport e-Hyderabad

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

  • Alok Kumar Udiya
  • Vivek Jaju
  • Amol Lahoti
  • Rajesh Poosarla

Ukuphumelela Kwezinga eliphezulu Lokuhlinza Esibhedlela Sokunakekelwa

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.

Izinkomba zokufakwa kwe-Chemoport 

Izibhedlela ze-CARE zibeka izikhungo zamakhemikhali ezigulini ezine:

  • I-Acute lymphoblastic kanye ne-myeloid i-leukemia
  • Hodgkin kanye non-Hodgkin i-lymphoma
  • Izimila eziqinile (i-Wilms's tumor, neuroblastoma, i-Ewing's sarcoma)
  • Izicubu ze-germ cell, i-hepatoblastoma, izimila zobuchopho futhi nokuningi

Izinhlobo Zezinqubo Zokufaka I-Chemoport

Isibhedlela siphakamisa iziguli izinketho eziningana ze-chemoport. Lokhu kubandakanya: 

  • Izimbobo zelume eyodwa ezinendawo eyodwa yokufinyelela 
  • Izimbobo ze-lumen eziphindwe kabili ezinamaphoyinti okufinyelela amabili
  • Siphinde sinikeze ngezinketho ezikhethekile njengama-catheter e-venous aphakathi nendawo, izindawo zokufinyelela ze-venous ezifakelwayo, kanye nemigqa ye-PICC yokwelashwa okufushane. 

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.

Ukuhlola Ngaphambi Kokuhlinzwa

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.

  • Izinkombandlela Zokuzila Ukudla: Odokotela bavame ukukucebisa ukuthi ungadli okungenani amahora ayisithupha ngaphambi kwenqubo. Ungaba noketshezi olucacile—njengamanzi, itiye elimnyama, noma ijusi ecacile—kuze kufike emahoreni angu-4 ngaphambi kokuhlinzwa kwakho.
  • Buyekeza Imithi Yakho: Yazisa udokotela wakho ngayo yonke imithi oyithathayo, ikakhulukazi imithi enciphisa igazi. Okunye kungase kudingeke ukuthi kumiswe isikhashana noma kulungiswe ngaphambi kwenqubo.
  • Imiyalo Yokugqoka: Ngosuku lokuhlinzwa, gqoka izingubo ezixegayo ezinembobo yangaphambili. Lokhu kwenza kube lula ukuthi ithimba lifinyelele esifubeni sakho futhi kukugcina ukhululeke kakhudlwana phakathi nokululama.

Inqubo Yokufaka I-Chemoport

Ukuhlinzwa kuthatha ngaphansi kwehora ngaphansi i-anesthesia yendawo noma i-sedation encane. Izinyathelo ezibandakanyekayo ekubekweni kwe-chemoport zimi kanje:

  • Udokotela ohlinzayo uzohlanza futhi aqede indawo ngaphambi kokusika okuncane eduze kwe-collarbone yakho. 
  • Bakha iphakethe ngaphansi kwesikhumba sakho echwebeni. 
  • Besebenzisa i-ultrasound njengesiqondiso, bafinyelela umthambo—imvamisa i-jugular yangaphakathi noma i-subclavian. 
  • I-catheter ixhuma embobeni bese ixhuma ngomthambo iqonde enhliziyweni yakho. 
  • I-X-ray iqinisekisa indawo yayo. 
  • Khona-ke, ekugcineni, udokotela ohlinzayo uvala ukusika nge-sutures ekugcineni.

Ukubuyiselwa kwangemuva kokubekwa

Ungaya ekhaya ngalo lolo suku. 

  • Indawo ezungeze ukusikeka ingase izwakale ibuhlungu, kodwa ngokuvamile lokhu kuhamba phakathi nesonto. 
  • Ngemva kwamahora angu-24-48, ungakwazi ukugeza uma ugcina isayithi limboziwe. 
  • Uzokwazi ukwenza imisebenzi elula yansuku zonke ezinsukwini ezimbalwa. Vele ugweme ukuphakamisa okusindayo okungenani isonto. 
  • Ichweba lilungela ukwelashwa emahoreni angama-48-72 ngemuva kokubekwa.

Izingozi Nezinkinga

Ukufakwa kwe-Chemoport ngokuvamile kuphephile. Ezinye izingozi zihlanganisa:

  • Ingozi yokutheleleka: Le ngozi ihilela amagciwane angase angeniswe endaweni yokufaka i-catheter noma uhlelo lwechweba olungaholela ekuthelelekeni kwasendaweni noma kwesistimu. 
  • Ingozi ye-thrombosis ehlobene ne-catheter: Le ngozi ibhekisela ekuthuthukisweni kwehlule ngaphakathi noma eduze kwe-catheter elingavimba imbobo noma kuholele kwezinye izinkinga. 
  • Ingozi yokwengezwa kwezidakamizwa: Lokhu kuzobhekisela emuthini okungenzeka ukuthi uphume emthanjeni noma echwebeni uye esicutshini esizungezile. Lokhu kungathinta isiguli ngokubangela ukucasuka noma ukulimala.
  • Ingozi yokuwohloka kwenxeba: Ukuhlinzwa kunezingozi ezingokwemvelo futhi, ingozi yokuthi ekugcineni siphole lelo nxeba lokuhlinzwa ngaphandle kwesigameko, esingahlanganisa ukuvuleka noma ukuhlukaniswa.

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).

Izinzuzo Zenqubo Yokufaka I-Chemoport

  • Ukunethezeka Okungaphezulu: Ama-Chemoports anciphisa isidingo sokuhlaba inaliti ephindaphindiwe okwenza izikhathi zakho zokwelapha zikhululeke kakhulu futhi zingacindezeli kangako. Kungushintsho oluncane olwenza umehluko omkhulu ngokuhamba kwesikhathi.
  • Ukuvikela Imithambo Yakho: Okunye imiphumela emibi yokwelashwa ngamakhemikhali izidakamizwa zingaba nzima emithanjeni yakho. I-chemoport isiza ukubavikela ngokunikeza imithi ngendawo yokufinyelela ephephile, emaphakathi—ukugcina imithambo yakho inempilo isikhathi eside.
  • Ukufinyelela Okunokwethenjelwa, Kwesikhathi Eside: Kungakhathaliseki ukuthi okokunikeza imithi, ukudonsa igazi, noma ukumpontshelwa, i-chemoport inikeza indlela ephephile neqinile yokufinyelela egazini lakho—ngaphandle kwesidingo sezinti zezinaliti njalo.

Usizo Lomshwalense Wenqubo Yokufaka I-Chemoport

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.

Umbono Wesibili Wenqubo Yokufaka I-Chemoport

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.

Isiphetho

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.

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Izibhedlela Ezihamba phambili Zokuhlinza I-Chemoport Insertion eNdiya

imibuzo ejwayelekile ukubuzwa

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:

  • Udinga izinti zezinaliti njalo
  • Inemithambo yangaphandle eyonakele noma okunzima ukuyifinyelela
  • Kumele uthole imithi enamandla engalimaza imithambo emincane
  • Kudinga ukuhlolwa kwegazi njalo

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:

  • Ukutheleleka 
  • I-thrombosis ehlobene ne-catheter 
  • Ukweqiwa kwezidakamizwa 
  • Ukuncipha kwesilonda 
  • I-necrosis yesikhumba 

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:

  • Izifo ezihlobene ne-catheter 
  • I-venous thrombosis 
  • I-Port catheter malposition 
  • Ukutheleleka kwesizinda samachweba 

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:

  • Ukufinyelela kwe-jugular vein yangaphakathi kwesokudla kubonakala kunzima
  • Iziguli zomdlavuza webele kwesokudla ezazinokwehlukaniswa kwe-radical axillary lymph node kanye ne-postoperative radiotherapy

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.

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