WHAKATAKI
I roto i te hauora o ēnei rā, ko teTe Tauranga Chemo(Port-a-Cath, Port-a-Cath rānei), hei rongoā mō te wā roataputapu urunga toto, e whakamahia whānuitia ana i roto i ngā tūroro e hiahia ana ki te werohanga auau, te chemotherapy, te whakawhiti toto, te tautoko kai rānei. Ehara i te mea ka whakapai ake i te kounga o te oranga o ngā tūroro anake, engari ka whakaitihia hoki te mamae o te werohanga auau me te mōrearea o te mate. I roto i tēnei tuhinga, ka rukuhia e mātou te whakamāramatanga, ngā whakaritenga, te hanganga, ngā momo, ngā painga me te pehea ki te whiriwhiri i te mea tika hei āwhina i a koe ki te mārama katoa ki tēnei taputapu hauora nui.
I. He aha te Chemo Port?
He tauranga Chemo, e mōhiotia ana ko tePort-a-CathKo te pūwero werohanga, he taputapu hauora e whakatakotoria ana ki raro i te kiri hei whakahaere i te rongoā ā-uaua mō te wā roa. Kei roto i tēnei he puna iti (pūwero) e hono ana ki tētahi katitere e whakaurua ana ki roto i tētahi uaua nui, i roto i te uma te nuinga. Mā te pūwero ka taea te uru atu mō te hoatu rongoā, te rongoā mate pukupuku, te werohanga wai, me te tango toto, ā, ka kore e hiahiatia te werohanga ngira anō.
Ko te putanga chemo he mea hanga i ngā rauemi hototahi ki te koiora pērā i te titanium, te kirihou rānei, me te septum silicone e hiri ana i a ia anō. Ka taea e ngā tohunga hauora te uru atu ki te putanga mā te whakamahi i tētahi mea motuhake.ngira Huber kore-koro, te whakaiti i te mamae me te mōrearea o te mate ki te whakataurite ki ngā katitere IV tuku iho.
Ko ngā whakamahinga matua o ngā chemo ports ko:
1. te werohanga o ngā rongoā chemotherapy mō te wā roa
2. tautoko kai parenteral
3. te whakawhiti toto, te kohikohi toto rānei i ngā wā katoa
4. rongoā paturopi
5. te whakahaere mamae
Ngā whakaritenga me te hanganga o te tauranga Chemo (Port-a-Cath)
1. Ngā Whakatakotoranga
Ko ngā whakatakotoranga o ngā tauranga Chemo ka whakarōpūtia i runga i ngā tawhā e whai ake nei:
- Rahi: ko te whānui o te nohoanga werohanga he 2-3 henimita te nuinga, ā, ko te matotoru he tata ki te 1 henimita
- Te kaha: ko te rahinga o te wāhi weronga he 0.5-1.5 mL te nuinga
- Rahi o te kātene: ko te rahi e whakamahia whānuitia ana ko te 6-10 Wīwī
- Te roa o te katita: 20-90 cm, kei te wāhi i whakatōkia ai.
2. Ngā wāhanga hanganga
Ko te tauranga whakauru he mea hanga i ngā wāhanga e whai ake nei:
1. Nohoanga werohanga:
– He mea hanga ki te koranu titanium, ki te kirihou rānei
– He āputa silicone kei te tihi, e tu atu ana i te neke atu i te 2000 ngā poka.
– Kei raro he putanga hononga catheter
2. Tātari:
– He mea hanga ki te silicone, ki te polyurethane rānei
– Ngā āhuatanga ārai toto me te ārai mate
– Tērā pea he hoahoa taupoki kei tōna pito.
3. Pūrere whakatika:
– Hei whakau i te pūmau weronga me te catheter
– Ārai i te nekehanga me te whakawāteatanga
Ngā momo tauranga whakatō (ngā tauranga Chemo)
E ai ki ngā paearu whakarōpūtanga rerekē, ka taea te wehewehe i ngā tauranga whakauru ki ngā momo e whai ake nei:
1. Whakarōpūtanga mā te rauemi
- Ngā kaipupuri werohanga koranu titanium:
– Ngā Painga: kaha teitei, hototahi ki te MRI
– Ngā ngoikoretanga: Te utu teitei ake
- Ngā pūmau werohanga kirihou:
– Ngā Painga: utu iti, taumaha māmā
– Ngā ngoikoretanga: kāore i te hototahi ki te MRI
2. Ka whakarōpūtia ngā katitā e te wāhi o te pito katitā.
- Momo uaua pokapū:
– Ka mutu te katitere ki te vena cava o runga
– He pai mō te nuinga o ngā āhuatanga.
- Momo Uaua Āpiti:
– Ka mutu te katitere i roto i te uaua ā-taha.
– He pai mō te whakamahinga poto
3. Mā te Mahi
- Rūmana Kotahi:
– Te urunga kotahi mō te rongoā noa
- Rua Lumen:
– E rua ngā hongere motuhake mō te werohanga o ngā rongoā rerekē i te wā kotahi.
Ngā Painga o te Pūwero Whakatō (Pūwero Chemo)
1. Te whakamahinga mō te wā roa:
– Ka taea te waiho ki tōna tūranga mō ngā tau maha, ka whakaiti i ngā pokanga maha
– He pai mō ngā tūroro e hiahia ana ki te maimoatanga mō te wā roa
2. He iti te mōrearea o te mate:
– Kua whakatōkia katoatia ki roto i te tinana, ka whakaiti i te tūponotanga o te mate
– He iti iho te tere o te mate i te whakataurite ki ngā katitere uaua ā-taha
3. Te whakapai ake i te kounga o te oranga:
– Kāore he whakararuraru i ngā mahi o ia rā, ka taea te kaukau i te wā e hiahiatia ana
– Te tūmataitinga me te āhua huna
4. Whakaitihia ngā raruraru:
– Te whakaiti i te mōrearea o te phlebitis, te extravasation o te rongoā, me ētahi atu.
– Whakaitihia te kino o ngā oko toto
5. Ōhanga:
– He iti ake te utu mō te whakamahinga roa atu i te whakaurunga catheter auau
– Whakaitihia te roa o te wā e noho ana i te hōhipera me ngā utu e pā ana
6. He iti ake ngā hiahia tiaki
- He rerekē ki ngā aho pokapū o waho, ko ngā tauranga whakatō ka iti ake te auau o te whakawhiti kakahu me te tiaki.
7. Te tukunga rongoā whakarei ake
- Ka whakarite kia uru tika atu ki ngā uaua nui, ka whakapai ake i te mimiti o te rongoā me te whakaiti i te mumura o ngā uaua.
V. Me pēhea te whiriwhiri i tētahi tauranga whakauru tika (Chemo Ports)
Ko te whiriwhiri i te tauranga whakauru tino tika ka whakawhirinaki ki ētahi āhuatanga:
- Āhuatanga Hauora:
- He rawaka ngā putanga kotahi-lumen mō te rongoā matū paerewa, engari he pai ake ngā putanga rua-lumen mō ngā tūroro e hiahia ana ki te werohanga rongoā i te wā kotahi.
- E taunakihia ana ngā putanga werohanga hiko mō ngā tūroro e whiwhi whakaahua whakarei ake i te rerekētanga o te tirohanga.
- Hototahi Rauemi me te MRI:
- Ko te hunga mate pāwera ki te konganuku me whiriwhiri i ngā putanga kirihou.
- Ko ngā tauranga titanium hototahi ki te MRI te mea e pai ake ana mō ngā tūroro e hiahia ana ki ngā matawai whakaahua auau.
- Rahi me te Tūnga o te Tauranga:
- Whakaarohia te rahi o te tinana o te tūroro me te wāhi e hiahiatia ana mō te whakatakotoranga o te tauranga (uma vs. ringa).
- He pai ake pea ngā tauranga iti mō ngā tamariki, mō te hunga rānei he iti te ngako o te tinana.
- Auautanga o te Whakamahinga:
- Mena e hiahiatia ana he tango toto, he werohanga toto rānei i ngā wā katoa, he pai te whakamahi i tētahi putanga rua-lumen, i tētahi putanga werohanga hiko rānei.
- Ngā Taunakitanga a te Kaiwhakarato Hauora:
- Mā te kōrero ki te tākuta, ki te tohunga matepukupuku rānei, ka whakarite kia rite te momo tauranga ki te mahere maimoatanga me te āhua noho o te tūroro.
VI. Ngā Whakaaroaro ina Hoko Ana i tētahi Pūwero Whakatō (Pūwero Chemo)
1.Waitohu me te kaihanga
Kōwhiria ngā kaihanga rongonui kua whai tiwhikete FDA, CE, ISO13485 rānei hei whakarite i te kounga me te haumaru.
2. Te hototahitanga koiora
Me whakarite kia hototahi ngā rauemi e whakamahia ana (te titanium, te silicone, te kirihou rānei) ki ngā āhuatanga koiora, ā, kia whakaitihia ai te tūponotanga o ngā mate pāwera.
3. Te koretake me te takai
Me whakahoromata te tauranga i mua, ā, me hiri ki roto i te takai ā-kore e taea te whakarerekē hei whakaiti i te tūponotanga o te mate.
4. Te tirohanga me te tautuhi i te tauranga
Kei ētahi tauranga he tohu tautuhi, he āhuatanga ira-x rānei kua whakauruhia hei māmā ake te mōhio i te wā e matawaihia ana te whakaahua.
5. Hototahi ki te Ngira
Me whakarite kia hototahi te tauranga ki ngā ngira Huber paerewa kia māmā ai, kia haumaru ai hoki te urunga atu.
6. Te utu me te whai huatanga o te utu
Ahakoa he iti pea te tahua, me whakarite te kounga me te pakari hei ārai i ngā whakakapinga maha, i ngā raruraru rānei.
7.Ngā arotake a ngā kaiwhakamahi me ngā urupare haumanu
Whakaarohia ngā urupare mai i ngā tohunga hauora mō te pono me te mahi a ngā momo waitohu tauranga rerekē.
8. Tautoko whakangungu:
Me whakarite kia whakaratohia e te kaiwhakarato he whakangungu ngaio mō te whakamahinga o te hua.
Kia mārama ki ngā aratohu tiaki me te rapurongoā mō ngā hua.
Ngā āhuatanga o te tauranga whakauru (Chemo Ports) i whakaratohia e Shanghai Teamstand Corporation
Mā te putea kākahu me te hoahoa angiangi o mua ka taea te tapahi iti ake.
Mā te putanga ira-toru me te hoahoa pūwero tuitui ka pumau ake.
Maukati hononga ārai-piko.
He māmā ake te putanga polysulfone, ā, ka rite ki te kare o tētahi mea tauhou.
He māmā te whakatō. He māmā te tiaki.
He mea whakarite kia whakaitihia ngā uauatanga.
MR Āhuatanga tae atu ki te 3-Tesla.
He tohu CT radiopaque 8.5F kua whakauruhia ki roto i te port septum kia kitea ai i raro i te hihi-x.
Ka taea te werohanga mana tae atu ki te 5mL/hēkona me te whakatauranga pehanga 300psi.
Hototahi ki ngā ngira hiko katoa.
He tohu CT radiopaque kua whakauruhia ki roto i te port septum kia kitea ai i raro i te hihi-x.
Whakamutunga
Hei tangata matatautaputapu hauora, ngā tauranga whakauru(Ngā Tauranga Kemo)Ka whakaratohia he otinga haumaru, watea hoki mō ngā tūroro e hiahia ana ki te rongoā uaua mō te wā roa. Mā te mārama ki ngā whakaritenga, te hanganga, ngā momo me ngā painga o ngā tauranga werohanga, ka taea e ngā tūroro me ngā tīma hauora te whakatau whai whakaaro. Mā te whakaaro tika ki ngā hiahia o ngā tūroro, te kounga o te hua me te ratonga kaihoko i te wā hoko me te whakamahinga ka āwhina i te whakarite i ngā putanga maimoatanga me te haumaru o ngā tūroro. I te haere tonu o te whanaketanga o te hangarau hauora, ka haere tonu te arotau i te hoahoa me te mahi o ngā tauranga whakauru kia pai ake ai te wheako o ngā tūroro.
I te hoko i tētahi tauranga whakauru (Chemo Ports), me whakarite kia tutuki i ngā paerewa haumaru, kia hototahi ki te koiora, kia hototahi hoki ki ngā taputapu e tika ana. Mā te whiriwhiri me te tiaki tika, ka taea e ngā tauranga whakauru (chemo ports) te whakapai ake i te kounga o te oranga mō ngā tūroro e hiahia ana ki te urunga IV roa.
Mā te whai i tēnei aratohu whānui, ka taea e ngā tūroro me ngā tohunga hauora te whakatau whai whakaaro mō te tauranga whakauru (Chemo port) e tino tika ana mō te maimoatanga uaua mō te wā roa.
Wā tuku: Maehe-31-2025