Gwaro rakazara reChemo port (Port-a-Cath)- chishandiso chinobatsira chechemotherapy

NHUNGAMIDZO

Muhutano hwemazuva ano, theChemo Port(Implantable port kana Port-a-Cath), senguva refuvascular access device, inoshandiswa zvakanyanya kune varwere vanoda nguva dzose infusion, chemotherapy, kuwedzerwa ropa kana rubatsiro rwekudya. Haisi kungovandudza mararamiro evarwere, asiwo inoderedza marwadzo ekuputika kwekudzokorora uye njodzi yehutachiona. Muchinyorwa chino, isu tichaongorora tsananguro, zvakatemwa, chimiro, mhando, zvakanakira uye nzira yekusarudza iyo yakakodzera kuti ikubatsire kunyatsonzwisisa iyi yakakosha mudziyo wekurapa.

I. Chii chinonzi Chemo Port?

A Chemo port, inozivikanwawo seaPort-a-Cathkana infusion port, mudziyo wekurapa wakaiswa pasi peganda kuti ufambise kurapa kwenguva refu intravenous. Iyo ine diki reservoir (port) yakabatana kune catheter inopinzwa mutsinga hombe, kazhinji muchipfuva. Chiteshi chinobvumira kupinda nyore kwekurapa kwemishonga, chemotherapy, kuisirwa mvura, uye kudhirowa kweropa, zvichibvisa kudiwa kwekudzokororwa tsono.

Iyo chemo chiteshi inowanzo gadzirwa ne biocompatible zvinhu zvakaita setitanium kana purasitiki ine yekuzvivharira silicone septum. Vashandi vehutano vanogona kuwana chiteshi vachishandisa yakakoshanon-coring Huber tsono, kuderedza kusagadzikana uye kuderedza njodzi dzehutachiona zvichienzaniswa neyechinyakare IV catheter.

Iko kushandiswa kukuru kwechemo ports kunosanganisira:

1. infusion yenguva refu chemotherapy mishonga

2. Kutsigira kwevabereki kunovaka muviri

3. kugara uchiwedzerwa ropa kana kuunganidza ropa

4. mishonga inorwisa mabhakitiriya

5. kugadzirisa marwadzo

Tsanangudzo uye chimiro cheChemo port (Port-a-Cath)

1. Zvinotsanangurwa

Izvo zvinotsanangurwa zveChemo ports zvinowanzoiswa muzvikamu zvinoenderana neanotevera paramita:

- Saizi: dhayamita yechigaro chejekiseni kazhinji 2-3 centimita uye ukobvu hunenge 1 centimita

- Kugona: huwandu hwechigaro chejekiseni lumen kazhinji 0.5-1.5 mL

- Catheter saizi: saizi inowanzoshandiswa ndeye 6-10 French

- Catheter kureba: 20-90 cm zvichienderana nenzvimbo yekuisirwa.

2. Zvimiro zvemuviri

Iyo portable inodyarwa inonyanya kuumbwa nezvikamu zvinotevera:

1. Chigaro chejekiseni:

- Yakagadzirwa netitanium alloy kana epurasitiki

-Silicone diaphragm kumusoro, iyo inogona kumira kupfuura 2000 punctures.

-Pasi pane catheter yekubatanidza chiteshi

2. Catheter:

- Yakagadzirwa nesilicone kana polyurethane

-Antithrombotic uye anti-infective zvivakwa

- Inogona kunge iine flap dhizaini pakupedzisira.

3. Kugadzirisa mudziyo:

-Inoshandiswa kuchengetedza chibatiso chejekiseni uye catheter

- Inodzivirira kutamiswa uye kudzingwa

Mhando dzezviteshi zvinodyarwa (Chemo Ports)

Zvinoenderana neakasiyana maitiro ekuisa, madoko anoisirwa anogona kukamurwa kuva anotevera marudzi:

1. Kuronga maererano nezvinhu

- Titanium alloy jekiseni vanobata:

-Zvakanakira: simba rakawanda, MRI inoenderana

– Zvakaipa: mutengo wepamusoro

- Plastic jekiseni vabati:

-Zvakanakira: mutengo wakaderera, uremu huremu

- Kukanganisa: shoma MRI inoenderana

2. Makateta akakamurwa nenzvimbo yekupera kwecatheter.

- Central venous mhando:

- Catheter inoguma mune yepamusoro vena cava

- Inokodzera mamiriro mazhinji.

- Peripheral Vein Type:

- Catheter inopera mutsinga yeperipheral.

- Inokodzera kushandiswa kwenguva pfupi

3. NeBasa

- Single Lumen:

-Kuwana kamwe chete kwemaitiro ekurapa

- Double Lumen:

- Nzira mbiri dzakazvimiririra dzekupinza panguva imwe chete yemishonga yakasiyana.

Zvakanakira zveinodyarwa chiteshi (Chemo Ports)

1. Kushandiswa kwenguva refu:

- Inogona kusiiwa munzvimbo kwemakore akati wandei, ichideredza kudzokorora punctures

- Inokodzera varwere vanoda kurapwa kwenguva refu

2. Ngozi shoma yekutapukirwa:

- Kunyatsoiswa mumuviri, kuderedza mukana wekutapukirwa

-Kunyanya kuderera kwehuwandu hwehutachiona zvichienzaniswa neperipheral venous catheters

3. Kuvandudzwa kwehupenyu:

- Hapana kukanganiswa nezviitiko zvezuva nezuva, unogona kugeza zvakajairika

-Kuvanzika nechitarisiko chakangwara

4. Deredza matambudziko:

-Kuderedza njodzi yephlebitis, kuwedzererwa kwezvinodhaka, nezvimwe.

- Kuderedza kukuvara kwevascular

5. Economic:

-Mutengo wakaderera wekushandisa kwenguva refu pane inodzokororwa catheterization

- Deredza nguva yekuchipatara uye mari yakabatana

6. Zvido zvekuchengetedza zvishoma

- Kusiyana nemitsara yepakati yepakati, zviteshi zvinogoneka zvinoda kushoma kazhinji kupfeka shanduko uye kutarisirwa.

7. Kufambiswa kwezvinodhaka kwakawedzerwa

-Inovimbisa kuwana kwakananga kumavheini makuru, kunatsiridza kutora kwemishonga uye kuderedza kutsamwa kwetsinga.

V. Nzira yekusarudza chiteshi chakakodzera chinosimwa (Chemo Ports)

Kusarudza yakanyatsokodzera kuisirwa chiteshi zvinoenderana nezvakati wandei zvinhu:

1. Medical Condition:
   • Single-lumen ports inokwana chemotherapy yakajairwa, nepo maviri-lumen ports ari nani kune varwere vanoda panguva imwe chete infusions yezvinodhaka.
   • Simba-majekiseni madoko anokurudzirwa kune varwere vari kugaro siyana-inosimudzira imaging.
2. Material uye MRI Kuenderana:
   • Varwere vane simbi allergies vanofanira kusarudza epurasitiki ports.
   • MRI-compatible titanium ports inosarudzwa kune varwere vanoda nguva dzose imaging scans.
3. Kukura kwePort uye Kuiswa:
   • Funga nezvekukura kwemuviri wemurwere uye nzvimbo inodiwa yekuiswa pachiteshi (chest vs. ruoko).
   • Zviteshi zvidiki zvinogona kuve zviri nani kune varwere vevana kana vanhu vane yakaderera muviri mafuta.
4. Kakawanda Kwekushandisa:
   • Kana nguva zhinji ropa richidhonzwa kana kuiswa mukati kuchidikanwa, chiteshi chemagetsi chine lumen kana simba-jekiseni chinobatsira.
5. Healthcare Provider Recommendation:
   • Kuonana nachiremba kana oncologist kunoita kuti mhando yechiteshi inoenderana nechirongwa chekurapa chemurwere uye mararamiro.

VI. Mafungiro kana uchitenga chiteshi chinoisirwa (Chemo Ports)

1.Brand uye mugadziri

Sarudza vagadziri vane mukurumbira vane FDA, CE, kana ISO13485 zvitupa kuti uve nechokwadi chemhando uye chengetedzo.

2.Biocompatibility

Ita shuwa kuti zvinhu zvinoshandiswa (titanium, silicone, kana plastiki) zvine biocompatible uye zvinoderedza njodzi yekusawirirana.

3.Sterility uye kurongedza

Chiteshi chengarava chinofanirwa kunge chisati chaitwa sterilized uye chakavharwa mukurongedzerwa-kutapudza kudzikisa njodzi dzehutachiona.

4.Port kuonekwa uye chiziviso

Mamwe madoko anouya nemakakisi ekuzivikanwa kana akamisikidzwa radiopaque maficha kuti azivikanwe zviri nyore panguva yekufungidzira scans.

5.Needle Compatibility

Ita shuwa kuti chiteshi chinopindirana neakajairwa Huber tsono kuti ive nyore uye yakachengeteka kuwana.

6.Pricing uye mari-inoshanda

Nepo zvimhingamipinyi zvebhajeti zvingavepo, koshesa kunaka nekusimba kudzivirira kudzokororwa kana matambudziko.

7.Ongororo dzevashandisi uye mhinduro dzekiriniki

Funga nezvemhinduro kubva kuvashandi vehutano nezvekuvimbika uye kuita kwemhando dzakasiyana dzechiteshi.

8. Tsigiro yekudzidzisa:

Ita shuwa kuti mutengesi anopa kudzidziswa kwehunyanzvi pakushandiswa kwechigadzirwa.

Nzwisisa gadziriso yechigadzirwa uye nhungamiro yekugadzirisa matambudziko.

Zvimiro zvechiteshi chinosimwa (Chemo Ports) chinopihwa neShanghai Teamstand Corporation

Iyo capsular bhegi ine yakakwenenzverwa yepamberi-yekupedzisira dhizaini inobvumira diki kucheka.

Iwo matatu - point port ine sutural pore dhizaini inoita kuti iwedzere kugadzikana.

Anti-kupeta yekubatanidza kiyi.

Iyo polysulfone port yakareruka, ine kunze kwemuviri kunzwa.

Zviri nyore kuisa. Zviri nyore kuchengetedza.

Chinangwa kudzikisa complication rates.

MR Conditional kusvika ku3-Tesla.

8.5F Radiopaque CT yekumaka yakaiswa muchiteshi septum kuti ionekwe pasi pe x-ray.

Inobvumira majekiseni emagetsi anosvika 5mL/sec uye 300psi pressure rating.

Inopindirana nemagetsi ese emagetsi.

Radiopaque CT yekumaka yakanyudzwa muchiteshi septum kuti ionekwe pasi pe x-ray.

Mhedziso

Semunhu wepamusoromudziyo wekurapa, zviteshi zvinosimwa(Chemo Ports)ipa mhinduro yakachengeteka uye iri nyore kune varwere vanoda kwenguva refu intravenous therapy. Nekunzwisisa zvakatemwa, kuvaka, mhando uye mabhenefiti einfusion ports, varwere uye zvikwata zvehutano zvinogona kuita sarudzo dzine ruzivo. Nekuda kwekutariswa kwezvinodiwa nemurwere, mhando yechigadzirwa uye sevhisi sevhisi panguva yekutenga uye kushandiswa kuchabatsira kuve nechokwadi chemhedzisiro yekurapa uye kuchengetedzwa kwemurwere. Sezvo tekinoroji yekurapa ichienderera mberi, dhizaini uye kushanda kwezviteshi zvinogoneka zvicharamba zvichigadziridzwa kuitira chiitiko chemurwere chiri nani.

Paunenge uchitenga chiteshi chinoisirwa (Chemo Ports), ita shuwa kuti inosangana nemiyero yekuchengetedza, inopindirana nehupenyu, uye inoenderana nezvinhu zvinodiwa. Nekusarudzwa kwakakodzera uye kutarisirwa, zviteshi zvinogoneka (chemo ports) zvinogona kuvandudza zvakanyanya hupenyu hwevarwere vanoda kuwedzerwa IV.

Nekutevedzera gwara iri rakazara, varwere nenyanzvi dzekurapa vanogona kuita sarudzo dzine ruzivo nezve yakanyatso kuisirwa chiteshi chengarava (Chemo port) yekurapa kwenguva refu intravenous.