NHANGANYAYA
Muhutano hwemazuva ano,Chiteshi cheChemo(Implantable port kana Port-a-Cath), senzira yenguva refumudziyo wekuwana tsinga, inoshandiswa zvakanyanya kuvarwere vanoda kuiswa mushonga wekurapa kakawanda, chemotherapy, kuwedzerwa ropa kana rutsigiro rwezvekudya. Haingogadziri hupenyu hwevarwere chete, asiwo inoderedza marwadzo ekuboorwa kakawanda uye njodzi yehutachiona. Muchinyorwa chino, tichaongorora tsananguro, marongerwo, chimiro, mhando, zvakanakira uye mashandisiro ekusarudza chakakodzera kuti chikubatsire kunzwisisa zvizere mudziyo uyu wekurapa unokosha.
I. Chii chinonzi Chemo Port?
Chiteshi cheChemo, chinozivikanwawo sePort-a-Cathkana kuti infusion port, chishandiso chekurapa chinoiswa pasi peganda kuti chibatsire kurapwa kwenguva refu ne intravenous therapy. Chine nzvimbo diki (port) yakabatana ne catheter inopinzwa mutsinga huru, kazhinji muchipfuva. Nzvimbo iyi inobvumira nyore nyore kupa mishonga, chemotherapy, infusion yemvura, uye kutorwa kweropa, zvichibvisa kudiwa kwekushandisa tsono kakawanda.
Chiteshi che chemo chinowanzogadzirwa nezvinhu zvinoenderana nehupenyu zvakaita setitanium kana purasitiki ne silicone septum inozvivharira. Nyanzvi dzezvehutano dzinogona kupinda pachiteshi ichi dzichishandisa hunyanzvi hwakakosha.tsono yeHuber isina kuvharwa, kuderedza kusagadzikana uye kuderedza njodzi dzehutachiona zvichienzaniswa ne IV catheters dzechinyakare.
Mashandisirwo makuru e chemo ports anosanganisira:
1. kuisirwa mishonga yechemotherapy kwenguva refu
2. rutsigiro rwekudya rwevabereki
3. kuwedzerwa ropa kakawanda kana kuunganidzwa kweropa
4. kurapwa nemishonga inorwisa mabhakitiriya
5. kugadzirisa marwadzo
Magadzirirwo uye chimiro chechiteshi cheChemo (Port-a-Cath)
1. Magadzirirwo
Magadzirirwo emachiteshi eChemo anowanzo kurongwa zvichienderana nematanho anotevera:
- Saizi: dhayamita yechigaro chejekiseni inowanzova 2-3 centimeters uye ukobvu hwacho hunenge 1 centimeter
- Kugona: huwandu hwe lumen yechigaro chejekiseni hunowanzova 0.5-1.5 mL
- Saizi yeCatheter: saizi inowanzoshandiswa ndeye 6-10 French
- Kureba kwecatheter: 20-90 cm zvichienderana nenzvimbo yekuisa.
2. Zvikamu zvechivako
Chiteshi chinoiswa mudumbu chinonyanya kuumbwa nezvikamu zvinotevera:
1. Chigaro chejekiseni:
- Yakagadzirwa ne titanium alloy kana plastiki
– Silicone diaphragm iri pamusoro, inogona kutsungirira maburi anodarika 2000.
- Pasi pane nzvimbo yekubatanidza catheter
2. Catheter:
- Yakagadzirwa nesilicone kana polyurethane
- Hunhu hwekudzivirira thrombosis uye hwekudzivirira hutachiona
- Inogona kunge iine dhizaini yeflap kumagumo.
3. Kugadzirisa mudziyo:
- Inoshandiswa kuchengetedza chibatiso chejekiseni necatheter
- Inodzivirira kusuduruka uye kuburitswa kwechinhu
Mhando dzemaports anogona kuiswa (Chemo Ports)
Zvichienderana nezvinodiwa zvakasiyana-siyana, mapombi anogona kuiswa anogona kukamurwa kuita mhando dzinotevera:
1. Kupatsanura zvinhu nekushandisa zvinhu
- Zvibatiso zvejekiseni reTitanium alloy:
- Mabhenefiti: simba rakawanda, inoenderana neMRI
– Zvakashata: Mutengo wakakwira
- Zvibatiso zvepurasitiki zvejekiseni:
- Mabhenefiti: mutengo wakaderera, huremu hwakareruka
– Dambudziko: kusapindirana kweMRI zvakanyanya
2. Macatheter anorongwa zvichienderana nenzvimbo yemugumo wecatheter.
- Rudzi rwetsinga yepakati:
- Catheter inoguma ne superior vena cava
- Yakakodzera mamiriro mazhinji ezvinhu.
- Rudzi rweTsamba Yekumucheto:
– Catheter inogumira mutsinga yeropa.
- Yakakodzera kushandiswa kwenguva pfupi
3. Nebasa
- Lumen imwe chete:
- Kuwana rubatsiro rwekurapa rwenguva dzose kamwe chete
- Kupenya Kwakaviri:
- Nzira mbiri dzakazvimiririra dzekuisa mishonga yakasiyana panguva imwe chete.
Mabhenefiti ekushandisa chiteshi chinoiswa mudumbu (Chemo Ports)
1. Kushandiswa kwenguva refu:
– Inogona kusiiwa panzvimbo yayo kwemakore akati wandei, zvichideredza kuboorwa kunoramba kuchiitika
- Yakakodzera varwere vanoda kurapwa kwenguva refu
2. Njodzi shoma yekutapukirwa:
- Yakaiswa mumuviri zvizere, zvichideredza mukana wekutapukirwa
- Kuwanda kwehutachiona kwakaderera zvakanyanya kana tichienzanisa nemacatheter emutsinga dzeropa
3. Hunhu hwakanaka hwehupenyu:
- Hapana kukanganiswa nemabasa ezuva nezuva, unogona kugeza nguva dzose
- Kuvanzika nechitarisiko chakavanda
4. Deredza matambudziko:
- Kuderedzwa kwenjodzi ye phlebitis, kuwedzerwa kwemishonga, nezvimwewo.
- Deredza kukuvara kwetsinga dzeropa
5. Zvehupfumi:
– Mutengo wakaderera wekushandisa kwenguva refu pane kudzokororwa kwekushandisa catheter
- Deredza nguva yekurara muchipatara nemari dzakabatana nadzo
6. Zvinodiwa zvekugadzirisa zvishoma
- Kusiyana nemitsetse yekunze yepakati, maburi anoiswa mumigero haadi kuchinja machira kakawanda uye kutarisirwa.
7. Kuwedzerwa kwekushandiswa kwemishonga
- Inovimbisa kusvika zvakananga mutsinga huru, ichivandudza kupinza kwemishonga uye inoderedza kutsamwa kwetsinga.
V. Maitiro ekusarudza pombi yakakodzera inoiswa (Chemo Ports)
Kusarudza chiteshi chakakodzera chinoiswa mudumbu kunoenderana nezvinhu zvakati wandei:
- Mamiriro Ehutano:
- Nzvimbo dzinoshandiswa pakurapa ne single-lumen dzakakwana pakurapa ne chemotherapy, nepo nzvimbo dzinoshandiswa pakurapa ne double-lumen dziri nani kune varwere vanoda kuisirwa mishonga panguva imwe chete.
- Mapombi ekuisa jekiseni remagetsi anokurudzirwa kuvarwere vanoongororwa mifananidzo kakawanda vachiona kuti vari kusiyanisa mifananidzo.
- Kuenderana kwezvinhu uye MRI:
- Varwere vane allergies dzesimbi vanofanira kusarudza mapurasitiki.
- Matinji etitanium anoenderana neMRI anonyanya kufarirwa kuvarwere vanoda kutorwa mifananidzo nguva nenguva.
- Saizi yePort uye Nzvimbo:
- Funga nezvehukuru hwemuviri wemurwere uye nzvimbo yaanoda yekuisa chipfuva (chipfuva vs. ruoko).
- Nzvimbo diki dzinogona kunge dziri nani kune varwere vevana kana vanhu vane mafuta mashoma mumuviri.
- Kushandiswa Kwakawanda:
- Kana ropa richitorwa kakawanda kana kuti richidikanwa kuiswa muropa, nzira yekuisa ropa rine lumen mbiri kana kuti power-injection inobatsira.
- Zvinokurudzirwa neMupi weHutano:
- Kubvunza chiremba kana chiremba wekenza kunoita kuti chirwere chegomarara chienderane nehurongwa hwekurapa kwemurwere uye mararamiro ake.
VI. Zvekufunga nezvazvo pakutenga chiteshi chinogona kuiswa (Chemo Ports)
1.Brand uye mugadziri
Sarudza vagadziri vane mukurumbira vane zvitupa zveFDA, CE, kana ISO13485 kuti uve nechokwadi chehunhu uye kuchengetedzeka.
2. Kuenderana kwehupenyu
Iva nechokwadi chekuti zvinhu zvinoshandiswa (titanium, silicone, kana purasitiki) zvinoenderana nemuviri uye zvinoderedza njodzi yekurwara nezvirwere.
3. Kusabereka uye kurongedza
Chivharo chinofanira kucheneswa nema sterilized uye kuvharwa mumapakeji asingakanganiswi nehutachiona kuti pasave nenjodzi yehutachiona.
4. Kuonekwa kwechiteshi uye kuzivikanwa kwacho
Mamwe maports ane zviratidzo zvekuzivikanwa kana zvinhu zvakaiswa mu radiopaque kuti zvive nyore kuona panguva yemifananidzo.
5. Kuenderana kwetsono
Iva nechokwadi chekuti chiteshi ichi chinoenderana netsono dzeHuber dzakajairwa kuti zvive nyore kupinda.
6. Mitengo uye kushanda zvakanaka kwemari
Kunyange zvazvo paine bhajeti shoma, tanga nepfungwa yekuti zvinhu zvichagara zvakanaka uye zvichagara kwenguva refu kudzivirira kutsiva kana matambudziko akawanda.
7.Ongororo dzevashandisi uye mhinduro dzekiriniki
Funga nezvemhinduro kubva kunyanzvi dzezvehutano pamusoro pekuvimbika uye mashandiro emhando dzakasiyana dzemaport.
8. Rutsigiro rwekudzidziswa:
Iva nechokwadi chekuti mutengesi anopa kudzidziswa kwehunyanzvi pakushandiswa kwechigadzirwa.
Nzwisisa nhungamiro dzekugadzirisa chigadzirwa uye kugadzirisa matambudziko.
Zvinhu zvepachiteshi chinogona kuiswa (Chemo Ports) zvinopihwa neShanghai Teamstand Corporation
Bhegi recapsular rine dhizaini yekumberi yakapfava rinobvumira kucheka kudiki.
Chiteshi chetatu chine maburi emusana chinoita kuti chigadzikane.
Kiyi yekubatanidza inodzivisa kupeta.
Chivharo chepolysulfone chakareruka, chine kunzwa kwemuviri wekunze.
Zviri nyore kuisa. Zviri nyore kuchengetedza.
Yakagadzirirwa kuderedza huwandu hwezvinetso.
MR ine mamiriro ezvinhu kusvika ku3-Tesla.
8.5F Radiopaque CT marking yakaiswa mu port septum kuti ionekwe pasi pe x-ray.
Inobvumira majekiseni emagetsi anosvika 5mL/sec uye 300psi pressure rating.
Inoenderana nesimbi dzese dzemagetsi.
Kucherechedzwa kweCT kweRadiopaque kwakabatanidzwa mu port septum kuti kuonekwe pasi pe x-ray.
Mhedziso
Semunhu akabudiriramudziyo wekurapa, maports anogona kuiswa(Zviteshi zveChemo)inopa mhinduro yakachengeteka uye iri nyore kune varwere vanoda kurapwa kwenguva refu ne intravenous. Nekunzwisisa marongero, mavakirwo, mhando uye mabhenefiti ema infusion ports, varwere nemapoka ehutano vanogona kuita sarudzo dzine ruzivo rwakadzama. Kufunga zvinodiwa nemurwere, mhando yechigadzirwa uye sevhisi yemutengesi panguva yekutenga nekushandisa zvichabatsira kuona mhedzisiro yekurapa uye kuchengetedzeka kwemurwere. Sezvo tekinoroji yekurapa ichiramba ichifambira mberi, dhizaini uye mashandiro ema implant ports acharamba achigadziriswa kuti murwere awane ruzivo rwuri nani.
Paunenge uchitenga chiteshi chinoiswa muropa (Chemo Ports), iva nechokwadi chekuti chinosangana nezvinodiwa zvekuchengetedza, chinoenderana nemuviri, uye chinoenderana nezvimwe zvinodiwa. Kana ukasarudza zvakanaka uye uchitarisira, chiteshi chinoiswa muropa (chemo ports) chinogona kuvandudza hupenyu hwevarwere vanoda kupinda muchina kwenguva yakareba.
Nekutevera gwara iri rakazara, varwere nenyanzvi dzezvekurapa vanogona kusarudza zvine ruzivo nezvechinhu chakakodzera kuiswa muropa (Chemo port) chekurapa kwenguva refu kuburikidza netsinga.
Nguva yekutumira: Kurume-31-2025