MAU OYAMBA
M'zachipatala zamakono, aChemo Port(Implantable port kapena Port-a-Cath), ngati nthawi yayitalichida chofikira mitsempha, amagwiritsidwa ntchito kwambiri kwa odwala omwe amafunikira kulowetsedwa pafupipafupi, chemotherapy, kuikidwa magazi kapena kuthandizira zakudya. Sikuti amangowonjezera moyo wa odwala, komanso amachepetsa ululu wa puncture mobwerezabwereza komanso chiopsezo cha matenda. M'nkhaniyi, tidzakambirana za tanthawuzo, ndondomeko, mapangidwe, mitundu, ubwino ndi momwe mungasankhire yoyenera kuti ikuthandizeni kumvetsa bwino chipangizo chofunika chachipatala ichi.
I. Kodi Chemo Port ndi chiyani?
Doko la Chemo, lomwe limadziwikanso kuti aPort-a-Cathkapena kulowetsedwa, ndi chipangizo chachipatala chomwe chimayikidwa pansi pa khungu kuti chithandizire kuchiritsa kwa nthawi yayitali mtsempha. Amakhala ndi dziwe laling'ono (doko) lolumikizidwa ndi catheter yomwe imalowetsedwa mumtsempha waukulu, nthawi zambiri pachifuwa. Doko limalola kupeza mosavuta kwamankhwala, chemotherapy, kulowetsedwa kwamadzimadzi, ndi kutulutsa magazi, ndikuchotsa kufunikira kwa timitengo ta singano mobwerezabwereza.
Doko la chemo nthawi zambiri limapangidwa ndi zinthu zomwe zimagwirizana ndi biocompatible monga titaniyamu kapena pulasitiki yokhala ndi silikoni yodzisindikiza yokha. Akatswiri azaumoyo amatha kulowa padoko pogwiritsa ntchito yapaderasingano yopanda coring ya Huber, kuchepetsa kusamva bwino komanso kuchepetsa chiopsezo chotenga matenda poyerekeza ndi ma catheters achikhalidwe a IV.
Ntchito zazikulu zamadoko a chemo ndi:
1. kulowetsedwa kwa nthawi yayitali mankhwala amphamvu amphamvu
2. chithandizo chopatsa thanzi cha makolo
3. Kuthiridwa magazi pafupipafupi kapena kutolera magazi
4. mankhwala opha tizilombo
5. kusamalira ululu
Kufotokozera ndi kapangidwe ka doko la Chemo (Port-a-Cath)
1. Zofotokozera
Zofotokozera za madoko a Chemo nthawi zambiri zimagawika motengera magawo awa:
- Kukula: kutalika kwa mpando wa jakisoni nthawi zambiri kumakhala masentimita 2-3 ndipo makulidwe ake ndi pafupifupi 1 centimita
- Mphamvu: voliyumu ya mpando wa jekeseni lumen nthawi zambiri ndi 0.5-1.5 mL
- Kukula kwa catheter: kukula komwe amagwiritsidwa ntchito kwambiri ndi 6-10 French
- Catheter kutalika: 20-90 cm kutengera malo oyikamo.
2. Zigawo zamapangidwe
Doko loyikapo limapangidwa makamaka ndi zigawo izi:
1. Mpando wa jakisoni:
- Wopangidwa ndi titaniyamu alloy kapena pulasitiki
- Silicone diaphragm pamwamba, yomwe imatha kupirira ma punctures opitilira 2000.
- Pansi pali cholumikizira cha catheter
2. Catheter:
- Zopangidwa ndi silicone kapena polyurethane
- Antithrombotic ndi anti-infective katundu
- Ikhoza kukhala ndi mapangidwe otsekera kumapeto.
3. Kukonza chipangizo:
- Amagwiritsidwa ntchito kuteteza chotengera jekeseni ndi catheter
- Imalepheretsa kusamuka komanso kuthamangitsidwa
Mitundu yamadoko oyika (Chemo Ports)
Kutengera mitundu yosiyanasiyana, madoko oyika amatha kugawidwa m'mitundu iyi:
1. Kugawa ndi zinthu
- Zonyamula jekeseni wa Titanium alloy:
- Ubwino: mphamvu yayikulu, MRI yogwirizana
- Zoyipa: Mtengo wapamwamba
- Zosungira pulasitiki:
- Ubwino: mtengo wotsika, wopepuka kulemera
- Zoyipa: MRI yochepa yogwirizana
2. Ma catheter amagawidwa malinga ndi malo omwe catheter ili kumapeto.
- Mtundu wapakati wa venous:
- Catheter imathera mu vena cava yapamwamba
- Yoyenera pazinthu zambiri.
- Mtundu wa Peripheral Vein:
- Catheter imathera m'mitsempha yozungulira.
- Yoyenera kugwiritsidwa ntchito kwakanthawi kochepa
3. Mwa Ntchito
- Lumen Imodzi:
- Kupezeka kamodzi kokha kwa chithandizo chanthawi zonse
- Double Lumen:
- Awiri palokha njira munthawi yomweyo kulowetsedwa osiyana mankhwala.
Ubwino wa doko lokhazikika (Chemo Ports)
1. Kugwiritsa ntchito nthawi yayitali:
- Ikhoza kusiyidwa m'malo kwa zaka zingapo, kuchepetsa kubwereza mobwerezabwereza
- Oyenera odwala omwe amafunikira chithandizo chanthawi yayitali
2. Chiwopsezo chochepa chotenga matenda:
- Kuikidwa kwathunthu m'thupi, kuchepetsa mwayi wotenga matenda
- Chiwopsezo chochepa kwambiri cha matenda poyerekeza ndi ma catheter a venous catheter
3. Moyo wabwino:
- Palibe zosokoneza ndi zochitika za tsiku ndi tsiku, zimatha kusamba bwinobwino
- Zazinsinsi zokhala ndi mawonekedwe anzeru
4. Chepetsani zovuta:
- Kuchepetsa chiopsezo cha phlebitis, extravasation ya mankhwala, etc.
- Kuchepetsa kuwonongeka kwa mitsempha
5. Zachuma:
- Mtengo wotsika wogwiritsa ntchito nthawi yayitali kuposa catheterization mobwerezabwereza
- Chepetsani nthawi yogonekedwa m'chipatala komanso ndalama zofananira
6. Zosowa zochepetsera zosamalira
- Mosiyana ndi mizere yapakati yakunja, madoko oyikidwa amafunikira kusintha kocheperako komanso chisamaliro.
7. Kupititsa patsogolo mankhwala
- Imawonetsetsa kulumikizana mwachindunji ndi mitsempha yayikulu, kuwongolera kuyamwa kwamankhwala ndikuchepetsa kukwiya kwa mitsempha.
V. Momwe mungasankhire doko loyenera kubzalidwa (Chemo Ports)
Kusankha doko loyenera kwambiri lobzalidwa kumadalira zinthu zingapo:
- Mkhalidwe Wachipatala:
- Madoko a lumen amodzi amakwanira chemotherapy wamba, pomwe madoko a lumen awiri ndi abwino kwa odwala omwe amafunikira kulowetsedwa kwamankhwala munthawi imodzi.
- Madoko ojambulidwa ndi mphamvu amalimbikitsidwa kwa odwala omwe amajambula pafupipafupi mosiyanasiyana.
- Kugwirizana kwa Zinthu ndi MRI:
- Odwala ndi zitsulo ziwengo ayenera kusankha madoko pulasitiki.
- Madoko a titaniyamu ogwirizana ndi MRI amakondedwa kwa odwala omwe amafunikira kuwunika pafupipafupi.
- Kukula kwa Port ndi Kuyika:
- Ganizirani kukula kwa thupi la wodwalayo ndi malo omwe akufunika kuti akhazikike padoko (chifuwa motsutsana ndi mkono).
- Madoko ang'onoang'ono angakhale abwino kwa odwala ana kapena anthu omwe ali ndi mafuta ochepa thupi.
- Kawirikawiri Kagwiritsidwe:
- Ngati magazi amakoka pafupipafupi kapena kulowetsedwa kumafunika, doko lokhala ndi lumen iwiri kapena jakisoni wamagetsi ndilopindulitsa.
- Malangizo Othandizira Zaumoyo:
- Kufunsana ndi dokotala kapena oncologist kumatsimikizira mtundu wa dokowo ukugwirizana ndi dongosolo lamankhwala la wodwalayo komanso moyo wake.
VI. Kuganizira pogula doko lokhazikika (Chemo Ports)
1.Mtundu ndi wopanga
Sankhani opanga odziwika omwe ali ndi ziphaso za FDA, CE, kapena ISO13485 kuti mutsimikizire mtundu ndi chitetezo.
2.Biocompatibility
Onetsetsani kuti zinthu zomwe zimagwiritsidwa ntchito (titaniyamu, silikoni, kapena pulasitiki) ndi zogwirizana ndi biocompatible ndipo zimachepetsa chiopsezo cha ziwengo.
3.Kusabereka ndi kulongedza
Doko liyenera kusamitsidwa ndi kusindikizidwa m'mapaketi otetezedwa kuti achepetse chiopsezo cha matenda.
4.Port mawonekedwe ndi chizindikiritso
Madoko ena amabwera ndi zizindikiritso kapena zida zophatikizika zama radiopaque kuti zizindikirike mosavuta pakujambula zithunzi.
5.Kugwirizana kwa Nangano
Onetsetsani kuti dokolo likugwirizana ndi singano za Huber kuti mufike mosavuta komanso motetezeka.
6.Pricing ndi mtengo-mwachangu
Ngakhale zovuta za bajeti zitha kukhalapo, ikani patsogolo ubwino ndi kulimba kwake kuti mupewe kusinthidwa pafupipafupi kapena zovuta.
7.Ndemanga za ogwiritsa ntchito ndi malingaliro azachipatala
Ganizirani ndemanga zochokera kwa akatswiri azaumoyo pa kudalirika ndi magwiridwe antchito amitundu yosiyanasiyana yamadoko.
8. Thandizo la maphunziro:
Onetsetsani kuti wogulitsa akupereka maphunziro aukadaulo pakugwiritsa ntchito mankhwalawa.
Mvetserani zowongolera zogulira ndi njira zothetsera mavuto.
Mawonekedwe a doko lokhazikika (Chemo Ports) loperekedwa ndi Shanghai Teamstand Corporation
Chikwama cha capsular chokhala ndi mawonekedwe owongolera kutsogolo chimalola kudulidwa kochepa.
Doko la nsonga zitatu lomwe lili ndi mapangidwe a pore a sutural limapangitsa kuti likhale lokhazikika.
Anti-folding kugwirizana loko.
Doko la polysulfone ndi lopepuka, lokhala ndi zomverera zakunja.
Zosavuta kuyika. Zosavuta kukonza.
Amafuna kuchepetsa zovuta.
MR Conditional mpaka 3-Tesla.
Chizindikiro cha 8.5F Radiopaque CT chophatikizidwa mu septum ya doko kuti chiwonekere pansi pa x-ray.
Amalola jakisoni wamagetsi mpaka 5mL/sec ndi 300psi pressure rating.
Yogwirizana ndi singano zonse zamphamvu.
Chizindikiro cha Radiopaque CT chophatikizidwa mu septum ya doko kuti iwoneke pansi pa x-ray.
Mapeto
Monga patsogolochipangizo chachipatala, madoko oyika(Chemo Ports)perekani njira yotetezeka komanso yabwino kwa odwala omwe amafunikira chithandizo chanthawi yayitali m'mitsempha. Pomvetsetsa mafotokozedwe, zomangamanga, mitundu ndi maubwino a madoko olowetsedwa, odwala ndi magulu azachipatala amatha kupanga zisankho zodziwika bwino. Chifukwa choganizira zosowa za odwala, khalidwe la mankhwala ndi ntchito zamalonda panthawi yogula ndikugwiritsa ntchito zidzathandiza kutsimikizira zotsatira za chithandizo ndi chitetezo cha odwala. Pamene ukadaulo wazachipatala ukupitilirabe patsogolo, mapangidwe ndi magwiridwe antchito a madoko oti alowetsedwe apitiliza kukonzedwa kuti athe kudwala bwino.
Mukamagula doko lokhazikika (Chemo Ports), onetsetsani kuti likukwaniritsa miyezo yachitetezo, limagwirizana ndi biocompatible, ndipo limagwirizana ndi zida zofunika. Ndi kusankha koyenera ndi chisamaliro, madoko oyikidwa (madoko a chemo) amatha kusintha kwambiri moyo wa odwala omwe amafunikira mwayi wotalikirapo wa IV.
Potsatira chiwongolero chonsechi, odwala ndi akatswiri azachipatala amatha kupanga zisankho zomveka bwino za doko loyenera kwambiri loyikidwa (Chemo port) kuti athandizidwe kwanthawi yayitali m'mitsempha.
Nthawi yotumiza: Mar-31-2025