IRIBURIRO
Mu buvuzi bugezweho ,.Chemo Port(Icyambu cyimurwa cyangwa Port-a-Cath), nkigihe kirekireigikoresho cyo kwinjira mu mitsi, ikoreshwa cyane mubarwayi bakeneye infusion kenshi, chimiotherapie, guterwa amaraso cyangwa infashanyo zimirire. Ntabwo bizamura imibereho y’abarwayi gusa, ahubwo binagabanya ububabare bwo gutobora inshuro nyinshi ndetse n’ibyago byo kwandura. Muri iki kiganiro, tuzacukumbura mubisobanuro, ibisobanuro, imiterere, ubwoko, ibyiza nuburyo bwo guhitamo igikwiye kugirango bigufashe kumva neza iki gikoresho cyingenzi cyubuvuzi.
I. Icyambu cya Chemo ni iki?
Icyambu cya Chemo, kizwi kandi nka aPort-a-Cathcyangwa icyambu cya infusion, nigikoresho cyubuvuzi gishyizwe munsi yuruhu kugirango byorohereze imiti yigihe kirekire. Igizwe n'ikigega gito (icyambu) gihujwe na catheter yinjizwa mumitsi minini, mubisanzwe mugituza. Icyambu cyemerera uburyo bworoshye bwo gucunga imiti, chimiotherapie, gushiramo amazi, no kuvoma amaraso, bikuraho ibikenerwa inshuro nyinshi.
Icyambu cya chemo mubusanzwe gikozwe mubikoresho bya biocompatible nka titanium cyangwa plastike hamwe na septum ya silicone yifungisha. Inzobere mu by'ubuzima zirashobora kugera ku cyambu ukoresheje umwiharikourushinge rwa Huber, kugabanya ibibazo no kugabanya ingaruka zandura ugereranije na catheters ya IV.
Imikoreshereze nyamukuru yicyambu cya chemo harimo:
1. Kwinjiza imiti ya chimiotherapie igihe kirekire
2. Inkunga yimirire yababyeyi
3. Guterwa kenshi cyangwa gukusanya amaraso
4. Ubuvuzi bwa antibiotique
5. Gucunga ububabare
Ibisobanuro n'imiterere y'icyambu cya Chemo (Port-a-Cath)
1. Ibisobanuro
Ibisobanuro byicyambu cya Chemo mubisanzwe bishyirwa mubice ukurikije ibipimo bikurikira:
- Ingano: diameter yintebe yatewe inshinge mubusanzwe iba ifite santimetero 2-3 naho ubunini bugera kuri santimetero 1
- Ubushobozi: ingano yintebe yo gutera inshinge ni 0.5-1.5 mL
- Ingano ya Catheter: ubunini bukoreshwa ni 6-10 Igifaransa
- Uburebure bwa Catheter: cm 20-90 bitewe na site yatewe.
2. Ibigize imiterere
Icyambu cyatewe kigizwe ahanini nibice bikurikira:
1. Intebe yo gutera inshinge:
- Ikozwe muri titanium cyangwa plastike
- Diaphragm ya Silicone hejuru, ishobora kwihanganira ibirenga 2000.
- Hasi ifite icyambu cya catheter
2. Catheter:
- Ikozwe muri silicone cyangwa polyurethane
- Antithrombotic na anti-infection
- Irashobora kugira igishushanyo mbonera.
3. Igikoresho gikosora:
- Byakoreshejwe mukurinda inshinge na catheter
- Irinda kwimurwa no gutandukana
Ubwoko bwibyambu byatewe (Chemo Ports)
Ukurikije ibipimo bitandukanye, ibyambu byatewe birashobora kugabanywa muburyo bukurikira:
1. Gutondekanya kubintu
- Abafite inshinge za Titanium alloy:
- Ibyiza: imbaraga nyinshi, MRI irahuye
- Ibibi: Igiciro cyo hejuru
- Abafite inshinge za plastike:
- Ibyiza: igiciro gito, uburemere bworoshye
- Ibibi: bike MRI ihuza
2. Catheters yashyizwe mubyiciro bya catheter iherezo.
- Ubwoko bw'imitsi yo hagati:
- Catheter irangirira muri vena cava isumba izindi
- Bikwiranye nibintu byinshi.
- Ubwoko bw'imitsi ya Periferique:
- Catheter irangirira mumitsi.
- Birakwiriye gukoreshwa mugihe gito
3. Kubikorwa
- Lumen umwe:
- Kubona inshuro imwe yo kuvura bisanzwe
- Kabiri Lumen:
- Imiyoboro ibiri yigenga yo kwinjiza icyarimwe ibiyobyabwenge bitandukanye.
Ibyiza byicyambu cyatewe (Icyambu cya Chemo)
1. Gukoresha igihe kirekire:
- Irashobora gusigara mumwanya wimyaka myinshi, kugabanya inshuro nyinshi
- Birakwiriye abarwayi bakeneye kwivuza igihe kirekire
2. Ibyago bike byo kwandura:
- Yatewe rwose mumubiri, bigabanya amahirwe yo kwandura
- Kugabanuka cyane kugaragara kwandura ugereranije na catheters ya periferique
3. Kuzamura imibereho myiza:
- Nta kwivanga mubikorwa bya buri munsi, birashobora kwiyuhagira bisanzwe
- Amabanga afite isura nziza
4. Kugabanya ingorane:
- Kugabanya ibyago bya phlebitis, gukabya ibiyobyabwenge, nibindi.
- Kugabanya kwangirika kwimitsi
5. Ubukungu:
- Igiciro gito cyo gukoresha igihe kirekire kuruta catheterisation
- Kugabanya igihe cyo gushyirwa mubitaro nibiciro bijyanye
6. Ibikenewe byo kubungabunga hasi
- Bitandukanye n'imirongo yo hagati yo hanze, ibyambu byatewe bisaba guhinduka gake kwambara no kwitaho.
7. Kongera uburyo bwo gutanga ibiyobyabwenge
- Iremeza uburyo butaziguye kugera ku mitsi minini, kunoza imiti no kugabanya imitsi.
V. Nigute wahitamo icyambu gikwiye (Icyambu cya Chemo)
Guhitamo icyambu gikwiye gushyirwaho biterwa nibintu byinshi:
- Imiterere y'ubuvuzi:
- Icyambu kimwe cya lumen kirahagije kuri chimiotherapie isanzwe, mugihe ibyambu bibiri-lumen nibyiza kubarwayi bakeneye imiti icyarimwe.
- Ibyambu byinjizwamo ingufu birasabwa abarwayi bakora amashusho atandukanye.
- Ibikoresho na MRI Guhuza:
- Abarwayi bafite allergie yicyuma bagomba guhitamo ibyambu bya plastiki.
- Ibyambu bya MRI bihujwe na titanium bikundwa kubarwayi bakeneye scan buri gihe.
- Ingano yicyambu nu mwanya:
- Reba ubunini bw'umubiri w'umurwayi n'aho wifuza gushyira icyambu (igituza n'ukuboko).
- Ibyambu bito birashobora kuba byiza kubarwayi babana cyangwa abantu bafite ibinure byo mumubiri.
- Inshuro yo gukoresha:
- Niba hakenewe kuvamo amaraso kenshi cyangwa gushiramo, icyambu cya lumen cyangwa inshinge zatewe ningirakamaro.
- Icyifuzo cyabatanga ubuvuzi Icyifuzo:
- Kugisha inama umuganga cyangwa oncologue byerekana ko ubwoko bwicyambu buhuza na gahunda yo kuvura umurwayi hamwe nubuzima bwe.
VI. Ibitekerezo mugihe uguze icyambu cyatewe (Chemo Ports)
1.Ikirango nuwagikoze
Hitamo abahinguzi bazwi bafite ibyemezo bya FDA, CE, cyangwa ISO13485 kugirango umenye ubuziranenge n'umutekano.
2.Kudahuza
Menya neza ko ibikoresho byakoreshejwe (titanium, silicone, cyangwa plastike) bidahuye kandi bigabanya ibyago byo guterwa na allergique.
3.Ububiko no gupakira
Icyambu kigomba kubanza kubikwa kandi kigashyirwaho kashe mu bikoresho bipfunyika kugira ngo bigabanye ingaruka zandura.
4.Port igaragara no kumenyekana
Ibyambu bimwe bizana ibimenyetso biranga cyangwa ibimenyetso bya radiopaque kugirango bimenyekane byoroshye mugihe cyo gufata amashusho.
5.Guhuza neza
Menya neza ko icyambu gihujwe ninshinge zisanzwe za Huber kugirango byoroshye kandi byizewe.
6.Ibiciro no gukora neza
Mugihe imbogamizi zingengo yimari zishobora kubaho, shyira imbere ubwiza nigihe kirekire kugirango wirinde gusimburwa kenshi cyangwa ingorane.
7.Abakoresha gusubiramo nibitekerezo byubuvuzi
Reba ibitekerezo byatanzwe nabashinzwe ubuvuzi kubijyanye no kwizerwa no gukora ibirango bitandukanye byicyambu.
8. Inkunga y'amahugurwa:
Menya neza ko utanga isoko atanga amahugurwa yumwuga ku ikoreshwa ryibicuruzwa.
Sobanukirwa no gufata neza ibicuruzwa no gukemura ibibazo.
Ibiranga icyambu (Chemo Ports) gitangwa na Shanghai Teamstand Corporation
Umufuka wa capsular ufite igishushanyo mbonera-cyimbere cyemerera gukata gato.
Ibice bitatu - icyambu hamwe na sutural pore igishushanyo bituma irushaho guhagarara neza.
Gufunga kurwanya gufunga.
Icyambu cya polysulfone kiroroshye, hamwe numubiri wamahanga.
Byoroshye gushiramo. Kubungabunga byoroshye.
Ufite intego yo kugabanya ibipimo byingutu.
MR Ibisabwa kugeza kuri 3-Tesla.
8.5F Ikimenyetso cya Radiopaque CT cyinjijwe muri port septum kugirango kiboneke munsi ya x-ray.
Emerera gushiramo ingufu kugeza 5mL / sek hamwe na 300psi igipimo cyumuvuduko.
Bihujwe ninshinge zose.
Ikimenyetso cya Radiopaque CT yashyizwe muri port septum kugirango igaragare munsi ya x-ray.
Umwanzuro
Nkumuntu wateye imbereibikoresho by'ubuvuzi, ibyambu byatewe(Ibyambu bya Chemo)tanga igisubizo cyizewe kandi cyoroshye kubarwayi bakeneye ubuvuzi bwigihe kirekire. Mugusobanukirwa ibisobanuro, ubwubatsi, ubwoko nibyiza byicyambu cya infusion, abarwayi nitsinda ryubuzima barashobora guhitamo byinshi. Urebye neza ibyo abarwayi bakeneye, ubuziranenge bwibicuruzwa na serivisi byabacuruzi mugihe cyo kugura no gukoresha bizafasha kumenya ibisubizo byubuvuzi n'umutekano w'abarwayi. Mugihe ikoranabuhanga ryubuvuzi rikomeje gutera imbere, igishushanyo mbonera n’imikorere y’ibyambu byatewe bizakomeza kunozwa kugirango uburambe bwiza bw’abarwayi.
Mugihe uguze icyambu cyatewe (Chemo Ports), menya ko cyujuje ubuziranenge bwumutekano, ni biocompatable, kandi gihujwe nibikoresho nkenerwa. Hamwe noguhitamo neza no kwitabwaho, ibyambu byatewe (ibyambu bya chemo) birashobora kuzamura imibereho yabarwayi bakeneye kwaguka kwa IV.
Mugukurikiza iki gitabo cyuzuye, abarwayi ninzobere mubuvuzi barashobora gufata ibyemezo byerekeranye nicyambu gikwiye kwimurwa (icyambu cya Chemo) kugirango bavurwe igihe kirekire.
Igihe cyo kohereza: Werurwe-31-2025