Embolic Microspheres ni microsperes ya hydrogel ishobora guhindagurika ifite imiterere isanzwe, hejuru yubuso, hamwe nubunini bwa Calibrated, ibyo bikaba biterwa no guhindura imiti kubikoresho bya alcool ya polyvinyl (PVA).Microspheres ya Embolic igizwe na macromer ikomoka kuri alcool ya polyvinyl (PVA), kandi ni hydrophilique, idasubirwaho, kandi iraboneka mubunini.Igisubizo cyo kubungabunga ni 0,9% sodium chloride yumuti.Amazi ya microse yuzuye yuzuye ni 91% ~ 94%.Microsperes irashobora kwihanganira kwikuramo 30%.
Embolic Microspheres igenewe gukoreshwa mu kurandura indwara ya arteriovenous malformations (AVMs) hamwe n'ibibyimba bya hypervasculaire, harimo na fibroide nyababyeyi.Muguhagarika gutanga amaraso ahantu hagenewe, ikibyimba cyangwa malformation yicishijwe inzara nintungamubiri kandi igabanuka mubunini.
Muri iki kiganiro, tuzakwereka intambwe zirambuye zijyanye no gukoresha Microspheres ya Embolic.
Gutegura ibicuruzwa
Birakenewe gutegura inshinge 1 20ml, siringi 2 10ml, 3 1ml cyangwa 2ml siringi, inzira eshatu, imikasi yo kubaga, igikombe cya sterile, imiti ya chimiotherapie, microsperes embolic, itangazamakuru ritandukanye, namazi yo gutera inshinge.
Intambwe ya 1: Hindura imiti ya chimiotherapie
Koresha imikasi yo kubaga kugirango ufungure icupa ryimiti ya chimiotherapeutique hanyuma usukemo imiti ya chimiotherapeutique mugikombe cyiza.
Ubwoko na dosiye yimiti ya chimiotherapeutique biterwa nubuvuzi bukenewe.
Koresha amazi yo gutera inshinge kugirango ushongeshe imiti ya chimiotherapie, kandi ibyifuzo bisabwa birenze 20mg / ml.
After imiti ya chimiotherapeutic yasheshwe burundu, imiti ya chimiotherapeutique yakuwe hamwe na siringi 10ml.
Intambwe ya 2: Gukuramo ibiyobyabwenge bitwara mikorobe
Microsperes ya embolised yaranyeganyejwe rwose, yinjizwa mu rushinge rwa syringe kugirango iringanize umuvuduko uri mu icupa,hanyuma ukuremo igisubizo na microsperes mumacupa ya cillin hamwe na siringi 20ml.
Reka seringe ihagarare muminota 2-3, hanyuma microsperes zimaze gutuza, ndengakamere isunikwa hanze yumuti.
Intambwe ya 3: Shyira imiti ya Chemotherapeutic muri Microspheres ya Embolic
Koresha inzira 3 zihagarara kugirango uhuze seringe na microsperike ya embolic na syringe hamwe numuti wa chimiotherapie, witondere guhuza neza nicyerekezo gitemba.
Shyira imiti ya chimiotherapie ukoresheje ukuboko kumwe, hanyuma ukuremo siringe irimo microsperes ya embolic ukoresheje ukuboko kwawe.Hanyuma, imiti ya chimiotherapie na microspere bivangwa muri siringi ya 20ml, uzunguza siringi neza, hanyuma ubireke muminota 30, ubizunguze buri minota 5 mugihe.
Intambwe ya 4: Ongeraho itangazamakuru ritandukanye
Microsperes zimaze gupakira imiti ya chimiotherapeutique muminota 30, harabaruwe ingano yumuti.
Ongeramo inshuro 1-1.2 ingano yubushakashatsi butandukanye unyuze munzira eshatu zihagarara, uzunguze neza hanyuma ureke uhagarare muminota 5.
Intambwe ya 5: Microsperes zikoreshwa mugikorwa cya TACE
Binyuze munzira eshatu zihagarara, shyiramo hafi 1ml ya microsperes muri 1ml syringe.
Microsperes zatewe muri microcatheter zatewe inshinge.
Kuyobora ibitekerezo:
Nyamuneka wemeze imikorere ya aseptic.
Emeza ko imiti ya chimiotherapeutique yasheshwe mbere yo gupakira imiti.
Ubwinshi bwimiti ya chimiotherapie bizagira ingaruka kumiti yo gupakira ibiyobyabwenge, uko kwibanda kwinshi, niko umuvuduko wa adsorption wihuta, ibyifuzo byo gupakira ibiyobyabwenge ntibiri munsi ya 20mg / ml.
Gusa amazi meza yo gutera inshinge cyangwa inshinge 5% ya glucose agomba gukoreshwa muguhagarika imiti ya chimiotherapie.
Igipimo cyo gushonga kwa doxorubicine mumazi meza yo gutera inshinge cyarihuse gato kurenza inshinge 5%.
5% inshinge ya glucose ishonga pirarubicin yihuta gato kurenza amazi meza yo gutera.
Gukoresha ioformol 350 nkibikoresho bitandukanye byari byiza cyane guhagarika microsperes.
Iyo batewe mu kibyimba binyuze muri microcatheter, hakoreshwa inshinge za pulse, zifasha cyane guhagarika microse.
Igihe cyo kohereza: Gashyantare-28-2024