Mu rwego rwubuvuzi bugezweho, cyane cyane imbereumutima wumutima, radiologiya, nakubaga imitsi, ibikoresho bike ni nkenerwa nkuIntangiriro. Nka shingiroibikoresho by'ubuvuzi, urupapuro rwerekana intangiriro rushobora kubona imiyoboro y'amaraso itekanye kandi ikora neza, ituma abaganga bakora uburyo bwo gusuzuma no kuvura neza kandi neza.
Iki gitabo cyuzuye kizasobanura icyatsi kibimburira icyo, uburyotekinoroji yububikoitezimbere ibisubizo byuburyo, nuburyo intangiriro yimyenda itandukanye nibindi bisaibikomoka ku buvuzinka kuyobora catheters. Tuzasuzuma kandi impamvu zikomeye zituma ibyatsi bitangiza bikoreshwa cyaneuburyo bwa angiographic.
Urupapuro rwerekana iki?
An Intangirironi umwiharikoibikoresho by'ubuvuziyagenewe koroshya uburyo bwo kubona imiyoboro yamaraso mugihe gito cyo gutera. Ubusanzwe yinjizwa mumitsi ya peripheri cyangwa imitsi - cyane cyane imiyoboro yumugore cyangwa imirasire - kugirango habeho umuyoboro wo kwinjiza catheters, insinga, imipira, nibindi bikoresho bikoreshwa muburyo bwo gusuzuma no gutabaza.
Urupapuro rwintangiriro rugizwe numuyoboro woroshye, wuzuye hamwe na valve ya hemostatike na dilator. Umuyoboro ufasha kwinjiza icyombo mu cyombo, na valve ikomezahemostasis, kwirinda gutakaza amaraso mugihe ibikoresho byinjijwe cyangwa byavanyweho.
Imikorere y'ingenzi y'urupapuro rwerekana:
- Itanga uburyo buhamye bwo kwinjira muri sisitemu y'amaraso.
- Irinda icyombo ihahamuka ryatewe no kwinjiza inshuro nyinshi ibikoresho.
- Ikomeza sisitemu ifunze kugirango igabanye ibyago byo kuva amaraso no kwandura.
- Emerera uburyo bwihuse kandi bunoze bwo guhanahana ibikoresho.
Intangiriro ya sheath iraboneka mubunini butandukanye, uburebure, nibikoresho kugirango bihuze inzira zitandukanye hamwe na anatomiya y'abarwayi.
Ikoranabuhanga rya Sheath
Mubikorwa bigoye byimitsi yumutima cyangwa imitsi, imitsi gakondo igororotse irashobora kugabanya uburyo bwo kubona ibintu bitoroshye. Iyi mbogamizi yatumye habaho iterambere ryakuyobora intangiriro- udushya twongera cyane imikorere ihindagurika kandi neza.
A icyatsi kibisiIbiranga inama idasobanutse cyangwa yerekana neza, ishobora kugendagenda mubyerekezo byinshi ukoresheje ikiganza cyangwa guhamagara kumpera yegeranye. Iyi mvugo itanga umwanya uhagije wibikoresho mubice bigoramye cyangwa bigoye kugera ahantu sisitemu yimitsi.
Ibyiza bya Sherable Intangiriro Intangiriro:
- Kugenda nezaunyuze munzira zigoye.
- Kunoza imikorere, cyane cyane mumwanya ufunzwe.
- Ihahamuka ntarengwakurukuta rwamato mugabanya manipulation ikabije.
- Inkunga nzizasisitemu yo gutanga ibikoresho.
Ibyatsi bibisi bifite akamaro kanini muburyo bwimikorere yumutima (urugero, ibumoso bwa atpend appendage occlusion, mitral valve gusana), ubushakashatsi bwa electrophysiologie, hamwe nindwara zifata imitsi nka aneurysm coiling cyangwa trombectomy.
Kuyobora Catheter na Sheath Intangiriro: Itandukaniro irihe?
Nubwokuyobora cathetersnaIntangirironi ibikoresho byombi bikoreshwa kugirango umuntu agere ku mitsi no gutanga ibikoresho byifashishwa, bikora intego zitandukanye kandi byubatswe muburyo butandukanye.
| Ikiranga | Kuyobora Catheter | Intangiriro |
| Gukoresha Ibanze | Kuyobora no gushyigikira ibikoresho byo gusuzuma cyangwa kuvura kurubuga rwagenewe | Kurema no gukomeza imiyoboro y'amaraso |
| Igishushanyo | Murebure, byateguwe mbere hamwe no kugenzura umuriro | Bigufi, byoroshye hamwe nubuyobozi butemewe |
| Sisitemu ya Valve | Mubisanzwe habura valve ya hemostasis | Bifite ibikoresho bya hemostatike kugirango bigabanye gutakaza amaraso |
| Gushyira | Kwinjiza byimbitse muri sisitemu y'amaraso | Bishyizwe kumurongo winjira (urugero, imiyoboro yumugore cyangwa radiyo) |
| Inkunga | Tanga icyerekezo cyerekezo ninkunga ya sisitemu ya catheter | Ikora nkurubuga rwo kumenyekanisha ibikoresho no guhana |
Ugusobanukirwa gutandukanya ni ngombwa muguhitamo igikwiyeibikomoka ku buvuzikuburyo bwatanzwe.
Kuki Intangiriro Zikoreshwa zikoreshwa muburyo bwa Angiographic?
Intangiriro yimyenda ikoreshwa muriuburyo bwa angiographickuberako borohereza inzira yo gutera irangi ritandukanye, kubona amashusho, no gukoresha ibikoresho byifashishwa-byose mugihe bibungabunga ubusugire bwimitsi.
Inyungu Zibanze Zimashini Zimenyekanisha muri Angiography:
- Zigama ibikoresho byinjira
Bimaze kwinjizwamo, sheath igumya guhagarara neza kandi ifunguye. Ibi birinda gucumita inshuro nyinshi kandi bigabanya ibyago byo guhura nibibazo. - Gushoboza Ibikoresho byinshi Kungurana ibitekerezo
Uburyo bukomeye bwa angiografiya busaba gukoresha ikoreshwa rya catheters zitandukanye hamwe ninsinga. Urupapuro rwintangiriro rutuma ibyo bikoresho bihinduka vuba kandi neza binyuze mumwanya umwe. - Komeza Hemostasis
Bitewe na valve yubatswe, sheath ibuza amaraso guhunga nubwo ibikoresho byanyuzemo. Ibi bigabanya gutakaza amaraso kandi bikomeza umutekano wumurwayi. - Mugabanye ibyago byo kugorana
Mugabanye ihungabana ryubwato no gukomeza inzira itajenjetse kubikoresho, ibyatsi bitangiza bigabanya ibyago byo gutandukana kw'imitsi, trombose, cyangwa kwandura. - Kunoza igihe cyateganijwe no gukora neza
Hamwe nuburyo bworoshye bwo guhanahana ibikoresho byihuse, intangiriro yerekana ifasha kugabanya igihe cyikurikiranabikorwa - ingenzi muburyo bwo gutoranya no gutabara byihutirwa.
Izi nyungu zisobanura impamvu ibyatsi bitangiza ari ibikoresho bisanzwe mubikorwa nka coronary angiography, peripheral angioplasty, na embolisation yubwonko.
Umwanzuro
UwitekaIntangirironi ibuye rikomeza imfurukaibikoresho by'ubuvuzimuri iki gihe. Uruhare rwarwo mu koroshya imiyoboro y'amaraso itekanye, isubirwamo ntishobora kuvugwa. Mugihe ibikorwa byubuvuzi bigenda bigorana, udushya nkakuyobora intangirirobarimo kuvugurura uburyo abaganga begera anatomiya itoroshye no koroshya akazi.
Gusobanukirwa imikorere ninyungu zo gutangiza ibyatsi-hamwe nuburyo bigereranya nibindiibikomoka ku buvuzinko kuyobora catheters-iha imbaraga inzobere mu buvuzi gufata ibyemezo byuzuye biteza imbere umusaruro w’abarwayi no gutsinda.
Waba uri umuganga, umuyobozi wubuzima, cyangwa umugabuzi wibicuruzwa, ugendana nibigezweho muriicyatsi kibisitekinoroji nibikoresho byinjira mumitsi nibyingenzi mugukomeza kuba indashyikirwa mukuvura abarwayi.
Igihe cyo kohereza: Jun-03-2025