Mwisi yubuvuzi bugezweho, neza, kwiringirwa, numutekano ntibishobora kuganirwaho. Mu bikoresho byinshi biha imbaraga inzobere mu buvuzi gutanga ubuvuzi bufite ireme ,.kuyobora catheterigaragara nkigice cyingenzi muburyo bworoshye bwo gutera. Nkigice cyurwego rwagutse rwaubuvuzi, kuyobora catheters bigira uruhare runini mugupima, kuvura, no kubaga. Ku banyamwuga bagize uruhare mu gutanga ubuvuzi kandiibikoresho byo kwa muganga, gusobanukirwa ibyasabwe, ubwoko, no gutandukanya ibyo bikoresho ni urufunguzo rwo gutanga ibisubizo byubuzima bwiza.
Catheter ikuyobora ni iki?
Catheter iyobora ni umuyoboro wabugenewe wifashishijwe mu kuyobora ibindi bikoresho, nka stent, imipira, cyangwa umurongo ngenderwaho, ahantu runaka mu mubiri - mubisanzwe muri sisitemu y'amaraso. Izi catheters zitanga inkunga kandi zihamye, zemerera kugenzura neza mugihe nka coronary angiography cyangwa percutaneous coronary intervention (PCI).
Bitandukanye na catheteri yo kwisuzumisha, kuyobora catheters nini nini ya diametre kandi ikomeye, ibemerera gutanga ibindi bikoresho mugihe bakomeje umwanya wabo imbere yubwato. Mubisanzwe byinjizwa binyuze mumitsi ya peripheri (nka arteri femorale cyangwa radial) kandi ikanyura mumitsi y'amaraso kugirango igere kumutima cyangwa ahandi hantu igenewe.
Ubwoko bwo kuyobora Catheters
Hariho ubwoko butandukanye bwo kuyobora catheters burahari, buri cyashizweho kugirango gikemure ibikenewe byubuvuzi hamwe nuburyo butandukanye. Guhitamo ubwoko bwa catheteri biterwa nuburyo, imiterere yumurwayi, hamwe nibyifuzo bya muganga. Ubwoko bumwe busanzwe burimo:
Judkins Ibumoso (JL) na Judkins Iburyo (JR): Ibi bikunze gukoreshwa mubikorwa bya koronari. JL yagenewe imiyoboro y'amaraso ibumoso, naho JR ikoreshwa iburyo.
Amplatz (AL / AR): Yashizweho kugirango igere ku mitsi igoye cyangwa idasanzwe, cyane cyane iyo catheters isanzwe idashobora gutanga inkunga ihagije.
Multipurpose (MP): Itanga guhinduka kugirango igere kubutaka bwinshi bwimitsi.
Inyongera Zinyongera (XB cyangwa EBU): Itanga inkunga yongerewe imbaraga hamwe no gutuza kubibazo bigoye cyangwa anatomy itoteza.
Buri bwoko buratandukana muburyo bwimiterere, uburebure, no guhinduka, bigatuma guhitamo neza ari ngombwa kugirango bigerweho.
Imikoreshereze yo kuyobora Catheters mubikorwa byubuvuzi
Kuyobora catheters ikoreshwa cyane mubikorwa byumutima nimiyoboro y'amaraso, neurologiya, na radiologiya interventional. Dore bimwe mubikorwa byabo byibanze:
Ibikorwa bya Coronary: Korohereza ishyirwaho rya stent cyangwa imipira mumitsi ifunze mugihe cya angioplasty.
Uburyo bwa Electrophysiology: Kubyinjiza mapping nibikoresho byo gukuraho mumutima.
Uburyo bwa Neurovasculaire: Kubwo gutanga ibishishwa cyangwa imiti ya embolique mukuvura aneurysm cyangwa malterifique arteriovenous.
Gutabara kwa Periferiya: Byakoreshejwe kugirango umuntu agere ku mitsi ya peripheri no gutanga ubuvuzi kumitsi ifunze cyangwa yagabanijwe.
Kubera ubuhanga bwabo ninshingano zikomeye mugutanga ibindi bikoresho, kuyobora catheters nibyingenzi mubarura ryikigo icyo aricyo cyose cyubuvuzi cyangwa abatanga ibikoresho byubuvuzi.
Itandukaniro Hagati ya Guidewire na Catheter
Nubwo bikunze gukoreshwa hamwe,kuyoborana catheters bitanga intego zitandukanye mubikorwa byubuvuzi.
Guidewire: Umugozi woroshye, woroshye ukoreshwa mu kunyura muri sisitemu y'amaraso kugirango ugere ku ntego runaka. Ikora nka "inzira nyabagendwa" kuri catheters nibindi bikoresho.
Catheter: Umuyoboro wuzuye utezimbere hejuru yubuyobozi kugirango utange ibikoresho byo kuvura cyangwa gupima aho bivuriza.
Muri make, ubuyobozi buyobora inzira, na catheter ikurikira. Mugihe umurongo ngenderwaho utanga manuuverability, catheter itanga imiterere numuyoboro kubindi bikoresho.
Kuyobora Catheters murwego rwo gutanga ubuvuzi
Hamwe n'ubwiyongere bw'indwara z'umutima n'imitsi ndetse no guhindura isi ku buryo bworoshye bwo gutera, icyifuzo cyo kuyobora catheters cyiyongereye cyane. Abatumiza mu mahanga n’abakora ibikoresho byubuvuzi bagomba kwemeza ko ibyo bikoresho byujuje ubuziranenge mpuzamahanga nka ISO na CE.
Ibintu nka sterisizione, kuramba kwibintu, biocompatibilité, hamwe no gupakira nibintu byingenzi mugutumiza hanzeubuvuzi. Amasosiyete akora kwisi yoseibikoresho byo kwa mugangaubucuruzi bugomba kandi kumenya ibisabwa kugenzurwa kumasoko yagenewe nka EU, Amerika, nuburasirazuba bwo hagati.
Umwanzuro
Catheter iyobora ntabwo irenze igice gusa - ni igikoresho cyingenzi gifasha inzira kurokora ubuzima. Mugihe gahunda yubuzima ku isi ikomeje gukoresha uburyo bwo kuvura buteye imbere, butabangamiwe, kuyobora catheters bizakomeza kuba ibikoresho byingirakamaro kubavuzi. Ku bafatanyabikorwa mu gutanga ubuvuzi n’inganda zikoreshwa mu buvuzi, gusobanukirwa no guteza imbere agaciro k’ibi bikoresho ni urufunguzo rwo guteza imbere udushya no guteza imbere ubuvuzi bw’abarwayi.
Igihe cyo kohereza: Jun-09-2025