mehato e qaqileng mabapi le mokhoa oa ho sebelisa embolic microspheres

litaba

mehato e qaqileng mabapi le mokhoa oa ho sebelisa embolic microspheres

Embolic Microspheres ke compressible hydrogel microspheres tse nang le sebopeho se tloaelehileng, bokaholimo bo boreleli, le boholo bo lekantsoeng, tse entsoeng ka lebaka la phetoho ea lik'hemik'hale ho lisebelisoa tsa joala tsa polyvinyl (PVA). Embolic Microspheres e na le macromer e nkiloeng ho polyvinyl alcohol (PVA), 'me e na le hydrophilic, ha e khone ho resorbable,' me e fumaneha ka mefuta e mengata ea boholo. Tharollo ea ho boloka ke 0.9% sodium chloride solution. Likahare tsa metsi tsa microsphere e nang le polymerized ka botlalo ke 91% ~ 94%. Li-microspheres li ka mamella khatello ea 30%.

Embolic Microspheres e reretsoe ho sebelisoa bakeng sa ho kopanya arteriovenous malformations (AVMs) le hypervascular tumors, ho akarelletsa le uterine fibroids. Ka ho thibela phepelo ea mali sebakeng se lebisitsoeng, hlahala kapa malformation e felloa ke tlala ea limatlafatsi 'me e fokotseha ka boholo.

Sehloohong sena, re tla u bontša mehato e qaqileng mabapi le mokhoa oa ho sebelisa Embolic Microspheres.

Ho lokisa thepa

Hoa hlokahala ho lokisa 1 20ml syringe, 2 10ml syringe, 3 1ml kapa 2ml syringe, litsela tse tharo, lisekere tse buoang, senoelo se sa hloekang, lithethefatsi tsa chemotherapy, embolic microspheres, mecha ea litaba e fapaneng, le metsi bakeng sa ente.

tokisetso

Mohato oa 1: Lokisa lithethefatsi tsa chemotherapy

Sebelisa sekere sa ho buoa ho khoasolla botlolo ea moriana oa chemotherapeutic ebe u tšela moriana oa chemotherapeutic ka komiking e sa hloekang.
Mofuta le litekanyetso tsa meriana ea chemotherapeutic li itšetlehile ka litlhoko tsa kliniki.

1 化疗药倒入无菌杯

Sebelisa metsi bakeng sa ente ho qhaqha meriana ea chemotherapy, 'me khatello e khothalletsoang e feta 20mg / ml.

2 溶解化疗药物

Aka mor'a hore moriana oa chemotherapeutic o qhibilihe ka ho feletseng, tharollo ea meriana ea chemotherapeutic e ile ea ntšoa ka seringe ea 10ml.

3 抽取化疗药物

 

Mohato oa 2: Ho ntšoa ha li-embolic microspheres tse tsamaisang lithethefatsi

Li-microspheres tse kentsoeng li ile tsa sisinyeha ka botlalo, tsa kenngoa ka nale ea sering ho leka-lekanya khatello ka botlolong,'me u ntše tharollo le microspheres botlolong ea cillin ka serinji ea 20ml.

Lumella seringe ho ema metsotso e 2-3, 'me ka mor'a hore li-microspheres li lule, supernatant e sutumetsoa ka ntle ho tharollo.

4 抽取微球

Mohato oa 3: Laela lithethefatsi tsa Chemotherapeutic ho Embolic Microspheres

Sebelisa mekhoa ea 3 stopcock ho hokahanya serinji le embolic microsphere le serinji le moriana oa chemotherapy, ela hloko khokahano ka tieo le tataiso ea phallo.
Sututsa serinji ea moriana oa chemotherapy ka letsoho le le leng, 'me u hule serinji e nang le embolic microspheres ka letsoho le leng. Qetellong, moriana oa chemotherapy le microsphere li kopantsoe ka seringe ea 20ml, sisinya serinji hantle, 'me u e tlohele metsotso e 30, e sisinye metsotso e meng le e meng e mehlano nakong eo.

5 微球加载药物

Mohato oa 4: Eketsa mecha ea litaba e fapaneng

Ka mor'a hore li-microspheres li laeloe ka lithethefatsi tsa chemotherapeutic bakeng sa metsotso ea 30, molumo oa tharollo o ile oa baloa.
Eketsa makhetlo a 1-1.2 boholo ba moemeli oa phapang ka tsela e meraro ea stopcock, sisinya hantle 'me u eme metsotso e 5.

6 加入造影剂

 

Mohato oa 5: Li-microsphere li sebelisoa ts'ebetsong ea TACE

Ka li-stopcock tse tharo, kenya hoo e ka bang 1ml ea li-microsphere ka har'a sering ea 1ml.

7

Li-microspheres li ile tsa kenngoa ka har'a microcatheter ka ente ea pulsed.

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Litlhokomeliso tsa tataiso:

Ka kopo netefatsa ts'ebetso ea aseptic.
Netefatsa hore litlhare tsa chemotherapeutic li qhibilihile ka botlalo pele o kenya lithethefatsi.
Motsoako oa lithethefatsi tsa chemotherapy o tla ama phello ea ho jara lithethefatsi, ho phahama ha mahloriso, lebelo la adsorption ka potlako, khatello e khothalletsoang ea ho jara lithethefatsi ha e ka tlase ho 20mg / ml.
Ke metsi a hloekisitsoeng feela bakeng sa ente kapa 5% ea ente ea tsoekere e lokelang ho sebelisoa ho qhibilihisa litlhare tsa chemotherapy.
Sekhahla sa ho qhibiliha ha doxorubicin ka metsing a hloekisitsoeng bakeng sa ente e ne e le kapele ho feta 5% ea ente ea tsoekere.
5% ea ente ea tsoekere e qhibilihisa pirarubicin ka potlako ho feta metsi a sa hloekang bakeng sa ente.
Tšebeliso ea ioformol 350 e le mokhoa o fapaneng o ne o thusa haholo ho emisoa ha li-microspheres.
Ha e kenngoa ka har'a hlahala ka microcatheter, ho sebelisoa ente ea pulse, e leng ho loketseng haholoanyane ho emisoa ha microsphere.

 


Nako ea poso: Feb-28-2024