Lefapheng la meriana ea kajeno, haholo-holo ka hare hointerventional cardiology, radiology, leopereishene ea methapo, lisebelisoa tse seng kae ke tsa bohlokoa joalokaselata sa introducer. E le motheosesebelisoa sa bongaka, sheath ea kenyelletso e etsa hore ho be le mokhoa o bolokehileng le o sebetsang oa ho fumana methapo ea mali, e lumellang lingaka hore li etse mekhoa ea ho hlahloba le ea phekolo ka ho nepahala le ho laola.
Tataiso ena e felletseng e tla hlalosa hore na sheath ea introducer ke eng, joangtheknoloji ea sheath e tsitsitsenge ntlafatsa liphetho tsa ts'ebetso, le hore na li-sheaths tsa introducer li fapana joang le tse ling tse tšoananglihlahisoa tsa bongakajoalo ka li-catheter tse tataisang. Re tla boela re hlahlobe mabaka a bohlokoa a etsang hore li-sheaths tsa introducer li sebelisoe haholo homekhoa ea angiography.
Sheath ea Introducer ke Eng?
An selata sa introducerke e khethehilengsesebelisoa sa bongakae etselitsoeng ho nolofatsa phihlello ea methapo ea mali nakong ea ts'ebetso e fokolang haholo. Hangata e kenngoa ka har'a mothapo oa peripheral kapa mothapo-haholo-holo e le mothapo oa botšehali kapa oa radial-ho etsa kotopo bakeng sa ho kenya li-catheters, lithapo, libalune le lisebelisoa tse ling tse sebelisoang ho hlahloba le ho kenella.
Sheath ea introducer e na le tube e tenyetsehang, e sekoti e nang le valve ea hemostatic le dilator. Dilator e thusa ho kenya sheath ka har'a sekepe, 'me valve e bolokahemostasis, ho thibela tahlehelo ea mali ha lisebelisoa li kenngoa kapa li tlosoa.
Mesebetsi ea Bohlokoa ea Sheath ea Introducer:
- E fana ka sebaka se tsitsitseng sa ho kena tsamaisong ea methapo ea mali.
- E sireletsa sekepe ho tsoa likotsing tse bakoang ke ho kenya lisebelisoa khafetsa.
- E boloka tsamaiso e koetsoeng ho fokotsa kotsi ea ho tsoa mali le tšoaetso.
- E lumella phapanyetsano e potlakileng le e sebetsang ea lisebelisoa.
Li-sheaths tsa introducer li fumaneha ka boholo bo fapaneng, bolelele le lisebelisoa ho amohela lits'ebetso tse fapaneng le li-anatomy tsa mokuli.
Theknoloji ea Sheath e tsitsitseng
Lits'ebetsong tse rarahaneng tsa pelo kapa methapo ea methapo, li-sheath tsa setso tse otlolohileng li ka fokotsa phihlello ea li-anatomy tse thata. Khaello ena e lebisitse ho nts'etsopele eamekotlana ea selelekela- popontshwa e ntlafatsang haholo ho feto-fetoha ha maemo le ho nepahala.
A selata sa steerablee na le ntlha e khelohang kapa e hlakileng, e ka tsamaisoang ka mahlakoreng a mangata ho sebelisoa mofeng kapa ho daela pheletsong e haufi. Tlhaloso ena e lumella hore ho be le boemo bo nepahetseng ba lisebelisoa ka har'a libaka tse thata kapa tse thata ho fihla tsamaisong ea methapo ea mali.
Melemo ea Steerable Introducer Sheaths:
- Navigation e ntlafalitsoengka litsela tse thata tsa methapo.
- Taolo e ntlafalitsoeng ea mekhoa, haholo-holo libakeng tse koaletsoeng tsa anatomical.
- Matšoenyeho a fokolangho isa maboteng a sekepe ka ho fokotsa tshebediso e feteletseng.
- Ts'ehetso e nepahetsengbakeng sa litsamaiso tsa phepelo ea lisebelisoa.
Li-sheaths tse tsitsitseng li molemo ka ho khetheha lits'ebetsong tsa pelo (mohlala, ho koaloa ha atrial appendage e ka letsohong le letšehali, tokiso ea mitral valve), lithuto tsa electrophysiology, le mehato ea methapo ea methapo e kang aneurysm coiling kapa thrombectomy.
Tataiso ea Catheter vs. Selelekela Sheath: Phapano ke Efe?
Leha ho le joaloli-catheters tse tataisangleli-sheaths tsa selelekelake lisebelisoa tse peli tse sebelisetsoang ho fumana methapo ea methapo le ho fana ka lisebelisoa tsa ho kenella, li sebeletsa merero e fapaneng 'me li hahiloe ka tsela e fapaneng.
| Sebopeho | Catheter e tataisang | Selelekela Sheath |
| Tšebeliso ea Pele | Tataisa le ho ts'ehetsa lisebelisoa tsa tlhahlobo kapa tsa kalafo ho ea sebakeng se lebeletsoeng | Theha le ho boloka phihlello ea methapo ea mali |
| Moralo | Nako e telele, e bōpehileng pele ka taolo ea torque | E khuts'oane, e tenyetseha ka boikhethelo |
| Sistimi ea li-valve | Hangata ha e na valve ea hemostasis | E na le valve ea hemostatic ho fokotsa tahlehelo ea mali |
| Ho beha | E kenngoa ka hare ho tsamaiso ea methapo ea mali | E eme moo ho kenoang teng (mohlala, mothapo oa botšehali kapa oa radial) |
| Tšehetso | E fana ka tataiso ea tataiso le tšehetso bakeng sa litsamaiso tsa catheter | E sebetsa joalo ka portal bakeng sa kenyelletso le phapanyetsano ea sesebelisoa |
Uho utloisisa phapang ke ea bohlokoa ha u khetha se nepahetsenglihlahisoa tsa bongakabakeng sa mokhoa o fanoeng.
Hobaneng ha li-Sheaths tsa Introducer li sebelisoa lits'ebetsong tsa Angiographic?
Li-sheaths tsa introducer li sebelisoa hangata homekhoa ea angiographyhobane ba nolofatsa mokhoa oa ho kenya dae e fapaneng, ho fumana litšoantšo, le ho sebelisa lisebelisoa tsa ho kenella-kaofela ha li ntse li boloka botšepehi ba methapo.
Melemo e ka Sehloohong ea Selelekela sa Sheaths ho Angiography:
- Sireletsa ho Kena ha Likepe
Hang ha e kenngoa, sheath e boloka sebaka se tsitsitseng le se bulehileng. Sena se thibela ho phunya khafetsa le ho fokotsa kotsi ea mathata. - Numella Phapanyetsano ea Lisebelisoa tse ngata
Mekhoa e rarahaneng ea angiographic hangata e hloka hore ho sebelisoe li-catheter le lithapo tse fapaneng. Sheath ea introducer e lumella lisebelisoa tsena hore li fetoloe kapele le ka mokhoa o sireletsehileng ka sebaka se le seng sa phihlello. - Boloka Hemostasis
Ka lebaka la valve e hahelletsoeng ka hare, sheath e thibela mali hore a se ke a tsoa le ha lisebelisoa li fetisoa ho eona. Sena se fokotsa tahlehelo ea mali le ho boloka botsitso ba mokuli. - Fokotsa Kotsi ea Mathata
Ka ho fokotsa ts'oaetso ea sekepe le ho boloka tsela e sa hloekang bakeng sa lisebelisoa, li-sheaths tsa introducer li fokotsa kotsi ea ho arohana ha sekepe, thrombosis kapa tšoaetso. - Ntlafatsa Nako ea Ts'ebetso le Katleho
Ka ho fihlella habonolo le ho fapanyetsana ha lisebelisoa ka potlako, li-sheaths tsa li-introducer li thusa ho fokotsa nako ea ts'ebetso-e bohlokoa ho tse peli tse khethiloeng le tsa tšohanyetso.
Melemo ena e hlalosa hore na hobaneng li-sheaths tsa introducer e le lisebelisoa tse tloaelehileng lits'ebetsong tse kang coronary angiography, peripheral angioplasty, le cerebral embolization.
Qetello
Theselata sa introducerke lejoe la motheosesebelisoa sa bongakasebakeng sa kajeno sa lipakeng. Karolo ea eona ea ho tsamaisa phihlello e bolokehileng, e pheta-phetoang ea methapo e ke ke ea fetisoa. Ha mekhoa ea bongaka e ntse e rarahana le ho feta, mekhoa e mecha e kang easheath ea selelekelaba fetola tsela eo lingaka li sebetsanang le li-anatomi tse thata le ho tsamaisa tšebetso ea mosebetsi.
Ho utloisisa ts'ebetso le melemo ea li-sheaths tsa introducer-hammoho le hore na li bapisoa joang le tse linglihlahisoa tsa bongakajoalo ka li-catheter tse tataisang-ho matlafatsa litsebi tsa tlhokomelo ea bophelo ho etsa liqeto tse nang le tsebo tse ntlafatsang liphello tsa mokuli le katleho ea tsamaiso.
Hore na o ngaka, molaoli oa tlhokomelo ea bophelo, kapa morekisi oa lihlahisoa, u ntse u tseba tsa morao-rao.selata sa steerablethekenoloji le lisebelisoa tsa ho fumana methapo ea methapo li bohlokoa bakeng sa ho boloka bokhabane tlhokomelong ea bakuli.
Nako ea poso: Jun-03-2025