ngā mahi taipitopito mō te whakamahi i ngā porowhita iti embolic

Ko ngā Irahiko Embolic he irahiko hydrogel ka taea te pēhi, he āhua ōrite, he mata maeneene, he rahi kua whakaritea, i hangaia hei hua o te whakarerekētanga matū i runga i ngā rauemi polyvinyl alcohol (PVA). Ko ngā Irahiko Embolic he macromer i ahu mai i te polyvinyl alcohol (PVA), ā, he hydrophilic, kāore e mimiti, ā, e wātea ana i roto i ngā rahi rerekē. Ko te otinga tiaki he 0.9% te otinga konutai pūhaumāota. Ko te nui o te wai o te irahiko polymerized kua oti te polymerize he 91% ~ 94%. Ka taea e ngā irahiko te tu atu ki te pēhitanga o te 30%.

Ko ngā Embolic Microspheres he mea hanga hei whakamahi mā te embolization o ngā arteriovenous malformations (AVMs) me ngā pukupuku hypervascular, tae atu ki ngā fibroids uterine. Mā te aukati i te rere o te toto ki te wāhi ūnga, ka kore he matūkai i te pukupuku, i te malformation rānei, ā, ka iti haere te rahi.

I roto i tēnei tuhinga, ka whakaaturia e mātou ki a koe ngā taipitopito mō te whakamahi i ngā Embolic Microspheres.

Te whakarite taonga

Me whakarite kia kotahi te ngira 20ml, kia rua ngā ngira 10ml, kia toru ngā ngira 1ml, 2ml rānei, he kutikuti pokanga-toru, he kapu parakore, he rongoā chemotherapy, he porowhita iti embolic, he rauemi whakawehewehe, me te wai mō te weronga.

Hipanga 1: Whirihorahia ngā rongoā chemotherapy

Whakamahia he kutikuti pokanga hei wetewete i te taupoki o te pounamu rongoā chemotherapy, ka ringihia te rongoā chemotherapy ki roto i tētahi kapu parakore.
Ko te momo me te horopeta o ngā rongoā chemotherapy ka whakawhirinaki ki ngā hiahia haumanu.

Whakamahia te wai mō te werohanga hei whakarewa i ngā rongoā chemotherapy, ā, ko te kukū e taunakitia ana he neke atu i te 20mg/ml.

AI muri i te rewa katoa o te rongoā chemotherapy, ka tangohia te otinga o te rongoā chemotherapy ki te ngira 10ml.

Hipanga 2: Te tango i ngā porowhita iti e kawe ana i te rongoā

I rūrūtia katoatia ngā porowhita iti kua whakapūpūtia, kātahi ka whakaurua ki roto i te ngira werohanga hei taurite i te pēhanga i roto i te pounamu,kātahi ka tangohia te otinga me ngā porowhita iti mai i te pounamu cillin mā te whakamahi i te ngira 20ml.

Waiho kia tū te ngira mō te 2-3 meneti, ā, i muri i te taunga o ngā porowhita iti, ka panaia te waikura ki waho i te otinga.

Hipanga 3: Utaina ngā rongoā Chemotherapeutic ki roto i ngā Embolic Microspheres

Whakamahia te kōtui ara-3 hei hono i te weronga ki te moroiti embolic me te weronga ki te rongoā chemotherapy, kia tupato ki te hononga me te ahunga rere.
Pēhia te pūwero rongoā chemotherapy ki te ringa kotahi, ā, kumea te pūwero kei roto ngā porowhita iti embolic ki te ringa kē. Hei whakamutunga, ka konatunatua te rongoā chemotherapy me te porowhita iti ki roto i te pūwero 20ml, ka rūrūtia te pūwero kia pai, ā, waiho mō te 30 meneti, ka rūrūtia ia 5 meneti i roto i te wā.

Hipanga 4: Tāpirihia ngā rauemi rerekē

I muri i te whakakīia o ngā moroiti ki ngā rongoā chemotherapy mō te 30 meneti, ka tatauhia te rōrahi o te otinga.
Tāpirihia te 1-1.2 whakarea o te rōrahi o te kaihoko whakakākahu mā roto i te kōtui e toru ngā ara, rūrūtia kia pai, ka waiho kia tū mō te 5 meneti.

Hipanga 5: Ka whakamahia ngā moroiti i roto i te tukanga TACE

Mā te kōpuku ara-toru, werohia kia 1ml o ngā porowhita iti ki roto i te ngira 1ml.

I werohia ngā moroiti ki roto i te miroiti-kāteter mā te werohanga pātere.

Ngā aro o ngā kaiārahi:

Kia tino āraihia te mahi.
Me whakaū kua rewa katoa ngā rongoā chemotherapy i mua i te tāpiritanga o ngā rongoā.
Ka pā te kukū o ngā rongoā chemotherapy ki te pānga utaina o te rongoā, ka nui ake te kukū, ka tere ake te tere mimiti, ā, ko te kukū utaina o te rongoā e taunakitia ana kia kaua e iti iho i te 20mg/ml.
Me whakamahi noa i te wai parakore mō te werohanga, i te werohanga huka 5% rānei hei whakarewa i ngā rongoā chemotherapy.
He tere ake te tere o te rewa o te doxorubicin i roto i te wai parakore mō te werohanga i te werohanga huka 5%.
Ka tere ake te whakarewa o te pirarubicin e te werohanga huka 5% i te wai parakore mō te werohanga.
He pai ake te whakamahinga o te ioformol 350 hei matū ārai kanohi mō te whakatarewatanga o ngā porowhita iti.
Ina werohia ki roto i te puku mā te microcatheter, ka whakamahia te werohanga pātere, he pai ake te whakatārewatanga o te microsphere.