Embolic Microspheres bụ microspheres hydrogel compressible nwere udi oge niile, elu dị larịị, yana nha nha, nke emere n'ihi mgbanwe kemịkalụ na ihe polyvinyl mmanya (PVA).Embolic Microspheres nwere macromer nke sitere na mmanya polyvinyl (PVA), ma bụrụ hydrophilic, enweghị ike resorbable, ma dị n'ọtụtụ nha.Ihe ngwọta nchekwa bụ 0.9% sodium chloride ngwọta.Ọdịnaya mmiri nke microsphere polymerized zuru oke bụ 91% ~ 94%.Microspheres nwere ike ịnagide mkpakọ nke 30%.
A na-ezubere iji microspheres embolic mee ihe maka mmechi nke akwara arteriovenous malformations (AVMs) na etuto hypervascular, gụnyere fibroids uterine.Site n'igbochi inye ọbara n'ebe a na-achọsi ike, akpụ ahụ ma ọ bụ ihe na-adịghị mma na-agụ agụụ nke nri ma na-ebelata nha.
N'isiokwu a, anyị ga-egosi gị usoro zuru ezu banyere otu esi eji Embolic Microspheres.
Nkwadebe ngwongwo
Ọ dị mkpa ịkwadebe sirinji 1 20ml, sirinji 2 10ml, sirinji 3 1ml ma ọ bụ 2ml, ụzọ atọ, mkpa ịwa ahụ, iko sterile, ọgwụ kemoterapi, microspheres embolic, mgbasa ozi dị iche, na mmiri maka ịgba ntụtụ.
Nzọụkwụ 1: Hazie ọgwụ chemotherapy
Jiri mkpa ịwa ahụ wepụ karama ọgwụ chemotherapeutic ma wụsa ọgwụ chemotherapeutic n'ime iko na-adịghị mma.
Ụdị na usoro ọgwụgwọ ọgwụ chemotherapeutic dabere na mkpa ụlọ ọgwụ.
Jiri mmiri maka ịgba ntụtụ iji gbazee ọgwụ chemotherapy, na ntinye uche akwadoro karịrị 20mg/ml.
AKa agbazechara ọgwụ chemotherapeutic nke ọma, a na-eji sirinji 10ml wepụta ihe ngwọta ọgwụ chemotherapeutic.
Nzọụkwụ 2: Mwepụta nke microspheres embolic na-ebu ọgwụ
A na-ama jijiji nke ọma na microspheres ndị ahụ gbanyere mkpọrọgwụ, tinye n'ime agịga sirinji iji dozie nrụgide dị na karama ahụ,ma wepụ ihe ngwọta na microspheres na karama cillin na sirinji 20ml.
Kwe ka sirinji guzoro maka nkeji 2-3, mgbe microspheres kwụsịrị, a na-akwapụ ihe dị elu na ngwọta.
Kwụpụ 3: Bunye ọgwụ Chemotherapeutic n'ime Microspheres Embolic
Jiri ụzọ 3 stopcock jikọọ sirinji na microsphere embolic na sirinji na ọgwụ chemotherapy, ṅaa ntị na njikọ ahụ nke ọma na ntụziaka na-asọpụta.
Jiri otu aka tinye sirinji ọgwụ kemoterapi, ma were aka nke ọzọ dọpụta sirinji nwere microspheres embolic.N'ikpeazụ, a na-agwakọta ọgwụ chemotherapy na microsphere na sirinji 20ml, gbanye sirinji ahụ nke ọma, hapụ ya maka nkeji 30, gbanye ya kwa nkeji 5 ọ bụla n'ime oge ahụ.
Nzọụkwụ 4: Tinye iche media
Mgbe microspheres ejiri ọgwụ chemotherapeutic mee ihe maka nkeji iri atọ, a na-agbakọ olu nke ngwọta ahụ.
Tinye 1-1.2 ugboro olu nke iche iche site na ụzọ atọ stopcock, maa jijiji nke ọma ma hapụ maka nkeji 5.
Kwụpụ 5: A na-eji microspheres na usoro TACE
Site n'ụzọ atọ stopcock, gbanye ihe dị ka 1ml nke microspheres n'ime sirinji 1ml.
A na-agbanye microspheres n'ime microcatheter site na ntụtụ mkpọnwụ.
Nlebara anya na-eduzi:
Biko hụ na a na-arụ ọrụ aseptic.
Kwenye na ọgwụ chemotherapeutic na-agbaze kpamkpam tupu ibunye ọgwụ ndị ahụ.
Nleba anya nke ọgwụ chemotherapy ga-emetụta mmetụta ntinye ọgwụ, nke dị elu, ntinye ngwa ngwa ngwa ngwa mgbasa ozi, ntinye ntinye ọgwụ na-atụ aro abụghị ihe na-erughị 20mg / ml.
Naanị mmiri na-adịghị mma maka ịgba ntụtụ ma ọ bụ ntụtụ glucose 5% ka a ga-eji gbarie ọgwụ chemotherapy.
Ọnụego mgbasa nke doxorubicin n'ime mmiri na-adịghị mma maka ịgba ntụtụ dị ngwa ngwa karịa 5% nke mmịnye glucose.
Ngwunye glucose 5% na-agbaze pirarubicin ngwa ngwa karịa mmiri na-adịghị mma maka ịgba ntụtụ.
Ojiji nke ioformol 350 dị ka ihe dị iche na-enye aka na nkwusioru nke microspheres.
Mgbe a na-etinye ya n'ime etuto ahụ site na microcatheter, a na-eji ntụtụ pulse eme ihe, nke na-enye aka na nkwụsịtụ microsphere.
Oge nzipu: Feb-28-2024