Na ngalaba ọgwụ ọgbara ọhụrụ, ọkachasị n'imeihe gbasara obi obi, redio, naịwa ahụ vaskụla, ngwaọrụ ole na ole dị mkpa dị ka nkeihe ntinye n'ọbọ. Dị ka ntọalangwaọrụ ahụike, Sheath introduction na-enye ohere ịnweta vaskụla dị mma na nke ọma, na-enye ndị dọkịta ohere ịme nyocha na usoro ọgwụgwọ na nkenke na njikwa.
Ntuziaka a zuru oke ga-akọwa ihe n'ọbọ onye nrụpụta bụ, otuteknụzụ n'ọbọ steerablena-akwalite nsonaazụ usoro, yana ka n'ọbọ ndị na-ebubata si dị iche na ndị ọzọ yiri yangwaahịa ọgwụdị ka eduzi catheters. Anyị ga-enyochakwa ihe ndị dị oke mkpa mere e ji jiri sheath mmeghe eme ihe n'ọtụtụ ebeusoro angiographic.
Kedu ihe bụ Sheath Onye Mmeghe?
An ihe ntinye n'ọbọbụ ọpụrụichengwaọrụ ahụikeemebere iji kwado ohere ịnweta arịa ọbara n'oge usoro mmekpa ahụ dị ntakịrị. A na-etinyekarị ya n'ime akwara ma ọ bụ akwara - nke na-abụkarị akwara femoral ma ọ bụ radial - iji mepụta oghere maka ntinye nke catheters, wires, balloons, na ngwaọrụ ndị ọzọ eji eme nchọpụta na usoro ntinye aka.
Ọbọ nke onye na-ebubata nwere ihe na-agbanwe agbanwe, oghere oghere nwere valvụ hemostatic na dilator. Dilator na-enyere aka itinye n'ọbọ ahụ n'ime arịa ahụ, valvụ ahụ na-echekwa yahemostasis, na-egbochi mfu ọbara mgbe etinyere ma ọ bụ wepụ ngwaọrụ.
Ọrụ ndị dị mkpa nke Sheath onye mmeghe:
- Na-enye ebe nkwụsịtụ kwụsiri ike n'ime sistemu vaskụla.
- Na-echebe ụgbọ ahụ pụọ na mmerụ ahụ nke ntinye ngwaọrụ ugboro ugboro kpatara.
- Na-ejigide usoro mechiri emechi iji belata ihe ize ndụ nke ọbara ọgbụgba na ọrịa.
- Na-enye ohere mgbanwe ngwa ngwa na ịrụ ọrụ nke ọma.
Ọbọ mmeghe dị na nha, ogologo na ihe dị iche iche iji nabata usoro dị iche iche na ọdịdị ndị ọrịa.
Teknụzụ Sheath Steerable
N'ime mgbakwụnye obi dị mgbagwoju anya ma ọ bụ neurovascular, n'ọbọ kwụ ọtọ nke ọdịnala nwere ike igbochi ohere ịnweta anatomies siri ike. Nke a mmachi emewo ka mmepe nkeSheaths introduserable- ihe ọhụrụ nke na-akwalite mgbanwe usoro na nkenke.
A n'ọbọ steerablena-egosipụta ntugharị ntụgharị ma ọ bụ nkwuwa okwu, nke enwere ike ịnyagharịa n'ọtụtụ ụzọ site na iji aka ma ọ bụ pịa na njedebe dị nso. Nkwuputa a na-enye ohere maka nhazi nke ọma nke ngwaọrụ n'ime ebe siri ike ma ọ bụ nke siri ike iru nke usoro vaskụla.
Uru nke Sheaths ewebata Steerable:
- Ntugharị emeliteresite na ụzọ vaskụla siri ike.
- njikwa usoro emelitere, ọkachasị n'ime oghere anatomical akpọchiri.
- Obere mmerụ ahụna mgbidi ụgbọ mmiri site n'ibelata mmetụ dị ukwuu.
- Nkwado kacha mmamaka usoro nnyefe ngwaọrụ.
Ọbọ nke steeer bara uru karịsịa na usoro obi nhazi (dịka ọmụmaatụ, oghere atrial aka ekpe, nrụzi valvụ mitral), ihe ọmụmụ electrophysiology, na ntinye aka na akwara dị ka anaurysm coiling ma ọ bụ thrombectomy.
Nduzi Catheter vs. Sheath Onye mmeghe: Kedu ihe dị iche?
Agbanyeghịna-eduzi cathetersnan'ọbọ ewebatabụ ngwá ọrụ abụọ a na-eji iji nweta ohere vaskụla ma na-ebuga ngwaọrụ ntinye aka, ha na-eje ozi dị iche iche na-arụ ọrụ dị iche iche.
| Njirimara | Catheter na-eduzi | Sheath onye mmeghe |
| Ojiji nke izizi | Nduzi ma kwado ngwaọrụ nyocha ma ọ bụ ọgwụgwọ gaa na saịtị ebumnuche | Mepụta ma jikwaa ohere vaskụla |
| Nhazi | Ogologo ogologo, nke eburu ụzọ nwee njikwa torque | Mkpirisi, mgbanwe na nhọrọ steerability |
| Sistemụ Valve | Ọtụtụ mgbe enweghị valvụ hemostasis | Ejiri ya na valvụ hemostatic iji belata mfu ọbara |
| Ndokwa | Etinyere miri emi n'ime vaskụla sistem | Edobere n'ebe ntinye aka (dịka ọmụmaatụ, akwara femoral ma ọ bụ radial) |
| Nkwado | Na-enye ntụzịaka na nkwado maka sistemu catheter | Na-eje ozi dị ka ọnụ ụzọ mbata na mgbanwe ngwaọrụ |
Uịghọta ọdịiche dị mkpa mgbe ị na-ahọrọ nke kwesịrị ekwesịngwaahịa ọgwụmaka usoro enyere.
Kedu ihe kpatara eji eji Sheaths ewebata na usoro Angiographic?
A na-ejikarị sheaths mmeghe eme ihe nausoro angiographicn'ihi na ha na-eme ka usoro ịgbanye agba agba dị iche, nweta onyonyo, na ibuga ngwa ntinye aka-ha niile na-echekwa iguzosi ike n'ezi ihe nke vaskụla.
Isi uru nke Sheaths ewebata na Angiography:
- Chekwaa nnweta ụgbọ mmiri
Ozugbo etinyere ya, n'ọbọ ahụ na-edobe ebe ị ga-esi kwụsie ike na nke mepere emepe. Nke a na-egbochi nkwụsịtụ ugboro ugboro ma belata ihe ize ndụ nke nsogbu. - Kwado ọtụtụ mgbanwe ngwaọrụ
Usoro angiographic mgbagwoju anya na-achọkarị iji ọtụtụ catheter na waya dị iche iche. Ọbọ mmeghe na-enye ohere ịgbanwe ngwaọrụ ndị a ngwa ngwa na n'enweghị nsogbu site na otu ebe ịnweta. - Na-elekọta Hemostasis
N'ihi valvụ wuru, n'ọbọ ahụ na-egbochi ọbara ịpụ ọbụna ka a na-agafe ngwá ọrụ na ya. Nke a na-ebelata mfu ọbara ma na-edobe nkwụsi ike nke onye ọrịa. - Belata ihe ize ndụ nke nsogbu
Site n'ibelata mmerụ ahụ ụgbọ mmiri na idowe ụzọ adịghị mma maka ngwaọrụ, n'ọbọ ndị na-ebubata na-ebelata ohere nke mgbasa arịa, thrombosis, ma ọ bụ ọrịa. - Melite oge usoro na arụmọrụ
Site n'inweta ngwa ngwa yana ngbanwe ngwa ngwa, ngwungwu mmebe na-enyere aka belata oge usoro-dị oke mkpa na ntinye aka nhọpụta na ihe mberede.
Uru ndị a na-akọwa ihe kpatara n'ọbọ ewebata bụ ngwaọrụ ọkọlọtọ na usoro dị ka angiography akwara, mpụta angioplasty, na mgbaka ụbụrụ.
Mmechi
Nkeihe ntinye n'ọbọbụ nkume nkukungwaọrụ ahụiken'okirikiri ntinye aka nke taa. Ọrụ ya n'ịkwado ohere nchekwa vaskụla na-emegharịghachi, enweghị ike ikwubiga ya ókè. Ka usoro ahụike na-adịwanye mgbagwoju anya, ihe ọhụrụ dị kan'ọbọ steerable introductionna-emezigharị ka ndị ụlọ ọgwụ si abịaru nso anatomies siri ike ma na-ahazi usoro ọrụ.
Ịghọta ọrụ na uru nke n'ọbọ ewebata-yana otu ha si atụnyere ndị ọzọngwaahịa ọgwụdị ka eduzi catheters-na-enye ndị ọkachamara ahụike ike ka ha mee mkpebi ziri ezi nke na-eme ka nsonaazụ ndị ọrịa dịkwuo mma na ọganihu usoro.
Ma ị bụ onye na-ahụ maka ahụike, onye nchịkwa ahụike, ma ọ bụ onye nkesa ngwaahịa, na-agbaso ihe kachasị ọhụrụ.n'ọbọ steerablenkà na ụzụ na ngwaọrụ ịnweta vaskụla dị mkpa maka ịnọgide na-enwe ọganihu na nlekọta ndị ọrịa.
Oge nzipu: Jun-03-2025