nā ʻanuʻu kikoʻī e pili ana i ka hoʻohana ʻana i nā microspheres embolic

ʻO nā Embolic Microspheres he mau microspheres hydrogel hiki ke hoʻopili ʻia me ke ʻano maʻamau, ka ʻili laumania, a me ka nui i hoʻoponopono ʻia, i hana ʻia ma muli o ka hoʻololi kemika ma nā mea polyvinyl alcohol (PVA). Aia nā Embolic Microspheres i kahi macromer i loaʻa mai ka polyvinyl alcohol (PVA), a he hydrophilic, non-resorbable, a loaʻa i nā ʻano nui like ʻole. ʻO ka hopena mālama he 0.9% sodium chloride solution. ʻO ka nui o ka wai o ka microsphere polymerized piha he 91% ~ 94%. Hiki i nā Microspheres ke ʻae i ka hoʻopili ʻana o 30%.

Ua manaʻo ʻia nā Embolic Microspheres e hoʻohana ʻia no ka embolization o nā arteriovenous malformations (AVMs) a me nā puʻupuʻu hypervascular, me nā fibroids uterine. Ma ka ālai ʻana i ke kahe koko i ka wahi i manaʻo ʻia, ua nele ka puʻupuʻu a i ʻole ka malformation i nā meaʻai a emi iho ka nui.

Ma kēia ʻatikala, e hōʻike mākou iā ʻoe i nā ʻanuʻu kikoʻī e pili ana i ka hoʻohana ʻana i nā Embolic Microspheres.

Hoʻomākaukau ʻana i nā waiwai

Pono e hoʻomākaukau i 1 syringe 20ml, 2 syringe 10ml, 3 syringe 1ml a i ʻole 2ml, ʻokiʻoki ʻekolu ala, kīʻaha sterile, nā lāʻau chemotherapy, nā microspheres embolic, nā mea hoʻohālikelike, a me ka wai no ka inikini.

KaʻAnuʻu Hana 1: Hoʻonohonoho i nā lāʻau lapaʻau chemotherapy

E hoʻohana i ka ʻūpā ʻoki e wehe i ka pani o ka ʻōmole lāʻau chemotherapy a ninini i ka lāʻau chemotherapy i loko o ke kīʻaha sterile.
ʻO ke ʻano a me ka nui o nā lāʻau chemotherapy e pili ana i nā pono lapaʻau.

E hoʻohana i ka wai no ka inikini e hoʻoheheʻe i nā lāʻau chemotherapy, a ʻo ka nui i manaʻo ʻia he ʻoi aku ma mua o 20mg/ml.

AMa hope o ka hoʻoheheʻe piha ʻia ʻana o ka lāʻau chemotherapy, ua unuhi ʻia ka hopena o ka lāʻau chemotherapy me kahi syringe 10ml.

KaʻAnuʻu Hana 2: Ka wehe ʻana i nā microspheres embolic e lawe ana i nā lāʻau lapaʻau

Ua lulu piha ʻia nā microspheres i hoʻokomo ʻia, ua hoʻokomo ʻia i loko o kahi nila syringe e kaulike i ke kaomi i loko o ka ʻōmole,a unuhi i ka hopena a me nā microspheres mai ka ʻōmole cillin me kahi syringe 20ml.

E hoʻokuʻu i ka syringe no 2-3 mau minuke, a ma hope o ka noho ʻana o nā microspheres, e hoʻokuke ʻia ka supernatant mai loko mai o ka hopena.

KaʻAnuʻu Hana 3: E hoʻouka i nā lāʻau Chemotherapeutic i loko o nā Embolic Microspheres

E hoʻohana i ke kīkoʻo ʻekolu ala e hoʻohui i ka syringe me ka microsphere embolic a me ka syringe me ka lāʻau chemotherapy, e hoʻolohe pono i ka pilina paʻa a me ke kuhikuhi kahe.
E paʻi i ka syringe lāʻau chemotherapy me kekahi lima, a huki i ka syringe me nā microspheres embolic me kekahi lima. ʻO ka hope loa, ua hui pū ʻia ka lāʻau chemotherapy a me ka microsphere i loko o kahi syringe 20ml, e lulu maikaʻi i ka syringe, a waiho no 30 mau minuke, e lulu i kēlā me kēia 5 mau minuke i loko o ka wā.

KaʻAnuʻu Hana 4: Hoʻohui i nā mea pāpaho ʻokoʻa

Ma hope o ka hoʻopiha ʻia ʻana o nā microspheres me nā lāʻau chemotherapy no 30 mau minuke, ua helu ʻia ka nui o ka hopena.
E hoʻohui i 1-1.2 manawa o ka nui o ka mea hoʻohālikelike ma o ke kīkēkē ʻekolu ala, e lulu maikaʻi a e kū no 5 mau minuke.

KaʻAnuʻu Hana 5: Hoʻohana ʻia nā Microspheres i ke kaʻina hana TACE

Ma o ke stopcock ʻekolu ala, e hoʻokomo i kahi 1ml o nā microspheres i loko o ka syringe 1ml.

Ua hoʻokomo ʻia nā microspheres i loko o ka microcatheter ma o ka pulsed injection.

Nā mea e nānā ai nā alakaʻi:

E ʻoluʻolu e hōʻoia i ka hana aseptic.
E hōʻoia i ka hoʻoheheʻe loa ʻia o nā lāʻau chemotherapy ma mua o ka hoʻouka ʻana i nā lāʻau.
ʻO ka nui o nā lāʻau chemotherapy e hoʻopilikia i ka hopena o ka hoʻouka lāʻau, ʻo ke kiʻekiʻe o ka nui, ʻo ka wikiwiki o ka helu adsorption, ʻaʻole emi ka nui o ka hoʻouka lāʻau i manaʻo ʻia ma mua o 20mg/ml.
ʻO ka wai maʻemaʻe wale nō no ka iniki ʻana a i ʻole ka iniki glucose 5% e hoʻoheheʻe i nā lāʻau chemotherapy.
ʻOi aku ka wikiwiki o ka hoʻoheheʻe ʻia ʻana o ka doxorubicin i loko o ka wai sterile no ka inikini ma mua o ka inikini glucose 5%.
Hoʻoheheʻe iki ka inikini glucose 5% i ka pirarubicin ma mua o ka wai sterile no ka inikini.
ʻOi aku ka maikaʻi o ka hoʻohana ʻana i ka ioformol 350 ma ke ʻano he mea hoʻohālikelike i ka hoʻokuʻu ʻia ʻana o nā microspheres.
Ke hoʻokomo ʻia i loko o ka puʻupuʻu ma o ka microcatheter, hoʻohana ʻia ka injection pulse, ʻoi aku ka maikaʻi o ka hoʻokuʻu ʻana o ka microsphere.