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

ʻO Embolic Microspheres nā microspheres hydrogel compressible me ke ʻano maʻamau, ka ʻili maʻemaʻe, a me ka nui calibrated, i hoʻokumu ʻia ma muli o ka hoʻololi kemika i nā mea polyvinyl alcohol (PVA). ʻO Embolic Microspheres he macromer i loaʻa mai ka polyvinyl alcohol (PVA), a he hydrophilic, non-resorbable, a loaʻa i nā ʻano nui. ʻO ka hopena mālama he 0.9% ka hopena sodium chloride. ʻO ka ʻike wai o ka microsphere polymerized piha he 91% ~ 94%. Hiki i nā Microspheres ke ʻae i ka hoʻoemi ʻana o 30%.

Hoʻohana ʻia nā Embolic Microspheres no ka embolization o arteriovenous malformations (AVMs) a me nā maʻi maʻi hypervascular, me nā fibroids uterine. Ma ka pale ʻana i ka hāʻawi ʻana i ke koko i ka wahi i hoʻopaʻa ʻia, ua pōloli ka ʻōpū a i ʻole ka malformation i nā meaʻai a emi i ka nui.

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

Hoʻomākaukau waiwai

Pono e hoʻomākaukau i ka 1 20ml syringe, 2 10ml syringes, 3 1ml a i ʻole 2ml syringes, ʻekolu-ala, ʻokiʻoki ʻoki, kīʻaha sterile, nā lāʻau lapaʻau chemotherapy, microspheres embolic, media contrast, a me ka wai no ka injection.

KaʻAnuʻu 1: E hoʻonohonoho i nā lāʻau lapaʻau chemotherapy

E hoʻohana i nā ʻokiʻoki e wehe i ka hue lāʻau chemotherapeutic a ninini i ka lāʻau chemotherapeutic i loko o ke kīʻaha sterile.
ʻO ke ʻano a me ke ʻano o nā lāʻau chemotherapeutic e pili ana i nā pono lapaʻau.

E hoʻohana i ka wai no ka injection e hoʻopau i nā lāʻau lapaʻau chemotherapy, a ʻoi aku ka manaʻo i ʻōlelo ʻia ma mua o 20mg/ml.

Ama hope o ka hoʻoheheʻe ʻia ʻana o ka lāʻau chemotherapeutic, lawe ʻia ka hopena chemotherapeutic me kahi syringe 10ml.

KaʻAnuʻu 2: Wehe i nā microspheres embolic lawe lāʻau

Ua hoʻoluliluli piha ʻia nā microspheres embolized, hoʻokomo ʻia i loko o kahi nila syringe e kaulike ai i ke kaomi i loko o ka hue,a unuhi i ka hopena a me nā microspheres mai ka hue cillin me kahi syringe 20ml.

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

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

E hoʻohana i nā ala 3 stopcock 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 kaomi i ka syringe lāʻau lapaʻau chemotherapy me ka lima hoʻokahi, a huki i ka syringe i loaʻa nā microspheres embolic me kekahi lima. ʻO ka hope, ua hui ʻia ka lāʻau lapaʻau chemotherapy a me ka microsphere i loko o kahi syringe 20ml, lulu maikaʻi i ka syringe, a waiho iā ia no 30 mau minuke, lulu i kēlā me kēia 5 mau minuke i ka manawa.

KaʻAnuʻu Hana 4: E hoʻohui i ka media hoʻohālikelike

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

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

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

Hoʻokomo ʻia nā microspheres i loko o ka microcatheter e ka pulsed injection.

Alakaʻi i nā manaʻo:

E ʻoluʻolu e hōʻoia i ka hana aseptic.
E hōʻoia i ka pau ʻana o nā lāʻau chemotherapeutic ma mua o ka hoʻouka ʻana i nā lāʻau.
ʻO ka hoʻopaʻa ʻana o nā lāʻau lapaʻau e pili ana i ka hopena o ka hoʻouka ʻana i ka lāʻau, ʻoi aku ka kiʻekiʻe o ka neʻe ʻana, ʻoi aku ka wikiwiki o ka adsorption rate, ʻaʻole i emi iho ka nui o ka hoʻouka ʻana i ka lāʻau lapaʻau ma mua o 20mg/ml.
ʻO ka wai maʻemaʻe wale nō no ka inikini a i ʻole 5% glucose injection e hoʻohana ʻia e hoʻopau i nā lāʻau lapaʻau chemotherapy.
ʻOi aku ka wikiwiki o ka hoʻoheheʻe ʻana o ka doxorubicin i loko o ka wai maʻemaʻe no ka inikini ma mua o 5% glucose injection.
Hoʻopau iki ka 5% glucose i ka pirarubicin ma mua o ka wai maʻemaʻe.
ʻOi aku ka maikaʻi o ka hoʻohana ʻana i ka ioformol 350 ma ke ʻano he mea hoʻohālikelike i ka hoʻokuʻu ʻana o nā microspheres.
Ke hoʻokomo ʻia i loko o ka ʻōpū ma o ka microcatheter, hoʻohana ʻia ka pulse injection, ʻoi aku ka maikaʻi o ka microsphere suspension.