I ka honua o ka lāʻau lapaʻau hou, ʻaʻole hiki ke kūkākūkā ka pololei, ka hilinaʻi, a me ka palekana. Ma waena o nā mea hana e hoʻoikaika i nā limahana mālama ola e hoʻopuka i ka mālama kiʻekiʻe, ʻo kaalakaʻi catheterkū i waho ma ke ʻano he mea koʻikoʻi i nā kaʻina hana liʻiliʻi invasive. Ma ke ʻano o kahi ʻāpana ākea ocatheters lapaʻau, he kuleana koʻikoʻi ke alakaʻi ʻana i nā catheters i nā diagnostics, lapaʻau, a me nā hana ʻoki. No nā poʻe ʻoihana e pili ana i ka lako olakino a menā mea hoʻohana lapaʻau, ʻo ka hoʻomaopopo ʻana i nā noi, nā ʻano, a me nā ʻokoʻa o kēia mau mea hana ke kī nui i ka hāʻawi ʻana i nā ʻōnaehana olakino maikaʻi.
He aha ke alakaʻi Catheter?
ʻO ka catheter alakaʻi he paipu i hoʻolālā kūikawā ʻia i hoʻohana ʻia e alakaʻi i nā mea kani ʻē aʻe, e like me nā stents, balloons, a i ʻole nā uea alakaʻi, i kahi kikoʻī i loko o ke kino-maʻamau i loko o ka ʻōnaehana vascular. Hāʻawi kēia mau catheters i ke kākoʻo a me ke kūpaʻa, e ʻae ana i ka mana pololei i ka wā o nā kaʻina hana e like me ka coronary angiography a i ʻole percutaneous coronary intervention (PCI).
ʻAʻole like me nā catheters diagnostic, ʻoi aku ka nui o nā catheters alakaʻi i ke anawaena a ʻoi aku ka ikaika, e hiki ai iā lākou ke hāʻawi i nā mea ʻē aʻe i ka wā e mālama ana i ko lākou kūlana i loko o ka moku. Hoʻokomo pinepine ʻia lākou ma o ke aʻaʻa peripheral (e like me ka femoral a i ʻole radial artery) a hoʻokele ʻia i loko o ka ʻōnaehana vascular e hiki i ka puʻuwai a i ʻole nā wahi ʻē aʻe.
Nā ʻano o nā catheters alakaʻi
Loaʻa nā ʻano ʻano catheters alakaʻi, kēlā me kēia i hoʻolālā ʻia e hoʻokō i nā pono lapaʻau kūikawā a me nā ʻano anatomical. ʻO ke koho ʻana o ke ʻano catheter e pili ana i ke kaʻina hana, ke kūlana maʻi, a me ka makemake o ke kauka. Aia kekahi mau ʻano maʻamau:
ʻO Judkins Left (JL) a me Judkins Right (JR): Hoʻohana mau ʻia kēia mau mea i nā hana coronary. Hoʻolālā ʻia ʻo JL no ke aʻaʻa coronary hema, a hoʻohana ʻia ʻo JR no ka ʻākau.
Amplatz (AL/AR): Hoʻolālā ʻia no ka loaʻa ʻana o ka vascular paʻakikī a i ʻole atypical, ʻoiai inā ʻaʻole hiki i nā catheters maʻamau ke hāʻawi i ke kākoʻo kūpono.
Multipurpose (MP): Hāʻawi i ka maʻalahi no ke komo ʻana i nā ʻāina vascular.
Hoʻihoʻi hou (XB a i ʻole EBU): Hāʻawi i ke kākoʻo hoʻonui a me ke kūpaʻa no nā hihia paʻakikī a i ʻole anatomy tortuous.
ʻOkoʻa kēlā me kēia ʻano i ke ʻano o ke ʻano o ka tip, ka lōʻihi, a me ka maʻalahi, e hana ana i ke koho kūpono i mea koʻikoʻi no ka kūleʻa o ke kaʻina hana.
Nā hoʻohana ʻana i nā Catheters alakaʻi i ka Lapaʻau Lapaʻau
Hoʻohana nui ʻia nā catheters alakaʻi i nā kaʻina cardiovascular, neurology, a me ka radiology interventional. Eia kekahi o kā lākou mau noi mua:
ʻO ka hoʻopaʻa ʻana i ka coronary: E hoʻomaʻamaʻa i ka hoʻokomo ʻana i nā stents a i ʻole nā baluna i loko o nā aʻa i hoʻopaʻa ʻia i ka wā o ka angioplasty.
Nā Kaʻina Hana Electrophysiology: No ka hoʻokomo ʻana i ka palapala palapala a me nā mea hana ablation i loko o ka puʻuwai.
Nā Kaʻina Neurovascular: No ka hāʻawi ʻana i nā coils a i ʻole embolic agents i ka mālama ʻana i nā aneurysms a i ʻole arteriovenous malformations.
Nā Hana Kūlohelohe: Hoʻohana ʻia no ke komo ʻana i nā ʻaʻaʻa peripheral a hāʻawi i ka mālama ʻana i nā moku paʻa a ʻokiʻoki.
Ma muli o ko lākou maʻalahi a koʻikoʻi koʻikoʻi i ka hāʻawi ʻana i nā mea hana ʻē aʻe, ʻo ke alakaʻi ʻana i nā catheters he mea koʻikoʻi i ka papa inoa o nā keʻena lapaʻau a i ʻole nā mea hoʻolako meaʻai lāʻau.
ʻOkoʻa ma waena o Guidewire a me Catheter
ʻOiai ua hoʻohana pinepine ʻia,uea alakaʻia me nā catheters e lawelawe i nā kumu ʻokoʻa i nā kaʻina hana lapaʻau.
Guidewire: He uwea lahilahi a maʻalahi i hoʻohana ʻia no ka hoʻokele ʻana ma o ka ʻōnaehana vascular e hiki ai i kahi pahuhopu. Hana ʻo ia ma ke ʻano he "pathfinder" no nā catheters a me nā mea hana ʻē aʻe.
ʻO Catheter: He paipu kīwaha i holomua ma luna o ke alakaʻi no ka hāʻawi ʻana i nā mea lapaʻau a i ʻole nā mea hana diagnostic i ke kahua lapaʻau.
I ka pōkole, alakaʻi ke alakaʻi i ke ala, a hahai ka catheter. ʻOiai ke hāʻawi nei ka guidewire i ka maneuverability, hāʻawi ka catheter i ka hoʻolālā a me kahi conduit no nā mea hana hou aʻe.
Ke alakaʻi nei i nā Catheters ma ka Lapaʻau Lapaʻau
Me ka piʻi ʻana o nā maʻi cardiovascular a me ka neʻe ʻana o ka honua i nā kaʻina hana invasive liʻiliʻi, ua ulu nui ka koi no ke alakaʻi ʻana i nā catheters. Pono nā mea kūʻai aku a me nā mea hana i nā lako olakino e hoʻokō i kēia mau mea hana i nā kūlana koʻikoʻi o ka honua e like me ka ISO a me ka CE.
ʻO nā mea e like me ka sterilization, ka lōʻihi o ka waiwai, ka biocompatibility, a me ka hoʻopili ʻana he mea koʻikoʻi i ka lawe ʻana akucatheters lapaʻau. ʻO nā ʻoihana e pili ana i ka honuanā mea hoʻohana lapaʻauPono e ʻike pono ke kālepa i nā koi hoʻoponopono i nā mākeke i makemake ʻia e like me EU, US, a me Middle East.
Ka hopena
ʻOi aku ka catheter alakaʻi ma mua o kahi ʻāpana paipu—he mea hana koʻikoʻi ia e hiki ai i nā kaʻina hana hoʻopakele ola. Ke hoʻomau nei nā ʻōnaehana olakino a puni ka honua i nā koho lapaʻau holomua, ʻoi aku ka liʻiliʻi o ka invasive, e hoʻomau ka alakaʻi ʻana i nā catheters i nā mea pono no nā kauka. No nā mea pili i ka ʻoihana lapaʻau a me ka ʻoihana hoʻohana lāʻau lapaʻau, ʻo ka hoʻomaopopo ʻana a me ka hoʻolaha ʻana i ka waiwai o kēia mau mea he kī nui i ka hoʻokele ʻana i ka hana hou a me ka hoʻomaikaʻi ʻana i ka mālama maʻi.
Ka manawa hoʻouna: Jun-09-2025