INTSHAYELELO
Kwinkonzo yezempilo yanamhlanje,Ichweba laseChemo(I-Implantable port okanye iPort-a-Cath), njengexesha elideisixhobo sokufikelela kwimithambo yegazi, isetyenziswa kakhulu kwizigulana ezifuna ukumnika rhoqo, i-chemotherapy, utofelo-gazi okanye inkxaso yesondlo. Ayiphuculi nje kuphela umgangatho wobomi bezigulana, kodwa ikwanciphisa neentlungu zokubhobozwa ngokuphindaphindiweyo kunye nomngcipheko wosulelo. Kweli nqaku, siza kujonga inkcazo, iinkcukacha, ulwakhiwo, iintlobo, iingenelo kunye nendlela yokukhetha eyona ifanelekileyo ukukunceda uqonde ngokupheleleyo esi sixhobo sibalulekileyo sezonyango.
I. Yintoni iChemo Port?
Izibuko leChemo, elaziwa ngokuba yiIPort-a-Cathokanye i-infusion port, sisixhobo sezonyango esibekwa phantsi kwesikhumba ukuze kube lula unyango lwe-intravenous ixesha elide. Siqulathe indawo encinci yokugcina amanzi (i-port) eqhagamshelwe kwi-catheter efakwa kumthambo omkhulu, odla ngokuba sesifubeni. I-port ivumela ukufikelela lula kokunikezelwa kwamayeza, i-chemotherapy, i-fluid infusion, kunye nokutsalwa kwegazi, okususa imfuneko yeenaliti eziphindaphindiweyo.
I-chemo port idla ngokwenziwa ngezinto ezihambelana ne-biocompatible ezifana ne-titanium okanye iplastiki ene-silicone septum ezivala ngokwayo. Iingcali zezempilo zinokufikelela kwi-port zisebenzisa i-specialinaliti yeHuber engagqunywanga, ukunciphisa ukungonwabi nokunciphisa iingozi zosulelo xa kuthelekiswa nee-catheter ze-IV zemveli.
Iindlela eziphambili zokusetyenziswa kweechweba ze-chemo ziquka:
1. ukufakelwa kwamayeza e-chemotherapy exesha elide
2. inkxaso yesondlo sabazali
3. utofelo-gazi rhoqo okanye ukuqokelelwa kwegazi
4. unyango lokubulala iintsholongwane
5. ulawulo lweentlungu
Iinkcukacha kunye nolwakhiwo lwezibuko leChemo (iPort-a-Cath)
1. Iinkcukacha
Iinkcukacha zeechweba zeChemo zihlala zihlelwa ngokweeparameter ezilandelayo:
- Ubungakanani: ububanzi besihlalo sokujova buhlala buyi-2-3 centimeters kwaye ubukhulu buyi-1 centimeter
- Umthamo: umthamo we-lumen yesihlalo sokujova udla ngokuba yi-0.5-1.5 mL
- Ubungakanani beCatheter: ubungakanani obusetyenziswa rhoqo yi-6-10 French
- Ubude be-catheter: 20-90 cm kuxhomekeke kwindawo yokufakelwa.
2. Izinto ezisetyenziswa kwisakhiwo
I-port efakelwayo yenziwe ikakhulu ngala macandelo alandelayo:
1. Isihlalo sokujova:
– Yenziwe nge-alloy ye-titanium okanye iplastiki
– I-diaphragm ye-silicone phezulu, enokumelana nokubhobozwa okungaphezulu kwama-2000.
– Ezantsi kukho isango lokudibanisa i-catheter
2. Ikhathetha:
– Yenziwe nge-silicone okanye i-polyurethane
– Iimpawu ze-antithrombotic kunye ne-anti-sulelo
– Isenokuba noyilo lweflephu ekupheleni.
3. Isixhobo sokulungisa:
– Isetyenziselwa ukubopha isibambi senaliti kunye ne-catheter
- Ithintela ukufuduka kunye nokuphuma
Iintlobo zeeports ezifakelwayo (iiChemo Ports)
Ngokweekhrayitheriya ezahlukeneyo zokwahlulahlula, iiports ezifakelwayo zingahlulwa zibe ziintlobo ezilandelayo:
1. Uhlu ngokwezinto eziphathekayo
- Izibambi zenaliti ze-alloy ye-titanium:
– Iingenelo: amandla aphezulu, i-MRI iyahambelana
– Iingxaki: Ixabiso eliphezulu
- Izibambi zeplastiki zokujova:
– Iingenelo: ixabiso eliphantsi, ubunzima obuphantsi
– Ingxaki: ayihambelani kakuhle ne-MRI
2. Ii-catheter zahlulwe ngokwendawo ekuyo isiphelo se-catheter.
- Uhlobo lwemithambo-luvo ephakathi:
– I-Catheter iphelela kwi-vena cava ephezulu
– Ifanelekile kwiimeko ezininzi.
- Uhlobo lwemithambo ejikeleze umthambo:
– Isiphelo se-catheter sikwi-peripheral vein.
– Ifanelekile ukusetyenziswa kwexesha elifutshane
3. Ngomsebenzi
- I-Lumen enye:
– Ukufikelela okukodwa kunyango oluqhelekileyo
- I-Lumen ephindwe kabini:
– Iindlela ezimbini ezizimeleyo zokufaka amayeza ahlukeneyo ngaxeshanye.
Iingenelo ze-implantable port (iiChemo Ports)
1. Ukusetyenziswa kwexesha elide:
– Ingashiywa endaweni yayo iminyaka eliqela, nto leyo enciphisa ukubhoboza okuphindaphindiweyo
– Ifanelekile kwizigulana ezifuna unyango lwexesha elide
2. Umngcipheko ophantsi wosulelo:
– Ifakwe ngokupheleleyo emzimbeni, inciphisa amathuba osulelo
– Izinga losulelo liphantsi kakhulu xa lithelekiswa nee-catheters zemithambo yegazi engaphandle
3. Umgangatho ophucukileyo wobomi:
– Akukho kuphazamiseka kwimisebenzi yemihla ngemihla, ungahlamba ngesiqhelo
– Ubumfihlo obunembonakalo engabonakaliyo
4. Nciphisa iingxaki:
– Umngcipheko onciphileyo we-phlebitis, ukukhupha iziyobisi emzimbeni, njl.
– Nciphisa umonakalo wemithambo yegazi
5. Ezoqoqosho:
– Ixabiso eliphantsi lokusetyenziswa ixesha elide kunokusetyenziswa kwakhona kwe-catheter
- Nciphisa ixesha lokulaliswa esibhedlele kunye neendleko ezinxulumene noko
6. Iimfuno zolondolozo ezisezantsi
- Ngokungafaniyo nemigca yangaphandle ephakathi, ii-ports ezifakelwayo azidingi kutshintshwa rhoqo kunye nokhathalelo.
7. Ukuhanjiswa kwamayeza okuphuculweyo
- Iqinisekisa ukufikelela ngqo kwimithambo emikhulu, iphucula ukufunxwa kwamayeza kwaye inciphise ukurhawuzelelwa kwemithambo.
V. Indlela yokukhetha izibuko ezifanelekileyo ezifakelwayo (iiChemo Ports)
Ukukhetha izibuko elifanelekileyo kakhulu elifakelwayo kuxhomekeke kwizinto ezininzi:
- Imeko Yezonyango:
- Ii-single-lumen ports zanele kwi-chemotherapy eqhelekileyo, ngelixa ii-double-lumen ports zingcono kwizigulana ezifuna ukufakelwa amayeza ngaxeshanye.
- Kucetyiswa ukuba kusetyenziswe iiports ezifakwa ngombane kwizigulane ezithatha imifanekiso ephuculiweyo rhoqo.
- Ukuhambelana kwezinto kunye ne-MRI:
- Izigulane ezine-allergies zesinyithi kufuneka zikhethe ii-ports zeplastiki.
- Iiports ze-titanium ezihambelana ne-MRI zikhethwa kakhulu kwizigulana ezifuna ukuskena imifanekiso rhoqo.
- Ubungakanani bePort kunye nokubekwa kwayo:
- Cinga ngobukhulu bomzimba wesigulane kunye nendawo efunekayo yokubeka i-port (isifuba vs. ingalo).
- Ii-port ezincinci zinokukhethwa kwizigulane zabantwana okanye abantu abanamafutha omzimba aphantsi.
- Ukuphindaphinda kokusetyenziswa:
- Ukuba kufuneka igazi litsalwe rhoqo okanye lifakwe kwi-infusions, i-double-lumen okanye i-power-injection port iluncedo.
- Ingcebiso yoMboneleli wezeMpilo:
- Ukubonisana nogqirha okanye ingcali yomhlaza kuqinisekisa ukuba uhlobo lwe-port luhambelana nesicwangciso sonyango lwesigulana kunye nendlela yokuphila.
VI. Izinto ekufuneka uziqwalasele xa uthenga izibuko elifakelwayo (iiChemo Ports)
1.Uphawu kunye nomenzi
Khetha abavelisi abaziwayo abaneziqinisekiso ze-FDA, CE, okanye ze-ISO13485 ukuqinisekisa umgangatho nokhuseleko.
2. Ukuhambelana kwezinto eziphilayo
Qinisekisa ukuba izinto ezisetyenzisiweyo (i-titanium, i-silicone, okanye iplastiki) ziyahambelana ne-biocompatible kwaye zinciphisa umngcipheko weempendulo ze-allergy.
3. Ukuqina kunye nokupakishwa
Izibuko kufuneka lihlanjululwe kwangaphambili kwaye livalwe kwiipakethe ezingaphazanyiswa ukuze kuncitshiswe iingozi zosulelo.
4. Ukubonakala kwezibuko kunye nokuchonga
Amanye amazibuko aneempawu zokuzazisa okanye iimpawu ze-radiopaque ezifakwe ngaphakathi ukuze zibonakale lula ngexesha lokuskena imifanekiso.
5. Ukuhambelana kwenaliti
Qinisekisa ukuba izibuko liyahambelana neenaliti zeHuber eziqhelekileyo ukuze kube lula kwaye kukhuseleke ukufikelela kuzo.
6. Amaxabiso kunye nokusebenza kakuhle kweendleko
Nangona kusenokubakho imida yohlahlo-lwabiwo mali, beka phambili umgangatho kunye nokuqina ukuze kuthintelwe ukutshintshwa rhoqo okanye iingxaki.
7.Uphononongo lwabasebenzisi kunye nengxelo yeklinikhi
Cinga ngempendulo evela kwiingcali zezempilo malunga nokuthembeka nokusebenza kweebhrendi ezahlukeneyo zezibuko.
8. Inkxaso yoqeqesho:
Qinisekisa ukuba umthengisi unika uqeqesho lobuchwephesha malunga nokusetyenziswa kwemveliso.
Qonda izikhokelo zokugcinwa kwemveliso kunye nokusombulula iingxaki.
Iimpawu zezibuko ezifakelwayo (iiChemo Ports) ezibonelelwa yiShanghai Teamstand Corporation
Ingxowa yecapsular enoyilo olucwangcisiweyo lwangaphambili ivumela ukunqunyulwa okuncinci.
I-port ene-three-point ene-sutural pore design yenza ukuba ihlale izinzile ngakumbi.
Isitshixo soqhagamshelo esingasongekiyo.
I-port ye-polysulfone ilula, inemvakalelo yomzimba wangaphandle.
Kulula ukuyifakela. Kulula ukuyigcina ikwimeko entle.
Yenzelwe ukunciphisa amazinga eengxaki.
MR Ixhomekeke kwiimeko ukuya kuthi ga kwi-3-Tesla.
Uphawu lwe-8.5F Radiopaque CT olufakwe kwi-port septum ukuze lubonakale phantsi kwe-x-ray.
Ivumela ukujova ngamandla ukuya kuthi ga kwi-5mL/sec kunye novavanyo loxinzelelo lwe-300psi.
Iyahambelana nazo zonke iinaliti zamandla.
Uphawu lwe-Radiopaque CT olufakwe kwi-port septum ukuze lubonakale phantsi kwe-x-ray.
Isiphelo
Njengomntu ophambiliisixhobo sezonyango, iiports ezinokufakelwa(Iichweba zeChemo)ukubonelela ngesisombululo esikhuselekileyo nesilula kwizigulana ezifuna unyango lwe-intravenous lwexesha elide. Ngokuqonda iinkcukacha, ulwakhiwo, iintlobo kunye neenzuzo zee-infusion ports, izigulana kunye namaqela ezempilo banokwenza ukhetho olunolwazi ngakumbi. Ukuqwalaselwa ngokufanelekileyo kweemfuno zesigulana, umgangatho wemveliso kunye nenkonzo yomthengisi ngexesha lokuthenga nokusetyenziswa kuya kunceda ukuqinisekisa iziphumo zonyango kunye nokhuseleko lwesigulana. Njengoko iteknoloji yezonyango iqhubeka iphucula, uyilo kunye nokusebenza kwee-implantable ports kuya kuqhubeka kuphuculiswa ukuze kube namava angcono esigulana.
Xa uthenga i-port efakelwayo (i-Chemo Ports), qiniseka ukuba iyahlangabezana nemigangatho yokhuseleko, iyahambelana ne-bio, kwaye iyahambelana nezixhobo ezifunekayo. Ngokukhethwa nokunyamekelwa okufanelekileyo, i-port efakelwayo (i-chemo ports) inokuphucula kakhulu umgangatho wobomi kwizigulana ezifuna ukufikelela kwi-IV ixesha elide.
Ngokulandela esi sikhokelo sipheleleyo, izigulana kunye neengcali zonyango zinokwenza izigqibo ezinolwazi malunga ne-port efakelwayo efanelekileyo (i-Chemo port) yonyango lwe-intravenous lwexesha elide.
Ixesha leposi: Matshi-31-2025