GABATARWA
A tsarin kiwon lafiya na zamani, daChemo Port(Tsarin tashar jiragen ruwa ko Port-a-Cath), a matsayin dogon lokacina'urar samun damar jijiyoyin jini, ana amfani dashi sosai a cikin marasa lafiya waɗanda ke buƙatar jiko akai-akai, chemotherapy, ƙarin jini ko tallafin abinci mai gina jiki. Ba wai kawai inganta ingancin rayuwar marasa lafiya ba, har ma yana rage radadin huda mai maimaitawa da haɗarin kamuwa da cuta. A cikin wannan labarin, za mu zurfafa cikin ma'anar, ƙayyadaddun bayanai, tsari, nau'ikan, fa'idodi da yadda za a zaɓi wanda ya dace don taimaka muku cikakkiyar fahimtar wannan muhimmin na'urar likita.
I. Menene tashar tashar Chemo?
Tashar ruwa ta Chemo, kuma aka sani da aPort-a-Cathko tashar jiko, na'urar likita ce da aka sanya a ƙarƙashin fata don sauƙaƙe maganin jijiya na dogon lokaci. Ya ƙunshi ƙaramin tafki (tashar ruwa) da aka haɗa da catheter wanda aka saka a cikin babban jijiya, yawanci a cikin ƙirji. Tashar tashar jiragen ruwa tana ba da damar sauƙi don gudanar da magani, chemotherapy, jiko na ruwa, da zana jini, yana kawar da buƙatar sandunan allura mai maimaitawa.
Tashar tashar chemo galibi ana yin ta ne da kayan da suka dace kamar titanium ko filastik tare da septum silicone mai ɗaukar hoto. Ma'aikatan kiwon lafiya na iya shiga tashar ta amfani da na musammanallurar Huber mara-coring, rage rashin jin daɗi da kuma rage haɗarin kamuwa da cuta idan aka kwatanta da na gargajiya na IV catheters.
Babban amfani da tashoshin chemo sun haɗa da:
1. jiko na dogon lokaci na chemotherapy
2. tallafin abinci mai gina jiki na mahaifa
3. yawaita yin karin jini ko tarin jini
4. maganin rigakafi
5. kula da ciwo
Ƙididdiga da tsarin tashar tashar Chemo (Port-a-Cath)
1. Ƙayyadaddun bayanai
Abubuwan ƙayyadaddun bayanai na tashar jiragen ruwa na Chemo galibi ana rarraba su bisa ga sigogi masu zuwa:
- Girman: diamita na kujerar allura yawanci 2-3 centimita ne kuma kauri yana kusan santimita 1.
- Capacity: ƙarar lumen wurin zama na allura yawanci shine 0.5-1.5 ml
- Girman catheter: girman da aka saba amfani dashi shine 6-10 Faransanci
- Tsawon catheter: 20-90 cm dangane da wurin dasa.
2. Tsarin tsari
Tashar jiragen ruwa da za a dasa ta galibi ta ƙunshi sassa masu zuwa:
1. Wurin yin allura:
– Anyi daga titanium gami ko filastik
– Silicone diaphragm a saman, wanda zai iya jure fiye da 2000 punctures.
- Kasa yana da tashar haɗin catheter
2. Katar:
- An yi shi da silicone ko polyurethane
- Antithrombotic da anti-infective Properties
- Yana iya samun ƙirar harsashi a ƙarshen.
3. Na'urar gyarawa:
- Ana amfani da shi don amintaccen mariƙin allura da catheter
- Yana hana ƙaura da tarwatsewa
Nau'o'in tashoshin jiragen ruwa da ake dasawa (Chemo Ports)
Dangane da ka'idojin rarrabuwa daban-daban, ana iya raba tashoshin da za a iya dasa su zuwa nau'ikan masu zuwa:
1. Rarraba ta abu
- Abubuwan alluran allurar Titanium:
- Abũbuwan amfãni: babban ƙarfi, MRI jituwa
- Hasara: Mafi girman farashi
- Abubuwan alluran filastik:
- Abũbuwan amfãni: ƙananan farashi, nauyi mai sauƙi
- Rashin hasara: ƙarancin MRI mai jituwa
2. Ana rarraba catheter ta wurin wurin ƙarshen catheter.
- Nau'in venous na tsakiya:
- Catheter ya ƙare a cikin mafi girman vena cava
– Ya dace da yawancin yanayi.
- Nau'in Jijin Jijiya:
- Catheter yana ƙarewa a cikin jijiya na gefe.
- Ya dace da amfani na ɗan gajeren lokaci
3. Ta Aiki
- Single Lumen:
– Dama guda ɗaya don jiyya na yau da kullun
- Lumen biyu:
- Tashoshi biyu masu zaman kansu don jiko na lokaci guda na kwayoyi daban-daban.
Amfanin tashar jiragen ruwa da ake dasawa (Chemo Ports)
1. Amfani na dogon lokaci:
- Za a iya barin shi har tsawon shekaru da yawa, yana rage maimaita huda
- Ya dace da marasa lafiya waɗanda ke buƙatar magani na dogon lokaci
2. Ƙananan haɗarin kamuwa da cuta:
- An dasa shi sosai a cikin jiki, yana rage yiwuwar kamuwa da cuta
– Mahimmanci ƙarancin kamuwa da cuta idan aka kwatanta da na gefe venous catheters
3. Ingantacciyar rayuwa:
- Babu tsangwama ga ayyukan yau da kullun, zai iya yin wanka akai-akai
– Keɓantawa tare da siffa mai hankali
4. Rage rikitarwa:
- Rage haɗarin phlebitis, ɓarna na miyagun ƙwayoyi, da sauransu.
– Rage lalacewar jijiyoyin jini
5. Tattalin Arziki:
- Ƙananan farashin amfani na dogon lokaci fiye da maimaita catheterization
– Rage lokacin asibiti da kuma farashi masu alaƙa
6. Ƙananan bukatun bukatun
- Ba kamar layin tsakiya na waje ba, tashoshin da za a dasa su suna buƙatar sauye-sauyen sutura da kulawa da ƙasa akai-akai.
7. Ingantaccen isar da magunguna
- Yana tabbatar da shiga kai tsaye zuwa manyan jijiyoyi, inganta shayar da magani da rage jijiyoyi.
V. Yadda ake zabar tashar tashar da za a dasa ta dace (Chemo Ports)
Zaɓin tashar tashar da za a iya dasa mafi dacewa ya dogara da abubuwa da yawa:
- Yanayin Lafiya:
- Tashar jiragen ruwa-lumen guda ɗaya sun isa daidaitaccen chemotherapy, yayin da tashoshin lumen biyu sun fi kyau ga marasa lafiya da ke buƙatar jiko na miyagun ƙwayoyi lokaci guda.
- Ana ba da shawarar tashar jiragen ruwa masu allurar wuta don marasa lafiya da ke jurewa da haɓaka hoto mai yawa.
- Daidaituwar Abu da MRI:
- Marasa lafiya da ciwon ƙarfe ya kamata su zaɓi tashar jiragen ruwa na filastik.
- An fi son tashoshin titanium masu dacewa da MRI don marasa lafiya da ke buƙatar sikanin hoto na yau da kullun.
- Girman Port da Wuri:
- Yi la'akari da girman jikin mai haƙuri da wurin da ake so don sanya tashar jiragen ruwa (kirji vs. hannu).
- Ƙananan tashoshin jiragen ruwa na iya zama da kyau ga marasa lafiya na yara ko mutane masu ƙananan kitsen jiki.
- Yawan Amfani:
- Idan ana buƙatar jan jini akai-akai ko jiko, tashar jiragen ruwa-lumen biyu ko allurar wutar lantarki na da fa'ida.
- Shawarar Mai Ba da Lafiya:
- Yin shawarwari tare da likita ko likitan dabbobi yana tabbatar da cewa nau'in tashar jiragen ruwa ya dace da tsarin kulawa da majiyyaci.
VI. Abubuwan la'akari lokacin siyan tashar da za a iya dasa (Chemo Ports)
1.Alamar da masana'anta
Zaɓi manyan masana'antun da FDA, CE, ko ISO13485 takaddun shaida don tabbatar da inganci da aminci.
2.Biocompatibility
Tabbatar cewa kayan da aka yi amfani da su (titanium, silicone, ko filastik) sun dace kuma suna rage haɗarin rashin lafiyan halayen.
3.Sterility da marufi
Ya kamata a riga an riga an riga an riga an riga an yi amfani da tashar jiragen ruwa a rufe kuma a rufe shi a cikin marufi masu hana ruwa gudu don rage haɗarin kamuwa da cuta.
4.Port gani da ganewa
Wasu tashoshin jiragen ruwa suna zuwa tare da alamomin tantancewa ko abubuwan da aka haɗa da fasalin rediyo don sauƙin ganewa yayin binciken hoto.
5.Compatibility Allura
Tabbatar cewa tashar jiragen ruwa ta dace da daidaitattun alluran Huber don sauƙi da amintacciyar hanya.
6.Farashin farashi da inganci
Yayin da matsalolin kasafin kuɗi na iya kasancewa, ba da fifikon inganci da dorewa don hana sauyawa ko rikitarwa akai-akai.
7.Bayanin mai amfani da bayanin asibiti
Yi la'akari da martani daga ƙwararrun kiwon lafiya game da aminci da aikin samfuran tashar jiragen ruwa daban-daban.
8. Tallafin horo:
Tabbatar cewa mai siyarwa yana ba da horo na ƙwararru akan amfani da samfur.
Fahimtar kulawar samfur da jagororin warware matsala.
Fasalolin tashar tashar jiragen ruwa (Chemo Ports) wanda Kamfanin Shanghai Teamstand ya samar
Jakar capsular tare da tsararriyar ƙirar gaba-gaba tana ba da damar ƙarami yanke.
Tashar tashar aya ta uku tare da zanel pore zane yana sa ya fi kwanciyar hankali.
Kulle haɗin mai nadawa.
Tashar tashar polysulfone ta fi sauƙi, tare da jin jikin waje.
Sauƙi don dasawa. Sauƙi don kulawa.
An yi niyya don rage rikice-rikice.
MR Sharadi har zuwa 3-Tesla.
8.5F Alamar rediyopaque CT wanda aka saka a cikin septum tashar jiragen ruwa don gani a ƙarƙashin x-ray.
Yana ba da damar yin allurar wuta har zuwa 5mL/sec da ƙimar matsa lamba 300psi.
Mai jituwa tare da duk allurar wutar lantarki.
Alamar rediyopaque CT wanda aka saka a cikin septum tashar jiragen ruwa don gani a ƙarƙashin x-ray.
Kammalawa
A matsayin ci gabana'urar likita, tashoshin da za a iya dasa su(Chemo Ports)samar da amintaccen bayani mai dacewa ga marasa lafiya da ke buƙatar maganin jijiya na dogon lokaci. Ta hanyar fahimtar ƙayyadaddun bayanai, gini, nau'ikan da fa'idodin tashar jiragen ruwa na jiko, marasa lafiya da ƙungiyoyin kiwon lafiya na iya yin ƙarin zaɓin bayanai. Sakamakon la'akari da bukatun haƙuri, ingancin samfur da sabis na mai siyarwa yayin siye da amfani zasu taimaka tabbatar da sakamakon jiyya da amincin haƙuri. Yayin da fasahar likitanci ke ci gaba da ci gaba, za a ci gaba da inganta ƙira da ayyuka na tashoshin jiragen ruwa don ingantacciyar ƙwarewar haƙuri.
Lokacin siyan tashar jiragen ruwa da za a iya dasa (Chemo Ports), tabbatar da ya dace da ka'idojin aminci, ya dace, kuma ya dace da na'urorin haɗi masu mahimmanci. Tare da zaɓin da ya dace da kulawa, tashoshin da za a iya dasa su (tashoshin chemo) na iya haɓaka ingancin rayuwa ga marasa lafiya da ke buƙatar ƙarin damar IV.
Ta bin wannan cikakkiyar jagorar, majiyyata da ƙwararrun likita za su iya yanke shawara game da mafi dacewa tashar da za a iya dasa (Chemo tashar jiragen ruwa) don dogon lokaci na maganin jijiya.
Lokacin aikawa: Maris-31-2025