Poyerekeza ndi jekeseni wamba wamba, jekeseni wothamanga kwambiri ali ndi ubwino wa makina, kulondola ndi zina zotero.Yasintha pang'onopang'ono njira ya jakisoni wamanja ndikukhala chimodzi mwazinthu zofunikira pakuwunika kowonjezera maginito (MR).Izi zimafuna kuti tidziwe bwino luso lake logwirira ntchito kuti tigwire bwino ntchitoyo.
1 Opaleshoni yachipatala
1.1 Cholinga chachikulu: Kuwunika kwa MR kwa matenda kumaphatikizapo zotupa, zomwe zimaganiziridwa kuti zimakhala ndi zotupa kapena matenda a mitsempha.
1.2 Zida ndi mankhwala: Injector yothamanga kwambiri yogwiritsidwa ntchito ndi dipatimenti yathu ndi ImaStar MDP MR injector yopangidwa ndi Antmed.Zimapangidwa ndi mutu wa jakisoni, kompyuta yolandirira ndi kontrakitala yokhala ndi chiwonetsero chazithunzi.Wosiyanitsa ndi wapakhomo komanso wotumizidwa kunja.Makina a MR ndi 3.0T superconducting thupi lonse MR scanner yopangidwa ndi PHILIPS Company.
Malingaliro a kampani Shenzhen Antmed Co., Ltd. ImaStar MRI Dual Head Contrast Media Delivery System:
1.3 Njira yogwiritsira ntchito: Yatsani magetsi, ikani chosinthira magetsi kumanja kwa gawo la chipinda chogwirira ntchito pamalo a ON.Mukamaliza kudziyang'anira makinawo, ngati mita yowunikira ili pamalo okonzeka kubayidwa, yikani syringe ya MR yopangidwa ndi Antmed], yokhala ndi syringe ya A, syringe B ndi chubu yolumikizira T yolumikizidwa mkati. .Pansi pa machitidwe okhwima a jekeseni, tembenuzirani mutu wa jekeseni m'mwamba, masulani chivundikiro chotetezera kunsonga kwa syringe, Dinani batani lakutsogolo kuti mukankhire pisitoni pansi, ndikujambula 30 ~ 45 ml ya chosiyana kuchokera pa chubu "A" , ndi kuchuluka kwa saline wamba kuchokera ku chubu "B" ndikofanana kapena kukulirapo kuposa kuchuluka kwa mankhwala osiyanitsa.Panthawi imeneyi, tcherani khutu kutulutsa mpweya mu syringe, kulumikiza chubu cholumikizira cha T ndi singano, ndikuchita puncture ya venous pambuyo potopa.Kwa akulu, jekeseni 0.2 ~ 0.4 ml/kg ya wosiyanitsa, ndipo kwa ana jekeseni 0,2-3 ml/kg ya wosiyanitsa.Kuthamanga kwa jakisoni ndi 2 ~ 3 ml / s, ndipo onse amabayidwa mumtsempha wa chigongono.Pambuyo pobowola bwino venous, Tsegulani KVO (sungani mtsempha wotseguka) patsamba lanyumba kuti mupewe kutsekeka kwa magazi, funsani zomwe wodwalayo akuchita, samalani momwe wodwalayo amachitira ndi mankhwalawa, chotsani mantha a wodwalayo, kenako tumizani wodwalayo mosamala. maginito pa malo oyamba, gwirizanani ndi wogwiritsa ntchitoyo, bayani kaye chothandizira kusiyanitsa, kenaka bayani saline wamba, ndikusanthula nthawi yomweyo.Akapanga sikani, odwala onse azikhala kwa mphindi 30 kuti awone ngati pali vuto lililonse asananyamuke.
2 Zotsatira
Kubowola bwino ndi jakisoni wamankhwala kumathandizira kuti mayeso a MR opititsa patsogolo kuwunika athe kumaliza bwino malinga ndi dongosolo lomwe lakonzedwa, ndikupeza zotsatira zoyeserera zokhala ndi phindu lozindikira.
3 Kukambitsirana
3.1 Ubwino wa jekeseni wothamanga kwambiri: Injector yothamanga kwambiri idapangidwa mwapadera kuti ipangire jekeseni wosiyanitsa panthawi ya MR ndi CT scanning.Imayendetsedwa ndi makompyuta omwe ali ndi digiri yapamwamba ya automation, yolondola komanso yodalirika, komanso mawonekedwe osinthika a jakisoni.Kuthamanga kwa jakisoni, mlingo wa jakisoni, ndi nthawi yochedwa kuwunika kutha kukhazikitsidwa molingana ndi zosowa za kuyezetsa.
3.2 Njira zothandizira anamwino pogwiritsa ntchito jekeseni wothamanga kwambiri
3.2.1 Unamwino Wamaganizo: Musanayambe kufufuza, choyamba yambitsani ndondomeko yowunikira ndi zochitika zomwe zingatheke kwa wodwalayo, kuti athetse kupsinjika maganizo, ndikulola wodwalayo kukhala wokonzeka m'maganizo ndi physiologically kuti agwirizane ndi kufufuza.
3.2.2 Kusankhidwa kwa mitsempha ya magazi: Injector yothamanga kwambiri imakhala ndi kuthamanga kwambiri komanso kuthamanga kwa jekeseni mofulumira, choncho m'pofunika kusankha mitsempha yowonjezereka, yowongoka yokhala ndi magazi okwanira komanso kusungunuka kwabwino komwe sikuli kosavuta kutuluka.Mitsempha pamfundo, venous sinuses, mtima bifurcations, etc. ayenera kupewa.Mitsempha yomwe imagwiritsidwa ntchito kwambiri ndi mtsempha wakumbuyo wakumanja, mtsempha wapampando wakutsogolo, komanso mtsempha wapakatikati.Kwa okalamba, omwe ali ndi chemotherapy kwa nthawi yayitali komanso kuvulala koopsa kwa mitsempha, nthawi zambiri timasankha kubaya mankhwala kudzera m'mitsempha yachikazi.
3.2.3 Kapewedwe ka ziwengo: Popeza kuti MR kusiyana pakati ndi kotetezeka kuposa sing'anga ya CT, kuyezetsa ziwengo sikumachitidwa, ndipo mankhwala odzitetezera samafunikira.Odwala ochepa kwambiri amakhala ndi nseru, kusanza, kupweteka mutu komanso kutentha thupi pamalo opangira jakisoni.Choncho, m`pofunika kufunsa wodwalayo ziwengo mbiri ndi chikhalidwe kwa wodwalayo mgwirizano.Mankhwala angozi amapezeka nthawi zonse, pokhapokha.Pambuyo pakuwunika kowonjezereka, wodwala aliyense amasiyidwa kuti awonedwe kwa mphindi 30 popanda zovuta.
3.2.4 Kupewa kutulutsa mpweya: Kutulutsa mpweya kungayambitse mavuto aakulu kapena imfa ya odwala, zomwe ziyenera kuchitidwa mosamala.Chifukwa chake, kusamala kwa wogwiritsa ntchito, kusamala ndi magwiridwe antchito okhazikika ndiye chitsimikizo chofunikira chochepetsera mpweya wa embolism kuti ukhale wocheperako.Popopera zinthu zosiyanitsa, mutu wa jekeseni uyenera kukhala m'mwamba kuti thovu lizitha kuwunjikana kumapeto kwa syringe kuti lichotse mosavuta, Pobaya jekeseni, mutu wa jekeseni uyenera kutsika kuti tinthu tating'onoting'ono tiyandama pamadzimadzi ndipo tili kumapeto. wa syringe.
3.2.5 Kuchiza kutayikira kwapakati: Ngati kutayikira kwapakati sikunathandizidwe bwino, kungayambitse necrosis ndi zovuta zina.Kutayikira kwakung'ono sikungachiritsidwe kapena 50% ya magnesium sulphate solution iyenera kugwiritsidwa ntchito ngati compress yonyowa m'deralo diso la singano litatsekedwa.Pakudontha kwakukulu, nthambi yomwe ili mbali yomwe ikuchucha iyenera kukwezedwa kaye, kenako 0.25% Procaine iyenera kugwiritsidwa ntchito kusindikiza mphete yakomweko, ndipo 50% ya magnesium sulfate solution iyenera kugwiritsidwa ntchito ku compress yonyowa yakomweko.Wodwalayo adzauzidwa kuti asagwiritse ntchito compress yotentha ya m'deralo, ndipo imatha kuchira pakangotha sabata imodzi.
Kuti mudziwe zambiri za malonda ndi ntchito zathu, chonde titumizireni painfo@antmed.com.
Nthawi yotumiza: Dec-08-2022