Kuenzaniswa neyechinyakare bhuku jekiseni, high pressure injector ine zvakanakira otomatiki, huchokwadi uye zvichingodaro.Yakatsiva zvishoma nezvishoma nzira yejekiseni uye ikava imwe yemidziyo inodiwa yemagnetic resonance (MR) yakakwidziridzwa scanning.Izvi zvinoda kuti isu tigone tekinoroji yayo yekushandisa kuitira kuti iite zvakanaka mukuita.
1 Kushanda kwekiriniki
1.1 Chinangwa Chese: Kuvandudzwa kweMR kuongorora zvirwere kunosanganisira mapundu, anofungidzirwa kuti ane nzvimbo inobata maronda kana zvirwere zvevascular.
1.2 Equipment nemishonga: High pressure injector inoshandiswa nedhipatimendi redu ndiyo ImaStar MDP MR injector inogadzirwa neAntmed.Iyo inoumbwa nejekiseni musoro, komputa komputa uye console ine inoratidzira yekubata skrini.Iyo yekusiyanisa mumiririri ndeyemusha uye inotengeswa kunze kwenyika.Muchina weMR ndeye 3.0T superconducting muviri wese MR scanner inogadzirwa nePHILIPS Company.
Iyo kambani Shenzhen Antmed Co., Ltd. ImaStar MRI Dual Head Contrast Media Delivery System:
1.3 Maitiro ekushandisa: Batidza magetsi, isa chinja chemagetsi kurudyi rwechikamu chekamuri yekushanda munzvimbo yeON.Mushure mekuzviongorora kwemuchina kwapera, kana chiratidziro chemita chiri munzvimbo yakagadzirira-jekiseni, isa iyo MR high-pressure sirinji inogadzirwa neAntmed], ine A syringe, B syringe uye T yekubatanidza chubhu yakasungirirwa mukati. .Pasi pemamiriro ekushanda kweseptic, tendeudzira musoro wejekiseni kumusoro, sunungura chivharo chekudzivirira pamuromo wejekiseni, Dzvanya bhatani rekumberi kuti usundire piston kuzasi, uye dhirowa 30 ~ 45 ml yekusiyanisa agent kubva pachubhu "A" , uye huwandu hwesaline yakajairwa kubva pachubhu "B" hwakaenzana kana hukuru kupfuura huwandu hwekusiyanisa agent.Munguva iyi, teerera kudzinga mhepo musirinji, kubatanidza T yekubatanidza chubhu netsono, uye kuitisa venous puncture mushure mekuneta.Kuvakuru, jekiseni 0.2~0.4 ml/kg yezvinosiyanisa, uye kuvana, jekiseni 0.2–3 ml/kg yezvinosiyanisa.Kumhanya kwejekiseni i2 ~ 3 ml/s, uye ese anobaiwa mutsinga yegokora.Mushure mekubudirira kwe venous puncture, Vhura iyo KVO (chengeta tsinga yakavhurika) pane peji remba rechisikirini kudzivirira kuvharika kweropa, bvunza maitiro emurwere, nyatso cherechedza maitiro omurwere pamushonga, bvisa kutya kwemurwere, wobva wanyatsotumira murwere kuti apinde. iyo magineti kunzvimbo yepakutanga, shandira pamwe nemushandisi, tanga jekiseni musiyano, wobva wabaya jekiseni resaline yakajairika, uye tarisa ipapo.Mushure mekuvheneka, varwere vese vanofanirwa kugara kwemaminetsi makumi matatu kuti vatarise kana paine chero allergic reaction vasati vaenda.
2 Migumisiro
Iyo yakabudirira puncture uye jekiseni remushonga rinogonesa iyo MR yakakwidziridzwa yekuvheneka bvunzo kuti ipedze zvinobudirira maererano nehurongwa hwakarongwa, uye kuwana mhinduro yekufungidzira ine kukosha kwekuongorora.
3 Kukurukurirana
3.1 Zvakanakira zvekudzvanya jekiseni: Iyo yakanyanya kudzvanywa jekiseni yakanyatsogadzirirwa jekiseni rekusiyanisa ajenti panguva yeMR uye CT yakawedzera scanning.Inodzorwa nekombuta ine yakakwira dhigirii yeautomation, huchokwadi uye kuvimbika, uye inochinjika jekiseni modhi.Iyo yekumhanyisa jekiseni, jekiseni dosi, uye yekutarisa yekutarisa kunonoka nguva inogona kusetwa zvinoenderana nezvinodiwa zvekuongororwa.
3.2 Chengetedzo yehukoti pakushandisa high-pressure injector
3.2.1 Mukoti Wepfungwa: Pamberi pekuongorora, tanga wazivisa nzira yekuongorora uye mamiriro ezvinhu anogoneka kumurwere, kuitira kuti asunungure kushushikana kwavo, uye rega murwere agadzirire mupfungwa uye physiologically kushandira pamwe nekuongorora.
3.2.2 Kusarudzwa kwetsinga dzeropa: The high pressure injector ine high pressure uye kukurumidza jekiseni kukurumidza, saka zvinodikanwa kusarudza gobvu, tsinga dzakatwasuka dzine ropa rakakwana uye elasticity yakanaka iyo isiri nyore kubuda.Iwo matsinga pamajoini, venous sinuses, vascular bifurcations, etc. inofanira kudziviswa.Idzo tsinga dzinowanzo shandiswa ndeye dorsal hand vein, superficial forearm vein, uye median elbow vein.Kune vakwegura, avo vane chemotherapy kwenguva refu uye kukuvara kwakakomba kwevascular, isu tinonyanya kusarudza kupinza zvinodhaka kuburikidza nevein vein.
3.2.3 Kudzivirirwa kweAllergic reaction: Sezvo MR musiyano wepakati wakachengeteka pane CT musiyano wepakati, kuongororwa kweallergy hakuwanzo kuitwa, uye mishonga yekudzivirira haidiwi.Varwere vashoma kwazvo vane kusvotwa, kurutsa, kutemwa nemusoro nefivha panzvimbo yejekiseni.Naizvozvo, zvinodikanwa kubvunza nhoroondo yemurwere allergy uye mamiriro ekubatana kwemurwere.Emergency mushonga unowanikwa nguva dzose, kana zvakadaro.Mushure mekuongorora kwakawedzerwa, murwere wega wega anosiiwa kuti atariswe kwemaminetsi makumi matatu pasina maitiro akashata.
3.2.4 Kudzivirirwa kwemhepo embolism: Air embolism inogona kutungamirira kumatambudziko makuru kana kunyange rufu rwevarwere, izvo zvinofanira kutarisirwa nekuchenjerera.Naizvozvo, kungwarira kwemushandisi, kusvinurira uye mashandiro akamisikidzwa ndiyo vimbiso yakakosha yekudzikisa mhepo embolism kusvika padiki mukana.Paunenge uchipomba maajenti ekusiyanisa, musoro wejekiseni unofanirwa kunge uri kumusoro kuitira kuti mabubbles aungane pamucheto wakatemerwa wesirinji kuti ubvise nyore, Kana uchibaya jekiseni, musoro wejekiseni unofanirwa kudzika pasi kuitira kuti mabhuru madiki ayangare pamusoro pemvura uye anowanikwa kumagumo. yesirinji.
3.2.5 Mabatirwo ekubvinza kwemusiyano wepakati: Kana iyo yepakati yekuvuza ikasagadziriswa nemazvo, inogona kukonzera necrosis yemunharaunda uye zvimwe zvinokonzeresa.Kudonha kudiki hakugone kurapwa kana 50% magnesium sulfate mhinduro ichashandiswa kune yemuno wet compress mushure mekunge ziso retsono ravharwa.Pakudonhedza kwakanyanya, nhengo iri padivi parinobvinza inofanira kutanga yasimudzwa, uyezve 0.25% Procaine ichashandiswa kuvhara mhete yemuno, uye 50% magnesium sulfate solution ichashandiswa kunyorova kwenzvimbo.Murwere achaudzwa kuti asashandise yemuno inopisa compress, uye inogona kupora kune yakajairika mukati mevhiki.
Kuti uwane rumwe ruzivo nezve zvigadzirwa nemasevhisi edu, ndapota taura nesu painfo@antmed.com.
Nguva yekutumira: Zvita-08-2022