HORDHAC
Daryeelka caafimaadka casriga ah, theDekedda Chemo(Dekedda la geliyo ama Port-a-Cath), sida muddo-dheerqalabka gelitaanka xididdada dhiigga, waxaa si weyn loogu isticmaalaa bukaanada u baahan faleebo joogto ah, kiimoterabi, dhiig ku shubid ama taageero nafaqo. Kaliya ma wanaajiso tayada nolosha bukaanka, laakiin sidoo kale waxay yaraynaysaa xanuunka daloolada soo noqnoqda iyo khatarta caabuqa. Maqaalkan, waxaan ku dhex dari doonaa qeexida, qeexitaannada, qaabka, noocyada, faa'iidooyinka iyo sida loo doorto midka saxda ah si uu kaaga caawiyo inaad si buuxda u fahamto qalabkan caafimaad ee muhiimka ah.
I. Waa maxay Deked Chemo?
Deked Chemo ah, oo sidoo kale loo yaqaan aPort-a-Cathama dekedda faleebo, waa qalab caafimaad oo la dhigo maqaarka hoostiisa si loo fududeeyo daawaynta xididada muddada dheer. Waxay ka kooban tahay kayd yar (deked) oo ku xidhan kateetarka oo la geliyo xidid weyn, inta badan laabta. Dekeddu waxay u oggolaanaysaa in si fudud loo helo maamulka daawaynta, kiimoterabiga, faleebo dareere ah, iyo soo jiidasho dhiig, taas oo meesha ka saaraysa baahida loo qabo ulaha irbado ee soo noqnoqda.
Dekadda chemo waxay caadi ahaan ka samaysan tahay walxo noole la socon kara sida titanium ama balaastig leh septum silikoon is-hubay. Xirfadlayaasha daryeelka caafimaadku waxay geli karaan dekedda iyagoo isticmaalaya qalab gaar ahirbad Huber oo aan daloolin, yaraynta raaxo la'aanta iyo yaraynta khatarta caabuqa marka loo eego kateetarka faleebbaha ee dhaqameed.
Isticmaalka ugu muhiimsan ee dekedaha chemo waxaa ka mid ah:
1. faleebo dawooyinka kiimoterabiga muddada-dheer
2. Taageerada nafaqada ee waalidka
3. shubid joogto ah ama ururin dhiig
4. daawaynta antibiyootiga
5. maaraynta xanuunka
Tilmaamaha iyo qaab dhismeedka dekedda Chemo (Port-a-Cath)
1. Tilmaamaha
Tilmaamaha dekedaha Chemo waxaa badanaa loo kala saaraa iyadoo loo eegayo xuduudaha soo socda:
- Cabbirka: dhexroorka kursiga mudista badanaa waa 2-3 sentimitir dhumucdiisuna waa ilaa 1 sentimitir
- Awoodda: mugga lumen kursiga duritaanka inta badan waa 0.5-1.5 mL
- Cabbirka kateetarka: cabbirka sida caadiga ah loo isticmaalo waa 6-10 Faransiis
Dhererka kateetarka: 20-90 cm waxay kuxirantahay goobta lagu beero.
2. Qaybaha qaab dhismeedka
Dekedda la rakibi karo waxay inta badan ka kooban tahay qaybaha soo socda:
1. Kursiga duritaanka:
– Wax laga sameeyay daawaha titanium ama caag
– Silicone diaphragm ee sare, kaas oo u adkeysan kara in ka badan 2000 dalool.
- Qaybta hoose waxay leedahay deked isku xidhka kateetarka
2. Kateetarka:
- Ka samaysan silikoon ama polyurethane
– Antithrombotic and anti-infective properties
- Waxa laga yaabaa inay leedahay nakhshad dabool ah dhamaadka.
3. Qalabka hagaajinta:
- Waxaa loo isticmaalaa in lagu sugo cirbadeynta iyo kateetarka
– Waxay ka hortagtaa barakaca iyo barakaca
Noocyada dekedaha la geliyo (Chemo Ports)
Marka loo eego shuruudaha kala-soocidda ee kala duwan, dekedaha la rakibo waxaa loo qaybin karaa noocyada soo socda:
1. Kala soocida agab
- Xajiyeyaasha la isku duro ee Titanium:
- Faa'iidooyinka: xoog sare, MRI ku habboon
- Khasaaro: Qiimaha sare
- Qalabka cirbadaha caagga ah:
- Faa'iidooyinka: qiimo hoose, miisaan fudud
– Khasaaro: la jaanqaadi kara MRI yar
2. Kateetarka waxaa loo kala saaray meesha ay ku taal dhamaadka tuubada.
- Nooca xididka dhexe:
- Kateetarku waxay ku dhammaataa xididdada xididdada sare
- Ku habboon xaaladaha badankood.
- Nooca xididka xididada:
– Kateetarku waxay ku dhammaataa xididka durugsan.
- Ku habboon isticmaalka muddada gaaban
3. Shaqaale ahaan
- Hal Lumen:
- Helitaanka keli ah ee daaweynta caadiga ah
- Labba Lumen:
- Laba kanaal oo madaxbannaan oo isku mar ah faleebo dawooyin kala duwan ah.
Faa'iidooyinka dekedda la geliyo (Chemo Ports)
1. Isticmaalka muddada dheer:
– Waxaa meeshaas lagu dayn karaa dhowr sano, taasoo yaraynaysa daloollada soo noqnoqda
- Ku haboon bukaanada u baahan daaweyn waqti dheer ah
2. Khatarta caabuqa oo yar:
- Si buuxda ayaa loogu tallaalay jidhka, taas oo yaraynaysa fursadda caabuqa
- Heerka caabuqa aad ayuu uga hooseeyaa marka loo eego kateetarka xididada xididada
3. tayada nolosha oo la hagaajiyay:
- Wax faragelin ah kuma samaynayso hawl maalmeedka, si caadi ah ayey u maydhan kartaa
– Qarsoodi oo leh muuqaal miyir leh
4. Iska yaree dhibaatooyinka:
- Khatarta phlebitis-ka oo yaraatay, xad-dhaafka daroogada, iwm.
– Yaree dhaawaca xididdada dhiigga
5. Dhaqaale:
- Kharash ka hooseeya isticmaalka muddada dheer marka loo eego kateeter-ka soo noqnoqda
- Yaree wakhtiga isbitaalka iyo kharashyada la xiriira
6. Baahida dayactirka hoose
- Si ka duwan khadadka dhexe ee dibadda, dekedaha la rakibi karo waxay u baahan yihiin isbeddel dhaymo iyo daryeel yar.
7. Dhalinta daroogada oo la xoojiyey
- Waxay hubisaa gelitaanka tooska ah ee xididdada waaweyn, hagaajinta nuugista daawada iyo yaraynta xanaaqa xididdada.
V. Sida loo doorto deked la rakibi karo oo habboon (Chemo Ports)
Xulashada dekeda ugu habboon ee lagu rakibi karo waxay kuxirantahay dhowr arrimood:
- Xaalada Caafimaad:
- Dekadaha hal-lumen ah ayaa ku filan kiimoterabiga caadiga ah, halka dekedaha laba-lumen ay u fiican yihiin bukaannada u baahan faleebo daroogo isku mar ah.
- Dekadaha awooda lagu duro ayaa lagula talinayaa bukaanada si joogto ah u sawiran isbarbardhiga.
- Waafaqsanaanta Qalabka iyo MRI:
- Bukaanka qaba xasaasiyadda birta waa inay doortaan dekedo caag ah.
- Dekadaha titanium-ka ee MRI-ku-xiran ayaa loo door bidaa bukaannada u baahan sawir-qaadid joogto ah.
- Baaxadda Dekedda iyo Meelaynta:
- Tixgeli cabbirka jirka bukaanka iyo meesha la rabo ee meelaynta dekedda (xabadka vs cududda).
- Dekedo yaryar ayaa laga yaabaa inay door bidaan bukaannada carruurta ama shakhsiyaadka leh dufanka hoose.
- Inta jeer ee isticmaalka:
- Haddii dhiig badan oo soo noqnoqda ama faleebo loo baahan yahay, laba-lumen ama deked koronto lagu duro ayaa faa'iido leh.
- Talada Bixiyaha Daryeelka Caafimaadka:
- La-talinta dhakhtarka ama dhakhtarka kansarka waxay hubisaa in nooca dekeddu uu la socdo qorshaha daaweynta bukaanka iyo qaab nololeedka.
VI. Tixgelinta marka la iibsanayo deked la geliyo (Chemo Ports)
1.Summada iyo soo saaraha
Dooro soosaarayaal sumcad leh oo wata shahaadooyinka FDA, CE, ama ISO13485 si loo hubiyo tayada iyo badbaadada.
2.Biocompatibility
Hubi in alaabta la isticmaalo (titanium, silicone, ama balaastig) ay yihiin kuwo noolaha oo la yareeyo khatarta falcelinta xasaasiyadda.
3.Sterility iyo baakadaha
Dekeddu waa in la nadiifiyaa oo lagu xidhaa baakado aan faragelin lahayn si loo yareeyo khatarta caabuqa.
4.Muuqaalka dekedda iyo aqoonsiga
Dekadaha qaar ayaa la yimaadda calamadaha aqoonsiga ama sifada shucaaca shucaaca si loo aqoonsado fudud inta lagu jiro sawirada sawirida
5.Isku waafaqid Irbad
Hubi in dekeddu ay la jaanqaadi karto cirbadaha Huber ee caadiga ah si sahlan oo ammaan ah loo galo.
6.Qiimaha iyo kharash-oolnimada
Iyadoo caqabado miisaaniyadeed ay jiri karaan, mudnaanta sii tayada iyo adkeysiga si aad uga hortagto beddelka joogtada ah ama dhibaatooyinka.
7.Dib u eegista isticmaalaha iyo jawaab celinta bukaan socodka
Tixgeli jawaab celinta xirfadlayaasha daryeelka caafimaadka ee ku saabsan kalsoonida iyo waxqabadka noocyada kala duwan ee dekedaha.
8. Taageerada tababarka:
Hubi in alaab-qeybiyuhu uu bixiyo tababar xirfadeed oo ku saabsan isticmaalka alaabta.
Faham dayactirka alaabta iyo tilmaamaha cilad-raadinta.
Astaamaha dekedda la geliyo (Chemo Ports) oo ay bixiso Shanghai Teamstand Corporation
Shandad kaabsal ah oo leh naqshad hore oo toosan ayaa u oggolaanaysa goyn yar.
Saddexda-dhibcood ee leh nashqadeynta daloolka dharka ayaa ka dhigaysa mid xasilloon.
Qufulka isku xirka lidka-laabashada
Dekadda polisulfone waa fududdahay, oo leh dareenka jidhka shisheeye.
Fudud in la beero Si fudud loo ilaaliyo.
Waxaa loogu talagalay in lagu yareeyo heerarka dhibka.
Shuruudaha MR ilaa 3-Tesla.
8.5F Radiopaque CT calaamaynta ku dhex-xidhan septum-ka dekeda si loogu arko raajada hoosteeda.
Oggolow irbado koronto ilaa 5mL/sek iyo 300psi qiimaynta cadaadiska.
La jaanqaadi kara dhammaan cirbadaha tamarta
Calaamadaynta Raadiyaha CT ee ku-xidhan septum-ka dekedda si loogu arko raajada hoosteeda.
Gabagabo
Sida horumarsanqalab caafimaad, dekedaha la rakibo(Chemo Ports)sii xal badbaado leh oo ku habboon bukaannada u baahan daawaynta xididka muddada-dheer. Fahamka qeexitaannada, dhismaha, noocyada iyo faa'iidooyinka dekedaha faleebada, bukaannada iyo kooxaha daryeelka caafimaadku waxay samayn karaan doorashooyin xog-ogaal ah. Tixgelinta baahida bukaanka awgeed, tayada badeecada iyo adeegga iibiyaha inta lagu jiro iibka iyo isticmaalka ayaa kaa caawin doona hubinta natiijooyinka daaweynta iyo badbaadada bukaanka. Maaddaama tignoolajiyada caafimaadku ay sii socoto inay horumarto, naqshadaynta iyo shaqaynta dekedaha la rakibi karo waxay sii wadi doontaa in la hagaajiyo si loo helo khibrad bukaan oo wanaagsan.
Markaad iibsanayso deked la rakibi karo (Chemo Ports), hubi inay buuxisay heerarka badbaadada, ay la socon karto, oo ay la soconayso agabka lagama maarmaanka ah. Xulashada saxda ah iyo daryeelka, dekedaha la rakibi karo (dekedaha kiimikaad) waxay si weyn u wanaajin karaan tayada nolosha bukaanada u baahan gelitaanka IV-ga dheer.
Marka la raaco hagahan dhamaystiran, bukaanada iyo xirfadlayaasha caafimaadku waxay gaadhi karaan go'aano xog ogaal ah oo ku saabsan dekedda ugu haboon ee la geliyo (dekedda Chemo) ee daawaynta xididada muddada-dheer.
Waqtiga boostada: Mar-31-2025