Opanga ndi ogulitsa a Cold Snarewith Braided Loop Opambana Kwambiri Otayidwa ndi Gastric Endoscopy Polypectomy

Chotsekera Chotayidwa cha M'mimba Chotchedwa Polypectomy Chozizira Chokhala ndi Chizungulire Cholukidwa Chithunzi Chodziwika

Kuchotsa Mimba Yotayika Yotchedwa Polypectomy Cold Snarewith Luided Loop

Kufotokozera Kwachidule:

Makhalidwe

Mitundu yosiyanasiyana ya mawonekedwe ndi kukula kwa chizunguliro.

●Mawonekedwe a Loop: Oval(A), Hexagonal(B) ndi Crescent(C)

● Kukula kwa Loop: 10mm-15mm

Msampha Wozizira

●Kukhuthala kwa 0.24 ndi 0.3mm.

● Wapadera, mawonekedwe a mtundu wa chishango

●Mtundu uwu wa Snare watsimikiziridwa kuti umathandiza kuchiza polyp yaying'ono popanda kugwiritsa ntchito mankhwala ophera tizilombo toyambitsa matenda.

Tumizani imelo kwa ife

Tsatanetsatane wa Zamalonda

Ma tag a Zamalonda

Kugwiritsa ntchito

ZRH Med imapereka ma cold snares omwe amatha kugwiritsidwa ntchito nthawi imodzi omwe amafanana bwino ndi mtengo wake. Amapezeka m'mawonekedwe osiyanasiyana, mawonekedwe ndi kukula kosiyanasiyana kuti agwirizane ndi zosowa zosiyanasiyana zachipatala.

Amagwiritsidwa ntchito podula ma polyps ang'onoang'ono kapena apakatikati m'mimba.

Kufotokozera

Chitsanzo	Kufupika kwa Loop D-20% (mm)	Utali Wogwira Ntchito L ± 10% (mm)	Chigoba Chosamvetseka ± 0.1 (mm)	Makhalidwe
ZRH-RA-18-120-15-R	15	1200	Φ1.8	Msampha Wozungulira	Kuzungulira
ZRH-RA-18-160-15-R	15	1600	Φ1.8
ZRH-RA-24-180-15-R	15	1800	Φ2.4
ZRH-RA-24-230-15-R	15	2300	Φ2.4
ZRH-RB-18-120-15-R	15	1200	Φ1.8	Msampha wa Hexagonal	Kuzungulira
ZRH-RB-18-160-15-R	15	1600	Φ1.8
ZRH-RB-24-180-15-R	15	1800	Φ1.8
ZRH-RB-24-230-15-R	15	2300	Φ2.4
ZRH-RC-18-120-15-R	15	1200	Φ1.8	Msampha wa Crescent	Kuzungulira
ZRH-RC-18-160-15-R	15	1600	Φ1.8
ZRH-RC-24-180-15-R	15	1800	Φ2.4
ZRH-RC-24-230-15-R	15	2300	Φ2.4

Kufotokozera kwa Zamalonda

Kuchepetsa Msampha Wozungulira wa 360°
Perekani kuzungulira kwa madigiri 360 kuti muthandize kupeza ma polyps ovuta.

Waya mu Kapangidwe Kolukidwa
zimapangitsa kuti ma polys asamavute kuchotsedwa

Njira Yotsegula ndi Kutseka Yosavuta
kuti zikhale zosavuta kugwiritsa ntchito

Chitsulo Chosapanga Dzimbiri Chachipatala Cholimba
Perekani njira yodulira yolondola komanso yachangu.

Chigoba Chosalala
Pewani kuwonongeka kwa njira yanu ya endoscopic

Kulumikiza Kwamagetsi Kwachizolowezi
Imagwirizana ndi zipangizo zonse zazikulu zomwe zimapezeka pamsika

Kugwiritsa Ntchito Zachipatala

Target Polyp	Chida Chochotsera
Kukula kwa polyp <4mm	Ma Forceps (kukula kwa chikho 2-3mm)
Polyp kukula kwake ndi 4-5mm	Ma Forceps (kukula kwa chikho 2-3mm) Ma Forceps akuluakulu (kukula kwa chikho> 3mm)
Kukula kwa polyp <5mm	Ma forceps otentha
Polyp kukula kwake ndi 4-5mm	Msampha Waung'ono Wozungulira (10-15mm)
Polyp kukula kwake ndi 5-10mm	Msampha Waung'ono Wozungulira (wokondedwa)
Kukula kwa Polyp> 10mm	Misampha Yozungulira, Ya Hexagonal

Ubwino wa polyp cold snare resection

1. Kusavuta komanso kuchira mwachangu.
2. Kuchotsa ma polyps oyenera m'chimfine n'kotetezeka, ndipo n'kotetezeka kukula ngati pakufunika kutero. Malinga ndi malipoti a mabuku, kutuluka magazi ndi kubowoka sikophweka.
3. Chotsukira cha polyp chokha ndi chomwe chingagwiritsidwe ntchito, kuchotsa kufunikira kwa singano zobayira jakisoni, mipeni yamagetsi, ndi zina zotero. Kulowa mozama kwa magetsi popanda jakisoni, komanso kulowa mozama kwa ma tweezers otentha ndi mankhwala ena.
4. Sungani ndalama.
5. Chigoba cha sessile chatsekeredwa kwathunthu. Pambuyo pobayira sessile, EMR (EMRC) yomwe yakokedwa ndi chipewa chosawonekera bwino sikophweka kutsekeredwa.
6. Ikhozanso kugwira ntchito popanda mpeni wamagetsi.
7. Msampha wozizira wa polyp ukhoza kuzunguliridwa, womwe ndi wosinthasintha komanso wosavuta kugwiritsa ntchito.
8. Yoyenera zipatala zazikulu, ikhoza kusankhidwa kuti ikwezedwe.
9. Kugwiritsa ntchito snare nthawi zambiri kumakhala kuchotsa ziwalo, koma chithandizo cha biopsy forceps sichikudziwika bwino.
10. Msamphawo ndi wolondola kwambiri kuposa mphamvu ya biopsy.
11. Anthu omwe akumwa mannitol sayenera kugwiritsa ntchito opaleshoni yamagetsi. Ndi yoyenera kuchotsa ma polyps ozizira pogwiritsa ntchito snare yozizira. Ngati kuli koyenera, chithandizo pamalopo ndi chothandiza kwa odwala.
12. Kachidutswa kakang'ono kokhala ndi mainchesi 15 mm kangathe kuyeza kukula kwa polyp, zomwe zimathandiza kudziwa ngati vuto la kuchotsa polyp ndi lokwanira.