Hemoclip Yotsegula ndi Kutseka Yotha Kutayidwa M'mimba
Hemoclip Yotsegula ndi Kutseka Yotha Kutayidwa M'mimba
Kugwiritsa ntchito
Amagwiritsidwa ntchito pomanga mitsempha yamagazi mwamakina. Endoclip ndi chipangizo chachitsulo chomwe chimagwiritsidwa ntchito mu endoscopy kuti chitseke malo awiri a mucous popanda kufunikira opaleshoni ndi kusoka. Ntchito yake ndi yofanana ndi kusoka m'machitidwe opaleshoni, chifukwa imagwiritsidwa ntchito polumikiza malo awiri osagwirizana, koma, ingagwiritsidwe ntchito kudzera mu endoscope poyang'ana mwachindunji. Endoclip yagwiritsidwa ntchito pochiza kutuluka magazi m'mimba (m'mimba ya pamwamba ndi pansi), poletsa kutuluka magazi pambuyo pa njira zochiritsira monga polypectomy, komanso potseka mabowo a m'mimba.
Kufotokozera
| Chitsanzo | Kukula Kotsegulira Kapepala (mm) | Utali Wogwira Ntchito (mm) | Njira Yopopera Magazi (mm) | Makhalidwe | |
| ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Wosaphimbidwa |
| ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | M'mimba | |
| ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
| ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | Gastro | Wokutidwa |
| ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | M'mimba | |
| ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 | ||
Kufotokozera kwa Zamalonda
Kuchepetsa Kanema Kozungulira kwa 360°
Perekani malo enieni.
Nsonga ya Atraumatic
imaletsa endoscopy kuwonongeka.
Dongosolo Lotulutsa Zinthu Mosamala
Zosavuta kutulutsa zoperekera zojambulira.
Chidutswa Chotsegulira ndi Kutseka Chobwerezabwereza
kuti malo ake akhale olondola.
Chogwirira Chooneka Ngati Ergonomically
Yosavuta kugwiritsa ntchito
Kugwiritsa Ntchito Zachipatala
Hemoclip ikhoza kuyikidwa mkati mwa njira ya m'mimba (GI) kuti ichotse magazi m'thupi kuti:
Zolakwika za mucosal/sub-mucosal< 3 cm
Zilonda zotuluka magazi, -Mitsempha yamagazi< 2 mm
Ma polyps< 1.5 cm m'mimba mwake
Diverticula mu #colon
Chidutswa ichi chingagwiritsidwe ntchito ngati njira yowonjezera yotsekera mabowo a GI tract luminal< 20 mm kapena #kulemba chizindikiro cha endoscopic.
Hemoclip Yogwiritsidwa Ntchito mu ESD
(1) Ikani chizindikiro, gwiritsani ntchito singano yocheka kapena argon ion coagulation kuti mulembe malo odulidwa ndi electrocoagulation ya 0.5cm m'mphepete mwa chotupacho;
(2) Musanapereke mankhwala a submucosal, zakumwa zomwe zimapezeka kuchipatala kuti muperekedwe mankhwala a submucosal ndi monga physiological saline, glycerol fructose, sodium hyaluronate ndi zina zotero.
(3) Dulani pasadakhale mucosa wozungulira: gwiritsani ntchito zida za ESD kudula gawo la mucosa wozungulira chotupacho m'mphepete mwa malo olembera kapena m'mphepete mwa malo olembera, kenako gwiritsani ntchito mpeni wa IT kudula mucosa yonse yozungulira;
(4) Malinga ndi magawo osiyanasiyana a chotupacho ndi momwe ogwiritsira ntchito amagwirira ntchito, zida za ESD IT, mpeni wa Flex kapena HOOK ndi zida zina zochotsera zinasankhidwa kuti zichotse chotupacho m'mbali mwa submucosa;
(5) Pochiza bala, argon ion coagulation idagwiritsidwa ntchito pomanga mitsempha yonse yaying'ono yamagazi yomwe ikuwoneka pabala kuti ipewe kutuluka magazi pambuyo pa opaleshoni. Ngati pakufunika, ma hemostatic clamp adagwiritsidwa ntchito pomanga mitsempha yamagazi.
