Makina Operekera Zinthu Zapamwamba Kwambiri Opangira ndi Ogulitsa Zozungulira ...

Zida za Endoscope Machitidwe Operekera Zinthu Zozungulira Zozungulira Zozungulira Chithunzi Chowonetsedwa cha Endoclip

Zida za Endoscope Machitidwe Operekera Zozungulira Zozungulira Zozungulira Zozungulira

Kufotokozera Kwachidule:

Tsatanetsatane wa Zamalonda:

Kuzungulira ndi chogwirira pa chiŵerengero cha 1:1. (*Tembenuzani chogwiriracho mutagwira cholumikizira cha chubu ndi dzanja limodzi)

Tsegulaninso ntchitoyo musanayambe kuigwiritsa ntchito. (Chenjezo: Tsegulani ndi kutseka mpaka kasanu)

MR Conditional: Odwala amachitidwa opaleshoni ya MRI akamaliza kuikidwa chigamba.

Kutsegula Kosinthika kwa 11mm.

Tumizani imelo kwa ife

Tsatanetsatane wa Zamalonda

Ma tag a Zamalonda

Kugwiritsa ntchito

Endoclip yathu imagwiritsidwa ntchito kuletsa kutuluka kwa magazi kuchokera m'mitsempha yaying'ono mkati mwa kugaya chakudya.
Zizindikiro za chithandizo ndi izi: Zilonda zotuluka magazi, diverticula m'matumbo, ziphuphu za luminal zosakwana 20 mm.

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
Endoclip 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
Chojambulachi chingagwiritsidwe ntchito ngati njira yowonjezera yotsekera mabowo a GI tract luminal < 20 mm kapena #endoscopic marking.

Kugwiritsa ntchito zowonjezera za EMR/ESD

Zowonjezera zofunika pa ntchito ya EMR zikuphatikizapo singano yobayira jakisoni, polypectomy snares, endoclip ndi chipangizo chomangirira (ngati n'koyenera) chipangizo chomangira snare chogwiritsidwa ntchito kamodzi chingagwiritsidwe ntchito pa ntchito zonse za EMR ndi ESD, chimatchulanso zonse-mu-chimodzi chifukwa cha ntchito zake za hybird. Chipangizo chomangira snare chingathandize polyp ligate, chomwe chimagwiritsidwanso ntchito pomanga chikwama-chingwe-chomangira pansi pa endoscop, hemoclip imagwiritsidwa ntchito pomanga snare ndi kutseka bala m'mimba.

Mafunso Ofunsidwa Kawirikawiri Pa Zakuwonjezera pa EMR/ESD

Q; Kodi EMR ndi ESD ndi chiyani?
A; EMR imayimira endoscopic mucosal resection, ndi njira yochepetsera kufalikira kwa khansa kapena zilonda zina zachilendo zomwe zimapezeka m'mimba.
ESD imayimira endoscopic submucosal dissection, ndi njira yochepetsera kufalikira kwa khansa ya m'mimba yomwe imachitidwa ndi dokotala pogwiritsa ntchito endoscopy kuchotsa zotupa zakuya m'mimba.

Q; EMR kapena ESD, mungadziwe bwanji?
A; EMR iyenera kukhala chisankho choyamba pazochitika zotsatirazi:
●Chilonda chakunja cha m'mero wa Barrett;
●Chilonda cham'mimba chaching'ono <10mm, IIa, malo ovuta a ESD;
●Chilonda cha duodenal;
●Chotupa cha m'mimba chosakhala ndi tinthu tating'onoting'ono/chosafooka <20mm kapena tinthu tating'onoting'ono.
A; ESD iyenera kukhala chisankho chabwino kwambiri pa:
●Khansa ya m'mimba (yoyambirira) ya m'mero;
●Khansa ya m'mimba yoyambirira;
●Chotupa cha m'mimba (chosatupa/chosakhudzidwa ＞
●20mm) chotupa.