
Chithandizo cha Endoscopic cha Varices za M'mimba ndi M'mimba.
Jakisoni wa Submusosa mu Njira ya M'mimba.
Singano Zopangira Jakisoni - Singano Yothandizira Sclero Yogwiritsidwa Ntchito Popangira Jakisoni wa Endoscopic mu Mitsempha ya M'mimba pamwamba pa OG Junction. Yogwiritsidwa ntchito popangira jakisoni wa Endoscopic kuti ilowetse mankhwala oletsa kutupa a vasoconstrictor m'malo osankhidwa kuti athetse zilonda zenizeni kapena zomwe zingachitike. Jakisoni wa saline kuti athandize Endoscopic Mucosal Resection (EMR), njira zochotsera magazi m'thupi komanso kuwongolera kutuluka magazi kosakhala kwa variceal.
| Chitsanzo | Chigoba Chosamvetseka ± 0.1 (mm) | Kutalika kwa Ntchito L±50(mm) | Kukula kwa Singano (M'mimba mwake/Kutalika) | Njira Yopopera Magazi (mm) |
| ZRH-PN-2418-214 | Φ2.4 | 1800 | 21G,4mm | ≥2.8 |
| ZRH-PN-2418-234 | Φ2.4 | 1800 | 23G,4mm | ≥2.8 |
| ZRH-PN-2418-254 | Φ2.4 | 1800 | 25G,4mm | ≥2.8 |
| ZRH-PN-2418-216 | Φ2.4 | 1800 | 21G,6mm | ≥2.8 |
| ZRH-PN-2418-236 | Φ2.4 | 1800 | 23G,6mm | ≥2.8 |
| ZRH-PN-2418-256 | Φ2.4 | 1800 | 25G,6mm | ≥2.8 |
| ZRH-PN-2423-214 | Φ2.4 | 2300 | 21G,4mm | ≥2.8 |
| ZRH-PN-2423-234 | Φ2.4 | 2300 | 23G,4mm | ≥2.8 |
| ZRH-PN-2423-254 | Φ2.4 | 2300 | 25G,4mm | ≥2.8 |
| ZRH-PN-2423-216 | Φ2.4 | 2300 | 21G,6mm | ≥2.8 |
| ZRH-PN-2423-236 | Φ2.4 | 2300 | 23G,6mm | ≥2.8 |
| ZRH-PN-2423-256 | Φ2.4 | 2300 | 25G,6mm | ≥2.8 |

Singano Nsonga ya Mngelo 30 Degree
Kubowola kwamphamvu
Chubu Chowonekera Chamkati
Ingagwiritsidwe ntchito kuwona kubwerera kwa magazi.
Mphamvu Yomanga Chidebe cha PTFE
Zimathandiza kupita patsogolo m'njira zovuta.


Kapangidwe ka Ergonomic Chogwirira
Zosavuta kulamulira kusuntha kwa singano.
Momwe Singano Yotayidwa Yotayidwa Imagwirira Ntchito
Singano ya endoscopic imagwiritsidwa ntchito pobayira madzi m'malo a submucosal kuti akweze chotupacho kutali ndi muscularis propria yomwe ili pansi pake ndikupanga cholinga chochepetsera kudulidwa kwa chotupacho.

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;
●Chilonda cha m'mimba (chosaphwanyika/chosatsika ndi 20mm).