
Sphincterotome yotayidwa imagwiritsidwa ntchito pochotsa mtsempha wa m'mimba ndi sphincterotomy.
Chitsanzo: Triple lumen M'mimba mwake wakunja: 2.4mm Kutalika kwa nsonga: 3mm/ 5mm/ 15mm Kutalika kodulira: 20mm/ 25mm/ 30mm Kutalika kogwira ntchito: 2000mm
1. M'mimba mwake
M'mimba mwake mwa sphincterotome nthawi zambiri mumakhala 6Fr, ndipo gawo la pamwamba limachepetsedwa pang'onopang'ono kufika pa 4-4.5Fr. M'mimba mwake mwa sphincterotome simukusowa chisamaliro chambiri, koma mutha kumvetsetsa izi mwa kuphatikiza m'mimba mwake mwa sphincterotome ndi mphamvu zogwirira ntchito za endoscope. Kodi waya wina wotsogolera ungadutse pamene sphincterotome ikuyikidwa?
2. Kutalika kwa tsamba
Kutalika kwa tsamba kuyenera kuganiziridwa, nthawi zambiri 20-30 mm. Kutalika kwa waya wotsogolera kumatsimikiza ngodya ya mpeni wa arc ndi kutalika kwa mphamvu panthawi yocheka. Chifukwa chake, waya wa mpeni ukakhala wautali, "ngodya" ya arc imayandikira kwambiri njira ya anatomical ya pancreaticobiliary duct intubation, yomwe ingakhale yosavuta kuyiyika bwino. Nthawi yomweyo, mawaya ataliatali a mpeni angayambitse kusokonekera kwa sphincter ndi zomangamanga zozungulira, zomwe zimapangitsa kuti pakhale zovuta zazikulu monga kubowoka, kotero pali "mpeni wanzeru" womwe umakwaniritsa zosowa zachitetezo pokwaniritsa kutalika kwake.
3. Kuzindikira Sphincterotome
Kuzindikira sphincterotome ndi chinthu chofunikira kwambiri, makamaka kuti chithandize wogwiritsa ntchito kumvetsetsa mosavuta ndi kuzindikira malo a sphincterotome panthawi yocheka pang'ono komanso yofunika, komanso kusonyeza malo ofanana ndi malo otetezeka ocheka. Kawirikawiri, malo angapo monga "kuyamba", "kuyamba", "pakati" ndi "1/4" a sphincterotome adzalembedwa, pomwe 1/4 yoyamba ndi pakati pa mpeni wanzeru ndi malo otetezeka odulira, omwe amagwiritsidwa ntchito kwambiri. Kuphatikiza apo, chizindikiro chapakati cha sphincterotome ndi radiopaque. Pansi pa kuyang'anira X-ray, malo ofanana a sphincterotome mu sphincter amatha kumveka bwino. Mwanjira imeneyi, kuphatikiza ndi kutalika kwa mpeni wowonekera pansi pa maso, ndizotheka kudziwa ngati mpeniwo ungathe kudula sphincter mosamala. Komabe, kampani iliyonse ili ndi zizolowezi zosiyanasiyana za logo popanga ma logo, zomwe ziyenera kumvedwa.