Gastroenterology Chalk Endoscopic Sclerotherapy Jekeseni Singano
Gastroenterology Chalk Endoscopic Sclerotherapy Jekeseni Singano
Kugwiritsa ntchito
Singano ya ZRHmed® Sclerotherapy cholinga chake ndi kugwiritsidwa ntchito poika mankhwala a sclerotherapy ndi utoto m'mitsempha ya m'mimba kapena m'matumbo. Ayeneranso kuikidwa saline kuti athandize pochotsa endoscopic mucosal resection (EMR) ndi polypectomy. Kuika saline kuti athandize Endoscopic Mucosal Resection (EMR), njira za Polypectomy komanso kuwongolera kutuluka magazi kosakhudzana ndi variceal.
Kufotokozera
| Chitsanzo | Chigoba Chosamvetseka ± 0.1 (mm) | Kutalika kwa Ntchito L±50(mm) | Kukula kwa Singano (M'mimba mwake/Kutalika) | Njira Yoyezera Ma Endoscopic (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 |
Kufotokozera kwa Zamalonda
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 ya Sclerotherapy Imagwirira Ntchito
Singano ya sclerotherapy imagwiritsidwa ntchito pobayira madzi m'malo a submucosal kuti akweze chotupacho kutali ndi muscularis propria yomwe ili pansi pake ndikupanga cholinga chochepetsera kudulidwa kwa mafupa.
Njira yokwezera ndi kudula ya endoscopic mucosal resection.
(a) Kubayidwa kwa submucosal, (b) njira yolumikizira forceps kudzera mu open polypectomy snare, (c) kulimbitsa snare pansi pa chilonda, ndi (d) kumaliza kuchotsa snare.
Singano ya sclerotherapy imagwiritsidwa ntchito poika madzi m'malo a submucosal kuti akweze chotupacho kuchoka pa muscularis propria yomwe ili pansi pake ndikupanga cholinga chochepa chochotsera. Jakisoni nthawi zambiri amachitidwa ndi saline, koma njira zina zagwiritsidwa ntchito kuti akwaniritse kusunga kwa nthawi yayitali kwa bleb kuphatikizapo hypertonic saline (3.75% NaCl), 20% dextrose, kapena sodium hyaluronate [2]. Indigo carmine (0.004%) kapena methylene blue nthawi zambiri imawonjezeredwa ku jakisoni kuti idetse submucosa ndipo imapereka kuwunika bwino kwa kuzama kwa resection. Jakisoni wa submucosal ungagwiritsidwenso ntchito kudziwa ngati chotupacho chili choyenera kuchotsedwa endoscopic. Kusakwezedwa panthawi ya jekeseni kumasonyeza kutsatira muscularis propria ndipo ndi kuletsa pang'ono kupitiriza ndi EMR. Pambuyo popanga submucosal elevation, chotupacho chimagwidwa ndi forceps ya dzino la makoswe yomwe yadutsa mu polypectomy snare yotseguka. Forceps imakweza chotupacho ndipo snare imakankhidwira pansi mozungulira maziko ake ndipo resection imachitika. Njira imeneyi ya "kufikira kudzera" imafuna endoscope ya lumen iwiri yomwe ingakhale yovuta kugwiritsa ntchito mu mmero. Chifukwa chake, njira zokwezera ndi kudula sizigwiritsidwa ntchito kawirikawiri pa zilonda za mmero.
