Pamalo a endoscopy m'mimba, njira iliyonse imadalira kugwirizanitsa kolondola kwa zinthu zomwe zimagwiritsidwa ntchito. Kaya ndi kuyezetsa khansa koyambirira kapena kuchotsa miyala ya biliary, "ngwazi zakumbuyo" zimatsimikizira mwachindunji za chitetezo ndi chipambano cha matenda ndi chithandizo. Nkhaniyi ikuwunikira mwatsatanetsatane momwe magwiridwe antchito, luso laukadaulo, komanso malingaliro osankhidwa azachipatala azinthu 37 zoyambilira, kuthandiza madokotala ndi odwala kuthana ndi zovuta za matenda am'mimba!
I. Mayeso Oyambira (Mitundu 5)
- Ntchito: Amagwiritsidwa ntchito kuchotsa ndendende zitsanzo za minofu ya biopsy kuchokera m'matumbo ndi m'mapapo kuti afufuze matenda (monga kuyezetsa khansa koyambirira).
- Ntchito: Amagwiritsidwa ntchito kupeza zitsanzo zama cell kuchokera kumadera opapatiza (monga kum'mero ndi bile duct) kuti athandizire pakuwunika kwa pathological.
3. Indigo Carmine Mucosal Stain
- Ntchito: Anapoperapo kuti awonetsere mawonekedwe a zotupa za mucosal, kupititsa patsogolo kuchuluka kwa khansa yoyambirira ndi 30%.
4. Transparent Cap
- Ntchito: Amagwiritsidwa ntchito kumapeto kwa endoscope kuti akulitse malo owonera, kuthandizira hemostasis, kuchotsa zinthu zakunja, kapena kukhazikika malo opangira opaleshoni.
- Ntchito: Imatsuka ma endoscope njira kuti mupewe kupatsirana (kugwiritsa ntchito kamodzi kokha kuti mukhale otetezeka kwambiri).
II. Njira Zochizira (Mitundu 18)
Zida Zopangira Ma Electrosurgical Zapamwamba
6. Electrosurgical mpeni
- Ntchito: Kuyika chizindikiro mucosal, kudula, ndi kugawa (chida chachikulu cha njira za ESD/POEM). Imapezeka mu jekeseni wamadzi (kuchepetsa kuwonongeka kwa kutentha) ndi mitundu yopanda madzi
7. ZamagetsiMatenda a polypectomy
- Ntchito: Kuchotsa ma polyps kapena zotupa (25-35 mm m'mimba mwake). Waya wolukidwa amawonjezera malo olumikizirana komanso amachepetsa chiopsezo chotaya magazi.
8. Kutentha kwa Biopsy Forceps
- Ntchito: Electrocoagulation resection ya polyps ang'onoang'ono <5 mm. Amaphatikiza minofu clamping ndi hemostasis.
9. Zithunzi za Hemostatic(Zigawo za Titaniyamu)
- Ntchito: Kutseka kwa mabala kapena kutsekeka kwa mitsempha. 360 ° zosinthika zosinthika zilipo. Imapezeka mu masinthidwe a 90 ° ndi 135 ° pamachitidwe ozama.
10. Nayiloni Loop Ligation Chipangizo
- Ntchito: Lumikizani m'munsi mwa ma polyps okhuthala-pedunculated kuti musachedwe kutulutsa magazi.
11. Argon Electrode
- Ntchito: Coagulate zotupa zapamwamba (monga ma adenoma otsalira). Kuzama kolowera ndi 0.5 mm kokha, kumapereka chitetezo chokwanira.
Injection ndi Sclerotherapy
12.Endoscopic jekeseni singano
- Ntchito: jakisoni wa submucosal (chizindikiro chokweza), varicose vein sclerosing, kapena kutsekeka kwa glue. Imapezeka mu singano za 21G (viscous) ndi 25G (zabwino kwambiri).
13. Gulu Ligator
- Ntchito: Rubber band ligation ya mitsempha ya esophageal kapena zotupa zamkati. ≥ 3 magulu amatha kutulutsidwa nthawi imodzi.
14. Glue / Sclerosant
- Ntchito: Tsekani mitsempha ya varicose (mwachitsanzo, cyanoacrylate ya embolization ya m'mimba).
Dilation ndi Stent Placement
15. Dilation Baluni
- Ntchito: Kukulitsa pang'onopang'ono kwa zomangira (m'mero/colon). Kutalika: 10-20 mm.
16. Digestive Stent
- Ntchito: Imathandizira kukhazikika koyipa. Mapangidwe ophimbidwa amalepheretsa chotupa kulowa.
17. Percutaneous Gastrostomy Set
- Ntchito: Imakhazikitsa mwayi wopeza zakudya zopatsa thanzi kwanthawi yayitali, zoyenera kwa odwala omwe sangathe kudya pakamwa
III.ERCP-Zogulitsa Zapadera (Mitundu 9)
- Ntchito: Amatsegula papilla ya duodenal ndikutsegula njira ya bile ndi kapamba. Tsamba la arched limalola kuwongolera kosavuta.
- Ntchito: Amachotsa miyala yam'mimba (20-30 mm). Dengu lachitsulo chosapanga dzimbiri limawawona bwino pansi pa X-ray.
20. Catheter ya Baluni ya Lithotomy
- Ntchito: Amachotsa miyala ndi miyala. Baluni awiri a ≥8.5 mm amaonetsetsa kuti atengedwe kwathunthu.
21. Basket ya Lithotripsy
- Ntchito: Mwa makina amadulira miyala yayikulu. Mapangidwe ophatikizidwa amalola kuti pakhale lithotripsy ndi kubwezeretsanso.
22.Catheter ya Nasobiliary Drainage
- Ntchito: Kutulutsa ndulu kunja. Mapangidwe a pigtail amalepheretsa kutsetsereka. Nthawi yokhalamo ≤7 masiku.
23. Biliary Stent
- Ntchito: Zopangira pulasitiki zimapereka madzi osakhalitsa (miyezi 3-6). Metal stents amagwiritsidwa ntchito pothandizira kwanthawi yayitali kutsekeka koyipa.
24. Angiography Catheter
- Ntchito: Amapereka chithunzi cha cholangiopancreatography. Mapangidwe amodzi/awiri amatengera kuwongolera kwa waya.
25. MbidziGuidewire
- Ntchito: Kuwongolera zida kudzera m'mapangidwe ovuta a anatomical. Kupaka kwa hydrophilic kumachepetsa kukangana ndi 60%.
26. Stent Pusher
- Ntchito: Imatulutsa ma stents ndendende kuti apewe kusamuka.
IV. Chalk (5 mitundu)
27. Bite Block
- Ntchito: Imateteza endoscope yapakamwa ndi mapangidwe osamva kuluma. Kuchepetsa lilime kumawonjezera chitonthozo.
28. Mbale Woipa
- Ntchito: Amapereka chitetezo chozungulira pafupipafupi kuti apewe kuyaka kwamagetsi (osafunikira pa mayunitsi a bipolar electrosurgical).
29. Chubu Yothirira
- Ntchito: Imatulutsa ntchofu kapena magazi panthawi ya opaleshoni kuti malo opangira opaleshoni azikhala bwino.
30. Mphamvu Zakunja Zathupi / Netting Loop
- Ntchito: Kuchotsa zinthu zakunja zomezedwa (ndalama, mano, ndi zina).
31. Batani la Madzi / Mpweya
- Ntchito: Kuwongolera zala zamadzi a endoscope, mpweya, ndi ntchito zoyamwa.
Kufotokozera
- 37-zinthu zowerengera zowerengera: Izi zikuphatikizanso magawo ogawika m'gulu lomwelo (mwachitsanzo, mitundu inayi ya masamba ocheka pafupipafupi, mitundu itatu ya singano), kulola kuphatikizana kwachipatala kutengera zosowa.
- Kufunika Kwambiri Kugwira Ntchito: Gulu lomwe lili pamwambapa likuphatikiza magawo onse ofunikira, kukwaniritsa zosowa zamitundu yonse, kuyambira pakuwunika khansa yoyambirira (biopsy forceps, utoto) mpaka maopaleshoni ovuta (ESDmasamba,ERCPzida).
Ife, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ndi opanga ku China okhazikika pazakudya zama endoscopic, akuphatikiza mzere wa GI monga biopsy forceps, hemoclip, polyp msampha, singano ya sclerotherapy, catheter yopopera, maburashi a cytology, waya wotsogola, zotengera zamwala zomwe zimagwiritsidwa ntchito mumtsuko waukulu, EM. ESD, ERCP. Zogulitsa zathu ndi zovomerezeka za CE komanso zovomerezeka ndi FDA 510K, ndipo mbewu zathu ndi zovomerezeka za ISO. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi gawo la Asia, ndipo amapeza makasitomala ambiri kuzindikira ndi kutamandidwa!
Nthawi yotumiza: Aug-18-2025