Pamene njira zodziwira matenda a endoscopic ndi chithandizo zikupita patsogolo mofulumira, kodi zilonda zam'mimba zingachotsedwe bwanji popanda kuvulala kwambiri komanso kugwiritsa ntchito bwino kwambiri? Kutuluka kwa Disposable Polypectomy Hot Snare kumapereka yankho latsopano kwa madokotala ndi odwala. Zipangizozi si zida zenizeni zochitira opaleshoni yochepa, koma ndi chida chatsopano chomwe chimachepetsa chiopsezo cha matenda ndikuwonjezera chitetezo cha opaleshoni.
Kuchotsa Matenda Otentha Otchedwa Disposable Hot Polypectomy Misampha ndi zinthu zogwiritsidwa ntchito pochotsa matenda pogwiritsa ntchito endoscopic therapy. Mankhwalawa amakhala ndi chogwirira, zingwe za zala, ma electrode, zipewa zomaliza, nsonga zofewa, zikwama zakunja, ndi mawaya odulira. Kudzera mu mphamvu yogwirizana ya kudula kwamphamvu komanso kwamakina, zimathandiza kuchotsa minofu yotupa molondola.
Imagwiritsidwa ntchito pochotsa ma polyps am'mimba, komanso zilonda zokwera komanso zathyathyathya, komanso ngakhale khansa yoyambirira ya m'mimba (monga MBM). Imagwira ntchito ngati chida chachikulu pa njira zofufuzira za endoscopic monga Endoscopic Mucosal Resection (EMR) ndi polypectomy.
Ubwino waKutenthaKuchotsa opaleshoni ya polypectomy Misampha
Misampha imagawidwa m'magulu awiri: Hot Polypectomy Snares ndiKuziziraMsampha wa Polypectomyskutengera ngati akugwiritsa ntchito magetsi.
Mu ntchito zachipatala, Hot Polypectomy Snares (makamaka, misampha yophatikizidwa ndi high-frequency current) imawonetsa ubwino waukulu kuposa Cold Polypectomy Snares yachikhalidwe. Amapambana makamaka pankhani ya hemostatic effect, opaleshoni yogwira ntchito bwino, zizindikiro zosiyanasiyana, komanso kuwongolera zovuta. Pansipa pali kusanthula kwatsatanetsatane kwa ubwino wamankhwala awa:
| Chinthu | Kuchotsa Polypectomy Misampha Yotentha | Kuchotsa Polypectomy Misampha Yozizira |
| Mphamvu ya Hemostatic | Kutaya magazi kudzera mu mphamvu yamagetsi yapamwamba: Kumachepetsa kutuluka magazi panthawi ya opaleshoni komanso pambuyo pake. | Amadalira kokha pa kutsekeka kwa makina, zomwe zimapangitsa kuti magazi asatuluke bwino komanso zimapangitsa kuti magazi achedwe kutuluka. |
| Kudula Mwachangu | Zimaphatikiza kudula kwamagetsi ndi ntchito yamakina kuti zidule minofu mwachangu. | Kudula makina kokha; kumatenga nthawi. |
| Mitundu ya Zizindikiro | Yoyenera kudulidwanso ma polyps okhala ndi flat-based, zilonda zazikulu, ndi minofu yothamanga magazi. | Zimangokhala za ma polyps ang'onoang'ono kapena omwe ali ndi ma peduncle oonda komanso aatali. |
| Kuopsa kwa Kuwonongeka kwa Minofu | Kutsekeka kwa magazi komwe kumayang'aniridwa kumateteza kuwonongeka kwa minofu yolumikizana. | Mphamvu yokoka ya makina ingayambitse kung'ambika kapena kubooka kwa submucosal. |
| Mavuto Pambuyo pa Opaleshoni | Amachepetsa kwambiri chiopsezo cha kutuluka magazi ndi kubowoka. | Chiwopsezo chachikulu cha kutuluka magazi ndi matenda. |
Thandizo la deta: Ziwerengero zachipatala zikusonyeza kuti kuchuluka kwa magazi omwe amatuluka pambuyo pa opaleshoni pogwiritsa ntchito Hot Polypectomy Snare ndi kotsika ndi 50%-70% kuposa kwa Polypectomy Cold Snare.
Kugwiritsa Ntchito Maonekedwe Osiyanasiyana a Loop
Malupu a msampha amagawidwa m'magulu motsatira mawonekedwe: Oval, Crescent ndi hexagonal. Kusiyana kumeneku kumalola kulumikizidwa kolondola kwa zilonda kuyambira ma polyps ochepa mpaka zilonda zazikulu zathyathyathya, kuchepetsa kufunikira kochotsa ming'alu pang'ono ndikuwonjezera magwiridwe antchito.
1. Chozungulira: Kapangidwe kofala kwambiri, koyenera kugwira ma polyps wamba.
2. Crescent: Yopangidwira kujambula ma polyps m'malo ovuta kapena ovuta kufikako.
3. Yoyenera kugwira ma polyps athyathyathya.
Kugwiritsa Ntchito Zachipatala: Kuyambira Kuchotsa Mankhwala Opatsirana Kugonana Mpaka Kuyambitsa Khansa Yoyambirira
● Kuchotsa m'mimba mwa matumbo: Kuchotsa m'mimba mwachangu, kuchepetsa kubwereranso
Malo Opweteka:Ma polyps otupa m'mimba amakhala ndi magazi ambiri pansi. Kumangirira kwachikhalidwe nthawi zambiri kumabweretsa minofu yotsala kapena kutuluka magazi mochedwa.
Yankho:
1. Kukula Kosiyanasiyana: Ma diameter osiyanasiyana a loop (10–30mm) amatsimikizira kufanana kolondola ndi kukula kwa polyp, zomwe zimathandiza kuti pakhale kugwidwa mwachangu pansi ndikuchotsa zilonda zonse, potero kuchepetsa chiopsezo cha zotsalira.
2. Kuchotsa magazi m'thupi nthawi imodzi: Njira yochizira matenda yamagetsi yomwe imachitidwa pafupipafupi imapereka kuchotsedwa magazi nthawi imodzi, zomwe zimachepetsa kwambiri chiopsezo cha kutuluka magazi pambuyo pa opaleshoni.
3. Umboni wa Zachipatala: Kafukufuku woyerekeza kuchipatala china wasonyeza kuti kugwiritsa ntchito misampha yotayidwa kunachepetsa kuchuluka kwa ma polyp otsala kuchokera pa 8% kufika pa 2%, ndi kuchepa kwa 40% kwa kuchuluka kwa magazi pambuyo pa opaleshoni.
●EMR ya Early GI Neoplasia: Kuchotsa Konse, Kuzindikira Kodalirika
Chithunzi Chachithunzi: Njira ya EMR Mayendedwe Gawo A: Polyp ya 0.8 × 0.8 cm yocheperako imawonedwa m'matumbo. Gawo B: Chilondacho chikuwonetsa kukwera kosiyana (chizindikiro chokweza bwino) pambuyo pobayidwa ndi yankho la indigo carmine, epinephrine, ndi saline wamba. Ma Panel C–D: Chilondacho chimazunguliridwa pang'onopang'ono pansi pake pogwiritsa ntchito snare. Waya umalimbikitsidwa, ndipo chilondacho chimachotsedwa kudzera mu electrosurgical current. Gawo F: Chilema cha bala chimatsekedwa ndi endoclips kuti chiteteze kutuluka kwa magazi.
●Kutaya Mimba Mwadzidzidzi: Kuyankha Mwachangu, Kupulumutsa Miyoyo M'mikhalidwe Yovuta
Malo Opweteka:Malo omwe magazi amatuluka chifukwa cha zilonda zam'mimba kapena zilonda za Dieulafoy nthawi zambiri amabisika, zomwe zimapangitsa kuti malo enieni azikhala ovuta kugwiritsa ntchito pa opaleshoni yamagetsi.
Yankho:Chipangizochi chili ndi chogwirira chozungulira cha 360° komanso kapangidwe ka catheter kakang'ono, ndipo chimafikira mosavuta m'malo ovuta monga descending duodenum. Njira yanzeru yolumikizirana imatseka mwachangu malo otuluka magazi, zomwe zimafupikitsa kwambiri nthawi yopulumutsa.
Zokulangizidwirani Misampha Yochotsa Polypectomy
ZRHmedDisposable Hot Polypectomy Snare idapangidwa kuti igwire ntchito limodzi ndi ma endoscope osinthasintha komanso majenereta opanga opaleshoni omwe amagwiritsidwa ntchito pafupipafupi pochotsa ma polyps am'mimba.
Imagwiritsa ntchito mphamvu ya kutentha yomwe imapangidwa ndi mphamvu yamagetsi yapamwamba kuti itenthetse minofu mwachangu, zomwe zimapangitsa kuti mapuloteni asinthe, azitha kuuma, komanso azitha kuuma, zomwe zimapangitsa kuti idulidwe bwino. Ukadaulo uwu umapereka ubwino wochepa, kuchira mwachangu, komanso kuchepetsa kutuluka magazi, zomwe zimapangitsa kuti izigwiritsidwa ntchito kwambiri m'machipatala.
Zinthu Zamalonda
◆ Waya wachitsulo wochokera kunja, wosavuta kuusintha, wodula mwachangu, wothandiza kwambiri pakuwonda kwa magetsi
◆ Malo akuluakulu olumikizirana pakati pa waya ndi minofu kuti mudule mosavuta
◆ Chotsani sikelo, kukwaniritsa kulumikizana kolondola pakati pa kusintha kwa matalikidwe a chogwirira ndi ma coil
◆ Imagwirizana ndi zipangizo zonse zazikulu zochitira opaleshoni zomwe zimapezeka pamsika
◆ Pali mitundu yosiyanasiyana ya mawonekedwe yomwe ikupezeka kuti ikwaniritse zosowa zosiyanasiyana zachipatala za madokotala.
Ife, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ndi opanga ku China omwe amagwira ntchito kwambiri pazinthu zogwiritsidwa ntchito m'ma endoscopic, kuphatikizapo mzere wa GI mongamphamvu ya biopsy, hemoclip, Misampha Yochotsa Polypectomy, singano ya sclerotherapy, katheta wopopera,maburashi a cytology, waya wotsogolera, dengu lotengera miyala, cathete ya mphuno ya biliary drainage etczomwe zimagwiritsidwa ntchito kwambiri muEMR, ESD, ERCP.
Zogulitsa zathu zili ndi satifiketi ya CE, ndipo mafakitale athu ali ndi satifiketi ya ISO. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi mbali ina ya Asia, ndipo makasitomala ambiri amalandira ulemu ndi kutamandidwa!
Nthawi yotumizira: Januwale-30-2026