Ku Coloscooscopic chithandizo, zoimilira zoimira zimakhala ndi magazi.
Zonunkhira zimatanthawuza mkhalidwe womwe umalumikizidwa ndi thupi lamphamvu chifukwa cha chilema cham'mimba, ndipo kupezeka kwa mpweya waulere pa mayeso a X-ray sikukhudza tanthauzo lake.
Pamene kutukwana kwa minofu ya minofu yaminyewa yakutidwa ndipo palibe kulumikizana kwaulere ndi mphamvu yathupi, imatchedwa kuti mafuta. Tanthauzo la magazi silimalongosoledwa bwino, ndipo malingaliro apano ndi akuphatikiza kutsika kwa hemoglobin opitilira 2 g / dl kapena kufunika kothiridwa.
Kutulutsa magazi kwa pambuyo nthawi zambiri kumafotokozedwa ngati magazi ofunikira kwambiri atachita opaleshoni yomwe imafunikira chithandizo kapena magazi.
Zochitika za zochitika za zochitikazi zimasiyanasiyana:
Mtengo Wodzikongoletsa:
Polylonom: 0.05%
Zogwirizana ndi endoscopic: Kutulutsa kwa polyneylomy
Endoscopic mucal inction (EMR): 0.58% ~ 0.8%
Zogwirizana ndi endoscopic: zotayika zotayidwa
Zovuta zokhudzana ndi endoscopic: stukeni yotayika endoscopic submucas (ESD): 2% ~ 14%
Zogwirizana ndi endoscopic: mpeni wotayika
Kutulutsa magazi kwa postoperative:
Polylettom: 1.6%
EMR: 1.1% ~ 1.7%
ESD: 0.7% ~ 3.1%
1. Momwe mungathanirane ndi zonunkhira
Popeza khoma la matumbo akuluakulu ndiofatsa kuposa m'mimba, chiopsezo cha zonunkhira ndizokwera. Kukonzekera kokwanira kumafunikira opaleshoni kuti athane ndi kuthekera kwa zonunkhira.
Njira Zosamala:
Onetsetsani kuti mukugwiritsa ntchito bwino matondope. Sankhani matooscopes oyenera, zida zamankhwala, mankhwala jakisoni, ndi zida zobweretsera mpweya wa kaboni molingana ndi malowa, morphology, ndi digiri ya fibroos ya chotupa.
Kasamalidwe ka zokongoletsa:
Kutsekedwa kumeneku: Mosasamala za malowo, ma cups amakonda kutsekedwa (mphamvu yolimbikitsira): Gawo 1, mulingo wa umboni: c). Ku Esd, nthawi zina malo ozungulira ayenera kusenda kaye kuti asadodometse ntchito.
Minofu, onetsetsani kuti apange malo okwanira musanatseke.
Kuonera: Ngati kutsekerako kungakhale kutsekedwa kwathunthu, opaleshoni ikhoza kupewedwa ndi chithandizo chamankhwala ndi kusala kudya.
Zochita Zapadera: Kufunika kwa opaleshoni kumatsimikizika malinga ndi kuphatikiza kwa zizindikiro zam'mimba, zotsatira zoyipa zamagazi, komanso zomwe zimapangitsa kuti pakhale mpweya waulere.
Magawo apadera:
Rectum yapansi siyingayambitse mafuta am'mimba chifukwa cha mawonekedwe ake, koma zingayambitse
Kutupa kwa pelvic, komwe kumawonekera ngati referopaal, makampani, kapena bomcutaneous eyfyma.
Kusamalitsa:
Kutseka chilonda pambuyo pa opaleshoni atha kupewa zovuta pamlingo wina, koma sizitero
Pali umboni wokwanira kuwonetsa kuti ndizothandiza popewa kuchedwa.
2. Kuyankha kutaya magazi
Kuwongolera magazi osokoneza bongo:
Gwiritsani ntchito kuphatikiza kutentha kapena hertatic ma clips kuti muchepetse magazi.
Kutulutsa Magazi Ang'ono:
Ku Emr, nsonga yamphaka ingagwiritsidwe ntchito pophatikiza kutentha.
Ku Esd, nsonga ya mpeni wamagetsi ungagwiritsidwe ntchito kulumikizana ndi mitundu yothirira kapena mphamvu ya mphamvu yosiya magazi.
Kutulutsa kwakuti Kutulutsa Kwachiwilo Kwakukulu: Gwiritsani ntchito mphamvu ya mphamvu, koma sinthani mitundu yosiyanasiyana kuti mupewe zowawa.
Kupewa kukhetsa magazi:
Kutsatsa kwa bala pambuyo pa Emr:
Kafukufuku wasonyeza kuti kugwiritsa ntchito ma clavu heegatic kuti chitetezero chitetezero sichikukhudzanso kutulutsa magazi, koma pali njira yochepetsera. Kuletsa mabizinesi kumakhala kochepa chabe pa zotupa zazing'ono, koma kumathandizanso otupa kapena odwala ambiri pachiwopsezo chachikulu chotuluka magazi (monga omwe amalandila antithrombotic mankhwala).
Vuto lochepa pambuyo pa ESD:
Mitsempha yamagazi yovomerezeka, ndipo heptoricac imagwiritsidwa ntchito popewa kulima mitsempha yayikulu yamagazi.
Zindikirani:
Kwa Emr ya zotupa zazing'ono, kugwiritsa ntchito mankhwalawa osavomerezeka, koma kwa odwala akuluakulu kapena odwala owopsa, omwe amalimbikitsa.
Zotupa ndi magazi zimakhala zovuta wamba za colorectil endoscopy.
Kutenga njira zoyenera kupewa komanso kuchitira chithandizo kwa zochitika zosiyanasiyana kumatha kuchepetsa matendawa matenda a sporadic ndikusintha chitetezo choleza mtima.
Iiangxi zhuoruiacal chida chamankhwala co., ltd. Ndipo chingwe chofikira cha ureteral chiwomba ndi cholembera etc. omwe amagwiritsidwa ntchito kwambiri ku Emr, ESD, Ercp. Zogulitsa zathu ndi CE kutsimikizika, ndipo mbewu zathu ndiotsimikizika. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi gawo la Asia, ndipo amapeza kasitomala wodziwika kuti avomereze ndi matamando!
Post Nthawi: Apr-09-2025