Mu chithandizo cha colonoscopy, mavuto oyimira ndi kuboola ndi kutuluka magazi.
Kubowoka kumatanthauza mkhalidwe umene bowolo limalumikizidwa momasuka ku bowolo la thupi chifukwa cha vuto la minofu yokhuthala, ndipo kupezeka kwa mpweya womasuka pa X-ray sikukhudza tanthauzo lake.
Pamene mbali ya chilema cha minofu yonse yaphimbidwa ndipo palibe kulumikizana kwaufulu ndi m'mimba mwa thupi, imatchedwa kubowoka. Tanthauzo la kutuluka magazi silinatchulidwe bwino, ndipo malingaliro apano akuphatikizapo kuchepa kwa hemoglobin yoposa 2 g/dL kapena kufunikira kuikidwa magazi.
Kutuluka magazi pambuyo pa opaleshoni nthawi zambiri kumatanthauzidwa ngati kupezeka kwa magazi ambiri m'chimbudzi pambuyo pa opaleshoni yomwe imafuna chithandizo cha hemostatic kapena kuikidwa magazi.
Kuchuluka kwa zochitika izi kumasiyana malinga ndi chithandizo:
Mlingo wa kuboola:
Kuchotsa opaleshoni ya polypectomy: 0.05%
Zogwiritsidwa Ntchito Zofanana ndi Endoscopic: Disposable Polypectomy Snare
Kuchotsa mucosal ya endoscopic (EMR): 0.58%~0.8%
Zogwiritsidwa Ntchito Zofanana ndi Endoscopic: Zotayidwa Zotayidwa Zochotsa Hemostasis Clips
Zogwiritsidwa Ntchito Zofanana ndi Endoscopic: Singano Yotayidwa ya Jekeseni
Kuduladula kwa submucosal ya Endoscopic (ESD): 2%~14%
Zogwiritsidwa Ntchito Zofanana ndi Endoscopic: Mpeni Wotayika wa ESD
Kuchuluka kwa magazi pambuyo pa opaleshoni:
Kuchotsa opaleshoni ya polypectomy: 1.6%
EMR: 1.1%~1.7%
ESD: 0.7%~3.1%
1. Momwe mungathanirane ndi kubowoka
Popeza khoma la matumbo akulu ndi lopyapyala kuposa la m'mimba, chiopsezo cha kubooka chimakhala chachikulu. Kukonzekera kokwanira kumafunika musanachite opaleshoni kuti muthane ndi kuthekera kwa kubooka.
Malangizo Othandizira Pa Opaleshoni:
Onetsetsani kuti endoscope ikugwira ntchito bwino. Sankhani ma endoscope oyenera, zida zochizira, madzi obayira jakisoni, ndi zida zoperekera mpweya wa carbon dioxide malinga ndi malo, mawonekedwe, ndi kuchuluka kwa fibrosis ya chotupacho.
Kuwongolera kuboola kwa fupa mkati mwa opaleshoni:
Kutseka nthawi yomweyo: Mosasamala kanthu za malo, ma clip ndi omwe amakondedwa potseka (mphamvu yolangizira: mulingo 1, mulingo wotsimikizira: C). Mu ESD, nthawi zina malo ozungulira ayenera kuchotsedwa kaye kuti asasokoneze ntchito yochotsa ma clip.
Chidebecho, onetsetsani kuti pali malo okwanira ogwirira ntchito musanatseke.
Kuyang'anira pambuyo pa opaleshoni: Ngati kuboolako kungatsekeke kwathunthu, opaleshoni ingapewedwe pongolandira mankhwala opha tizilombo toyambitsa matenda komanso kusala kudya.
Chisankho cha opaleshoni: Kufunika kwa opaleshoni kumatsimikiziridwa potengera kuphatikiza kwa zizindikiro za m'mimba, zotsatira za mayeso a magazi, ndi zithunzi m'malo mwa mpweya waulere womwe umawonetsedwa pa CT yokha.
Chithandizo cha ziwalo zapadera:
M'mimba mwa rectum simungabooledwe chifukwa cha kapangidwe kake, koma zingayambitse
Kubowoka kwa pelvic, komwe kumawonetsedwa ngati retroperitoneal, mediastinal, kapena subcutaneous emphysema.
Kusamalitsa:
Kutseka bala pambuyo pa opaleshoni kungalepheretse mavuto enaake, koma sikuthandiza
Pali umboni wokwanira wosonyeza kuti zimathandiza kupewa kuboola mochedwa.
2. Yankho la Kutuluka Magazi
Kusamalira kutuluka magazi mkati mwa opaleshoni:
Gwiritsani ntchito heat coagulation kapena hemostatic clips kuti musiye kutuluka magazi.
Kutuluka magazi m'mitsempha yaying'ono:
Mu EMR, nsonga ya snare ingagwiritsidwe ntchito popopera kutentha.
Mu ESD, nsonga ya mpeni wamagetsi ingagwiritsidwe ntchito kukhudza kutentha kouma kapena hemostatic forceps kuti asiye kutuluka magazi.
Kutuluka magazi m'mitsempha ikuluikulu: Gwiritsani ntchito mphamvu zochotsa magazi m'mitsempha, koma samalani kuchuluka kwa magazi omwe amatsekeka kuti mupewe kubowoka mochedwa.
Kupewa kutuluka magazi pambuyo pa opaleshoni:
Kuchotsa bala pambuyo pa EMR:
Kafukufuku wasonyeza kuti kugwiritsa ntchito ma hemostatic clamps poteteza magazi kuundana sikukhudza kwambiri kuchuluka kwa magazi omwe amatuluka pambuyo pa opaleshoni, koma pali njira yochepetsera. Kutseka koteteza kumakhudza zilonda zazing'ono, koma kumagwira ntchito bwino pa zilonda zazikulu kapena odwala omwe ali pachiwopsezo chachikulu cha magazi omwe amatuluka pambuyo pa opaleshoni (monga omwe amalandira chithandizo cha antithrombotic).
Kuchotsa bala pambuyo pa ESD:
Mitsempha yamagazi yomwe yawonekera imatsekeka, ndipo ma hemostatic clips angagwiritsidwe ntchito poletsa kutsekeka kwa mitsempha yayikulu yamagazi.
Zindikirani:
Pa EMR ya zilonda zazing'ono, chithandizo chodzitetezera nthawi zonse sichikulimbikitsidwa, koma kwa zilonda zazikulu kapena odwala omwe ali pachiwopsezo chachikulu, kudula koteteza pambuyo pa opaleshoni kumakhala ndi zotsatira zinazake (mphamvu yolangizira: Mlingo 2, mulingo wotsimikizira: C).
Kubowoka ndi kutuluka magazi ndi mavuto ofala kwambiri a endoscopy ya colorectal.
Kutenga njira zoyenera zopewera ndi kuchiza matenda osiyanasiyana kungachepetse kuchuluka kwa matenda omwe amabwera nthawi ndi nthawi komanso kupititsa patsogolo chitetezo cha odwala.
Ife, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ndi opanga ku China omwe amagwira ntchito kwambiri pazinthu zogwiritsidwa ntchito m'ma endoscopic, mongamphamvu ya biopsy, hemoclip, msampha wa polyp, singano ya sclerotherapy, katheta wopopera, maburashi a cytology, waya wotsogolera, dengu lotengera miyala, katheta yotulutsira madzi m'mphuno,chidebe cholowera mu urethrandicholumikizira urethra chokhala ndi chokokandi zina zotero zomwe zimagwiritsidwa ntchito kwambiri muEMR, ESD, ERCPZogulitsa 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: Mar-21-2025