Endoscopic Biopsy ndiye gawo lofunikira kwambiri la mayeso a endoscopic tsiku lililonse. Pafupifupi mayeso onse a EndoScopic amafunikira chithandizo cha pathological pambuyo pa biopsy. Mwachitsanzo, ngati m'mimba mwa mucosa akuganiziridwa kukhala ndi kutupa, khansa, matropstia, ndi matenda a HP, ndi matenda a HP, matenda amafunika kupereka zotsatira zotsogola.
Pakadali pano, maluso asanu ndi limodzi a biopsy amachitika ku China:
1. Kuyesedwa kwa cytobrosh
2. Minofu biopsy
3..
4. Emr ndi bilogalamu biopsy njira
5. Njira yonse yotupa
6. Maltrasound-Gona
Lero tikambirana za minyewa ya bisyy, yomwe nthawi zambiri imadziwika kuti "nyama".
The biopsy pansi pa digacycopy sangathe kuchitika popanda zowongolera, zomwe ndi imodzi mwazinthu zomwe zimagwiritsidwa ntchito kwambiri ndi aphunzitsi a Hatroscopic Aphunzitsi a Crostcopic. Aphunzitsi omwe amachita nawo umwino wa Endoscopic angaganize kuti mphamvu za biopsy ndizosavuta kugwiritsa ntchito, ndizosavuta monga kutsegulira ndi kutseka. M'malo mwake, kugwiritsa ntchito mafolaps a Biopys momveka bwino komanso ku ungwiro, munthu ayenera kukhala ndi luntha komanso ntchito yovuta, komanso kukhala bwino.
I.Choyamba, tiyeni tiwone kapangidwe kaZowongolera za biopsy:
. Zipangizo zambiri monga mawonekedwe achilendo thupi, mafomu otentha kwambiri, lumo, zoziziritsa, ndi zina zofananira.
Malangizo: nsonga imapangidwa ndi nsagwada ziwiri zowoneka bwino zomwe zitha kutsegulidwa ndikutsekedwa. Maonekedwe a nsagwada ndiye chinsinsi cha ntchito ya mphamvu zosiyanasiyana za biopsy. Amatha kugawidwa m'mitundu isanu ndi iwiri: Mtundu wosakwatiwa, mtundu wotseguka kawiri, mtundu wa zenera, mtundu wowoneka bwino, ndi mtundu wopukutira. Nsagwada za ma Abopsy zopangidwa ndi chitsulo chosapanga dzimbiri ndikukhala ndi masamba akuthwa. Ngakhale mabatani a mphamvu zotayika ndiofanso, samavala bwino. Masamba a mphamvu zosinthika a biopsy amapezeka apadera kuti awapangitse kukhala olimba.
Mitundu wamba yaZowongolera za biopsy
Mtundu wa 2 ndi zenera
Pali zenera pakatikati pa kapu ya affss, yomwe imachepetsa kuwonongeka kwa minofu ndikuwonjezera kuchuluka kwa minofu ya biopsy.
2. Mtundu wofanana ndi zenera ndi singano
Singano imapezeka pakatikati pa kapu ya mphamvu kuti muchepetse biopsy kuti muchepetse mucosa ndikuthandizira kumvetsetsa zitsanzo.
3. Mtundu wa Alligator
The udrid yogwirizira ntchito bwino moyenera zimalepheretsa chikho chopukutira, ndipo m'mphepete chodulidwa nchakuti ndizosavuta kuti zitheke.
4.. Mtundu wa alligator ndi singano
Nsagwada ili ndi ngodya yotsegulira yayikulu kuti iwonjezere voliyumu; Mphepo yam'kuthwa ndi yopanda kanthu kuti ikhale yotetezeka kwambiri.
Pali singano pakati pa mutu wamiyala, yomwe imatha kupangitsa kuti kusinthaku ndi kolondola.
Oyenera biopsy pa minofu yolimba monga zotupa.
Thupi la Formps: Thupi la mphamvu ya biopsy limapangidwa ndi chitsulo chosapanga dzimbiri, chomwe chili ndi waya wachitsulo chokoka valavu yamphamvu kuti itseguke ndikutseka. Chifukwa cha mawonekedwe apadera a chubu chomangika, ntchentche ya minofu, magazi ndi zinthu zina zimatha kulowa nawo, koma ndizovuta kuyeretsa bwino. Kulephera kuyeretsa bwino kumapangitsa kuti kusokonezedwe kwa ntchito ya biopsy, ndipo kutseguka ndi kutseka sikukhala kosavuta kapena ngakhale kosatheka kutsegula. Kugwira ntchito: mphete pa chogwirizira imagwiritsidwa ntchito kuti igwirizire Pakugwiridwa ndi zala zitatuzi, mphamvu imafalikira ku valavu yamphamvu kudzera mu waya wotseguka ndikutseka.
.
1. Kuzindikira Kuyambira:
Musanagwiritse ntchito, onetsetsani kuti mphamvu za biosy zatha ndipo zimagwiritsidwa ntchito mkati mwa nthawi yotsatsa. Musanaike matokopu a endoscoscope annelps, kutseka ndi kutseka ndi kutseka kwa mphamvuyo iyenera kuyesedwa (Chithunzi 2).
Chithunzi 2 Biopsy Forceps
Njira yodziwika bwino ndiyofunika kuphatikizira thupi lazomwe zimapangika mozungulira (m'mimba mwake) Ngati pali nthawi 1-2 za kunyozeka, ndibwino kuti musagwiritse ntchito mphamvu za biopsy. Kachiwiri, ndikofunikira kuyesa kutseka kwa ma fortsy. Tengani pepala loonda monga kalata yolembera ndikuwumitsa ndi mphamvu ya biopsy. Ndiwoyenerera ngati pepala loonda siligwa. Chachitatu, ndikofunikira kuti muwone ngati makapu awiri a armips a armips amasagwirizana kwathunthu (Chithunzi 3). Ngati pali zolakwika, siyani kugwiritsa ntchito nthawi yomweyo, apo ayi idzakanda chitoliro cha mafuta.
Chithunzi 3 biopsy Forpps Flap
Zolemba pakugwira ntchito:
Musanayikenso chubu cha aftops, nsagwada iyenera kutsekedwa, koma kumbukirani kuti musagwiritse ntchito mphamvu zochuluka chifukwa choopa kutsekeka kwa matembenuzidwe, komwe kumapangitsa kuti waya utole ndikusokoneza kutseguka ndi kutseka kwa nsagwada. 2. Poika chubu, Lowani molowera kutsegulira kwa chubu cha artips ndipo musapatsidwe chubu chotsegulira. Ngati mukukumana ndi kukana mukalowa, muyenera kumasula batani la ngolo ndikuyesera kulowa mowonekera mwachilengedwe. Ngati simungathe kudutsa, chotsani ma endoscope ku thupi kuti muyese, kapena m'malo mwake ndi ma biopsy ena a biopsy monga mitundu yaying'ono. 3. Pokoka mphamvu ya biopsy, pewani kugwiritsa ntchito mphamvu zambiri. Wothandizirayo ayenera kuchigwira ndi manja onse ndipo kenako nkuwerama. Osatambasula manja anu kwambiri. 4. Pamene nsagwada singatseke, osakoka mwamphamvu. Pakadali pano, iyenera kukankhidwa mthupi limodzi ndi endoscope ya kukonzanso.
Ii. Chidule cha maluso ena a biopsy
1. Kutsegulira ndikutseka zopangira biopsy ndi ntchito zonse zaukadaulo. Kutsegulira kumafuna malangizo, makamaka akondo, omwe ayenera kukhala malo owerengeka. Kutseka kumafuna nthawi. Matenda am'mimba komanso opaleshoni ya opaleshoni ya opaleshoni ndi yokhazikika ndipo siyingakhazikike mosalekeza. Wothandizirayo ayenera kugwiritsa ntchito mwayiwu mokwanira komanso moyenera mphamvu za biopsy.
2. Chitsimikizo cha biopsy chizikhala chokwanira komanso chozama mpaka ku Muscularis mucosa.
3. Ganizirani za magazi pambuyo pa biopsy pa biopsterory. Pamene ngodya ya m'mimba ndi antrum iyenera kukhala yolumikizidwa nthawi yomweyo, nkonza ya chapamimba iyenera kugaya kaye kenako antrum; Madera a lesioni ndi minyewa yayikulu komanso zidutswa zingapo zimayenera kukhala otsimikiza, ndipo ndikofunikiranso kulingalira ngati magazi atatulutsa minofu yozungulira ndikusokoneza mundawo, apo ayi chotsatira Kukongoletsa zidzakhala zakhungu komanso kungokhala.
Njira yodziwika bwino yolumikizira zotupa pampando, poganizira momwe magazi amaonera zamagazi
4. Yesani kuchita zowongoka za biopsy paderalo, ndikugwiritsa ntchito kuyamwa pakafunika kutero. Kuyamwa kumachepetsa mawonekedwe a mucosa, kulola minofu kuti ikhale yolimba kwambiri komanso yosatha.
Biopsy iyenera kuchitidwa molunjika monga momwe mungathere, ndipo kutalika kwa zowonjezera za biopsy sikuyenera kupitirira 2cm.
5. Samalani ndi kusankha kwa mitundu yosiyanasiyana yamitundu yosiyanasiyana yamiyendo; Kusankhidwa kwa mfundo za Sampling kumakhudzana ndi mtengo wabwino. Dokotalayo ali ndi diso lakuthwa ndipo amayeneranso kulabadira maluso osankha a zida.
Malo okhala malo osayanjanitsidwa
6. Zigawo zomwe zimavuta biopsy zimaphatikizapo fundulu ya m'mimba pafupi ndi Cardia, kupindika kocheperako kwa khoma lam'mimba pafupi ndi duodenum. Wothandizira amayenera kuyang'ana pa mgwirizano. Ngati akufuna kukwaniritsa zotsatira zabwino, ayenera kuphunzira kulinganiza patsogolo ndikusintha njira yambiri nthawi iliyonse. Nthawi yomweyo, ayenera kuweruza nthawi yomweyo kusunga nthawi yopuma ndikugwiritsa ntchito mwayi uliwonse. Nthawi zina pamene tikudikirira malangizo ochokera kwa dokotala, cholembera cha wachiwiri 1 chitha kubweretsa mwayi wosowa. Ndingodikira moleza mtima chifukwa cha mwayi wotsatira.
Mivi imawonetsa malo komwe kumakhala kovuta kupeza zinthu kapena kusiya magazi.
7. Kusankhidwa kwa mphamvu ya biopsy
8. Kukula kophatikizidwa ndi malo owongolera kuwongolera biopsy ndikolondola, makamaka kwa sapleza wa esophogel mucosa.
IEAMNXI Zhuouria Chachipatala co., Ltd.Zowongolera za biopsy, hemoclip, Msampha wa Polyp, Sclerotherapy singano, Spray Catheter, Nkhondo za Cytology, gongo, Mtanga Wobwezeretsa Mlandu, Minda yamimba yamkuntho ya Nsasal Catheter etc. zomwe zimagwiritsidwa ntchito kwambiriEmr, Ezd, 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: Jan-23-2025