Momwe mungachotsere miyala ya duct ya ndulu pogwiritsa ntchito ERCP
ERCP kuchotsa miyala ya duct ya bile ndi njira yofunika kwambiri pochiza miyala ya duct ya bile, yokhala ndi ubwino wochepa komanso kuchira mwachangu. ERCP kuchotsa miyala ya duct ya bile ndi kugwiritsa ntchito endoscopy kuti atsimikizire malo, kukula ndi chiwerengero cha miyala ya duct ya bile kudzera mu intracholangiography, kenako kuchotsa miyala ya duct ya bile kuchokera pansi pa duct ya duct ya biliary kudzera mu dengu lapadera lochotsera miyala. Njira zenizeni ndi izi:
1. Kuchotsa kudzera mu lithotripsy: njira yolumikizira ndulu imatseguka mu duodenum, ndipo pali sphincter ya Oddi m'chigawo chapansi cha njira yolumikizira ndulu yomwe imatseguka panjira yolumikizira ndulu. Ngati mwalawo ndi waukulu, sphincter ya Oddi iyenera kudulidwa pang'ono kuti ikule njira yolumikizira ndulu, zomwe zimathandiza kuchotsa miyala. Miyala ikakhala yayikulu kwambiri kuti isachotsedwe, miyala ikuluikulu imatha kusweka kukhala miyala yaying'ono pophwanya miyala, zomwe zimakhala zosavuta kuchotsa;
2. Kuchotsa miyala kudzera mu opaleshoni: Kuwonjezera pa chithandizo cha endoscopic cha choledocholithiasis, choledocholithotomy yochepa kwambiri ikhoza kuchitidwa kuti ichotse miyala kudzera mu opaleshoni.
Zonsezi zingagwiritsidwe ntchito pochiza miyala ya duct ya ndulu, ndipo njira zosiyanasiyana ziyenera kusankhidwa malinga ndi msinkhu wa wodwalayo, kuchuluka kwa duct ya ndulu, kukula ndi kuchuluka kwa miyala, komanso ngati kutsegula kwa gawo la pansi la duct ya ndulu sikunatsekeke.
Zogulitsa zathu zimagwiritsidwa ntchito pochotsa miyala ya duct ya ndulu pogwiritsa ntchito ERCP.
ZhuoRuiHua Medical Single-use Guidewards, yopangidwa kuti igwiritsidwe ntchito panthawi ya endoscopic biliary ndi pancreati duct process poyambitsa ndi kusinthana catheter, komanso kupititsa patsogolo kupambana kwa ERCP. Mawaya otsogolera ali ndi Nitinol core, nsonga yosinthika kwambiri ya radiopaque (yowongoka kapena yopingasa) ndi utoto wachikasu / wakuda wokhala ndi mawonekedwe okwera kwambiri otsetsereka. Patali, awa ali ndi utoto wothira madzi. Kuti atetezedwe komanso kugwiritsidwa ntchito bwino, mawayawa ali mu chotulutsira pulasitiki chooneka ngati mphete. Mawaya otsogolera awa amapezeka m'mimba mwake wa 0.025" ndi 0.035" ndipo kutalika kwake kulipo 260 cm ndi 450 cm. Nsonga ya waya wotsogolera ili ndi kusinthasintha kwabwino kuti ithandize kuyeza kuuma ndipo nsonga yothira madzi ya waya wotsogolera imapangitsa kuti ductal navigation iyende bwino.
Dengu lotha kutayidwa lochokera ku ZhuoRuiHua Medical ndi lapamwamba kwambiri komanso lopangidwa bwino, kuti lichotse mosavuta miyala ya ndulu ndi zinthu zakunja. Kapangidwe ka chogwirira cha zida zoyendetsera bwino kamapangitsa kuti zikhale zosavuta komanso zosavuta kugwiritsa ntchito. Zipangizozo zimapangidwa ndi chitsulo chosapanga dzimbiri kapena Nitinol, chilichonse chili ndi nsonga ya atraumatic. Cholumikizira chosavuta kugwiritsa ntchito chimatsimikizira kuti cholumikizira chosiyana chingagwiritsidwe ntchito mosavuta komanso mosavuta. Kapangidwe ka waya wachinayi kuphatikiza diamondi, oval, mawonekedwe ozungulira kuti atenge miyala yosiyanasiyana. Ndi Dengu lotha kubweza miyala la ZhuoRuiHua, mutha kuthana ndi vuto lililonse mukatenga miyala.
ZhuoRuiHua Medical Nasal Biliary Drainage Catheters amagwiritsidwa ntchito pochotsa kwakanthawi njira zakunja kwa thupi za biliary ndi pancreatic ducts. Amapereka njira yothandiza yotulutsira madzi ndipo motero amachepetsa chiopsezo cha cholangitis. Ma Catheters a biliary drainage amapezeka m'mitundu iwiri yoyambira kukula kwake: 5 Fr, 6 Fr, 7 Fr ndi 8 Fr iliyonse: mchira wa pigtail ndi mchira wa pigtail wokhala ndi mawonekedwe a alpha curve. Setiyi ili ndi: probe, chubu cha m'mphuno, chubu cholumikizira madzi ndi cholumikizira cha Luer Lock. Catheter ya Drainage imapangidwa ndi radiopaque ndi zinthu zabwino zamadzimadzi, zomwe zimawoneka mosavuta komanso zimayikidwa.
Nthawi yotumizira: Meyi-13-2022