Njira zochotsera matumbo a polyp: ma pedunculated polyps

Mukakumana ndi stalk polyposis, zofunikira zapamwamba zimayikidwa pa endoscopists chifukwa cha mawonekedwe a anatomical ndi zovuta zogwirira ntchito za chotupacho.

Nkhaniyi ikufotokoza momwe mungasinthire luso la opareshoni ya endoscopic ndikuchepetsa zovuta zapambuyo pa opaleshoni pogwiritsa ntchito njira zothana nazo monga kusintha malo ndi njira zodzitetezera.

1. Zowonongeka zosinthika za HSP: zotupa za pedunculated

Kwa zilonda za tsinde, mutu waukulu wa zilondazo, mphamvu yokoka ndi yofunika kwambiri, zomwe nthawi zambiri zimakhala zovuta kuti msampha utseke molondola pedicle. Pankhaniyi, kusintha kwa malo kungagwiritsidwe ntchito kupititsa patsogolo malo owonera ndikupeza malo abwino ogwirira ntchito, potero kuonetsetsa kuti ntchitoyo ndi yolondola.

2. Kuopsa kwa magazi komanso kufunikira kwa njira yodzitetezera

Tsinde la zilonda za pedunculated nthawi zambiri limatsagana ndi mitsempha yakuda, ndipo kutulutsa mwachindunji kungayambitse magazi ambiri ndikuwonjezera vuto la hemostasis.

Malangizo a njira zolumikizirana

Kugwiritsa Ntchito Clip

Zolemba zazitali ziyenera kuyikidwa pafupi ndi pansi pa pedicle momwe zingathere kuti ziwongolere ntchito za msampha wotsatira. Komanso, pamaso resection ayenera kuonetsetsa kuti chotupa akutembenukira mdima wofiira chifukwa cha kutsekeka kwa magazi, apo ayi zina tatifupi ayenera kuwonjezeredwa zina chipika magazi.

Zindikirani: Pewani kulimbitsa msampha ndi kopanira panthawi ya resection, chifukwa izi zitha kubweretsa chiwopsezo choboola.

 hemoclip

Kugwiritsa Ntchito Msampha

Kusungidwa kwa loop ya nayiloni kumatha kulumikiza pedicle mwamakina, ndipo kumatha kuletsa kutuluka kwa magazi ngakhale pedicle itakhala yokhuthala.

Njira zogwirira ntchito zikuphatikizapo:

1. Wonjezerani mphete ya nayiloni kukula pang'ono kuposa kukula kwa chotupa (peŵani kukulitsa);

2. Gwiritsani ntchito endoscopy kuti mudutse mutu wa chotupa kudzera pa lupu la nayiloni;

3. Pambuyo potsimikizira kuti mphete ya nayiloni ili m'munsi mwa pedicle, sungani mosamala pedicle ndikumaliza ntchito yotulutsa.

Polyp msampha

Njira zodzitetezera ku resection

A. Onetsetsani kuti lupu la nayiloni silikugwirana ndi minofu yozungulira.

B. Ngati mukuda nkhawa kuti mphete ya nayiloni yomwe mumakhalamo igwa, mutha kuwonjezera kachidutswa m'munsi mwake kapena pamalo opangira resection kuti mupewe kutaya magazi pambuyo pa opaleshoni.

3. Zochita zenizeni

(1) Malangizo ogwiritsira ntchito zikhomo

Chojambula chachitali chimakondedwa ndipo chimayikidwa pansi pa pedicle, kuonetsetsa kuti chojambulacho sichikusokoneza kugwira ntchito kwa msampha.

Tsimikizirani kuti chotupacho chasanduka mdima wofiyira chifukwa cha kutsekeka kwa magazi musanagwire ntchito yochotsa.

(2) Malangizo ogwiritsira ntchito mphete ya nayiloni yosungira

1. Wonjezerani mphete ya nayiloni kuti ikhale yokulirapo pang'ono kuposa kukula kwa chotupa kuti musatsegule kwambiri.

2. Gwiritsani ntchito endoscope kuti mudutse mutu wa nayiloni pa lupu la nayiloni ndikuwonetsetsa kuti luko la nayiloni lili bwino.

Kuzungulira kwathunthu pedicle.

3. Pang'onopang'ono sungani chipika cha nayiloni ndikutsimikizirani mosamala kuti palibe minofu yozungulira yomwe ikukhudzidwa.

4. Pambuyo pokonzekeratu, potsirizira pake tsimikizirani malo ndi kumaliza kulumikiza kwa lupu la nayiloni.

(3) Kupewa kutaya magazi pambuyo pa opaleshoni

Pofuna kupewa kugwa koyambirira kwa mphete yokhalamo nayiloni, tatifupi zina zitha kuwonjezeredwa kumunsi kwa resection kuti muchepetse chiopsezo chotaya magazi pambuyo pa opaleshoni.

Chidule ndi malingaliro

Njira yothetsera mphamvu yokoka: Mwa kusintha momwe thupi limakhalira, gawo la masomphenya likhoza kukonzedwa bwino ndipo ntchitoyo ikhoza kuthandizidwa. Preventive ligation: Kaya mukugwiritsa ntchito kopanira kapena mphete ya nayiloni, imatha kuchepetsa ngozi yotaya magazi mkati ndi pambuyo pa opaleshoni. Kugwira ntchito moyenera ndi kubwereza: Tsatirani mosamalitsa ndondomeko ya opaleshoni ndikubwerezanso pakapita nthawi pambuyo pa opaleshoni kuti muwonetsetse kuti chotupacho chimachotsedwa kwathunthu ndipo palibe zovuta.

Ife, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ndi opanga ku China okhazikika pazakudya zama endoscopic, mongabiopsy forceps, hemoclip, polyp msampha, sclerotherapy singano, kupopera catheter, maburashi a cytology, guidewire, dengu lochotsa miyala, catheter ya nasal biliary drainageetc. omwe amagwiritsidwa ntchito kwambiri muEMR, ESD, ERCP. Zogulitsa zathu ndi zovomerezeka za CE, ndipo mbewu zathu ndi zovomerezeka za ISO. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi gawo la Asia, ndipo amapeza makasitomala ambiri kuzindikira ndi kutamandidwa!