Kuchotsa Polypectomy Yotayika — Chizunguliro Chochotsa Polyp mu Endoscopic cha Kuchotsa Polypectomy Yotentha & Yozizira
Kuchotsa Polypectomy Yotayika — Chizunguliro Chochotsa Polyp mu Endoscopic cha Kuchotsa Polypectomy Yotentha & Yozizira
Tsatanetsatane wa Zamalonda
1. Chingwe chozungulira cha mbiri iliyonse ya chilonda
2. Waya wopyapyala woti udule, wolimba mokwanira kuti ugwire. Pa 0.30 mm (0.012")
3. Kozizira kapena kotentha, pa shelufu yomweyo.
4. Yoyeretsedwa mu chikwama choyeretsedwa chomwe chimasefedwa, imatenga zaka zitatu - palibe kuzungulira kokonzanso, palibe kudikira nthawi yobwerera.
5. Chotetezera PTFE chakunja.
6. Chifaniziro cha Loop: Hexagonal, Oval, Crescente
Ntchito:
✅ Ntchito Zazikulu:
Njira yogwiritsira ntchito kamodzi kokha yochotsera ndi/kapena kupha tizilombo toyambitsa matenda m'mimba — ozizira kapena otentha.
●Wochepa (≤ 5 mm) — msampha wozizira, kuzungulira kwa 10–15 mm, njira yolumikizira makina, palibe kufalikira kwa kutentha.
●Kachidutswa kakang'ono ka sessile (6–10 mm) — kozizira kapena kotentha, kuzungulira kwa 15–20 mm, mawonekedwe okhala athyathyathya.
●Pedunculated — hot snare, 20–27 mm loop, malo okhala ndi phesi lozama lodulidwa ndi kugawanika.
●Chotchingira chachikulu chotentha, chozungulira cha 25–33 mm, choteteza kutentha kuti chiteteze kutentha.
●EMR adjunct — kuchotsa ndi kudula pambuyo pa jakisoni, lonse kapena pang'ono.
Kufotokozera
| Ayi. | CHITSANZO | ZOKHUDZA | Chidutswa cha kuzungulira D（mm） | Utali wa Ntchito L ± 10% （mm） | Njira Yocheperako M'mimba mwake d± 0.1（mm） | Ntchito yozungulira |
| 1 | OVAL (RA) | ZRH-RA-1812-10 | 10 | 1200 | Ø1.8 | palibe |
| 2 | ZRH-RA-1812-15 | 15 | 1200 | Ø1.8 | palibe | |
| 3 | ZRH-RA-1812-20 | 20 | 1200 | Ø1.8 | palibe | |
| 4 | ZRH-RA-1812-25 | 25 | 1200 | Ø1.8 | palibe | |
| 5 | ZRH-RA-1812-30 | 30 | 1200 | Ø1.8 | palibe | |
| 6 | ZRH-RA-1812-35 | 35 | 1200 | Ø1.8 | palibe | |
| 7 | ZRH-RA-1816-10 | 10 | 1600 | Ø1.8 | palibe | |
| 8 | ZRH-RA-1816-15 | 15 | 1600 | Ø1.8 | palibe | |
| 9 | ZRH-RA-1816-20 | 20 | 1600 | Ø1.8 | palibe | |
| 10 | ZRH-RA-1816-25 | 25 | 1600 | Ø1.8 | palibe | |
| 11 | ZRH-RA-1816-30 | 30 | 1600 | Ø1.8 | palibe | |
| 12 | ZRH-RA-1816-35 | 35 | 1600 | Ø1.8 | palibe | |
| 13 | ZRH-RA-2418-10 | 10 | 1800 | Ø2.4 | palibe | |
| 14 | ZRH-RA-2418-15 | 15 | 1800 | Ø2.4 | palibe | |
| 15 | ZRH-RA-2418-20 | 20 | 1800 | Ø2.4 | palibe | |
| 16 | ZRH-RA-2418-25 | 25 | 1800 | Ø2.4 | palibe | |
| 17 | ZRH-RA-2418-30 | 30 | 1800 | Ø2.4 | palibe | |
| 18 | ZRH-RA-2418-35 | 35 | 1800 | Ø2.4 | palibe | |
| 19 | ZRH-RA-2423-10 | 10 | 2300 | Ø2.4 | palibe | |
| 20 | ZRH-RA-2423-15 | 15 | 2300 | Ø2.4 | palibe | |
| 21 | ZRH-RA-2423-20 | 20 | 2300 | Ø2.4 | palibe | |
| 22 | ZRH-RA-2423-25 | 25 | 2300 | Ø2.4 | palibe | |
| 23 | ZRH-RA-2423-30 | 30 | 2300 | Ø2.4 | palibe | |
| 24 | ZRH-RA-2423-35 | 35 | 2300 | Ø2.4 | palibe | |
| 25 | Hexagon (RB) | ZRH-RB-1812-10 | 10 | 1200 | Ø1.8 | palibe |
| 26 | ZRH-RB-1812-15 | 15 | 1200 | Ø1.8 | palibe | |
| 27 | ZRH-RB-1812-20 | 20 | 1200 | Ø1.8 | palibe | |
| 28 | ZRH-RB-1812-25 | 25 | 1200 | Ø1.8 | palibe | |
| 29 | ZRH-RB-1812-30 | 30 | 1200 | Ø1.8 | palibe | |
| 30 | ZRH-RB-1812-35 | 35 | 1200 | Ø1.8 | palibe | |
| 31 | ZRH-RB-1816-10 | 10 | 1600 | Ø1.8 | palibe | |
| 32 | ZRH-RB-1816-15 | 15 | 1600 | Ø1.8 | palibe | |
| 33 | ZRH-RB-1816-20 | 20 | 1600 | Ø1.8 | palibe | |
| 34 | ZRH-RB-1816-25 | 25 | 1600 | Ø1.8 | palibe | |
| 35 | ZRH-RB-1816-30 | 30 | 1600 | Ø1.8 | palibe | |
| 36 | ZRH-RB-1816-35 | 35 | 1600 | Ø1.8 | palibe | |
| 37 | ZRH-RB-2418-10 | 10 | 1800 | Ø2.4 | palibe | |
| 38 | ZRH-RB-2418-15 | 15 | 1800 | Ø2.4 | palibe | |
| 39 | ZRH-RB-2418-20 | 20 | 1800 | Ø2.4 | palibe | |
| 40 | ZRH-RB-2418-25 | 25 | 1800 | Ø2.4 | palibe | |
| 41 | ZRH-RB-2418-30 | 30 | 1800 | Ø2.4 | palibe | |
| 42 | ZRH-RB-2418-35 | 35 | 1800 | Ø2.4 | palibe | |
| 43 | ZRH-RB-2423-10 | 10 | 2300 | Ø2.4 | palibe | |
| 44 | ZRH-RB-2423-15 | 15 | 2300 | Ø2.4 | palibe | |
| 45 | ZRH-RB-2423-20 | 20 | 2300 | Ø2.4 | palibe | |
| 46 | ZRH-RB-2423-25 | 25 | 2300 | Ø2.4 | palibe | |
| 47 | ZRH-RB-2423-30 | 30 | 2300 | Ø2.4 | palibe | |
| 48 | ZRH-RB-2423-35 | 35 | 2300 | Ø2.4 | palibe | |
| 49 | Crescent (RC) | ZRH-RC-1812-10 | 10 | 1200 | Ø1.8 | palibe |
| 50 | ZRH-RC-1812-15 | 15 | 1200 | Ø1.8 | palibe | |
| 51 | ZRH-RC-1812-20 | 20 | 1200 | Ø1.8 | palibe | |
| 52 | ZRH-RC-1812-25 | 25 | 1200 | Ø1.8 | palibe | |
| 53 | ZRH-RC-1812-30 | 30 | 1200 | Ø1.8 | palibe | |
| 54 | ZRH-RC-1812-35 | 35 | 1200 | Ø1.8 | palibe | |
| 55 | ZRH-RC-1816-10 | 10 | 1600 | Ø1.8 | palibe | |
| 56 | ZRH-RC-1816-15 | 15 | 1600 | Ø1.8 | palibe | |
| 57 | ZRH-RC-1816-20 | 20 | 1600 | Ø1.8 | palibe | |
| 58 | ZRH-RC-1816-25 | 25 | 1600 | Ø1.8 | palibe | |
| 59 | ZRH-RC-1816-30 | 30 | 1600 | Ø1.8 | palibe | |
| 60 | ZRH-RC-1816-35 | 35 | 1600 | Ø1.8 | palibe | |
| 61 | ZRH-RC-2418-10 | 10 | 1800 | Ø2.4 | palibe | |
| 62 | ZRH-RC-2418-15 | 15 | 1800 | Ø2.4 | palibe | |
| 63 | ZRH-RC-2418-20 | 20 | 1800 | Ø2.4 | palibe | |
| 64 | ZRH-RC-2418-25 | 25 | 1800 | Ø2.4 | palibe | |
| 65 | ZRH-RC-2418-30 | 30 | 1800 | Ø2.4 | palibe | |
| 66 | ZRH-RC-2418-35 | 35 | 1800 | Ø2.4 | palibe | |
| 67 | ZRH-RC-2423-10 | 10 | 2300 | Ø2.4 | palibe | |
| 68 | ZRH-RC-2423-15 | 15 | 2300 | Ø2.4 | palibe | |
| 69 | ZRH-RC-2423-20 | 20 | 2300 | Ø2.4 | palibe | |
| 70 | ZRH-RC-2423-25 | 25 | 2300 | Ø2.4 | palibe | |
| 71 | ZRH-RC-2423-30 | 30 | 2300 | Ø2.4 | palibe | |
| 72 | ZRH-RC-2423-35 | 35 | 2300 | Ø2.4 | palibe | |
| 73 | Crescent (RCR) | ZRH-RC-1812-10-R | 10 | 1200 | Ø1.8 | inde |
| 74 | ZRH-RC-1812-15-R | 15 | 1200 | Ø1.8 | inde | |
| 75 | ZRH-RC-1812-20-R | 20 | 1200 | Ø1.8 | inde | |
| 76 | ZRH-RC-1812-25-R | 25 | 1200 | Ø1.8 | inde | |
| 77 | ZRH-RC-1812-30-R | 30 | 1200 | Ø1.8 | inde | |
| 78 | ZRH-RC-1812-35-R | 35 | 1200 | Ø1.8 | inde | |
| 79 | ZRH-RC-1816-10-R | 10 | 1600 | Ø1.8 | inde | |
| 80 | ZRH-RC-1816-15-R | 15 | 1600 | Ø1.8 | inde | |
| 81 | ZRH-RC-1816-20-R | 20 | 1600 | Ø1.8 | inde | |
| 82 | ZRH-RC-1816-25-R | 25 | 1600 | Ø1.8 | inde | |
| 83 | ZRH-RC-1816-30-R | 30 | 1600 | Ø1.8 | inde | |
| 84 | ZRH-RC-1816-35-R | 35 | 1600 | Ø1.8 | inde | |
| 85 | ZRH-RC-2418-10-R | 10 | 1800 | Ø2.4 | inde | |
| 86 | ZRH-RC-2418-15-R | 15 | 1800 | Ø2.4 | inde | |
| 87 | ZRH-RC-2418-20-R | 20 | 1800 | Ø2.4 | inde | |
| 88 | ZRH-RC-2418-25-R | 25 | 1800 | Ø2.4 | inde | |
| 89 | ZRH-RC-2418-30-R | 30 | 1800 | Ø2.4 | inde | |
| 90 | ZRH-RC-2418-35-R | 35 | 1800 | Ø2.4 | inde | |
| 91 | ZRH-RC-2423-10-R | 10 | 2300 | Ø2.4 | inde | |
| 92 | ZRH-RC-2423-15-R | 15 | 2300 | Ø2.4 | inde | |
| 93 | ZRH-RC-2423-20-R | 20 | 2300 | Ø2.4 | inde | |
| 94 | ZRH-RC-2423-25-R | 25 | 2300 | Ø2.4 | inde | |
| 95 | ZRH-RC-2423-30-R | 30 | 2300 | Ø2.4 | inde | |
| 96 | ZRH-RC-2423-35-R | 35 | 2300 | Ø2.4 | inde | |
| 97 | OVAL (RAR) | ZRH-RA-1812-10-R | 10 | 1200 | Ø1.8 | inde |
| 98 | ZRH-RA-1812-15-R | 15 | 1200 | Ø1.8 | inde | |
| 99 | ZRH-RA-1812-20-R | 20 | 1200 | Ø1.8 | inde | |
| 100 | ZRH-RA-1812-25-R | 25 | 1200 | Ø1.8 | inde | |
| 101 | ZRH-RA-1812-30-R | 30 | 1200 | Ø1.8 | inde | |
| 102 | ZRH-RA-1812-35-R | 35 | 1200 | Ø1.8 | inde | |
| 103 | ZRH-RA-1816-10-R | 10 | 1600 | Ø1.8 | inde | |
| 104 | ZRH-RA-1816-15-R | 15 | 1600 | Ø1.8 | inde | |
| 105 | ZRH-RA-1816-20-R | 20 | 1600 | Ø1.8 | inde | |
| 106 | ZRH-RA-1816-25-R | 25 | 1600 | Ø1.8 | inde | |
| 107 | ZRH-RA-1816-30-R | 30 | 1600 | Ø1.8 | inde | |
| 108 | ZRH-RA-1816-35-R | 35 | 1600 | Ø1.8 | inde | |
| 109 | ZRH-RA-2418-10-R | 10 | 1800 | Ø2.4 | inde | |
| 110 | ZRH-RA-2418-15-R | 15 | 1800 | Ø2.4 | inde | |
| 111 | ZRH-RA-2418-20-R | 20 | 1800 | Ø2.4 | inde | |
| 112 | ZRH-RA-2418-25-R | 25 | 1800 | Ø2.4 | inde | |
| 113 | ZRH-RA-2418-30-R | 30 | 1800 | Ø2.4 | inde | |
| 114 | ZRH-RA-2418-35-R | 35 | 1800 | Ø2.4 | inde | |
| 115 | ZRH-RA-2423-10-R | 10 | 2300 | Ø2.4 | inde | |
| 116 | ZRH-RA-2423-15-R | 15 | 2300 | Ø2.4 | inde | |
| 117 | ZRH-RA-2423-20-R | 20 | 2300 | Ø2.4 | inde | |
| 118 | ZRH-RA-2423-25-R | 25 | 2300 | Ø2.4 | inde | |
| 119 | ZRH-RA-2423-30-R | 30 | 2300 | Ø2.4 | inde | |
| 120 | ZRH-RA-2423-35-R | 35 | 2300 | Ø2.4 | inde | |
| 121 | Hexagon (RBR) | ZRH-RB-1812-10-R | 10 | 1200 | Ø1.8 | inde |
| 122 | ZRH-RB-1812-15-R | 15 | 1200 | Ø1.8 | inde | |
| 123 | ZRH-RB-1812-20-R | 20 | 1200 | Ø1.8 | inde | |
| 124 | ZRH-RB-1812-25-R | 25 | 1200 | Ø1.8 | inde | |
| 125 | ZRH-RB-1812-30-R | 30 | 1200 | Ø1.8 | inde | |
| 126 | ZRH-RB-1812-35-R | 35 | 1200 | Ø1.8 | inde | |
| 127 | ZRH-RB-1816-10-R | 10 | 1600 | Ø1.8 | inde | |
| 128 | ZRH-RB-1816-15-R | 15 | 1600 | Ø1.8 | inde | |
| 129 | ZRH-RB-1816-20-R | 20 | 1600 | Ø1.8 | inde | |
| 130 | ZRH-RB-1816-25-R | 25 | 1600 | Ø1.8 | inde | |
| 131 | ZRH-RB-1816-30-R | 30 | 1600 | Ø1.8 | inde | |
| 132 | ZRH-RB-1816-35-R | 35 | 1600 | Ø1.8 | inde | |
| 133 | ZRH-RB-2418-10-R | 10 | 1800 | Ø2.4 | inde | |
| 134 | ZRH-RB-2418-15-R | 15 | 1800 | Ø2.4 | inde | |
| 135 | ZRH-RB-2418-20-R | 20 | 1800 | Ø2.4 | inde | |
| 136 | ZRH-RB-2418-25-R | 25 | 1800 | Ø2.4 | inde | |
| 137 | ZRH-RB-2418-30-R | 30 | 1800 | Ø2.4 | inde | |
| 138 | ZRH-RB-2418-35-R | 35 | 1800 | Ø2.4 | inde | |
| 139 | ZRH-RB-2423-10-R | 10 | 2300 | Ø2.4 | inde | |
| 140 | ZRH-RB-2423-15-R | 15 | 2300 | Ø2.4 | inde | |
| 141 | ZRH-RB-2423-20-R | 20 | 2300 | Ø2.4 | inde | |
| 142 | ZRH-RB-2423-25-R | 25 | 2300 | Ø2.4 | inde | |
| 143 | ZRH-RB-2423-30-R | 30 | 2300 | Ø2.4 | inde | |
| 144 | ZRH-RB-2423-35-R | 35 | 2300 | Ø2.4 | inde |
FAQ
Kuchokera ku ZRH med.
Nthawi Yopangira Kutsogolera: Masabata 2-3 mutalandira malipiro, zimatengera kuchuluka kwa oda yanu
Njira Yotumizira:
1. Ndi Express: Fedex, UPS, TNT, DHL, SF express masiku 3-5, masiku 5-7.
2. Pa msewu: Dziko lakwanuko ndi lapafupi: masiku 3-10
3. Panyanja: Masiku 5-45 padziko lonse lapansi.
4. Paulendo wa pandege: Masiku 5-10 padziko lonse lapansi.
Kutsegula Doko:
Shenzhen, Yantian, Shekou, Hong Kong, Xiamen, Ningbo, Shanghai, Nanjing, Qingdao
Malinga ndi zomwe mukufuna.
Malamulo Otumizira:
EXW, FOB, CIF, CFR, C&F, DDU, DDP, FCA, CPT
Zikalata Zotumizira:
B/L, Invoice Yamalonda, Mndandanda Wolongedza
● Maonekedwe a kuzungulira omangidwa kuti agwire, osati kusokoneza.
● Mawonekedwe a waya: kudula kopyapyala, kokhazikika.
● Kusunga kutentha.
● Kulamulira kuzungulira ndi dzanja limodzi.
● Chiwonetsero chokhazikika cha monopolar.
● Kukula komwe kumafanana ndi chilondacho
● Kusabereka komwe kumagwiritsidwa ntchito kamodzi kokha, kwatsimikiziridwa
Chipangizo chimodzi, zisankho zitatu — mawonekedwe, kukula, njira. Kuchotsa ma polyp osayenera kamodzi kokha kumalepheretsa ma polyp ocheperako, otupa, komanso odulidwa m'mimba.
Kugwiritsa Ntchito Zachipatala
● Kuchotsa ma polyps ochepa (≤ 5 mm) — Cold Snare Polypectomy (CSP).
● Kuchotsa ma polyps ang'onoang'ono (6–10 mm) — Njira yozizira kapena yotentha (pa chitsanzo chilichonse).
● Kuchotsa ma polyps odulidwa ndi pedunculated — Hot Snare Polypectomy (HSP).
● Kuchotsa ma polyps otupa ndi zilonda zathyathyathya — Hot Snare yokhala ndi chidebe chotetezedwa.
● Kuchotsa/kuchotsa minofu ya mucosal yofunikira
● Njira zogwirira ntchito zothandizira opaleshoni ya EMR (Endoscopic Mucosal Resection)
● Kupeza zitsanzo za histopathology
● Kugwiritsa ntchito mu colonoscopy, gastroscopy, ndi duodenoscopy
