Colonoscopy: Njikwa nsogbu

N'ọgwụgwọ colonoscopic, nsogbu ndị a na-ahụkarị bụ oghere na ọbara ọgbụgba.
Mgbawa na-ezo aka n'ọnọdụ ebe oghere ahụ jikọtara onwe ya na oghere ahụ n'enweghị nsogbu n'ihi ntụpọ anụ ahụ zuru oke, ọnụnọ nke ikuku efu na nyocha X-ray anaghị emetụta nkọwa ya.
Mgbe e kpuchiri akụkụ nke ntụpọ anụ ahụ zuru oke ma enweghị mkparịta ụka n'efu na oghere ahụ, a na-akpọ ya oghere.
Nkọwa nke ọbara ọgbụgba abụghị nke a kọwara nke ọma; ndụmọdụ ndị a na-enye ugbu a gụnyere mbelata na hemoglobin karịa 2 g/dL ma ọ bụ mkpa ọ dị maka mmịnye ọbara.
A na-akọwakarị ọbara ọgbụgba mgbe a wachara ahụ dịka ọbara dị mkpa n'ime stool mgbe a wachara ya ahụ nke chọrọ ọgwụgwọ hemostatic ma ọ bụ mmịnye ọbara.
Usoro ihe omume ndị a na-eme n'oge na-adịghị anya dabere na ọgwụgwọ:
Ọnụego mgbawa:
Mkpụpụ nwa oge: 0.05%
Mwepụ akpụkpọ ahụ endoscopic (EMR): 0.58% ~0.8%
Ngwuputa submucosal endoscopic (ESD): 2% ~14%
Ọbara ọbara mgbe a wachara ahụ:
Mkpụpụ nwa ebu n'afọ: 1.6%
EMR: 1.1%~1.7%
ESD: 0.7%~3.1

1. Otu esi emeso oghere dị n'ime oghere ahụ
Ebe ọ bụ na mgbidi nke eriri afọ buru ibu dị gịrịgịrị karịa nke afọ, ihe ize ndụ nke mgbawa dị elu. A chọrọ nkwadebe zuru oke tupu a wachaa ya ahụ iji merie ohere nke mgbawa.
Ihe mgbochi n'oge ịwa ahụ:
Jide n'aka na endoscope ahụ nwere ike ịrụ ọrụ nke ọma.
Họrọ endoscopes kwesịrị ekwesị, ngwa ọgwụgwọ, mmiri ọgwụ na ngwa nnyefe gas carbon dioxide dịka ebe, ọdịdị na ọkwa nke fibrosis nke etuto ahụ si dị.
Njikwa nke oghere n'ime ịwa ahụ:
Mmechi ozugbo: N'agbanyeghị ebe ọ dị, mmechi mkpara bụ ụzọ kachasị mma (ike nkwado: Ọkwa 1, ọkwa ihe akaebe: C).

In ESD, iji zere nsogbu na ọrụ mwepụ ahụ, a ga-ebu ụzọ gbutuo anụ ahụ gbara ya gburugburu iji hụ na oghere zuru oke maka ọrụ tupu emechie ya.
Nleba anya mgbe a wachara ahụ: Ọ bụrụ na enwere ike imechi oghere ahụ kpamkpam, a pụrụ izere ịwa ahụ site na naanị ọgwụgwọ ọgwụ nje na ibu ọnụ.
Mkpebi ịwa ahụ: A na-ekpebi mkpa ịwa ahụ dabere na njikọta nke mgbaàmà afọ, nsonaazụ nnwale ọbara, na onyonyo kama naanị na gas efu egosiri na CT.
Ọgwụgwọ akụkụ pụrụ iche:
Ike ndọda ala agaghị ebute mgbawa afọ n'ihi njirimara ya, mana ọ nwere ike ibute mgbawa pelvic, na-apụta dị ka retroperitoneal, mediastinal, ma ọ bụ subcutaneous emphysema.
Mkpachapụ anya:
Mmechi ọnya mgbe a wachara ahụ nwere ike igbochi nsogbu ruo n'ókè ụfọdụ, mana enweghị ihe akaebe zuru oke iji gosi na ọ nwere ike igbochi mgbawa nke ọma.

2. Mmeghachi omume nye ọbara ọgbụgba
Njikwa ọbara ọgbụgba n'oge ịwa ahụ:
Jiri ihe na-eme ka ọbara gbapụta ma ọ bụ ihe na-eme ka ọbara gbapụta iji kwụsị.
Ọbara ọbara n'ime obere arịa ọbara:
EMR, enwere ike iji isi ọnyà ahụ mee ihe maka coagulation okpomọkụ.
ESD, a pụrụ iji ọnụ mma eletriki ahụ metụ coagulation okpomọkụ ma ọ bụ forceps hemostatic iji kwụsị ọbara ọgbụgba.
Ọbara ọbara buru ibu n'ime arịa ọbara: Jiri ike hemostatic forceps, mana chịkwaa oke coagulation iji zere igbu oge.
Mgbochi ọbara ọgbụgba mgbe a wachara ahụ:
Mwepụ ọnya mgbe emecharaEMR :
Nnyocha egosila na ojiji nke hemostatic forceps maka mgbochi coagulation enweghị mmetụta dị ukwuu na ọnụego ọbara ọgbụgba mgbe a wachara ahụ, mana enwere usoro na-ebelata.
Mgbochi mgbochi nwere obere mmetụta na obere ọnya, mana ọ dị irè maka nnukwu ọnya ma ọ bụ ndị ọrịa nwere nnukwu ihe ize ndụ nke ọbara ọgbụgba mgbe a wachara ha ahụ (dịka ndị na-anata ọgwụgwọ mgbochi thrombosis).
ESD, a na-ewepụ ọnya ahụ ma kpụkọta arịa ọbara ndị a na-ekpughere. Enwere ike iji ihe mkpuchi hemostatic gbochie njikọta nke nnukwu arịa ọbara.
Rịba ama:
Maka obere ọnya EMR, a naghị akwado ọgwụgwọ mgbochi mgbe niile, mana maka nnukwu ọnya ma ọ bụ ndị ọrịa nwere nnukwu ihe egwu, ịkpụpụ mgbochi mgbe ịwa ahụ gasịrị nwere mmetụta ụfọdụ (ike nkwado: Ọkwa nke 2, ọkwa ihe akaebe: C).
Mgbawa na ọbara ọgbụgba bụ nsogbu ndị a na-ahụkarị site na endoscopy nke eriri afọ.
Ime ihe mgbochi na ọgwụgwọ kwesịrị ekwesị maka ọnọdụ dị iche iche nwere ike ibelata ọrịa ndị na-apụtakarị ma melite nchekwa onye ọrịa.

Anyị, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., bụ ụlọ ọrụ mmepụta ihe na China nke ọkachamara n'ihe gbasara ihe ndị a na-eji eme ihe na endoscopic, dịkaike biops, hemoklip, ọnyà polyp, agịga sclerotherapy, katetị ịgbasa,ahịhịa cytology, waya nduzi, nkata mwepụta nkume, katita drainage biliary imi,ihe mkpuchi oghere ureteralnaihe mkpuchi oghere ureteral na-amịnye mmiriwdg. nke a na-ejikarị eme ihe naEMR, ESD, ERCPNgwaahịa anyị nwere asambodo CE, ebe osisi anyị nwere asambodo ISO. Ebupụla ngwa ahịa anyị na Yuropu, North America, Middle East na akụkụ Eshia, ma na-eme ka ndị ahịa nweta otuto na otuto nke ukwuu!