Colonoscopy: njikwa nsogbu

Na ọgwụgwọ colonoscopic, nsogbu ndị nnọchiteanya bụ perforation na ọbara ọgbụgba.
Perforation na-ezo aka na steeti nke oghere ahụ na-ejikọta ya na oghere ahụ n'ihi ntụpọ anụ ahụ zuru oke, na ọnụnọ nke ikuku efu na nyocha X-ray adịghị emetụta nkọwa ya.
Mgbe a na-ekpuchi akụkụ nke ntụpọ anụ ahụ zuru oke na enweghị nkwurịta okwu n'efu na oghere ahụ, a na-akpọ ya perforation.
Nkọwa nke ọbara ọgbụgba adịghị akọwapụta nke ọma; Atụmatụ ugbu a gụnyere mbelata nke hemoglobin karịrị 2 g/dL ma ọ bụ mkpa mmịnye ọbara.
A na-akọwakarị ọbara ọgbụgba mgbe ịwachara ahụ dị ka ọnọdụ ọbara dị ịrịba ama na stool mgbe a wachara ya ahụ nke chọrọ ọgwụgwọ hemostatic ma ọ bụ mmịnye ọbara.
Mmetụta nke ihe mberede ndị a na-adịgasị iche site na ọgwụgwọ:
Ọnụọgụ mkpesa:
Polypectomy: 0.05%
Endoscopic mucosal resection (EMR): 0.58% ~ 0.8%
Mgbasa nke endoscopic submucosal (ESD): 2% ~ 14%
Ọnụọgụ ọbara ọgbụgba gachara:
Polypectomy: 1.6%
EMR: 1.1% ~ 1.7%
ESD: 0.7% ~ 3.1

1. Otu esi emeso perforation
Ebe ọ bụ na mgbidi nke nnukwu eriri afọ dị ntakịrị karịa nke afọ, ihe ize ndụ nke perforation dị elu. A chọrọ nkwadebe nke ọma tupu ịwa ahụ iji merie ohere nke perforation.
Akpachara anya n'ime ime:
Gbaa mbọ hụ na endoscope na-arụ ọrụ nke ọma.
Họrọ endoscopes kwesịrị ekwesị, ngwa ọgwụgwọ, mmiri ịgba ntụtụ na akụrụngwa ikuku carbon dioxide dabere na ọnọdụ, morphology na ogo fibrosis nke etuto ahụ.
Nlekọta nke perforation intraoperative:
Mmechi ozugbo: N'agbanyeghị ebe ọ nọ, mmechi clip bụ usoro kacha amasị (ike nkwanye: Ọkwa 1, ọkwa akaebe: C).

In ESD, iji zere nnyonye anya na ọrụ nkesa, a ga-ebu ụzọ kewaa anụ ahụ gbara ya gburugburu iji hụ na ohere ọrụ zuru ezu tupu imechi.
Nleba anya mgbe arụchara ọrụ ahụ: Ọ bụrụ na enwere ike mechie perforation ahụ kpamkpam, enwere ike izere ịwa ahụ site na naanị ọgwụgwọ nje na ibu ọnụ.
Mkpebi ịwa ahụ: A na-ekpebi mkpa maka ịwa ahụ dabere na nchikota nke mgbaàmà abdominal, nsonaazụ nyocha ọbara, na eserese kama naanị na gas efu egosiri na CT.
Ọgwụgwọ akụkụ pụrụ iche:
Isi ike nke dị ala agaghị eme ka ọnya afọ n'ihi njirimara anatomical ya, mana ọ nwere ike ịkpata perforation pelvic, na-egosipụta dị ka retroperitoneal, mediastinal, ma ọ bụ emphysema subcutaneous.
Mkpachapụ anya:
Mkpuchi ọnya mgbe arụchara ọrụ ahụ nwere ike igbochi nsogbu ruo n'ókè ụfọdụ, mana enweghi ihe akaebe zuru oke iji gosi na ọ nwere ike igbochi perforation na-egbu oge.

2. Nzaghachi maka Ọbara
Nlekọta ọbara ọgbụgba intraoperative:
Jiri coagulation ọkụ ma ọ bụ obere hemostatic iji kwụsị ọbara ọgbụgba.
Obere arịa na-agba ọbara:
EMR, enwere ike iji ọnụ ọnyà ahụ mee ka coagulation ọkụ.
ESD, enwere ike iji n'ọnụ mma eletrọnịkị kpọtụrụ thermal coagulation ma ọ bụ hemostatic forceps iji kwụsị ọbara ọgbụgba.
Nnukwu ọbara ọgbụgba: Jiri hemostatic forceps, mana jikwaa oke coagulation ka ịzenarị perforation na-egbu oge.
Mgbochi nke ọbara ọgbụgba mgbe ịwachara ahụ:
Ọnya resection mgbeEMR :
Nnyocha e mere egosiwo na iji hemostatic forceps maka mgbochi coagulation enweghị mmetụta dị ịrịba ama na ọnụ ọgụgụ ọbara ọgbụgba mgbe arụchara ọrụ gasịrị, mana enwere mgbanwe na mbelata.
Mgbochi prophylactic nwere mmetụta dị nta na obere ọnya, ma ọ dị irè maka nnukwu ọnya ma ọ bụ ndị ọrịa nwere nnukwu ihe ize ndụ nke ọbara ọgbụgba na-esote (dị ka ndị na-anata ọgwụgwọ antithrombotic).
ESD, a na-ewepụ ọnya ahụ ma na-agbachikwa arịa ọbara ndị ekpughere. A nwekwara ike iji mkpachị hemostatic iji gbochie mkpọchi nke nnukwu arịa ọbara.
Mara:
Maka EMR nke obere ọnya, a naghị atụ aro ọgwụgwọ mgbochi oge niile, ma maka nnukwu ọnya ma ọ bụ ndị ọrịa nwere nnukwu ihe ize ndụ, mgbochi mgbochi na-aga n'ihu nwere mmetụta ụfọdụ (ike nkwanye: Ọkwa 2, ọkwa akaebe: C).
Perforation na ọbara ọgbụgba bụ nsogbu nkịtị nke endoscopy colorectal.
Ịme usoro mgbochi kwesịrị ekwesị na ọgwụgwọ maka ọnọdụ dị iche iche nwere ike ibelata ọrịa nke oge ụfọdụ ma melite nchekwa ndị ọrịa.

Anyị, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., bụ emeputa na China ọkachamara na endoscopic consumables, dị kabiopsy forceps, hemoclip, polyp ọnyà, sclerotherapy agịga, ịgba catheter,cytology brushes, ndumodu, nkata eweghachite okwute, imi biliary drainage catheter,ureteral ohere n'ọbọnan'ọbọ ohere urethra nwere mmiri arawdg nke a na-ejikarị eme ihe naEMR, ESD, ERCP. Ngwaahịa anyị bụ CE asambodo, na osisi anyị bụ ISO asambodo. Ebupụla ngwongwo anyị na Europe, North America, Middle East na akụkụ nke Eshia, na-enwetakwa ndị ahịa nke nnabata na otuto!