Colonoscopy: Njikwa nsogbu

Ihe ndị metụtara Endoscopic: Mma ESD a na-atụfu

Ọnụọgụ ọbara ọgbụgba 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:

Hụ 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 fibrosis nke etuto ahụ si dị.

Njikwa nke oghere n'ime ịwa ahụ:

Mmechi ozugbo: N'agbanyeghị ebe ọ dị, a na-ahọrọ mkpachị maka imechi ya (ike nkwado: ọkwa 1, ọkwa ihe akaebe: C). Na ESD, mgbe ụfọdụ, a ga-ebu ụzọ kpụpụ mpaghara gbara ya gburugburu iji zere igbochi ọrụ ịkpụcha ya.

Anụ ahụ, hụ na e nwere oghere zuru oke maka ọrụ tupu e mechie 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 gas efu egosiri na CT naanị.

Ọgwụgwọ akụkụ pụrụ iche:

Ike ndọda ala agaghị ebute mgbawa afọ n'ihi njirimara ya, mana ọ nwere ike ibute ya

Mgbawa nke úkwù, nke a na-egosipụta dị ka emphysema nke dị n'azụ azụ, nke dị n'etiti azụ, ma ọ bụ nke dị n'okpuru ala.

Mkpachapụ anya:

Imechi ọnya ahụ mgbe a wachara ya ahụ nwere ike igbochi nsogbu ruo n'ókè ụfọdụ, mana ọ naghị eme ya

E nwere ihe akaebe zuru oke iji gosi na ọ dị irè n'igbochi mgbawa n'oge.

 

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:

Na EMR, enwere ike iji isi ọnyà ahụ mee ihe maka coagulation okpomọkụ.

Na ESD, a pụrụ iji ọnụ mma eletriki ahụ metụta 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 EMR gasịrị:

Nnyocha egosila na ojiji nke ihe mgbochi hemostatic maka igbochi coagulation enweghị mmetụta dị ukwuu na ọnụego ọbara ọgbụgba mgbe a wachara ahụ, mana enwere usoro iji belata. 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 ahụ (dịka ndị na-anata ọgwụgwọ antithrombotic).

Mwepụ ọnya mgbe ESD gasịrị:

A na-ejikọta arịa ọbara ndị a na-ekpughere ọnụ, a pụkwara 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, ịkpụcha 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!