Usoro mwepụ nke eriri afọ polyp: polyps pedunculated
Mgbe a na-eche ihu na polyposis stalk, a na-etinye ihe ndị dị elu na endoscopy n'ihi njirimara anatomical na nsogbu ọrụ nke ọnya ahụ.
Edemede a na-akọwa otu esi emeziwanye nkà ọrụ endoscopic ma belata nsogbu mgbe ịwachara ahụ site na usoro mgbochi dịka mgbanwe ọnọdụ na mgbochi mgbochi.
1. Ọnya na-agbanwe agbanwe nke HSP: ọnya pedunculated
Maka ọnya azuokokoosisi, ka isi nke ọnya ahụ buru ibu, otú ahụ ka mmetụta nke ike ndọda dị, nke na-emekarị ka ọnyà ahụ na-esiri ya ike ikpuchi pedicle nke ọma. N'okwu a, enwere ike iji ngbanwe ọnọdụ mee ka ọnọdụ ahụ dịkwuo mma ma chọta ọnọdụ kachasị mma maka ọrụ ahụ, si otú ahụ na-eme ka ọrụ ahụ dịkwuo mma.
2. Ihe ize ndụ nke ọbara ọgbụgba na mkpa nke mgbochi mgbochi
Akwụsị nke pedunculated ọnya na-esonyere ya na nnukwu arịa ọbara, na nkwụsịtụ ozugbo nwere ike ime ka ọbara ọgbụgba buru ibu ma mee ka ihe isi ike nke hemostasis dịkwuo elu. Ya mere, a na-atụ aro prophylactic pedicle ligation tupu a na-emegharị ya.
Nkwanye maka ụzọ ligation
Iji Clip
Ekwesịrị idowe obere vidiyo dị ogologo ka ọ dị nso na ntọala pedicle dị ka o kwere mee iji kwado ọrụ ọnyà na-esote. Tụkwasị na nke ahụ, tupu ịweghachi ya, ekwesịrị ijide n'aka na ọnya ahụ na-atụgharị na-acha uhie uhie n'ihi nkwụsị ọbara, ma ọ bụghị ya, a ga-agbakwunye obere vidiyo ndị ọzọ iji gbochie mgbasa ọbara.
Mara: Zenarị ịgbanye ọnyà na obere ihe n'oge a na-emegharị ahụ, n'ihi na nke a nwere ike ibute ihe ize ndụ nke ịgbasa.
Iji ọnyà
Njide loop naịlọn nwere ike jikọta pedicle ahụ n'ụzọ zuru ezu, ma nwee ike igbochi ọbara ọgbụgba n'ụzọ dị irè ọ bụrụgodị na pedicle dị ntakịrị.
Usoro eji arụ ọrụ gụnyere:
1. Gbasaa mgbanaka nylon ka ọ bụrụ nha dị ntakịrị karịa dayameta ọnya (zere ịgbasa karịa);
2. Jiri endoscopy gafere isi ọnya site na loop nylon;
3. Mgbe o kwusịrị na mgbanaka nylon dị na ala nke pedicle, jiri nlezianya mee ka pedicle dị ike ma mezue ọrụ ntọhapụ.
A. Gbaa mbọ hụ na akaghị naịlọn anaghị ejide anụ ahụ gbara ya gburugburu.
B. Ọ bụrụ na ị na-echegbu onwe gị na mgbanaka nylon bi na ya ga-adapụ, ị nwere ike itinye clip na ntọala ya ma ọ bụ na ebe a na-emegharị ahụ iji gbochie ọbara ọgbụgba.
3. Usoro ọrụ akọwapụtara
(1) Ndụmọdụ maka iji clamps
A na-ahọrọ obere clip ogologo ma tinye ya na ala nke pedicle, na-ahụ na clip anaghị egbochi ọrụ ọnyà ahụ.
Kwado na ọnya ahụ atụgharịala uhie gbara ọchịchịrị n'ihi mgbochi ọbara tupu ịmegharị ahụ.
(2) Ndụmọdụ maka iji mgbanaka nylon njide
1. Gbasaa mgbanaka nylon ka ọ bụrụ nha dị ntakịrị karịa dayameta ọnya iji zere imeghe karịa.
2. Jiri endoscope gafere isi ọnya site na loop nylon wee hụ na loop nylon adịghị.
Gbaa gburugburu pedicle kpamkpam.
3. Jiri nwayọ mee ka loop nylon sie ike ma jiri nlezianya kwado na ọ nweghị anụ ahụ gbara ya gburugburu adịghị etinye aka.
4. Mgbe emezigharịrị tupu oge eruo, n'ikpeazụ kwado ọnọdụ ahụ ma mezue ligation nke nylon loop.
(3) Mgbochi nke ọbara ọgbụgba mgbe ịwachara ahụ
Iji gbochie mmalite ọdịda nke mgbanaka nylon bi, enwere ike ịgbakwunye vidiyo ndị ọzọ na ntọala nke resection iji belata ohere nke ọbara ọgbụgba mgbe ịwachara ahụ gasịrị.
Nchịkọta na aro
Ngwọta maka mmetụta nke ike ndọda: Site n'ịgbanwe ọnọdụ ahụ, a ga-eme ka mpaghara ọhụụ dịkwuo mma ma nwee ike ịkwado ọrụ ahụ. Mgbochi mgbochi: Ma iji obere vidiyo ma ọ bụ mgbanaka naịlọn, ọ nwere ike belata ihe ize ndụ nke ọbara ọgbụgba n'oge na mgbe ịwachara ahụ. Ọrụ ziri ezi na nyochaa: Soro usoro ọrụ ahụ ma nyochaa oge mgbe ịwachara ahụ iji hụ na e wepụrụ ọnyá ahụ kpamkpam na enweghị nsogbu.
Anyị, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., bụ emeputa na China ọkachamara na endoscopic consumables, dị kabiopsy forceps, hemoclip, polyp ọnyà, agịga sclerotherapy, ịgba catheter, cytology brushes, ndumodu, nkata eweghachite okwute, imi biliary drainage catheterwdg 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!
Oge nzipu: Feb-15-2025