01.A na-ejikarị lithotripsy ureteroscopic eme ihe n'ịgwọ nkume urinary tract elu, ebe ahụ ọkụ na-efe efe bụ nnukwu nsogbu mgbe a wachara ahụ. Perfusion intraoperative na-aga n'ihu na-eme ka nrụgide pelvic intrarenal (IRP) dịkwuo elu. IRP dị elu nke ukwuu nwere ike ibute ọtụtụ mmebi ọrịa na sistemụ nchịkọta, nke na-eduga na nsogbu dịka ọrịa. Site na ọganihu na-aga n'ihu nke usoro intracavitary na-adịghị emerụ ahụ, ureteroscopy dị nro yana lithotripsy laser holmium enwetala ojiji na ọgwụgwọ nke nkume akụrụ karịrị 2.5 cm n'ihi uru ya nke obere mmerụ ahụ, mgbake ngwa ngwa mgbe a wachara ahụ, obere nsogbu, na obere ọbara ọgbụgba. Agbanyeghị, usoro a na-agbaji naanị nkume ahụ, ọ bụghị iwepụ iberibe ndị gbawara agbawa kpamkpam. Usoro a dabere na nkata mwepụta nkume, nke na-ewe oge, ezughị ezu, ma na-adịkarị mfe ịmepụta okporo ụzọ nkume. Ya mere, imeziwanye ọnụego enweghị nkume, ime ka oge ịwa ahụ dị mkpụmkpụ, na ibelata nsogbu mgbe a wachara ahụ bụ ihe ịma aka siri ike.
02. N'afọ ndị na-adịbeghị anya, a tụpụtala ụzọ dị iche iche maka nlekota IRP n'ime ịwa ahụ, a na-ejikwa teknụzụ mmịpụta nrụgide na-adịghị mma eme ihe na ureteroscopic lithotripsy.
Ụdị Y/suctionureteraloheremkpuchi
Ojiji Ezubere
A na-eji ya eme ihe iji chọpụta ngwaọrụ n'oge usoro urology ureteroskopik.
Usoro
Ureteroscopy na-agbanwe agbanwe/siri ike
Ihe ngosi
Lithotripsy laser holmium na-agbanwe agbanwe,
Nnyocha na ọgwụgwọ nke hematuria nke elu urinary tract na microscope,
Ngwunye na mmiri mmiri nke holmium laser na-agbanwe agbanwe maka cysts parapelvic,
Iji endoscopy dị nro eme ihe n'ịgwọ oke ureteral,
Ojiji nke lithotripsy nke holmium laser dị nro n'ọnọdụ pụrụ iche.
Usoro ịwa ahụ:
N'okpuru onyonyo ahụike, a na-ahụ nkume n'ime ureter, eriri afọ, ma ọ bụ akụrụ. A na-etinye waya nduzi site na oghere ureter mpụta. N'okpuru waya nduzi, a na-etinye mkpuchi nduzi ureteral ịmịnye nrụgide ikuku na ebe a na-ewepụ nkume. A na-ewepụ waya nduzi na tube dilator n'ime sheath nduzi ureteral. A na-etinye mkpuchi silicone. Site na oghere etiti dị na mkpuchi silicone, a na-ewebata ureteroscope na-agbanwe agbanwe, endoscope, eriri laser, na eriri ọrụ site na ọwa isi nke sheath nduzi ureteral gaa na ureter, eriri afọ, ma ọ bụ pelvis akụrụ maka usoro ịwa ahụ dị mkpa. N'oge usoro ahụ, dọkịta na-etinye endoscope na eriri laser site na ọwa sheath. N'oge lithotripsy laser, dọkịta na-awa ahụ na-apịpụta mmiri ma na-ewepụ nkume ndị ahụ n'otu oge site na iji ngwaọrụ ịmịnye ikuku ejikọrọ na ọdụ mmiri vacuum. Dọkịta na-edozi nrụgide vacuum site na ịhazi nkwụsi ike nke mkpuchi njikọ Luer iji hụ na ewepụchara nkume kpamkpam.
Uru karịa omenalaohere nke ureteralmkpuchi
01. Ịkwalite Ntugharị Nkume Ka Elu: Ọnụego enweghị nkume maka ndị ọrịa na-awa ahụ okwute site na iji ihe mkpuchi ureteral nrụgide vacuum ruru 84.2%, ma e jiri ya tụnyere naanị 55-60% maka ndị ọrịa na-eji ihe mkpuchi ntuziaka ọkọlọtọ.
02. Oge Ịwa Ahụ Ngwa Ngwa, Obere Mmetụta Ahụ: Ihe mkpuchi ureteral nke na-eji vacuum-pressure duzie ureteral nwere ike ịkpụ ma wepụ nkume ahụ n'otu oge n'oge ịwa ahụ, na-ebelata nke ukwuu oge ịwa ahụ na ihe ize ndụ nke ọbara ọgbụgba na ọrịa nje bacteria.
03. Ọhụụ Ka Mma n'oge Ịwa Ahụ: Ihe mkpuchi ntụzi ureteral nke na-eme ka mwepụta na ntinye nke perfusate dị ngwa ngwa, na-ewepụ ihe na-agbapụta nke ọma n'oge ịwa ahụ. Nke a na-enye ohere ịhụ anya nke ọma n'oge ịwa ahụ.
Atụmatụ Nhazi Ngwaahịa
Ụlọ Ntụrụndụ
Ọ na-ejikọ na ngwaọrụ ịmịnye mmiri ma na-eje ozi dị ka ọwa mmiri, na-enye ohere ka mmiri mmiri gbapụta ma na-emekwa ka iberibe nkume gbapụta.
Njikọ Luer
Hazie oke mkpuchi ahụ iji gbanwee nrụgide mmiri. Mgbe mkpuchi ahụ siri ike nke ọma, a na-eme ka mmiri ahụ dịkwuo elu, nke na-eme ka ike mmiri ya dịkwuo elu. A pụkwara iji ya dị ka ebe a na-agba mmiri.
Okpu silicone
Okpu a na-emechi ọwa isi. O nwere obere oghere etiti, nke na-enye ohere itinye ureteroscope na-agbanwe agbanwe, endoscope, eriri laser, ma ọ bụ eriri ọrụ site na isi ọwa nke sheath introducer na ureter, eriri afọ, ma ọ bụ pelvis akụrụ maka usoro ịwa ahụ aseptic.
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. Anyị nwere akara GI, dịka ọmụmaatụ biops forceps, hemoclip, polyp snare, agịga sclerotherapy, catheter fesa, ahịhịa cytology, waya nduzi, nkata mwepụta nkume, catheter drainage biliary imi nke a na-ejikarị eme ihe naEMR, ESD, ERCP. Na usoro urology, dị kaNkata Nweta Nkume Mmịpụta, Ntuziaka, Ọkpụkpọ Ebe Mbanye Ureteral naỌkpụkpọ Ureteral Access na-amịnye mmiri wdg.Ngwaahịa 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!
Oge ozi: Ọgọst-02-2025