Ngā kaihanga me ngā kaiwhakarato o te Polypectomy Cold Snare me te Endoscopy Puku Kounga Teitei

Te Endoscopy Puku Whakakorekore Polypectomy Cold Snarewith Braided Loop Whakaahua Matua

Te Matao Matao o te Puku me te Porowhita Whiri

Whakaahuatanga Poto:

Ngā Āhuatanga

Ngā momo āhua me te rahi o te koropiko.

●Āhua Porowhita: Porowhita(A), Āhua Hexagonal(B) me Āhua Marama(C)

●Rahi Porowhita: 10mm-15mm

Mahanga Makariri

●0.24 me te 0.3mm te matotoru.

●Ahua ahurei, momo parepare

●Kua whakamātauhia haumanutia tēnei momo Mahanga hei tango haumaru, hei tango whai hua hoki i te polyp iti, me te kore e whakamahia he cautery.

Tukua mai he īmēra ki a mātou

Taipitopito Hua

Ngā Tohu Hua

Tono

He maha ngā momo mahanga makariri a ZRH Med e rite ana ki te kounga teitei me te utu whai hua. Kei te wātea i roto i ngā āhua, ngā whirihoranga me ngā rahi rerekē hei whakatutuki i ngā hiahia haumanu rerekē.

Whakamahia mō te tapahi i ngā polyp iti, waenga rānei te rahi i roto i te ara kai.

Whakatakotoranga

Tauira	Whānuitanga o te Porowhita D-20% (mm)	Roa Mahi L ± 10% (mm)	Te Uwhi ODD ± 0.1 (mm)	Ngā Āhuatanga
ZRH-RA-18-120-15-R	15	1200	Φ1.8	Mahanga Porowhita	Hurihanga
ZRH-RA-18-160-15-R	15	1600	Φ1.8
ZRH-RA-24-180-15-R	15	1800	Φ2.4
ZRH-RA-24-230-15-R	15	2300	Φ2.4
ZRH-RB-18-120-15-R	15	1200	Φ1.8	Mahanga Hexagonal	Hurihanga
ZRH-RB-18-160-15-R	15	1600	Φ1.8
ZRH-RB-24-180-15-R	15	1800	Φ1.8
ZRH-RB-24-230-15-R	15	2300	Φ2.4
ZRH-RC-18-120-15-R	15	1200	Φ1.8	Mahanga Marama	Hurihanga
ZRH-RC-18-160-15-R	15	1600	Φ1.8
ZRH-RC-24-180-15-R	15	1800	Φ2.4
ZRH-RC-24-230-15-R	15	2300	Φ2.4

Whakaahuatanga Hua

Hoahoa Mahanga Hurihuri 360°
Hurihia kia 360 nekehanga hei āwhina i te uru atu ki ngā polyp uaua.

Waea i roto i te Hanganga Whiri
e kore ai e ngāwari te paheke o ngā polys

Tikanga Whakatuwhera me te Kati o Soomth
mō te whakamahinga tino pai, ngāwari hoki

Kowiri tira hauora pakari
Tukuna he āhuatanga tapahi tika me te tere.

Papa Maeneene
Ārai i te kino ki tō hongere endoscopic

Hononga Hiko Paerewa
Hototahi ki ngā taputapu auau-teitei matua katoa kei te mākete

Te Whakamahinga Hauora

Polyp Whāinga	Taputapu Tango
Te rahi o te polyp <4mm	He kuku (rahi kapu 2-3mm)
Polyp i te rahi o te 4-5mm	He pūwero (rahi kapu 2-3mm) He pūwero nunui (rahi kapu >3mm)
Polyp <5mm te rahi	Ngā kuku wera
Polyp i te rahi o te 4-5mm	Mahanga Porowhita-iti (10-15mm)
Polyp i te rahi o te 5-10mm	Mahanga Pōroiti-Iti (e pai ana)
Polyp >10mm te rahi	Ngā Mahanga Porowhita, Hexagonal

Ngā painga o te tango i te polyp cold snare

1. Te ngāwari me te tere o te whakaora.
2. He haumaru te tango i ngā polyp e tika ana mā te makariri, ā, he haumaru hoki te whakawhanui ina hiahiatia. E ai ki ngā pūrongo tuhinga, ehara i te mea ngāwari te puta o te toto me te poka.
3. Ko te mahanga poripo anake ka taea te whakamahi, ā, kāore e hiahiatia he ngira werohanga, he maripi hiko, me ētahi atu. Ko te urunga hōhonu o te hiko me te kore e werohanga, me te urunga hōhonu o ngā tweezers wera me ētahi atu maimoatanga.
4. Penapenahia ngā utu.
5. Kua mau katoa te tūru noho. Whai muri i te werohanga tūru noho, kāore e ngāwari te mau i te EMR (EMRC) e kukumea ana e te taupoki kore-mārama.
6. Ka taea hoki te mahi me te kore he maripi hiko.
7. Ka taea te huri i te mahanga makariri polyp, he ngāwari, he watea hoki ki te whakamahi.
8. He pai mō ngā hōhipera tuatahi, ka taea te whiriwhiri hei whakatairanga i ngā take.
9. He maha ngā wā ka whakamahia te mahanga hei tango i te kiko, engari kāore i te mārama te tikanga o te maimoatanga mā te whakamahi i ngā kuku koiora.
10. He tino taipitopito ake te mahanga i te kuku koiora.
11. Kaua te hunga e tango ana i te mannitol e whakamahi i te pokanga hiko. He pai mō te tango makariri i ngā polyp me te cold snare. Mēnā e tika ana, he watea te maimoatanga i te wāhi mahi mō ngā tūroro.
12. Ka taea e tētahi mahanga iti, 15mm te whānui, te ine i te rahi o te polyp, he mea āwhina tēnei hei whakatau mēnā he rawaka te tikanga tango polyp.