Hemoclip Whakatuwheratanga me te Katinga o te Puku Whakakore
Hemoclip Whakatuwheratanga me te Katinga o te Puku Whakakore
Tono
Hei here ā-ringa i ngā oko toto. He taputapu whakarewa te endoclip e whakamahia ana i roto i te endoscopy hei kati i ngā mata mucosal e rua, me te kore e hiahiatia he pokanga me te tuitui. He rite tana mahi ki te tuitui i roto i ngā mahi pokanga whānui, nā te mea e whakamahia ana hei hono i ngā mata e rua kua motuhia, engari, ka taea te whakamahi mā te hongere o te endoscope i raro i te tirohanga tika. Kua kitea te whakamahinga o ngā endoclip hei rongoā i te toto o te puku (i roto i te ara GI o runga me raro), hei ārai i te toto i muri i ngā tikanga rongoā pēnei i te polypectomy, me te kati i ngā pokanga puku.
Whakatakotoranga
| Tauira | Rahi Whakatuwheratanga o te Topenga (mm) | Roa Mahi (mm) | Hongere Endoscopic (mm) | Ngā Āhuatanga | |
| ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Kāore i pania |
| ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Koroni | |
| ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
| ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | Gastro | Kua pania |
| ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Koroni | |
| ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 | ||
Whakaahuatanga Hua
Hoahoa Topenga Hurihuri 360°
Tukuna he tūnga tika.
Tohunga Ārai
ka ārai i te kino o te endoscopy.
Pūnaha Tukunga Tairongo
he ngāwari ki te tuku i te topenga.
Topenga Whakatuwheratanga me te Katinga Whakahou
mō te tūnga tika.
Kakau Āhua Ergonomically
He ngāwari ki te whakamahi
Te Whakamahinga Hauora
Ka taea te whakanoho i te hemoclip ki roto i te ara Gastro-intestinal (GI) hei whakahaere i te hemostasis mō:
Ngā hapa o te kiriuhi/ngā hapa o raro i te kiriuhi< 3 henimita
Ngā mate pukupuku toto, -Ngā uaua< 2 mm
Ngā Polyps< 1.5 henimita te whānui
Te puku o roto i te #koroni
Ka taea te whakamahi i tēnei topenga hei tikanga tāpiri mō te kati i ngā poka o te ara GI.< 20 mm, mō te tohu endoscopic rānei.
Hemoclip e whakamahia ana i roto i te ESD
(1) Tohua, whakamahia he tapahi ngira, he whakapūngao ion argon rānei hei tohu i te wāhi i tangohia mā te whakamahi i te electrocoagulation 0.5cm i te taha o te whara;
(2) I mua i te werohanga wai ki raro i te kiriuhi o te mangai, ko ngā wai e wātea ana mō te werohanga ki raro i te kiriuhi o te mangai ko te tote ā-tinana, te glycerol fructose, te sodium hyaluronate me ērā atu.
(3) Tapahia i mua te kiriuhi e karapoti ana: whakamahia te taputapu ESD hei tapahi i tētahi wāhanga o te kiriuhi e karapoti ana i te whara i te taha o te pūwāhi tohu, i te taha o waho rānei o te pūwāhi tohu, kātahi ka whakamahia te maripi IT hei tapahi i te kiriuhi katoa e karapoti ana;
(4) E ai ki ngā wāhanga rerekē o te whara me ngā tikanga whakahaere a ngā kaiwhakahaere, i tīpakohia ngā taputapu ESD IT, te maripi Flex, te HOOK rānei me ētahi atu taputapu tango hei tihore i te whara i te taha o te submucosa;
(5) Mō te rongoā i te patunga, i whakamahia te whakapūngao ion argon hei whakapūngao hiko i ngā oko toto iti katoa e kitea ana i roto i te patunga hei ārai i te toto i muri i te pokanga. Mēnā e tika ana, i whakamahia ngā here hemostatic hei here i ngā oko toto.
