NGIRA WHAKAPŪNGA ERCP kounga teitei mō ngā kaihanga me ngā kaiwhakarato

NGIRA WHEROHANGA MŌ TE ERCP

Whakaahuatanga Poto:

Tikina he Tāpaetanga

Taipitopito Hua

Ngā Tohu Hua

Taipitopito Hua

1. Ine ngira: Ngā kōwhiringa 21G, 22G, 23G, 25G

2. Toronga ngira: 4mm, 5mm, 6mm, 8mm, 10mm

3. Te whānui o waho o te hipoki: 1.8mm – 2.4mm

4. Roa Mahi: 1200/1600/1800/2300 mm

5. Te roa o te oranga: 3 tau

6. Rauemi ngira: Kowiri tira hauora

7. Momo Kakau: Paheke me te raka

8. Tākai: Takai takitahi, parakore

9. Whakamahinga: Kotahi te whakamahinga

Taupānga:

✅ Ngā Whakamahinga Matua:

Kāore he pangia, kāore he whakapōuri, kāore he tukatuka anō – he koi, he haumaru te mahi i ngā wā katoa.

● Te whakapūtanga o te awaawa biliary/repeuretic kua tīpakohia：i te wā o te ERCP tātaritanga me te rongoā.

● Werohanga matū whakawehewehe：I raro i te fluoroscopy, ka taea te whakamahi i te cholangiography me te pancreatography.

● Werohanga wai tote/wai parakore：mō te horoi i ngā paipa wai, mō te āwhina rānei ki te tango i ngā paipa wai.

● Te tukunga o te rongoā:e ai ki te tohu a te endoscopist e rongoā ana (hei tauira, ngā tikanga tāpiri mō te sphincterotomy).

● Whakamahinga tāpirii roto i te tango kohatu, te whakawhanui i te stricture, me ngā tukanga mahi mō te whakatakotoranga stent biliary/repeal.

Whakatakotoranga

Tauira	Diameter D±0.1(mm)	Roa Mahi L±50(mm)	Rahi o te ngira (diameter/roa)	Hongere Mahi
ZRH-PN-1812-254	Φ1.8	1200	25 karamu, 4mm	≥2.0
ZRH-PN-2418-214	Φ2.4	1800	21G,4mm	≥2.8
★ZRH-PN-2418-234	Φ2.4	1800	23G,4mm	≥2.8
ZRH-PN-2418-254	Φ2.4	1800	25 karamu, 4mm	≥2.8
ZRH-PN-2418-216	Φ2.4	1800	21 G,6mm	≥2.8
ZRH-PN-2418-236	Φ2.4	1800	23 G,6mm	≥2.8
ZRH-PN-2418-256	Φ2.4	1800	25 karamu,6mm	≥2.8
ZRH-PN-2423-214	Φ2.4	2300	21G,4mm	≥2.8
ZRH-PN-2423-234	Φ2.4	2300	23G,4mm	≥2.8
ZRH-PN-2423-254	Φ2.4	2300	25 karamu, 4mm	≥2.8
ZRH-PN-2423-216	Φ2.4	2300	21 G,6mm	≥2.8
★ZRH-PN-2423-236	Φ2.4	2300	23 G,6mm	≥2.8
ZRH-PN-2423-256	Φ2.4	2300	25 karamu,6mm	≥2.8
★ Ngā tauira kua tīpakohia whānuitia

Ngā Pātai Auau

Mai i te rongoā ZRH.

Te Wā Arataki Whakaputa: 2-3 wiki i muri i te whiwhinga o te utu, ka whakawhirinaki ki te rahinga o tō ota

Tikanga Tukunga:
1. Mā te Express: Fedex, UPS, TNT, DHL, SF express 3-5day, 5-7days.
2. Mā te Rori: Mai i te kāinga me te whenua tata: 3-10 rā
3. I te Moana: 5-45 rā puta noa i te ao.
4. Mā te rangi: 5-10 ngā rā puta noa i te ao.

Tauranga Utaina:
Shenzhen, Yantian, Shekou, Hong Kong, Xiamen, Ningbo, Shanghai, Nanjing, Qingdao
E ai ki tāu whakaritenga.

Ngā Ture Tukunga:
EXW, FOB, CIF, CFR, C&F, DDU, DDP, FCA, CPT

Ngā Tuhinga Tukunga:
B/L, Nama Tauhokohoko, Rārangi Tākai

● Te whakahaere mate urutā – Mā te hoahoa kotahi-whakamahinga ka tangohia te rerekētanga o te tukatuka anō, ā, ka whakaitihia te mōrearea o te poke i waenga i ngā tūroro.

● Te whakapūtanga tika – Mā te pito koi me te toronga whakahaere e tautoko te whakaurunga tika o te ampulla o Vater.

● Tirohanga wai mārama – Mā te putanga mārama ka taea e ngā kaiwhakahaere te whakaū i te rere o te rerekētanga me te kite tonu i te hokinga mai o te toto.

● Te ara maeneene o te karu tirotiro – Ka whakaitihia e te uhi PTFE te waku me te tiaki i te awa mahi o te endoscope i te wā e whakaurua ana.

● Te ātete i te werohanga kua whakaitihia – Ko te whānui o te lumen o roto kua arotauhia ka tautoko i te tuku rerekētanga pumau, iti te kaha.

● Te whai huatanga o te rere mahi-Ka whakapotohia te wā whakatūnga tukanga i roto i te huinga ERCP e ngā takai parakore kua rite ki te whakamahi.

I hangaia mō te mahi pono i roto i ngā āhuatanga uaua o te tinana, ka taea e tēnei ngira te werohanga tika i te rerekētanga, te tuku rongoā kua tohua, me te hiki i raro i te kiriuhi me te iti o te whara kiko.