NGIRA WHEROHANGA MŌ TE ERCP
NGIRA WHEROHANGA MŌ TE ERCP
Taipitopito Hua
1. Hanganga maitai kore waikura me te paninga Teflon me te pūmau puna/pūngawari hei whakaiti i te mōrearea o te piko.
2. 23G ki te 25G.
3. Kei roto he catheter o roto hei whakaiti i te waku o roto.
4. Ko te roa mōrahi o te toronga ngira he 4 mm ki te 5 mm.
5. Ko te roa o te kātene o waho he 230 cm.
6. Ko te whānui o te kātene he 1.8 mm ki te 2.5 mm.
7. He kakau Luer reti me te putanga werohanga.
8. Raka haumaru ngira.
9. Parakore.
10. Whakamahinga kotahi.
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 Tangohanga Mucosal Endoskopiko (EMR)– Te tango i ngā polyp me ngā pukupuku tōmua o te pūnaha gastrointestinal i raro i te kiriuhi mucous.
● Te Wetewete i te Muku o raro o te Muku (ESD)– Te tango ā-wai mō te tango haumaru ā-rōpū.
● Te Whakaora i te Kirihou– Te werohanga o te sclerosant ki roto i ngā vesicle o te esophagus me te puku.
● Te rongoā mō te mate pukupuku– Te werohanga o te sclerosant ki roto i ngā pukupuku o roto.
● Te tā moko whara– Te māka i mua i te pokanga o ngā whara o te pūnaha gastrointestinal hei kimi i te wāhi e tika ana mō te pokanga.
●Werohanga rerekētanga ERCP– Te whakapōuri o ngā awaawa biliary me te pancreas.
●Te tuku rongoā ā-rohe– Te werohanga arotahi o te chemotherapy, o ētahi atu rongoā rānei.
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 | 21 karamu, 4 mm | ≥2.8 |
| ★ZRH-PN-2418-234 | Φ2.4 | 1800 | 23 karamu, 4 mm | ≥2.8 |
| ZRH-PN-2418-254 | Φ2.4 | 1800 | 25 karamu, 4mm | ≥2.8 |
| ZRH-PN-2418-216 | Φ2.4 | 1800 | 21 karamu, 6mm | ≥2.8 |
| ZRH-PN-2418-236 | Φ2.4 | 1800 | 23 karamu, 6 mm | ≥2.8 |
| ZRH-PN-2418-256 | Φ2.4 | 1800 | 25 karamu, 6mm | ≥2.8 |
| ZRH-PN-2423-214 | Φ2.4 | 2300 | 21 karamu, 4 mm | ≥2.8 |
| ZRH-PN-2423-234 | Φ2.4 | 2300 | 23 karamu, 4 mm | ≥2.8 |
| ZRH-PN-2423-254 | Φ2.4 | 2300 | 25 karamu, 4mm | ≥2.8 |
| ZRH-PN-2423-216 | Φ2.4 | 2300 | 21 karamu, 6mm | ≥2.8 |
| ★ZRH-PN-2423-236 | Φ2.4 | 2300 | 23 karamu, 6 mm | ≥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
● Koi tonu – He ngira kowiri tira hou i ia whakamahinga
● Kore mōrearea mate – Parakore, kotahi te whakamahinga, kāore e tukatukahia anō
● Haumaru ki te whānuitanga – Ka tiakina e te ngira hiki te hongere mahi
● Te hohonutanga waea-mai – Ka taea te whakarite i te toronga mai i te 4mm ki te 10mm
● Kāore he turuturu – Hononga maukati Luer
● Tirohia mārama – He tino kitea te pito i raro i te tirotiro ā-roto
● Ngāwari te reti – He whāriki PTFE iti-waku
Te hiki tika i raro i te kiriuhiuhi mō te EMR, ESD, me te sclerotherapy – kotahi te ngira, kotahi te tikanga, kotahi te tūroro.
Te Whakamahinga Hauora
● Te hiki i te EMR/ESD– Werohia he wai hei whakaara ake i te whara i mua i te tango.
●Te whakaora i te kiriuhi– Tukuna te rongoā sclerosant ki roto i ngā varices, i ngā hemorrhoids rānei.
●Werohanga ātete– Werohia he tae hei ārahi i te tirohanga ā-pūoro.
●Te tuku rongoā– Te hoatu i ngā rongoā ā-rohe.
●Te tā moko– Tohua ngā whara mō te wāhi e kitea ai ngā wāhi e hiahiatia ana mō te pokanga ā muri ake nei.
