Ngā kaihanga me ngā kaiwhakarato taputapu EMR EDS kounga teitei, Polypectomy Cold Snare mō te Whakamahinga Kotahi

Taputapu EMR EDS Polypectomy Cold Snare mō te Whakamahinga Kotahi

Whakaahuatanga Poto:

Ngā Āhuatanga

● I hangaia mō ngā polyp < 10 mm

● Waea tapahi motuhake

● Hoahoa mahanga kua arotauhia

● Tapahi tika, ōrite

● Te taumata teitei o te mana whakahaere

● Te pupuri ergonomic

Tukua mai he īmēra ki a mātou

Taipitopito Hua

Ngā Tohu Hua

Tono

He taputapu pai te Cold Snare mō te tango makariri i ngā polyp.< 10 mm. He waea tapahi angiangi, whiri hoki tēnei, i hangaia mō te tango makariri, ā, ka puta he tapahi tino tika, he tapahi ma, me te hoahoa mahanga i arotauhia mō te tango i ngā polyp iti. Kāore he hapa wera o te polyp kua tangohia, ā, ka whakarite kia whakaratohia he mōhiohio whai hua mai i te aromatawai histological.

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 whakatūpato mō te tango i te polyp cold snare

1. He iti noa ngā polyp nunui.
2. He pai mō te EMR me te ESD endoscopy, ka taea te whiriwhiri i te hangarau tango EMR, ESD rānei kua pakari, kua oti hoki.
3. Ka taea hoki te mau tika i te polyp o te kakau mo te tapahi hiko, kaua ki te tapahi matao me te tapahi motuhake, ka waiho te taha o roto o te kakau, ka taea e te topenga te pupuri i te pakiaka.
4. Ka taea hoki te whakamahi i te mahanga noa, ā, he pai ake te mahanga poripi angiangi motuhake mō te tapahi matao.
5. Kāore i te tika te tango makariri i roto i ngā tuhinga, ā, kāore te tango hiko i mau tika, ā, i te mutunga ka hurihia ki te EMR.
6. Kia tupato ki te tango katoa.
Kei te teitei tonu te auau me te mate o ngā matepukupuku o te puku pērā i te matepukupuku koroni. Ko ngā reiti matepukupuku me te mate kei roto i ngā matepukupuku matua, ā, me tirotiro wawe mēnā e tika ana.

O mua: Te Matao Matao o te Puku me te Porowhita Whiri

Panuku: Paipa Catheter Rehu Endoscopic Hauora Whakamahinga Kotahi mō te Gastroenterology

Tuhia tō karere ki konei ka tukuna mai ki a mātou