Ngā Pūnaha Tukunga Taputapu Endoscope Kounga Teitei Ngā Kaihanga me ngā Kaiwhakarato Endoclip Ngā Topenga Hemostasis Hurihuri

Ngā Pūnaha Tukunga Taputapu Endoskopi Ngā Topenga Hemostasis Hurihuri Endoclip

Whakaahuatanga Poto:

Taipitopito Hua:

Hurihia te kakau i te ōwehenga 1:1. (*Hurihia te kakau me te pupuri i te hononga ngongo ki te ringa kotahi)

Whakatuwheratia anō te mahi i mua i te whakatinanatanga. (Kia tūpato: Whakatuwheratia, katihia hoki kia rima ngā wā)

MR Āhuatanga: Ka tukuna he tikanga MRI ki ngā tūroro i muri i te whakatakotoranga o te topenga.

Putanga Whakarerekē 11mm.

Tukua mai he īmēra ki a mātou

Taipitopito Hua

Ngā Tohu Hua

Tono

E whakamahia ana ā mātou endoclip hei aukati i te toto mai i ngā uaua iti i roto i te ara nakunaku.
Ko ngā tohu mō te maimoatanga ko: Ngā mate pukupuku toto, ngā diverticula i roto i te koroni, ngā pūwāhi o te lumen he iti iho i te 20 mm.

Whakatakotoranga

Tauira	Rahi Whakatuwheratanga 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 Endoclip ki roto i te ara Gastro-intestinal (GI) hei whakahaere i te hemostasis mō:
Ngā hapa o te kiriuhi/roto-kiriuhi < 3 cm
Ngā mate pukupuku toto, -Ngā uaua < 2 mm
Ngā polyp < 1.5 cm 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, hei tohu endoscopic rānei.

Te whakamahinga o ngā taputapu EMR/ESD

Ko ngā taputapu e hiahiatia ana mō te mahi EMR ko te ngira werohanga, ngā mahanga polypectomy, te endoclip me te taputapu here (mēnā e tika ana). Ka taea te whakamahi i te probe mahanga kotahi-whakamahinga mō ngā mahi EMR me te ESD, ka whakaingoatia hoki te all-in-one nā ana mahi hybird. Ka taea e te taputapu here te āwhina i te polyp ligate, e whakamahia ana hoki mō te tuitui-aho-purse i raro i te endoscop, ka whakamahia te hemoclip mō te hemostasis endoscopic me te whakapiri i te patunga i roto i te ara GI.

Ngā Pātai Auau mō ngā Taputapu EMR/ESD

P; He aha ngā EMR me ngā ESD?
A; Ko te EMR he whakarāpopototanga mō te endoscopic mucosal resection, he tikanga iti rawa te whakaekenga i waho o te whare hauora hei tango i ngā whara matepukupuku, i ētahi atu whara rerekē rānei e kitea ana i roto i te ara nakunaku.
Ko te tikanga ESD he whakarāpopototanga mō te endoscopic submucosal dissection, he tikanga iti rawa te whakaekenga o waho e whakamahi ana i te endoscopy hei tango i ngā pukupuku hohonu mai i te ara kai.

P; EMR, ESD rānei, me pēhea te whakatau?
A; Ko te EMR te kōwhiringa tuatahi mō te āhuatanga i raro nei:
●Whā o waho o te korokoro o Barrett;
●He whara puku iti <10mm, IIa, he tūranga uaua mō te ESD;
●Whā o te duodenum;
●He whara porotaka, kāore he kikokore/kāore i te pēhia te repeure <20mm, he kikokore rānei.
A; Ko te ESD te mea pai rawa atu mō:
●Te mate pukupuku pūtau-pūtau (tōmua) o te korokoro;
●Te mate pukupuku puku wawe;
●Te rekereke o te puku (kāore i te kikokore/pōturi ＞
●20mm) te whara.