
Hemostasis mō: te kiriuhi mucosal/te kiriuhi raro. Ka hinga te <3cm, ngā mate pukupuku/ngā uaua toto <2mm, ngā wāhi pokanga, te katinga o te mahi lumen o te GI. Ka whakamahia hei here ā-ringa i ngā oko toto.
| Tauira | Rahi Whakatuwheratanga o te Topenga (mm) | Roa Mahi (mm) | Hongere Endoscopy (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 | ||
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/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.
I ahu mai te EMR me te ESD i te pūtake kotahi, ā, he rite tonu ngā āhuatanga hangarau. Ko te rerekētanga o te EMR ESD penei:
Ko te ngoikoretanga o te EMR he iti noa iho i te rahi o ngā whara ka taea te tango i raro i te endoscopy (iti iho i te 2cm). Mena he nui ake ngā whara i te 2cm, me tango kia porotaka, kāore i oti te maimoatanga taha o ngā kiko kua tangohia, ā, kāore i te tika te mate i muri i te pokanga.
Heoi, ka whakawhānui ake ngā taputapu ESD i ngā tohu o te tango endoscopic. Mō ngā whara nui atu i te 2cm, ka taea hoki te tango katoa. Kua noho hei huarahi whai hua mō te rongoā i te mate pukupuku puku wawe me ngā whara o mua i te mate pukupuku.
I tēnei wā, e whakamahia whānuitia ana te EMR me te ESD hei tango me te rongoā i te endoscopy nakunaku.
Ko te hangarau EMR me te ESD te tino kaiwhakamate i te tangohanga endoscopic, ā, kua waiho hei huarahi nui mō te maimoatanga iti rawa o te mate pukupuku puku wawe me ngā whara o mua i te mate pukupuku. E whakaponohia ana ka taea e ngā taputapu EMR me te ESD me te ESD endoscopy te hanga uara hauora nui ake mō te hauora o te tangata ā muri ake nei.