I te pokapū tirotiro puku, ko ia tikanga e whakawhirinaki ana ki te whakaritenga tika o ngā kai e pau ana. Ahakoa he tirotiro wawe i te mate pukupuku, he tango rānei i ngā kōhatu biliary uaua, ko ēnei "toa kei muri i te whakaaturanga" ka whakatau tika i te haumaru me te angitu o te tātaritanga me te maimoatanga. Ka tātarihia whānuitia e tēnei tuhinga ngā āhuatanga mahi, ngā auahatanga hangarau, me te arorau kōwhiringa haumanu o ngā kai matua e 37, hei āwhina i ngā tākuta me ngā tūroro ki te aro atu ki ngā wero o ngā mate puku!
I. Ngā Whakamātautau Taketake (5 Ngā Momo)
- Mahi: Hei tango tika i ngā tauira kiko koiora mai i te ara whekau me te ara manawa mō te whakamātautau mate pukupuku (pēnei i te tirotiro wawe i te mate pukupuku).
- Mahi: Whakamahia hei tiki tauira pūtau mai i ngā wāhi whaiti (pērā i te korokoro me te awa au) hei āwhina i te tātaritanga mate.
3. Tae Huka Indigo Carmine
- Mahi: I rehuhia hei whakamārama i te kakano o ngā whara o te kiriuhi mucous, ka whakapai ake i te tere o te kitenga o te mate pukupuku wawe mā te 30%.
4. Taupoki Mārama
- Mahi: Ka tāpirihia ki te pito o mua o te endoscope hei whakawhānui i te tirohanga, hei āwhina i te hemostasis, hei tango i ngā mea ke, hei whakau rānei i te papa pokanga.
5. Parai Horoi
- Mahi: Ka horoi i ngā awa endoscope hei ārai i te mate whakawhiti (whakamahinga kotahi mō te haumaru ake).
II. Ngā Tikanga Whakaora (18 Momo)
Ngā Taputapu Pokanga Hiko Auau-Teitei
6. Maripi Pokanga Hiko
- Mahi: Te tohu i te kiriuhi, te tapahi, me te wetewete (te taputapu matua mō ngā tikanga ESD/POEM). Kei te wātea i roto i ngā putanga werohanga-wai (hei whakaiti i te kino wera) me ngā putanga kore-wai
7. HikoNgā mahanga polypectomy
- Mahi: Te tango i ngā polyp, i ngā pukupuku rānei (25-35 mm te whānui). Mā te waea whiri ka whakanui ake i te horahanga pa, ka whakaiti hoki i te mōrearea toto.
8. Ngā Pūwero Koiora Wera
- Mahi: Te tango i ngā polyp iti i raro i te 5 mm mā te whakamahi i te electrocoagulation. Ka whakakotahi i te herenga kiko me te hemostasis.
9. Ngā Topenga Hemostatic(Ngā Topenga Taitāniuma)
- Mahi: Katia te patunga, ka herea rānei ngā oko toto. Kei te wātea te whakarerekētanga hurihuri 360°. Kei te wātea i ngā whirihoranga 90° me te 135° mō ngā tikanga hōhonu.
10. Pūrere Herenga Porowhita Nairona
- Mahi: Herea te turanga o ngā polyp matotoru hei ārai i te whakaroa o te toto.
11. Irahiko Ākona
- Mahi: Whakapūmau i ngā whara o waho (pērā i ngā adenoma toenga). Ko te hōhonutanga o te werohanga he 0.5 mm noa iho, he tino haumaru.
Werohanga me te Whakaora Hiko
- Mahi: Werohanga i raro i te kiriuhi (tohu hiki), te whakapōrearea o te uaua varicose, te ārai rānei i te kāpia kiko. Kei te wātea i roto i ngā ngira 21G (mataku) me te 25G (pūwero angiangi).
13. Kaiwhakapiri Here
- Mahi: Herea te here rapa o ngā varicose esophageal, ngā hemorrhoids ā-roto rānei ki te here rapa. ≥ 3 ngā here ka taea te tuku i te wā kotahi.
14. Piripiri/Whakapiripiri Kiri
- Mahi: Hiri i ngā uaua varicose (hei tauira, cyanoacrylate mō te whakapūmau i ngā uaua puku).
Te Whakawhanui me te Whakatakoto Stent
15. Pōro Whakawhanui
- Mahi: Te whakawhanui haere i ngā strictures (esophagus/colon). Diameter: 10-20 mm.
16. Te Pūnaha Whakapūngao
- Mahi: Tautoko i ngā uauatanga kino. Ka ārai te hoahoa hipoki i te urunga mai o te pukupuku.
17. Huinga Gastrostomy Percutaneous
- Mahi: Te whakarite i te urunga roa ki te kai entraal, he mea tika mō ngā tūroro kāore e taea te kai ā-waha
III.ERCP-Ngā Hua Motuhake (9 Momo)
18.Te mahi i te uaua o te uaua
- Mahi: Ka huaki i te papilla duodenal me te whakatuwhera i te awa au me te awa pancreatic. Mā te mata piko ka māmā te nekeneke.
- Mahi: Tangohia ngā kōhatu ate (20-30 mm). Mā te kete maitai kore waikura ka kitea mārama i raro i te hihi-X.
20. Te Katitere Pōro Whakatakotoria ki te Lithotomy
- Mahi: Tangohia te kirikiri me ngā kōhatu. Mā te whānui o te poihau ≥8.5 mm ka tere te tiki katoa.
21. Kete Lithotripsy
- Mahi: Ka pakaru ā-mīhini i ngā kōhatu nunui. Mā te hoahoa whakauru ka taea te mahi lithotripsy me te tiki i ngā kōhatu nunui i te wā kotahi.
- Mahi: He rerenga wai o waho mō te au. Ka ārai te hanganga o te hiku pōro i te paheke. Te roa o te noho ki roto i te wai ≤7 rā.
23. Te Pūnaha Tātaritanga o te Piringa
- Mahi: Ka whakaratohia e ngā stent kirihou he rerenga wai rangitahi (3-6 marama). Ka whakamahia ngā stent whakarewa hei tautoko mō te wā roa i te aukati kino.
24. Te Tātari Angiography
- Mahi: E whakarato ana i te whakaahua cholangiopancreatography. Mā te hoahoa lumen kotahi/rua ka taea te whakahaere i te waea ārahi.
25. HeparaWaea Arataki
- Mahi: Ka ārahi i ngā taputapu mā roto i ngā hanganga uaua o te tinana. Ka whakaitihia e te paninga wai-whakaaro te waku mā te 60%.
26. Kaipupuri Stent
- Mahi: Ka tukuna tika ngā stent hei ārai i te hekenga.
IV. Ngā Taputapu Tāpiri (5 momo)
27. Poraka Ngau
- Mahi: Ka mau te endoscope ā-waha me te hoahoa ātete-ngau. Ka whakarei ake te pehi arero i te whakamarie.
28. Pereti Kino
- Mahi: Whakarato i tētahi ara iahiko haumaru auau-teitei hei ārai i ngā wera hiko (kāore e hiahiatia mō ngā waeine pokanga hiko bipolar).
29. Ngongo Whakamakuku
- Mahi: Ka horoia te hūpē, te toto rānei i te wā pokanga kia mārama ai te wāhi pokanga.
30. Pūwero Tinana Ke/Porowhita Kupenga
- Mahi: Te tango i ngā mea tauhou i horomia (ngā moni, ngā niho rūpahu, me ētahi atu).
31. Pātene Wai/Hau
- Mahi: Te whakahaere i ngā mahi wai, hau, me te momi o te endoscope mā te pito o ngā maihao.
Whakaahuatanga
- Arorau tatauranga 37-tūemi: Kei roto i tēnei ko ngā whakatakotoranga kua wehea i roto i te kāwai kotahi (hei tauira, e whā ngā momo mata tapahi auau-teitei, e toru ngā momo ngira werohanga), e āhei ai te whakakotahitanga haumanu i runga i te hiahia.
- Te Kapinga Mahi Matua: Kei roto i te whakarōpūtanga o runga ake nei ngā wae mahi taketake katoa, e tutuki ana i ngā hiahia o ngā horopaki katoa, mai i te tirotiro mate pukupuku wawe (ngā whiri koiora, ngā tae) ki ngā pokanga uaua (ESDngā mata,ERCPngā taputapu).
Ko mātou, ko Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., he kaihanga i Haina e tohunga ana ki ngā taonga pau endoscopic, tae atu ki ngā raina GI pēnei i te forceps biopsy, hemoclip, polyp snare, sclerotherapy needle, spray catheter, cytology brushes, guidewire, kete tango kohatu, cathete ihu biliary drainage me ētahi atu e whakamahia whānuitia ana i roto i te EMR, ESD, ERCP. He tiwhikete CE ā mātou hua me te whakaaetanga FDA 510K, ā, he tiwhikete ISO ā mātou tipu. Kua kaweakehia ā mātou taonga ki Uropi, Amerika Te Raki, Middle East me tetahi wāhanga o Āhia, ā, he whānuitia te whiwhinga o te kiritaki i te mihi me te whakamoemiti!
Wā tuku: 18 o Ākuhata 2025