He Patu Hou mō te Pokanga Whakaiti i te Whakaurunga! Ngā Mahanga Whakakore mō te Maimoatanga Endoscopic Haumaru ake, Whai Hua ake hoki

I te tere haere o te whanaketanga o ngā hangarau tātaritanga me te maimoatanga endoscopic, me pēhea te tango i ngā whara o te puku me te iti o te whara me te whai huatanga nui? Ko te putanga mai o te Disposable Polypectomy Hot Snare he otinga hou mō ngā tākuta me ngā tūroro. Ehara i te mea he taputapu tika noa iho ēnei taputapu mō te pokanga iti rawa te whakaekenga, engari he taputapu auaha e whakaiti ana i ngā mōrearea mate me te whakarei ake i te haumaru o te pokanga.

Ko ngā Mahanga Polypectomy Wera-Whakakore he mea noa e whakamahia ana i roto i te rongoā endoscopic. Ko te nuinga o te hua he kakau, he koropiko maihao, he irahiko, he taupoki pito, he pito ngohengohe, he hipoki o waho, me ngā waea tapahi. Mā te pānga tahi o te iahiko auau-teitei me te tapahi miihini, ka taea te tango tika i ngā kiko whara.

E tohuhia ana mō te tango i ngā polyp o te puku, tae atu ki ngā whara teitei me ngā whara papatahi, tae atu ki ngā mate pukupuku puku tōmua (hei tauira, MBM). He taputapu matua tēnei mō ngā tikanga endoscopic pērā i te Endoscopic Mucosal Resection (EMR) me te polypectomy.

Ngā Painga o teWeraTe tango i te polypectomy Ngā Mahanga 

Ka whakarōpūtia ngā mahanga ki roto i ngā Mahanga Polypectomy Wera meMātaoMahanga Polypectomysi runga i te mea ka arahina e rātou te hiko.

I roto i ngā mahi haumanu, he nui ngā painga o ngā Mahanga Polypectomy Wera (ina koa ko ngā mahanga i honoa ki te au auau teitei) i ngā Mahanga Polypectomy Matao tuku iho. He tino pai rātou i roto i ngā āhuatanga o te hemostatic, te whai huatanga o te pokanga, te whānuitanga o ngā tohu, me te whakahaere i ngā raruraru. Kei raro nei he tātaritanga taipitopito o ēnei painga haumanu motuhake:

Tautoko raraunga: E whakaatu ana ngā tatauranga haumanu ko te tere toto i muri i te pokanga me te Hot Polypectomy Snare he 50%-70% te iti iho i tērā o te Polypectomy Cold Snare.

Ngā Whakamahinga o ngā Āhua Porowhita Rerekē 

Ka whakarōpūtia ngā koropiko mahanga e ai ki te āhua ki: Porowhita, Mahuru me te ono-hāora. Mā ēnei rerekētanga ka taea te here tika i ngā whara mai i ngā polyp iti ki ngā whara papatahi nui ake, ka whakaitihia te hiahia mō te tango wāhanga, ā, ka pai ake te whai huatanga o te tukanga.

1. Porowhita: Ko te āhua tino noa, he pai mō te hopu i ngā polyp noa.
2. Marama-ā-rangi: I hangaia hei hopu i ngā polyp i ngā wāhi uaua, uaua rānei ki te tae atu.
3. He pai mō te hopu i ngā polyp papatahi.

Ngā Whakamahinga Hauora: Mai i te Polypectomy ki te Wawaotanga Matepukupuku Moata 

● Te tango i te repeure o te kiri: Te whakakore tere, te whakaiti i te hokinga mai

Te Wāhi Mamae:He nui te toto e rere ana i te pūtake o ngā polyp e noho pūmau ana. He maha ngā wā ka puta he toenga kiko, ka roa rānei te toto i te herenga tuku iho.

Otinga:

1．Rahi Whānui: Mā te whānuitanga o ngā diameter koropiko (10–30mm) ka taurite tika ki te rahi o te polyp, ka taea te hopu tere i te turanga me te tango katoa i te whara, ā, ka whakaitihia te mōrearea o te toenga.

2．Te Hemostasis Tukutahi: Mā te aratau hiko pokanga auau-teitei ka taea te hemostasis tukutahi, ka whakaiti nui i te mōrearea o te toto i muri i te pokanga.

3．Ngā Taunakitanga Hauora: I whakaatuhia e ngā rangahau whakatairite i tētahi hōhipera motuhake ko te whakamahinga o ngā mahanga whakakorekore i whakaiti i ngā reiti toenga polyp mai i te 8% ki te 2%, me te hekenga 40% o ngā reiti toto i muri i te pokanga.

●EMR mō te GI Neoplasia wawe: Tangohia katoatia, tātaritanga pono

Pūrākau Pikitia: Ngā Hipanga Tukanga EMR Paewhiri A: Ka kitea he polyp 0.8 × 0.8 cm te rahi, he āhua porotaka te rahi, i roto i te koroni. Paewhiri B: Ka whakaatuhia e te whara he ara hiki (tohu ara pai) whai muri i te werohanga o te wairewa kei roto te indigo carmine, te epinephrine, me te tote noa i raro i te kiriuhi. Paewhiri C–D: Ka āta karapotia te whara i tōna pūtake mā te whakamahi i te mahanga. Ka whakakīia te waea, ā, ka tangohia te whara mā te iahiko hiko. Paewhiri F: Ka katihia te koha o te patunga ki ngā hononga endoclip hei ārai i te toto.

●Hemostasis ohorere: Urupare tere, whakaora ora i ngā āhuatanga kino

Te Wāhi Mamae:He maha ngā wā ka hunaia ngā wāhi toto o te totohu puku, o ngā whara Dieulafoy rānei, ā, ka uaua ki te whakamahi i ngā kuku hiko tikanga hei kimi i te wāhi tika.

Otinga:He kakau hurihuri 360° me te hoahoa catheter angiangi, ka taea e te taputapu te uru atu ki ngā rohe uaua o te tinana pērā i te duodenum e heke ana. Ka tere te hiri o te pūwāhi toto mā te aratau toto mohio, ka whakapoto i te wā whakaora.

I tūtohutia māu Ngā Mahanga Polypectomy

ZRHmedKua hangaia te Snare Polypectomy Wera Tukua kia mahi tahi me ngā endoscope ngāwari me ngā kaihanga pokanga auau-tiketike mō te tango i ngā polyp o te puku.

Ka whakamahia e ia te pūngao wera e whakaputaina ana e te iahiko auau-teitei hei whakamahana tere i te kiko e hiahiatia ana, ka puta te whakakorenga o te pūmua, te totohu, me te mimiti, ā, ka tutuki he pānga tapahi tika. He iti noa te kaha o tēnei hangarau ki te whakaeke, te tere o te whakaora, me te whakaiti i te toto, ā, ka whānuitia te whakamahi i roto i te mahi haumanu.

Ngā Āhuatanga o te Hua

◆ Waea rino kawemai, kāore e ngāwari te whakapē, he tere te tapahi, he pai te whakapūmau hiko

◆ He mata nui e pā ana ki waenganui i te waea me te kiko hei tapahi ngāwari

◆ Mārama te tauine, kia tutuki ai te tukutahitanga tika i waenga i te reti o te kakau me ngā huringa whānui o te koiri

◆ Hototahi ki ngā taputapu pokanga auau-teitei nui katoa kei te mākete

◆ He maha ngā momo āhua e wātea ana hei whakatutuki i ngā hiahia haumanu o ngā tākuta

Ko mātou, ko Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., he kaihanga i Haina e tohunga ana ki ngā taonga endoscopic, tae atu ki te raina GI pēnei i tengā kukupa koiora, hemoclip, Ngā Mahanga Polypectomy, ngira whakaora kiriuhi, pūwero rehu,paraihe cytology, waea ārahi, kete tiki kohatu, te cathete whakaheke wai ihu me ētahi atue whakamahia whānuitia ana i roto iEMR, ESD, ERCP.

He tiwhikete CE ā mātou hua, ā, he tiwhikete ISO ā mātou wheketere. Kua kaweakehia ā mātou taonga ki Ūropi, Amerika Te Raki, Te Rawhiti o Waenganui me tētahi wāhanga o Āhia, ā, he whānuitia te whiwhinga o te kiritaki i te mihi me te whakamoemiti!