I roto i te maimoatanga koroni, ko ngā raruraru matua ko te poka me te toto.
Ko te poka e pā ana ki te āhua e hono noa ana te kōhao ki te kōhao tinana nā te mea he hapa kiko matotoru katoa, ā, kāore te hau kore utu i te whakamātautau hihi-X e pā ki tōna whakamāramatanga.
Ina kapi ana te taha o te koha kiko matotoru katoa, ā, kāore he hononga noa ki te kōhao tinana, ka kiia tēnei he poka.
Kāore anō kia tino mārama te whakamāramatanga o te toto; ko ngā taunakitanga o nāianei ko te hekenga o te hemoglobin neke atu i te 2 g/dL, te hiahia rānei ki te whakawhiti toto.
Ko te toto i muri i te pokanga e tautuhia ana ko te putanga mai o te toto nui i roto i te tūtae i muri i te pokanga e hiahia ana ki te maimoatanga hemostatic, ki te whakawhiti toto rānei.
Ka rerekē te auau o ēnei huihuinga tūpono i runga i te maimoatanga:
Te tere o te poka:
Te tango i te kiriuhi: 0.05%
Te tango i te kiriuhi mucosal endoscopic (EMR): 0.58%~0.8%
Te wetewete endoscopic submucosal (ESD): 2%~14%
Te tere o te toto i muri i te pokanga:
Te tango i te tākihi: 1.6%
EMR1.1%~1.7%
ESD: 0.7%~3.1
1. Me pēhea te whakatau i te poka
Nā te mea he angiangi ake te pakitara o te whekau nui i tō te puku, he nui ake te mōrearea o te pokanga. Me whakarite rawaka i mua i te pokanga kia kore ai e pokanga.
Ngā mahi ārai i te wā e pokanga ana:
Me whakarite kia pai te mahi a te endoscope.
Kōwhiria ngā endoscopes e tika ana, ngā taputapu maimoatanga, ngā wai weronga me ngā taputapu tuku hau waro hauhā e ai ki te wāhi, te āhua me te nui o te fibrosis o te puku.
Te whakahaere i te pokanga i te wā e pokaina ana:
Katinga tonu: Ahakoa te wāhi, ko te katinga topenga te tikanga pai rawa atu (kaha tūtohutanga: Tau 1, taumata taunakitanga: C).
In ESD, kia kore ai e whakararuraru i te mahi tapahi, me tapatapahia tuatahi te kiko e karapoti ana kia nui ai te wāhi mahi i mua i te katinga.
Te mātakitaki i muri i te pokanga: Mena ka taea te kati katoa i te pokanga, ka taea te karo i te pokanga mā te rongoā paturopi me te nohopuku anake.
Whakatau pokanga: Ka whakatauhia te hiahia mō te pokanga i runga i te huinga o ngā tohumate o te puku, ngā hua o te whakamātautau toto, me te whakaahua, kaua i runga i te hau kore utu e whakaaturia ana i te CT anake.
Te maimoatanga wāhanga motuhake:
E kore e puta te poka i te tō o raro o te puku nā ōna āhuatanga hanganga, engari ka taea e ia te puta te poka i te hope, ka puta mai he emphysema retroperitoneal, mediastinal, subcutaneous rānei.
Ngā Whakatūpato:
Tērā pea ka āraihia ētahi raruraru mā te katinga o te patunga i muri i te pokanga, engari kāore i te rawaka ngā taunakitanga hei whakaatu ka taea e ia te ārai i te whakaroa o te poka.
2. Te Urupare ki te Toto
Te whakahaere i te toto i te wā o te pokanga:
Whakamahia he pūwero wera, he topenga hemostatic rānei hei whakamutu i te toto.
Te toto o ngā oko toto iti:
EMR, ka taea te whakamahi i te pito o te mahanga mō te whakapūmau wera.
ESD, ka taea te whakamahi i te pito o te maripi hiko hei whakapā atu ki te pūwhakatoto toto wera, ki ngā kuku hemostatic rānei hei whakamutu i te toto.
Te toto o ngā oko toto nui: Whakamahia he kuku hemostatic, engari me whakahaere te whānuitanga o te toto totoka kia kore ai e roa te poka.
Te ārai i te toto i muri i te pokanga:
Te tango i te patunga i muri i teEMR :
Kua whakaatuhia e ngā rangahau kāore he pānga nui o te whakamahinga o ngā kuku hemostatic hei ārai i te toto totoka ki te tere o te toto i muri i te pokanga, engari kei te kitea te hekenga iho.
He iti noa te pānga o te tapahi ārai mate ki ngā whara iti, engari he whai hua mō ngā whara nui, mō ngā tūroro rānei e nui ana te mōrearea o te toto i muri i te pokanga (pērā i te hunga e whiwhi ana i te rongoā ārai toto).
ESD, ka tangohia te patunga, ā, ka whakapūpūtia ngā uaua toto e kitea ana. Ka taea hoki te whakamahi i ngā topenga hemostatic hei ārai i te piri o ngā uaua toto nui.
Tuhipoka:
Mō te EMR o ngā whara iti ake, kāore i te tūtohutia te maimoatanga ārai noa, engari mō ngā whara nui, mō ngā tūroro mōrearea nui rānei, he pānga motuhake tō te tapahi ārai muri i te pokanga (kaha taunakitanga: Taumata 2, taumata taunakitanga: C).
He raruraru noa te poka me te toto i te wā e puta ai te tirotiro endocrinological.
Mā te whai i ngā mahi ārai me te maimoatanga e tika ana mō ngā āhuatanga rerekē ka taea te whakaiti i te auau o ngā mate karekau i te wā kotahi, me te whakapai ake i te haumaru o ngā tūroro.
Ko mātou, ko Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., he kaihanga i Haina e tohunga ana ki ngā taonga endoscopic, pērā i tengā kukupa koiora, hemoclip, mahanga poripi, ngira whakaora kiriuhi, pūwero rehu,paraihe cytology, waea ārahi, kete tiki kohatu, te katitere whakaheke wai ihu,te hipoki urunga uretermete hipoki urunga ureter me te momime ētahi atu e whakamahia whānuitia ana i roto iEMR, ESD, ERCPKua whai tiwhikete CE ā mātou hua, ā, kua whai tiwhikete ISO ā mātou whare hanga. Kua kaweakehia ā mātou taonga ki Ūropi, Amerika Te Raki, Te Rawhiti o Waenganui me tētahi wāhanga o Āhia, ā, kua whānuitia te mihi me te whakamoemiti a te kiritaki!
Wā tuku: Mei-24-2025