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 te taha o te koha kiko matotoru katoa, ā, kāore he hononga noa ki te kōhao tinana, ka kiia he poka. Kāore i te tino mārama te whakamāramatanga o te toto, ā, 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%
Ngā Mea Whakapaunga Endoscopic e Pā Ana: Te Mahanga Polypectomy Whakakore
Te tango i te kiriuhi mucosal endoscopic (EMR): 0.58%~0.8%
Ngā Mea Whakapaunga Endoscopic e Pā Ana: Ngā Topenga Hemostasis Whakakore
Ngā Mea Whakapau Endoscopic e Pā Ana:Ngira Werohanga Whakakorekore
Te wetewete endoscopic submucosal (ESD): 2%~14%
Ngā Mea Whakapau Endoscopic e Pā Ana: Maripi ESD Whakakorekore
Te tere o te toto i muri i te pokanga:
Te tango i te tākihi: 1.6%
EMR: 1.1%~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:
Kia pai te mahi a te endoscope. Kōwhiria ngā endoscope e tika ana, ngā taputapu maimoatanga, ngā wai werohanga, me ngā taputapu tuku hau waro hauhā e ai ki te wāhi, te āhua, me te nui o te fibrosis o te pukupuku.
Te whakahaere i te pokanga i te wā e pokanga ana:
Katinga tonu: Ahakoa te wāhi, he pai ake ngā topenga mō te katinga (kaha tūtohutanga: taumata 1, taumata taunakitanga: C). I roto i te ESD, i ētahi wā me tihore tuatahi te rohe e karapoti ana kia kore ai e whakararuraru i te mahi tihore.
Tauera, kia nui 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 ki te hau kore utu e whakaaturia ana i te CT anake.
Te maimoatanga wāhanga motuhake:
E kore te remu o raro e puta ai te poka o te puku nā ōna āhuatanga tinana, engari ka puta pea
Te poka o te pelvic, e whakaatuhia ana hei emphysema retroperitoneal, mediastinal, subcutaneous rānei.
Ngā Whakatūpato:
Mā te kati i te patunga i muri i te pokanga ka ārai pea i ngā raruraru ki tētahi taumata, engari kāore
He nui ngā taunakitanga hei whakaatu i tōna whai huatanga ki te aukati 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:
I roto i te EMR, ka taea te whakamahi i te pito o te mahanga mō te whakapūmau wera.
I roto i te ESD, ka taea te whakamahi i te pito o te maripi hiko hei whakapā atu ki te pūwhakapūmau 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 te EMR:
Kua whakaatuhia e ngā rangahau kāore he pānga nui o te whakamahinga o ngā herenga toto hei ārai i te toto toto ki te tere o te toto i muri i te pokanga, engari kei te kitea te hekenga o te toto. He iti noa te pānga o te herenga ārai ki ngā whara iti, engari he whai hua mō ngā whara nui, mō ngā tūroro rānei e tino mōrearea ana ki te toto i muri i te pokanga (pērā i te hunga e whiwhi ana i te rongoā ārai toto).
Te tango i te patunga i muri i te ESD:
Ka whakapūpūtia ngā uaua toto e kitea ana, ā, ka taea te whakamahi i ngā topenga hemostatic hei ārai i te herenga o ngā uaua toto nunui.
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: Maehe-21-2025