Sphincterotome whakakorekore | Ko te "patu" whai hua mō ngā endoscopists

Te whakamahinga osphincterotomin ERCP

E rua ngā tono matua o tesphincterotomi roto i te rongoāERCP:

1. Whakawhanuihia te sphincter duodenal papilla hei āwhina i te tākuta ki te whakauru i te catheter ki roto i te duodenal papilla i raro i te arataki a te waea ārahi.

Ko te whakaurunga ngongo āwhina-tapahia i konei e whakaatahia ana i roto i te "piko" me te "pakari" o tesphincterotom. Hei tāpiri, ki te mea he nipple hurihuri kei a iasphincterotom, he mana whakahaere maha-ahu pēnei i te "runga, raro, maui, me te matau". Pūkenga, ka taea te "whakaatu" i te wā e āwhina anawaea ārahite whakaurunga o te ngongo.

2. Tapahia te sphincter papilla duodenal hei whakanui i tōna whakatuwheratanga hei whakatutuki i ngā hiahia maimoatanga o muri mai pēnei i te tango i ngā kōhatu o te awa au.

Te whakamahinga o tesphincterotomKo te mahi matua i konei ko te tapahi i te sphincter o te awa au, arā, te wāhanga o roto o te pakitara duodenal o te sphincter o Oddi, kia tika ai te roa me te rahi o te tapahi hei karo i te poka, hei whakatutuki hoki i ngā maimoatanga o muri mai pēnei i te tango kohatu.

Ngā kāwai hua

1. Ko te maripi āhua-piko, e mōhiotia ana ko te "maripi kopere", koinei hoki te mea e whakamahia whānuitia anasphincterotomKo te hoahoa pewa i hangaia mā te kukume i te waea ka hanga i te koki me te tirohanga whānui o te whakaata taha (duodenoscope) i te wā e whakauruhia ana ngā ngongo o te au me ngā awa pancreatic. I taua wā anō, ka whakatikatikaina te koki o te kopere mā te kukume i te rahi o te kopere, ā, ka huri i te ahunga tapahi. Mā tēnei ka taea e te tākuta mahi te whakahaere pai i te ahunga o tesphincterotomki te 11 karaka i whakaritea.

2. He maripi āhua-ngira, e mōhiotia ana ko te "maripi ngira". He tāpiringa nui tēnei ina whakamahia ana te porowhitasphincterotomhaumanu. Ko te pito o te maripi āhua ngira he waea rite ki te ngira, ehara i te mea he mahi wero anake, engari he pakari hoki e hiahiatia ana mō te hiko me te "tapahi". I tēnei wā, ko te maripi ngira te nuinga o te wā e whakamahia ana i mua i te tapahi hei āwhina i te tukanga whakauru ngongo o te mauheretanga kōhatu o te uma me te whakaurunga ngongo uaua o te uma.

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 ihume 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!