Te whakamahi osphincterotomein ERCP
E rua nga tono matua o tesphincterotomei te rongoaERCP:
1. Whakawhänuihia te duodenal papilla sphincter hei awhina i te taote ki te whakauru i te catheter ki roto i te papilla duodenal i raro i te aratohu a te waea kaiarahi.
Ko te intubation-awhina i konei ka kitea te nuinga i roto i te "kopere" me te "kaha" o tesphincterotome. I tua atu, ki te rite rawa ki te kōmata hurihurisphincterotome, kei a ia te mana whakahaere-maha penei i te "runga, whakararo, maui, matau". Te kaha, ka taea te "whakaatu" i te wa e awhina anawaea arahiwhakakorokoro.
2. Tapahia te duodenal papilla sphincter ki te whakanui ake i tona tuwhera ki te whakatutuki i nga matea maimoatanga o muri mai penei i te tango i nga kowhatu ngongo ngongo noa.
Ko te whakamahinga o tesphincterotomeKo te nuinga o konei ko te whakakoi i te hiku o te taiapa, ara, ko te waahanga o roto o te pakitara duodenal o te Oddi's sphincter, na reira ko te roa me te rahi o te waahi e tika ana kia kore e pakaru me te whakatutuki i nga maimoatanga o muri mai penei i te tango kohatu.
Ngā kāwai hua
1. Ko te maripi rite te ahua o te Arch, e mohiotia ana ko "kopere maripi", ko te mea tino whakamahiasphincterotome. Ko te hoahoa arc i hangaia ma te toia te waea e hangai ana mo te koki me te waahi tirohanga o te whakaata taha (duodenoscope) i te wa e werohia ana te papa me nga ngongo pancreatic. I te wa ano, ka whakatikahia te koki o te kopere ma te toia te rahi o te kopere, na reira ka huri i te ahunga tohanga. Ma tenei ka taea e te taote whakahaere te whakahaere pai i te ahunga o tesphincterotomeki te 11 karaka i whakaritea.
2. Naipi-ahua ngira, e mohiotia ana ko te “naipi ngira”. He taapiri nui ki te whakamahi i te arcuatesphincterotomehaumanu. Ko te pito o te maripi te ahua o te ngira he waea ngira, ehara i te mea ko te mahi o te wero anake, engari ko te uaua e hiahiatia ana mo te hiko me te "tapahi". I tenei wa, ko te maripi ngira te nuinga e whakamahia ana i mua i te werohanga ki te awhina i te tukanga whakauru o te mauhere kohatu nipple me te wero nipple uaua.
Ko matou, ko Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he kaihanga i Haina e whai hua ana ki nga taonga endoscopic, penei i temahanga biopsy, hemoclip, mahanga polyp, ngira sclerotherapy,rehu catheter, paraihe cytology, waea arahi, kete tiki kohatu,nasal biliary drainage catheterme etahi atu e whakamahia nuitia ana i rotoEMR,ESD, ERCP. Ko a maatau hua he tohu CE, a ko o maatau tipu he tohu ISO. Kua tukuna atu a maatau taonga ki Uropi, Amerika Te Tai Tokerau, Middle East me tetahi waahanga o Ahia, a ka whiwhi whanui te kaihoko o te whakanui me te whakanui!
Te wa tuku: Akuhata-28-2024