(1). Ngā tikanga taketake Ko ngā tikanga taketake o te EMR koia ēnei:
Te raupapatanga o ngā tikanga
①Werohia te wai weronga ā-rohe ki raro noa iho i te whara.
②Whakatakotoria te mahanga ki te taha o te whara.
③Ka whakaukia te mahanga hei hopu, hei whakakōpiri i te whara.
④Me whakau tonu te mahanga me te whakamahi hiko hei tapahi i te whara.
⑤Tikina te tauira i tangohia.
(2). Ngā Tohutohu
1. Tohutohu mō te whiriwhiri i te tūranga o te tinana me te tūnga o te endoscope
Nā te mea me rongoa te whara i te wā e kitea ana te ahua katoa, he mea tino nui te tūnga o te tūroro. Ngāna ki te huri i te karu tirotiro kia tata te whara ki te whakatuwheratanga o te pūwero koiora, arā, mai i te 5 ki te 7 karaka i runga i te mata.
I mua i te maimoatanga, me horoi te toenga me te tae taikaha, kātahi ka tangohia mā te momi.
Hei tauira, ki te tangohia he whara i te koroni sigmoid proximal i te tūranga decubitus taha maui, i te nuinga o te wā ka neke te tauira ki te koroni heke, ka uaua ki te tiki mai, nō reira he pai ake te tūranga decubitus taha matau mō te tango.
Waihoki, mai i te tirohanga o te whakaora i te tauira, ko te tūranga decubitus taha maui te mea e pai ake ana mō te tango i ngā whara o te koroni whakawhiti.
2. Tohutohu mō ngā werohanga ā-rohe
Ka taea te wero i tētahi ngira werohanga ā-rohe matotoru i te pēhanga iti iho, engari kāore i te koi rawa, ā, he nui rawa hoki te kōhao o te ngira, nō reira ka whakamahia e te kaituhi he ngira werohanga ā-rohe 25G.
Ehara i te whakanui rawa te kī ko te angitu, ko te kore rānei o te EMR e whakawhirinaki ana ki ngā werohanga ā-rohe.
Mō ngā whara iti, ka pokaia te puku mai i te taha pūwero o te whara ki raro noa iho i te whara.
Mō ngā whara kei te wāhanga piko, kei te taha rānei o ngā kopa, mēnā ka werohia ā-rohe mai i te taha whakarara, i te nuinga o te wā ka kore e mārama ngā whara nā te mea e anga ana ki te taha waha, nō reira me tīmata te werohanga ā-rohe mai i te taha waha.
Ngā Mea Matua mō ngā Kaihangarau Endoscopy
Mena ka turuturu te wai, ka nui rānei te ātete i te wā e werohia ana, kāore rānei he ātete ina tomo mai te wai engari kāore he pupuhi e puta mai ana, me whakamutu te werohanga, ā, me whakamōhio atu ki te kaiwhakahaere mō te āhuatanga i te wā tika hei matapaki i ngā mahi ārai.
Ko te nui ake o te rahinga werohanga, ko te pai ake.
Ko te mahi tinihanga ko te wero tonu i te nui e taea ana mā te wero kotahi kia tangohia ra ano te whara katoa.
3. Ngā tohutohu mō te whiriwhiri i tētahi mahanga
Mena he porowhita roa te āhua o te mahanga, ka ngāwari noa te tāpiri atu o te kiriuhi mucous noa i te waha me te taha o te nono, engari kāore e hiahiatia.
Ko te mea pai ko te porowhita te āhua, he ngāwari ki te whakatuwhera ki te taha, kāore e ngāwari ki te paheke, ā, he mārō tōna hei pēhi i te whara kia mau ai te whara.
Me rite te rahi o te mahanga ki te rahi o te whara.
Mahanga Polypectomy Whakakore
Ngā tauira o te EMR
a. Whakaahua mārama mā
He whara momo IIa 25 mm te rahi me te wāhanga o waenganui kua paku pēhia.
b. Ngā whakaahua whakaahua roopu whaiti (NBI)
c. Te rehu i te tae kanapa hei whakanui i te ahua
I kitea ko ngā poka i kitea e te mātakitaki noa he awaawa i waenganui i ngā rau.
d. Whakaahua whakanuia o te tae waiorā karaihe
Ko te tauira poka o te puha o te awaawa i te taha o te whara he momo IV.
e. Whakaahua whakanuia o te tae waiorā karaihe
i waenganui o te whara ko te VI, he āhua koretake, ā, kāore i kitea he urunga mārama ki raro i te kiriuhi.
f. Werohanga ā-rohe
I pokaia te puku me te werohanga ā-rohe ki waenganui o te whara, ā, i puta he pupuhi pai.
g. Whakatuwheratia te mahanga
Pēhia te pito o te mahanga ki te pakitara o te koroni hei whakatuwhera i te mahanga.
h. Katia te mahanga
Katia te mahanga, ka hopukia te whara.
i.Whakakāhia te tango
Kāore i kitea he poka, he toto, he pūtau toenga rānei.
j. Te whakapiri tauira
I herea te tauira i tangohia ki tētahi rau rapa.
Te tātaritanga mate whakamutunga:te mate pukupuku ā-roto-mucosal (Tis)
4. Tohutohu mō te mahi mahanga
Ka ata whakatakotoria te pito o te mahanga ki runga i te kiriuhi waha o te whara, kātahi ka āta whakatuwheratia, ā, ka pēhia te pūtake o te mahanga ki te taha pūwero o te whara. Hei ārai i te tapahi taha kei puta he pai, me whakauru he iti noa o te kiriuhi noa.
Me mōhio, ki te kore e kitea te pito o te mahanga, tera pea kua whakaurua he kiriuhi noa ake i te mea i whakaarohia. Kia tino whakakīia te mahanga, panaia, tōia hoki te ringaringa o waho o te mahanga kia tirohia ai te nekenekehanga o te whara. Ki te whakaurua ki roto i te paparanga uaua, ka whakaitihia te nekenekehanga o te whara.
Ngā tohutohu mō te tango hiko
Kaua e pēhi i te mahanga ki te pakitara o te puku, engari kia paku whakanekehia te whara kia taea ai te tango. He iti te mōrearea o te pokanga whakaroa ina whakamahia te tango hiko, engari he ngāwari ki te toto i te wā e pokanga ana (i muri wawe i te tango).
Ki te tere rawa te tango, ka puta te toto, ki te puhoi rawa te tango, ka roa pea te poka. Ki te mamae te tūroro, ki te kite rānei te kaiawhina he rite te kiko ki te rapa, he uaua ki te tapahi, tera pea kei roto te kiko i te paparanga uaua, ā, me mutu tonu te tango.
Ngā Mea Matua mō ngā Kaihangarau Endoscopy
Ki te kite te tākuta tirotiro he rite te kiko ki te rapa ki te pīwariwari, ā, he uaua ki te tapahi, me whakamōhio tonu ia i te kaiwhakahaere kia matapakihia ngā mahi ārai.
Ngā Tohutohu mō te Tiritiri i te EMR
Mō ngā whara nui ake, he pai ake te tango wāhanga i ētahi wā, kaua ki te tango katoa i te wā kotahi. Heoi, ki te nui ake ngā wāhanga, ka nui ake te tūponotanga o te hokinga mai o ngā toenga ā-rohe. Ahakoa te whakamahi i te EMR wāhanga, me mahi ngā tango tuatahi kia nui rawa atu me te whakamahi i tētahi mahanga nui hei whakaiti i te maha o ngā wāhanga.
Ko mātou, ko Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., he kaihanga i Haina e tohunga ana ki ngā taputapu endoscopic pau, pērā i te forceps biopsy, te hemoclip, te polyp snare, te ngira sclerotherapy, te catheter rehu, ngā paraihe cytology, te waea aratohu, te kete tango kohatu, te catheter rerenga wai ihu me ētahi atu, e whakamahia whānuitia ana i roto i te EMR, ESD, ERCP. He tiwhikete CE ā mātou hua, ā, he tiwhikete ISO ā mātou tipu. Kua kaweakehia ā mātou taonga ki Ūropi, Amerika Te Raki, Te Rawhiti o Waenganui me tetahi wāhanga o Āhia, ā, he whānuitia te whiwhinga o te kiritaki i te mihi me te whakamoemiti!
Ngā kutikuti koiora:
https://www.zrhendoscopy.com/single-use-endoscopic-tissue-biopsy-forceps-with-graduation-product/
Hemoclip
https://www.zrhendoscopy.com/disposable-rotatable-endoscopic-hemoclip-for-gastroscopy-use-product/
mahanga poripi
https://www.zrhendoscopy.com/disposable-endoscopic-resection-polypectomy-snare-for-gastroenterology-product/
ngira whakaora kiriuhi
https://www.zrhendoscopy.com/gastroenterology-accessories-endoscopic-sclerotherapy-injection-needle-product/
Te kātene rehu
https://www.zrhendoscopy.com/ce-certified-disposable-endoscopic-spray-catheter-for-digestive-chromoendoscopy-product/
paraihe cytology
https://www.zrhendoscopy.com/endoscopy-accessories-disposable-endoscopic-cytology-brush-for-gastrointestinal-tract-product/
Waea Arataki
https://www.zrhendoscopy.com/gastrointestinal-endoscopic-ptfe-coated-ercp-hydrophilic-guidewire-product/
kete tiki kohatu
https://www.zrhendoscopy.com/ercp-instrument-gallstone-stone-retrieval-basket-for-endoscopy-product/
te katitere whakaheke wai ihu
https://www.zrhendoscopy.com/medical-instrument-disposable-nasal-biliary-drainage-catheter-for-ercp-operation-product/
EMR
https://www.zrhendoscopy.com/emresd/
ESD
https://www.zrhendoscopy.com/emresd/
ERCP
https://www.zrhendoscopy.com/ercp/
Te wā tuku: 13-Pepuere-2025