(1). Ko nga tikanga taketake ko nga tikanga taketake o Emr e whai ake nei:
Tuhinga o mua
①inject te otinga weronga rohe i raro noa i te riihi.
② wahi o te mahanga huri noa i te riihi.
Ko te mahanga ka piri ki te hopu me te takahi i te riihi.
④Continue ki te tarai i te mahanga i te wa e tono hiko ana i te hiko kia tapahia te riihi.
⑤Rewhakaitihia te tauira.
(2). Tohutohu
1.Tips mo te kowhiringa o te tuunga o te tinana me te waahi endoscope
Na te mea me atawhai te riihi i te wa e kitea ana te ahua katoa, he mea nui te turanga o te manawanui. Whakamātauria te huri i te whānuitanga kia noho tonu te riipene i te whakatuwhera i te whakatuwhera o te koiora, ara, mai i te 5 ki te 7 karaka i te mata.
I mua o te maimoatanga, me horoi te toenga me te nui o te piu, ka tangohia e te ngote.
Hei tauira, ki te mea he riihi i roto i te Tiati o te Tiati a te Tiati, ka wehe atu i te ahuatanga o te koroke o te ra, ka pai ake te whakahoki mai i te waahi decobitus.
Waihoki, mai i te tirohanga o te whakaoranga tika, ko te tuunga o te rohe devubitus i te taha ki te tuunga o nga ngutu o te Kape.
2.Tips mo nga werohanga a rohe
Ko te ngira werohanga nui o te rohe ka werohia ki te pehanga o raro, engari kaore i tino koi, engari he nui rawa te kohao o te ngira, na reira e whakamahi ana te kaituhi i te ngira 25G.
Kaore he mea nui ki te kii ko te angitu me te korenga o te EMR e whakawhirinaki ana ki nga werohanga a rohe.
Mo nga riipene iti, ka mahia te puncture mai i te taha o te riihi o te riihi ki raro noa iho i te riihi.
Mo nga riihi i te waahanga whakairo, i te mea ko te werohanga a te rohe e haangai ana i te taha o te mate, na te mea e pa ana ki te taha o te waha.
Nga mea nui mo nga hangarau endoscopy
Mena ka peke atu te wai, kei reira ranei te tuunga o te werohanga, kaore ranei he pehi i te wa e uru ana te wai, engari me whakamohiotia te werotanga o te kaupapa mo te waa ki te whakawhiti korero.
Ko te rōrahi werohanga, ko te pai ake.
Ko te tinihanga ko te haere tonu i te akiaki i te nuinga o te waa na roto i te whiu kotahi kia ara ake ai te katoa o te riihi.
3.Tihi mo te whiriwhiri i te mahanga
Mena kei te ahua te mahanga o te oriwa o te ara, ko te mucosa noa i runga i te waha o te riihi me nga taha anus ka taea te whakauru atu.
He pai ake te mahanga, he ngawari ki te whakatuwhera i muri, kaore i te ngawari ki te pao, a he uaua ki te pehi i te riihi kia mau ki te riihi.
Ko te rahi o te mahanga kia whakauruhia ki te rahi o te riihi.
Ko te mahanga polypectomy ka taea te whakaputa
Tauira o te EMR
a. Te ahua maama ma
He momo 25 mm i te riipene a IIA me te waahanga nui o te rohe.
pē. Ko nga whakaahua a nga roopu whaiti (NBI)
c. Te riringi i te Carmine Indica ki te whakanui i te whakapakoko
I kitea ko nga whakarereketanga i kitea e te tirohanga tikanga ko nga tino tipu i waenga i nga rau.
d. Ahua nui o te karaihe tioata tioata
Ko te tauira poka o te whakatuwhera i te glandular i te taha o te riihi he pato i te IV.
E. Ahua nui o te karaihe tioata tioata
I te pokapū o te riihi ko VI, he koretake noa, kaore i kitea he koretake o te waa e kitea ana.
f. Werohanga ā-rohe
Ko te whiu me te werohanga o te rohe i whakahaerehia i te pokapū o te riihi, i puta mai he puhipuhi pai.
g. Whakatuwherahia te mahanga
Pawhiria te tohu mahanga ki te pakitara o te kohanga hei whakatuwhera i te mahanga.
h. Kati te rore
Katihia te mahanga, ka mau i te riihi.
i.Power i runga i te tango
Kaore i puta, kaore i kitea te toto, te toenga ranei.
j. Whakatikatika Tauira
Ko te tauira whakahihiri i piri ki te pepa rapa.
Te tātaritanga pathological whakamutunga:Intramucosal Carcinoma (Tis)
4.Tips mo te mahi mahanga
Ko te pito o te mahanga ka ata whakatakotoria ki runga i te mucosa o te riihi, katahi ka whakatuwherahia, ka whakatuwherahia te pakiaka mahanga ki te taha o te riihi o te riihi. Hei aukati i te whakaurunga o muri mai i te mea pai, ko te iti o te mucosa noa me whakauru.
Me tohuhia kia kore e kitea te matawai mahanga, ka taea pea te whakauru ake o te mucosa noa atu i te tumanako. I muri i te mahanga ka tino kaha, pana me te kumea te hora o waho o te mahanga kia mau te nekenekehanga o te riihi. Mena ka whakauruhia ki roto i te paparanga uaua, ka whakaitihia te nekehanga o te riihi.
He tohutohu mo te hiko hiko
Kaua e pehi i te mahanga ki te pakitara o te kopere, engari ka whakaarahia ake te riihi mo te hokonga. Ko te tūponotanga o te hōputu kua roa ka iti haere i te wa e whakamahi ana i te hokonga hiko, engari he uaua ki te whakauru (wawe i muri i te whakaheke toto).
Ko te ngahau he tino tere rawa te toto, i te wa e whakaongaonga ana he puhoi rawa pea ka whakaroa te parekura. Mena kei te mamae te manawanui, kei te hiahia ranei te kaiawhina kia rite ki te rapa me te uaua ki te tarai, ko te kiko ka uru ki te papanga uaua, ka mutu tonu te koa.
Nga mea nui mo nga hangarau endoscopy
Mena kei te whakaaro te Endoscopist ko te kiko he mea ngawari ki te rapa me te uaua ki te tarai, ka whakamohio atu ia ki te kaiwhakahaere ki te whakawhiti korero.
Tohutohu mo te EMR Sharding
Mo nga riihi nui ake, he pai ake te mahi ki te mahi i te waahi hangai, kaua ki te hoko-a-katoa. Heoi, ko nga waahanga nui ake, ko te mea nui ake o te hokinga mai o te rohe. Ahakoa me te EMR, me mahi tonu te tuatahi me te nui o te mahanga nui hei whakaiti i te maha o nga waahanga.
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Te wa tuku: Feb-13-2025