Me pēhea te tango i ngā kōhatu o te awaawa ate mā te ERCP
He tikanga nui te ERCP hei tango i ngā kōhatu o te awaawa o te ate mō te rongoā i ngā kōhatu o te awaawa o te ate noa, me ngā painga o te iti o te whakaekenga me te tere o te whakaora. Ko te ERCP hei tango i ngā kōhatu o te awaawa o te ate ko te whakamahi i te endoscopy hei whakaū i te wāhi, te rahi me te maha o ngā kōhatu o te awaawa o te ate mā te intracholangiography, kātahi ka tangohia ngā kōhatu o te awaawa o te ate mai i te wāhanga o raro o te awaawa o te ate noa mā te kete tango kōhatu motuhake. Ko ngā tikanga motuhake koia ēnei:
1. Te tango mā te lithotripsy: ka tuwhera te awaawa aukume noa i roto i te duodenum, ā, kei reira te sphincter o Oddi i te wāhanga o raro o te awaawa aukume noa i te whakatuwheratanga o te awaawa aukume noa. Mena he nui ake te kōhatu, me tapahi tetahi wāhanga o te sphincter o Oddi hei whakawhanui i te whakatuwheratanga o te awaawa aukume noa, he mea pai mō te tango kōhatu. Ina nui rawa ngā kōhatu kāore e taea te tango, ka taea te wawahi i ngā kōhatu nui ki ngā kōhatu iti mā te kuru i ngā kōhatu, he mea watea mō te tango;
2. Te tango i ngā kōhatu mā te pokanga: Haunga te maimoatanga endoscopic o te choledocholithiasis, ka taea te mahi choledocholithotomy iti rawa te whakaekenga hei tango i ngā kōhatu mā te pokanga.
Ka taea te whakamahi i ngā mea e rua mō te rongoā i ngā kōhatu o te awaawa o te ate, ā, me whiriwhiri ngā tikanga rerekē i runga i te tau o te tūroro, te nui o te whānui o te awaawa o te ate, te rahi me te maha o ngā kōhatu, me te kore e aukatia te whakatuwheratanga o te wāhanga o raro o te awaawa o te ate.
Ko ā mātou hua e whakamahia ana mō te tango i ngā kōhatu o te awa ate mā te ERCP.
Ngā Waea Arataki Hauora Whakamahi-kotahi a ZhuoRuiHua, i hangaia hei whakamahi i roto i ngā tikanga endoscopic biliary me te pancreatic ducts mō te whakaurunga me te whakawhiti catheter, me te whakarei ake i te reiti angitu o te ERCP. Ko ngā waea arataki he uho Nitinol, he pito tino ngāwari radiopaque (tika, koki rānei) me te paninga Kōwhai/Mangu tae me ngā āhuatanga reti tino teitei. I te taha tawhiti, he paninga hydrophilic ēnei. Hei tiaki me te whakahaere pai ake, kei roto ngā waea i tētahi pouaka kirihou porowhita. Kei te wātea ēnei waea arataki i ngā diameter 0.025" me te 0.035" me te roa mahi e wātea ana i te 260 cm me te 450 cm. He pai te ngāwari o te pito o te waea Arataki hei āwhina i te ine i te stricture, ā, ka whakapai ake te pito hydrophilic o te waea arataki i te whakatere o te ductal.
He kounga teitei, he hoahoa ergonomic hoki ngā kete tango-whakakore mai i ZhuoRuiHua Medical, kia ngāwari ai te tango i ngā kōhatu ate me ngā mea ke. Mā te hoahoa kakau taputapu ergonomic ka taea te neke me te tango i te kōhatu i te ringa kotahi, ā, he ngāwari hoki. He mea hanga ngā rauemi ki te maitai kore waikura, ki te Nitinol rānei, he pito ārai-mamae ia mea. Mā te putanga werohanga watea ka ngāwari te werohanga o te rauemi rerekē. Mā te hoahoa waea-whā noa tae atu ki te taimana, te porowhita, te āhua porowhita hei tango i te whānuitanga o ngā kōhatu. Mā te Kete Tango Kōhatu ZhuoRuiHua, ka taea e koe te whakahaere i te nuinga o ngā āhuatanga i te wā e tango ana i te kōhatu.
E whakamahia ana ngā Kātene Waipuke Ihu Hauora a ZhuoRuiHua mō te whakawhiti i ngā awaawa biliary me te pancreas ki waho o te tinana mō te wā poto. Ka whakaratohia he rerenga pai, ā, ka whakaiti i te tūponotanga o te cholangitis. E rua ngā āhua matua o ngā Kātene Waipuke Ihu, arā, 5 Fr, 6 Fr, 7 Fr me te 8 Fr ia kātene: he hiku poaka me te hiku poaka me te āhua pihi alpha. Kei roto i te huinga: he tirotiro, he ngongo ihu, he ngongo hononga rerenga me te hononga Luer Lock. He mea hanga te kātene waipuke ki te rauemi radiopaque me te wai pai, he ngāwari te kite me te whakanoho.
Wā tuku: Mei-13-2022