I roto i te mara o te Pokanga Retrograde Intrarenal (RIRS) me te pokanga urology whānui, kua puta ake ētahi hangarau me ngā taputapu hou i ngā tau tata nei, e whakarei ake ana i ngā putanga pokanga, e whakapai ake ana i te tika, e whakaiti ana hoki i te wā whakaora o te tūroro. Kei raro nei ētahi o ngā taputapu auaha kua whai wāhi nui ki ēnei tikanga:
1. Ngā Ureteroscope Ngāwari me te Whakaahua Taumira-Teitei
Auahatanga: Mā ngā ureteroscope ngāwari me ngā kāmera whakamāramatanga teitei kua whakauruhia me te tirohanga 3D ka taea e ngā taote pokanga te tiro i te hanganga o te whatukuhu me te tino mārama me te tika. He mea tino nui tēnei whanaketanga i roto i te RIRS, ina koa ko te ngāwari ki te neke me te tirohanga mārama te mea nui ki te angitu.
Āhuatanga Matua: Whakaahua kounga teitei, ngāwari ake te nekeneke, me ngā karu tirotiro iti te diameter mō ngā tikanga kore e nui te whakaekenga.
Pānga: Ka taea te kite me te wawahi pai ake i ngā kōhatu whatukuhu, ahakoa i ngā wāhi uaua ki te tae atu.
2. Te Whakamahinga Taiaho (Ngā Taiaho Holmium me Thulium)
Auahatanga: Nā te whakamahinga o ngā taiaho Holmium (Ho:YAG) me Thulium (Tm:YAG) kua tino hurihia te whakahaere kohatu i roto i te mimi. He pai ngā painga o ngā taiaho Thulium mō te tika me te whakaiti i te kino wera, engari kei te rongonui tonu ngā taiaho Holmium nā ō rātou kaha ki te wawahi kohatu.
Āhuatanga Matua: He pakarukaru whai hua mō te kōhatu, he tika te arotahi, ā, he iti noa te kino ki ngā kiko e karapoti ana.
Pānga: Ka whakapai ake ēnei taiaho i te whai huatanga o te tango kohatu, ka whakaiti i te wā pakaru, ā, ka tere ake te whakaora.
3. Ngā Ureteroscope Whakamahi Kotahi
Auahatanga: Mā te whakaurunga mai o ngā ureteroscope kotahi-whakamahinga ka taea te whakamahi tere me te parakore, me te kore e hiahiatia he tukanga whakahoromata e pau ana te wā.
Āhuatanga Matua: Hoahoa whakakorekore, kāore e hiahiatia he tukatuka anō.
Pānga: Ka whakapiki ake i te haumaru mā te whakaiti i te mōrearea o te mate urutā, te poke rānei mai i ngā taputapu kua whakamahia anōtia, kia pai ake ai, kia akuaku ake ai hoki ngā tikanga.
4. Pokanga Āwhina-Robot (hei tauira, te Pūnaha Pokanga da Vinci)
Auahatanga: Mā ngā pūnaha karetao, pērā i te Pūnaha Pokanga a da Vinci, ka taea te whakahaere tika i ngā taputapu, te whakapai ake i te pūkenga, me te whakapai ake i te ergonomics mō te taote pokanga.
Āhuatanga Matua: Te tika ake, te tirohanga 3D, me te ngāwari ake i ngā tikanga iti rawa te whakaekenga.
Pānga: Mā te āwhina karetao ka taea te tango i te kōhatu me ētahi atu tikanga mimi me te tino tika, ka whakaiti i te whara me te whakapai ake i te wā whakaora o te tūroro.
5. Ngā Pūnaha Whakahaere Pēhanga Ā-roto o te Tākihi
Auahatanga: Mā ngā pūnaha whakamakuku me te whakahaere pēhanga hou ka taea e ngā taote pokanga te pupuri i te pēhanga ā-roto whatukuhu tino pai i te wā o te RIRS, ka whakaiti i te mōrearea o ngā raruraru pēnei i te sepsis, te whara rānei o te whatukuhu nā te nui rawa o te pēhanga e puta mai ana.
Āhuatanga Matua: Te rere o te wai e whakahaeretia ana, te aroturukitanga pēhanga i te wā tūturu.
Pānga: Mā ēnei pūnaha ka āwhina i te whakarite i tētahi tikanga haumaru ake mā te pupuri i te taurite wai me te ārai i te pēhanga nui ka kino pea te whatukuhu.
6. Ngā Kete me ngā Kape Kōhatu
Auahatanga: Mā ngā taputapu tango kōhatu matatau, tae atu ki ngā kete hurihuri, ngā kaiponu, me ngā pūnaha tango ngāwari, ka māmā ake te tango i ngā kōhatu pakaru mai i te ara whatukuhu.
Āhuatanga Matua: He pai ake te pupuri, te ngāwari, me te whakahaere pai ake i te pakaru o te kōhatu.
Pānga: Ka āwhina i te tango katoa i ngā kōhatu, tae atu ki ngā mea kua pakaru hei kongakonga iti, ā, ka whakaiti i te tūponotanga o te hokinga mai.
Kete Whakaemi Kōhatu Mimi Whakakorekore
7. Te Ultrasound Endoscopic me te Tomography Whārite Whatu (OCT)
Auahatanga: Mā ngā hangarau ultrasound endoscopic (EUS) me te optical coherence tomography (OCT) ka taea te tiro i te kiko whatukuhu me ngā kōhatu i te wā tonu, hei ārahi i te taote pokanga i te wā o ngā mahi.
Āhuatanga Matua: Whakaahua wā-tūturu, tātari kiko taumira teitei.
Pānga: Ka whakarei ake ēnei hangarau i te kaha ki te wehewehe i waenga i ngā momo kōhatu, te ārahi i te taiaho i te wā e tangohia ana te kōhatu, me te whakapai ake i te tika o te maimoatanga whānui.
8. Ngā Taputapu Pokanga Atamai me ngā Urupare Wā-tūturu
Auahatanga: Ngā taputapu atamai e mau ana i ngā pūoko e whakarato ana i ngā urupare wā-tūturu mō te āhua o te tikanga. Hei tauira, te aroturuki i te pāmahana hei whakarite kei te whakamahia haumaru te kaha taiaho, ā, ka akiaki i ngā pūoko ki te kite i te ātete o te kiko i te wā pokanga.
Āhuatanga Matua: Te aroturuki i te wā-tūturu, te haumaru kua whakapaitia, me te whakahaere tika.
Pānga: Ka whakarei ake i te kaha o te taote pokanga ki te whakatau whai whakaaro, me te karo i ngā raruraru, ka tika ake te tukanga, ka whakaiti hoki i ngā hapa.
9. Āwhina Pokanga e Hangaia ana e te AI
Auahatanga: Kei te whakauruhia te matauranga horihori (AI) ki roto i te mara o te pokanga, e whakarato ana i te tautoko whakatau wā-tūturu. Ka taea e ngā pūnaha e hangai ana ki te AI te tātari i ngā raraunga tūroro me te āwhina ki te tautuhi i te huarahi pokanga tino pai.
Āhuatanga Matua: Tātaritanga wā-tūturu, tātaritanga matapae.
Pānga: Ka taea e te AI te ārahi i ngā taote pokanga i roto i ngā tikanga uaua, te whakaiti i ngā hapa tangata, me te whakapai ake i ngā putanga mō ngā tūroro.
10. Ngā Ārai Urunga Whakaiti i te Urunga
Auahatanga: Kua angiangi ake, kua ngāwari ake hoki ngā uhi urunga whatukuhu, kia māmā ake ai te whakauru me te iti ake o te whara i te wā o ngā tikanga.
Āhuatanga Matua: He iti ake te diameter, he ngāwari ake, ā, he iti ake te whakaurunga kino.
Pānga: Ka pai ake te urunga atu ki te whatukuhu me te iti ake o te kino o te kiko, ka pai ake te wā whakaora o te tūroro me te whakaiti i ngā mōrearea pokanga.
Puranga Uru Ureteral Whakakore me te Momi
11. Aratohu mō te Mooni Mariko (VR) me te Mooni Whakanuia (AR)
Auahatanga: Kei te whakamahia ngā hangarau mariko me ngā hangarau mooni whakanuia mō te whakamahere pokanga me te arataki i mua i te pokanga. Ka taea e ēnei pūnaha te whakakikorua i ngā tauira 3D o te hanganga whatukuhu, o ngā kōhatu rānei ki te tirohanga wā-tūturu o te tūroro.
Āhuatanga Matua: Whakaaturanga 3D wā-tūturu, te tika o te pokanga kua whakarei ake.
Pānga: Ka whakapai ake i te kaha o te taote pokanga ki te whakatere i te hanganga uaua o te whatukuhu, me te arotau i te huarahi ki te tango i te kohatu.
12. Ngā Utauta Koiora Matatau me ngā Pūnaha Whakatere
Auahatanga: Mō ngā tikanga e uru ana ki ngā koiora, ki ngā wawaotanga rānei ki ngā wāhi tairongo, ka taea e ngā ngira koiora matatau me ngā pūnaha whakatere te ārahi i ngā taputapu me te tino tika, kia mau ai te haumaru me te tika o te tikanga.
Āhuatanga Matua: Te arotahi tika, te whakatere wā-tūturu.
Pānga: Ka whakapiki ake i te tika o ngā koiora me ētahi atu wawaotanga, kia iti ai te pakaru o te kiko, kia pai ake ai hoki ngā putanga.
Whakamutunga
Ko ngā taputapu auaha rawa atu i roto i te RIRS me te pokanga mimi e arotahi ana ki te whakapai ake i te tika, te haumaru, ngā tikanga iti rawa te whakaekenga, me te whai huatanga. Mai i ngā pūnaha taiaho matatau me te pokanga āwhina-rorohiko ki ngā taputapu atamai me te āwhina AI, kei te hurihia e ēnei auahatanga te āhua o te tiaki mimi, e whakarei ake ana i te mahi a te taote me te whakaora i te tūroro.
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Wā tuku: Maehe-04-2025