Kēmu Tika i roto i te Endoscopy: Ngā Taipitopito e Rua hei Whakatau i te Angitu o te Tangohanga Mahanga

I roto i ngā tikanga tango endoscopic, he maha ngā wā ka whakawhirinaki tātou ki ngā taputapu matatau, engari ka warewarehia ngā āhuatanga rerekē o ngā mahi taketake. He aha rā, ahakoa te āhua kua mau pai te whara, ka paheke atu i te wā e whakau ana tātou i te mahanga? I tēnei rā, e tango ana i ngā māramatanga mai i te pukapukaTe Tikanga Oho: Ngā Tikanga Taketake i roto i te Endoscopy Nakunaku, me hurahia ngā taipitopito moroiti o te whakahaere mahanga, koia nei te mea e whakatau ana i te angitu, i te kore rānei.

Kua pāngia pea ngā tākuta tirotiro toto e ēnei āhuatanga 'pikitanga toto toto': Ka āta nekehia e koe te mahanga ki runga i te whara, ka whakatakotoria kia tino tika ngā tautuhinga toto toto, ka takahia te pēhi—kātahi ka rangona he 'pāoro', ā, ka paheke te whara, ka kino ake rānei, ka tangohia wāhanga-wāhanga.

I ēnei wā, ko te tauhohenga tuatahi a te nuinga o te tangata ko te whakapae i te waimarie kino, i ngā taputapu hē rānei. Heoi, ki ngā kanohi o ngā tohunga mātau kua arotake i ngā tikanga maha, he onge te mea he waimarie noa iho tēnei. He maha ngā wā ka rite ki te poma wā e whakatōkia ana e ngā tikanga whakahaere ngoikore.

I tēnei rā, me te whakamahi i te rapunga whakaaro hangarau a te tohunga endoscopist rongonui o Hapanihi, a Tākuta Ken Oho, kia rukuhia tātou ki ngā 'wāhi matapo' e rua i roto i te tangohanga mahanga e tino warewarehia ana e te hunga tauhou me te hunga tawhito—ko tete tūngame tepokapū.

I te wā e whakamahi ana i te mahanga, he maha ngā tauhou ka oma tika atu ki te whara i te wā tonu ka whiwhi rātou i te taputapu. Ahakoa he tere ā rātou nekehanga, he maha ngā wā ka pōrearea, ka koretake hoki.

I roto i te "Tikanga Oho," ko te whakatika i te mahanga he whai i tētahi raupapa arorau pakari, e wehea ana kia whā ngā taahiraa:

Ahakoa te ngāwari o tēnei tukanga, e hiahia ana kia nui te mahi tahi a te ringa me te kanohi i ia taahiraa.

He aha te hiranga o te pito? Nā te mea i roto i te pūwero ngohengohe, hihiri hoki o te whekau, ka mahi te pito hei "pūnga" mahi mā tātou.

He maha ngā tākuta tirotiro puku kua taunga ki te whakamahi i tētahi wāhanga whaiti o te whekau, i te taha rānei kei te ritenga atu o te hononga mesenteric hei tūāpapa, engari he maha ngā wā ka paheke tēnei.

Kei roto i tēnei te mea ngaro o te "Tikanga Oho":te whakamahi i te pito o te mahanga hei pou tūāpapa.

E rua ngā tikanga mahi motuhake mō tēnei. Ka taea e te katoa te tirotiro tata ki te Pikitia 1 (Te Whakatika i te Mahanga), i tangohia mai i te pukapuka:

He aha ai? He āhuatanga ā-tinana tino ngaro kei te takarohia i konei.

Ina whakakīkīhia te mahanga, ka hoki whakamuri ki roto i te anga o waho. I roto i tēnei tukanga, ka whakamahia he kaha pana ki waho e te turanga o te mahanga (te pito e hono ana ki te anga). Ka hua ake tēnei i tētahi hua kino: he maha ngā wā ka tōia te whara ki waenganui o te mahanga, kaua ki tōna turanga.

Ki te kore koe i whakatika tika i te tūnga i mua i te whakakī, tera pea ko tētahi wāhanga anake o te whara kei roto i te mahanga, ko ētahi atu kei waho. Kia whakahohehia e koe te hikohiko, kāore te wāhanga e kitea ana e tangohia, ka hua ake he "tangohanga wāhanga".

Nā, he aha te otinga?

I te wā tonu e whakakīkī ana i te mahanga, me neke haere te anga o waho i te wā kotahi. Ko te kaupapa o te pana i te anga ki waho i te wā e whakakīkī ana, kia mau tonu te whara ki waenganui o te mahanga (e whakaaturia ana i te Pikitia 2).

Kaua e whakahawea ki tēnei nekehanga māmā o te 'pana atu i mua i te whakakīkī'—mā tēnei ka taea e koe te kite mārama i te whara e kapi katoa ana i runga i te mata tirotiro, kaua e whakawhirinaki noa ki te 'rongo'.

Kua whakarāpopototia e Tākuta Ohba te mauri matua o te whakahaere i te mahanga.

Ki te kore te pito o te mahanga e pēhi mārō ki te kiko, ka tōia te pito ina whakakīia te mahanga, ka paheke te whara. I tetahi atu taha, ki te pēhia rawatia te pito, ka neke te pūtahi mai i te pito ki te anga o waho. Nō reira, he mea nui kia"Ko te pito o te mahanga tonu hei pūtake."

He tino pārekareka tēnei kōrero ki te tini o ngā tohunga tirotiro mata. Ko tā mātou e kī nei ko te "waimarie kino" he hapa noa iho i ngā taipitopito o tā mātou tikanga.

I a koe e pānui ana i tēnei, kei te pā mai te "wā whakahīhī" ki a koe? Kua kitea kua whakarāpopototia kētia e ō tātou tūpuna ngā kōrero iti e warewarehia ana e tātou i te wā o ngā tikanga.

Ko te matatau ki te pū me te pokapū te tūāpapa. Engari me whai taputapu pono anō hoki te ringa pūkenga. He taputapu kounga teiteimahanga polypectomyme tuku:

I ZRHmed, ka hangaia e mātou ngā mahanga polypectomy whakakorekore i hangaia me te whakaaro ki ēnei āhuatanga haumanu. Kei te wātea ā mātou mahanga i ngā āhua porowhita, hexagonal, me te marama marama, me ngā kōwhiringa hurihuri me ngā kōwhiringa kore hurihuri, te whakamahinga makariri me te whakamahinga wera, me te roa mahi mai i te 1200mm ki te 2300mm. Kua tiwhikete MDR CE ngā hua katoa, ā, i hangaia i raro i te ISO 13485.