ESDhe tapu ake ngā mahi kia mahia matapōkeretia, kia kore rānei e taea te whakahaere.
He rerekē ngā rautaki e whakamahia ana mō ngā wāhanga rerekē. Ko ngā wāhanga matua ko te korokoro, te puku, me te korokoro. Kua wehea te puku ki te antrum, te rohe prepyloric, te koki puku, te fundus puku, me te piko nui o te tinana puku. Kua wehea te korokoro ki te koroni me te rectum. I roto i ēnei,ESD o ngā whara piko nui o te antrumhe wāhanga taumata tīmatanga, engari he uaua ake te ESD o ngā whara o te koki puku, te cardia, me te koroni matau.
Ko te kaupapa whānui ko te whakaaro ki te taumaha iti, ka tīmata ki te wāhanga uaua, kātahi ki te wāhanga ngāwari. Tīmata te tapahi me te tango mai i te tūranga taumaha iti. I te wā e tangohia ana, me tīmata hoki te tango mai i te wāhanga tino uaua. Ka taea te mahi i te ESD esophageal mā te tapahi momo pana. Me hoahoa i mua te ahunga o te tapahi me te tango i ngā whara puku. Ka taea te whakaatu i ngā whara i te koki puku, te piko iti o te tinana puku, me te rohe prepyloric mā te kukume. Ko te hangarau kauhanga me te tikanga pute he wāhanga o te rautaki ESD. Ko ngā hangarau i ahu mai i te ESD ko te ESTD, EFTR, ESE, POEM, me ētahi atu. Ko ēnei hangarau he hangarau hoki e puta noa mai ana i muri i te mōhio ki ngā pūkenga ESD. Nō reira, ko te ESD te turanga.
2. Ngā taipitopito mahi ESD
ESDKo ngā taipitopito o te mahi he taipitopito kei raro i te arataki a te rautaki nui.
Ngā Taipitopito Whakahaere
Kei roto i ngā taipitopito o te mahi te tohu, te werohanga, te tihore, me ētahi atu.
E rua ngā mahi tinihanga: ko tētahi ko te tango maripi ka taea te whakahaere i raro i te tirohanga tika (whakaitihia te tango maripi matapo), ā, ko tētahi ko te whakahaere i ngā rohe me ngā whakahaere iti.
Te tapanga me te werohanga
Ka whakamahia te tohu electrocoagulation hei tohu. Ko te tikanga, ko te rohe whara (2-5 mm i waho) te tohu. Ka taea te tohu i ia tohu, i ia tohu rānei, mai i te nui ki te iti. Hei whakamutunga, me noho te tawhiti i waenga i ngā tohu e rua ki roto i te 5 mm, ā, me kitea ina tata te endoscope ki te tirohanga.
Ki te wāhi kua tohua e whai ake nei. Ko te werohanga e hangai ana ki ngā whanonga whaiaro. Whai muri i te werohanga ki te paparanga raro o te kiri, me tango paku te ngira, kātahi ka werohanga anō kia tika ai te teitei o te whara mō te tapahi me te tihore i muri mai.
Tapahia
Ko te tapahi, ka tapahia ētahi wāhanga mai i tawhiti ki tata, mai i tata ki tawhiti rānei (tāpae pana), e ai ki ngā tikanga whaiaro me ngā wāhanga motuhake, me tapahi hoki mai i te pūwāhi iti rawa o te kaha ā-papa i te tuatahi. Kei roto i te tapahi ko te tapahi papaku me te tapahi hōhonu. Me "tika" te tapahi me te "rawa". Me ranea te hōhonutanga o te tapahi i mua i te mahi tihore i muri mai. Pērā i te tango i te maripi me te whakatū i te matapihi anahera. Kia tomo ki te matapihi anahera,
Ko te tikanga o te ESD he whakatutuki i tētahi huarahi whai hua. Engari i roto i te ao tūturu, kāore e taea e ngā ESD katoa te tomo ki te Matapihi o te Āngera. He maha ngā whara iti me ngā whara motuhake kāore e taea e te ESD te tomo ki te Matapihi o te Āngera. I tēnei wā, ko te nuinga o te wā e whakawhirinaki ana ki te mahi maripi kua whakatikatikaina.
Hutia: Hutia te wāhanga uaua ki te whakahaere i te tuatahi. Ina titia te wāhanga i raro i te kiriuhi, me mahi mai i ngā taha e rua ki waenganui, kia hanga he "kī" āhua-V. Me rawaka te hohonu o te tapahi ā-taha, ki te kore ka ngāwari te titia ki tua atu i te rohe. Ko te iti o te kiko e toe ana, ko te nui ake o te herekoretanga. Me whakahaere te maripi kia tapahia tika te kiko, inā koa te kiko whakamutunga. Ki te kore e pai te whakahaere, ka ngāwari te tapahi nui rawa, te iti rawa rānei.
Me pēhea te pupuri i te whakaata
E rua ngā huarahi hei pupuri i te karu tirotiro ESD, ā, mā ēnei e whakahaere te tinana o te karu tirotiro, ngā porotiti, me ngā taputapu whakauru, me ngā taputapu whakaputa. E rua ngā tikanga: "te ahunga ringa maui + ngā taputapu" me "ngā ringa e rua ki ngā ringa e whā". Ko te kaupapa matua o te pupuri i te karu tirotiro ko te pupuri i te papa mahi kia pumau, kia taea hoki te whakahaere. I tēnei wā, he pai ake te pumau o te tikanga ringa-rua ki ngā ringa-whā, ā, he whānui ake te whakamahinga. Mēnā he pumau te karu tirotiro, ka taea te whakahaere pai ake i te whakaaturanga o ngā kiko iti me ngā papa.
Mā te tikanga pupuri whakaata pai anake ka taea te whakahaere pai ake i te maripi. Mā te tikanga tango maripi ka taea te whakahaere pai ake i te ahunga, ko te kaupapa kia matara atu i te paparanga uaua me te tapahi i te kiko e whaihia ana. I te wā e hanga ana i teESDI roto i te tapahi i raro i te kiriuhi, me tapahi tata ki te paparanga uaua, kia rawaka te hohonutanga o te tapahi kiko, ā, kia māmā ake te aukati i te toto. Ko te mea nui kia kaua e tino hohonu, kia matara rawa rānei te tapahi, ā, ko te tikanga tango maripi te pūkenga matua i tēnei wā.
Te whakahaere i te tirohanga
Ka kitea anō hoki te mana whakahaere i te ahunga i roto i te whakaaturanga me te whakahaere i te tirohanga whānui. Haunga te hurihuri i te porowhita me te tinana o te karu, ka whakamahia anō hoki ngā taupoki me ngā taputapu mārama hei whakaatu i te tirohanga whānui, i te kiko rānei e whaia ana, inā koa te kaha iti e whakamahia ana hei whakaatu me te hiki i ngā kiko iti, he tino iti te whakarerekētanga o te kiko.
Whakahaerehia te tawhiti o te tirohanga. Mēnā ka noho te tirohanga ki te tawhiti tika, ka taea te whakahaere me te whakahaere. Mēnā he tawhiti rawa, he tata rawa rānei, ka uaua ki te whakahaere i te maripi kia pumau. Ahakoa te āhua o ngā nekehanga ngawari, kāore he nekehanga, kua whai kaha whakarerekētanga ā-roto kē te kiko. Koia te take me whakamahi te ESD i te tawhiti tika me te whakarerekētanga tika.
Ko ngā taipitopito o runga ake nei, te pupuri i te arotahi, me te whakahaere tirohanga whānui, koinei ngā ihirangi matua oESD"whakahaere arotahi".
Ko mātou, ko Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., he kaihanga i Haina e tohunga ana ki ngā taonga endoscopic, pērā i tete pūwero koioras, hemoclip, mahanga poripi, ngira whakaora kiriuhi, pūwero rehu, paraihe cytology, waea ārahi, kete tiki kohatu, te katitere whakaheke wai ihu,te hipoki urunga uretermete hipoki urunga ureter me te momime ētahi atu e whakamahia whānuitia ana i roto iEMR, ESD, ERCPKua whai tiwhikete CE ā mātou hua, ā, kua whai tiwhikete ISO ā mātou whare hanga. Kua kaweakehia ā mātou taonga ki Ūropi, Amerika Te Raki, Te Rawhiti o Waenganui me tētahi wāhanga o Āhia, ā, kua whānuitia te mihi me te whakamoemiti a te kiritaki!
Wā tuku: Hurae-14-2025