01.He whānuitia te whakamahinga o te ureteroscopic lithotripsy hei rongoā i ngā kōhatu o te ara mimi o runga, ā, he raruraru nui i muri i te pokanga te kirika pangia. Ka whakanuia e te toto tonu i te wā pokanga te pēhanga o roto o te pelvis (IRP). Ka taea e te IRP teitei rawa te whakararu i te pūnaha kohikohi, ā, ka mutu, ka puta he raruraru pēnei i te mate. I te whanaketanga tonu o ngā tikanga intracavitary iti rawa te whakaekenga, kua whakamahia te ureteroscopy ngāwari me te holmium laser lithotripsy hei rongoā i ngā kōhatu tākihi nui atu i te 2.5 cm nā te mea he iti te whara, he tere te whakaora i muri i te pokanga, he iti ake ngā raruraru, me te iti o te toto. Heoi, ko tēnei tikanga ka pakaru noa i te kōhatu, kāore e tango katoa i ngā kongakonga pakaru. Ko te tikanga matua e whakawhirinaki ana ki te kete tango kōhatu, he roa te wā, kāore i oti, ā, he ngāwari ki te hanga ara kōhatu. Nō reira, ko te whakapai ake i ngā reiti kore kōhatu, te whakapoto i ngā wā pokanga, me te whakaiti i ngā raruraru i muri i te pokanga he wero nui.
02. I ngā tau tata nei, kua whakaarohia ngā tikanga maha mō te aroturuki i te IRP i te wā o te pokanga, ā, kua āta whakamahia te hangarau momi pēhanga kino ki te ureteroscopic lithotripsy.
Āhua-Y/ste tangopūwerourungapūeru
Te Whakamahinga i Whakaritea
Whakamahia hei whakarite i te urunga atu ki ngā taputapu i te wā e mahia ana ngā tikanga mimi ureteroscopy.
Ngā Tukanga
Te ureteroscopy ngāwari/pakari
Ngā tohu
Te tango i te taiaho holmium ngāwari,
Te whakamātautau karuārai me te rongoā i te toto totoka o runga o te ara mimi,
Te tapahi me te tango wai i te taiaho holmium ngāwari mō ngā pukupuku parapelvic,
Te whakamahinga o te endoscopy ngāwari hei rongoā i ngā uauatanga o te ureter,
Te whakamahinga o te rihotripsy taiaho holmium ngāwari i ngā wā motuhake.
Tukanga Pokanga:
I raro i te whakaahua hauora, ka kitea ngā kōhatu i roto i te ureter, te pūkahukahu, te whatukuhu rānei. Ka whakaurua he waea ārahi mā te whakatuwheratanga o waho o te urethral. I raro i te waea ārahi, ka whakatakotoria he uhi ārahi ureter momi pēhanga korehau ki te wāhi tango kōhatu. Ka tangohia te waea ārahi me te ngongo whakawhanui i roto i te uhi ārahi ureter. Kātahi ka whakatakotoria he taupoki silicone. Mā te kōhao pokapū o te taupoki silicone, ka whakaurua he ureteroscope ngāwari, he endoscope, he muka laser, me te taura whakahaere mā te awa matua o te uhi ārahi ureter ki te ureter, te pūkahukahu, te pelvis whatukuhu rānei mō ngā tikanga pokanga e tika ana. I te wā o te tikanga, ka whakaurua e te taote pokanga te endoscope me te muka laser mā te awa o te uhi. I te wā o te laser lithotripsy, ka mimitihia e te taote pokanga me te tango i ngā kōhatu mā te whakamahi i tētahi taputapu momi korehau e hono ana ki te putanga wai korehau. Ka whakatikatika te taote pokanga i te pēhanga korehau mā te whakatikatika i te piri o te taupoki hononga Luer kia tino tangohia ai te kōhatu.
Ngā painga ki runga i ngā tikanga tuku ihourunga ki te ureterngā pūtu
01. Te Whai Huatanga o te Tango Kōhatu: Ko te reiti kore kōhatu mō ngā tūroro e pokangahia ana te kōhatu mā te whakamahi i te uhi arataki ureter pēhanga-korehau i eke ki te 84.2%, ki te whakaritea ki te 55-60% anake mō ngā tūroro e whakamahi ana i te uhi arataki paerewa.
02. Wā Pokanga Tere, Kāore i te Tino Mamae: Ka taea e te hipoki arataki ureter pēhanga-korehau te wawahi me te tango i te kōhatu i te wā pokanga, ka whakaitihia te wā pokanga me te mōrearea o te toto me te mate huakita.
03. Tirohanga Mārama Ake i te Wā Pokanga: Mā te uhi arataki ureter pēhanga-korehau ka tere ake te tango me te werohanga o te toto, ka tangohia pai ai ngā rauemi pupuhi i te wā pokanga. Mā tēnei ka mārama ake te tirohanga i te wā pokanga.
Ngā Āhuatanga Hoahoa Hua
Rūma Momi
Ka hono ki tētahi pūrere momi, ka mahi hei awa momi, e tuku ana i te wai rerenga kia rere ki waho, hei tango hoki i ngā maramara kōhatu.
Hononga Luer
Whakatikatikahia te piri o te taupoki hei whakatika i te pēhanga momi. Ina tino piri te taupoki, ka tino kaha te momi, ka hua ake te kaha momi tino teitei. Ka taea hoki te whakamahi hei rūma whakamakuku.
Pōtae hiraka
Ka hiritia e tēnei taupoki te awa matua. He kōhao iti kei waenganui, e āhei ai te whakaurunga o tētahi ureteroscope ngāwari, he endoscope, he muka laser, he taura whakahaere rānei mā te awa matua o te uhi whakauru ureter ki te ureter, te pūkahukahu, te pelvis whatukuhu rānei mō ngā mahi pokanga aseptic.
Ko mātou, ko Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., he kaihanga i Haina e tohunga ana ki ngā taputapu endoscopic. Kei a mātou te raina GI, pēnei i te he kuku koiora, he hemoclip, he mahanga polyp, he ngira sclerotherapy, he catheter rehu, he paraihe cytology, he waea ārahi, he kete tango kohatu, he catheter whakaheke wai ihu e whakamahia whānuitia ana i roto iEMR, ESD, ERCP. Ā, raina mimi, pērā iKete Whakaemi Kōhatu Mimi, Waea Arataki, Puranga Uru Ureteral mePutunga Uru Ureteral me te momi me ētahi atuHe tiwhikete CE ā mātou hua, ā, he tiwhikete ISO ā mātou wheketere. Kua kaweakehia ā mātou taonga ki Ūropi, Amerika Te Raki, Te Rawhiti o Waenganui me tētahi wāhanga o Āhia, ā, he whānuitia te whiwhinga o te kiritaki i te mihi me te whakamoemiti!
Wā tuku: Akuhata-02-2025