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Te Matao Matao o te Puku me te Porowhita Whiri
Ngā Āhuatanga
Ngā momo āhua me te rahi o te koropiko.
●Āhua Porowhita: Porowhita(A), Āhua Hexagonal(B) me Āhua Marama(C)
●Rahi Porowhita: 10mm-15mm
Mahanga Makariri
●0.24 me te 0.3mm te matotoru.
●Ahua ahurei, momo parepare
●Kua whakamātauhia haumanutia tēnei momo Mahanga hei tango haumaru, hei tango whai hua hoki i te polyp iti, me te kore e whakamahia he cautery.
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Taputapu EMR EDS Polypectomy Cold Snare mō te Whakamahinga Kotahi
Ngā Āhuatanga
● I hangaia mō ngā polyp < 10 mm
● Waea tapahi motuhake
● Hoahoa mahanga kua arotauhia
● Tapahi tika, ōrite
● Te taumata teitei o te mana whakahaere
● Te pupuri ergonomic
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Ngā Taputapu EMR Ngira Endoscopic mō te Bronchoscope Gastroscope me te Enteroscope
Taipitopito Hua:
● He pai mō ngā hongere taputapu 2.0 mm me 2.8 mm
● Te roa mahi ngira 4 mm, 5 mm me te 6mm
● He hoahoa kakau ngāwari te pupuri, ā, he pai ake te whakahaere
● Ngira maitai kore waikura 304 kua whakapikohia
● Kua whakahoromatatia e te EO
● Whakamahinga kotahi
● Te roa o te oranga: 2 tau
Ngā Kōwhiringa:
● Kei te wātea mai i te rahinga, i te mea kua horoia rānei
● Kei te wātea i roto i ngā roa mahi kua whakaritea
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Ngā Mea Whakapaunga Endoscopic Ngā Werohanga Ngira Endoscopic mō te Whakamahinga Kotahi
1. Roa Mahi 180 me te 230 CM
2. Kei te wātea i roto i te Ine /21/22/23/25
3.Ngira – He poto, he koi hoki te whao, he 4mm, he 5mm me te 6mm te rahi.
4. Kei te wātea - He parakore. Mō te whakamahinga kotahi anake.
5. He ngira i hangaia mō te pupuri pūmau me te ngongo o roto, ā, ka ārai i te turuturu pea mai i te hononga o te ngongo o roto me te ngira.
6. He ngira motuhake i hangaia hei tuku pēhanga ki te werohanga i te rongoā.
7. He mea hanga te ngongo o waho ki te PTFE. He maeneene, ā, e kore e kino te hongere endoscopic i te wā e whakaurua ana.
8. Ka taea e te taputapu te whai i ngā hanganga uaua kia tae atu ai ki te ūnga mā te endoscope.
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Ngā Pūnaha Tukunga Taputapu Endoskopi Ngā Topenga Hemostasis Hurihuri Endoclip
Taipitopito Hua:
Hurihia te kakau i te ōwehenga 1:1. (*Hurihia te kakau me te pupuri i te hononga ngongo ki te ringa kotahi)
Whakatuwheratia anō te mahi i mua i te whakatinanatanga. (Kia tūpato: Whakatuwheratia, katihia hoki kia rima ngā wā)
MR Āhuatanga: Ka tukuna he tikanga MRI ki ngā tūroro i muri i te whakatakotoranga o te topenga.
Putanga Whakarerekē 11mm.
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Whakatuwheratia anō ngā topenga hemostasis hurihuri mō te whakamahinga kotahi.
Taipitopito Hua:
● Whakamahinga Kotahi (Ka taea te Whakakore)
● Kakau hurihuri-tukutahi
● Whakapakari i te hoahoa
● Utaina anō he mea watea
● Neke atu i te 15 ngā momo
● Neke atu i te 14.5 mm te whakatuwheratanga o te topenga
● Hurihanga tika (Taha e rua)
● He maeneene te uhi o te paparanga, he iti ake te kino ki te awa mahi
● Ka tangohia maoritia i muri i te whakaoranga o te wāhi whara
● Hototahi ā-tikanga ki te MRI
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Ngā Taputapu Endoscopic Ngā Topenga Hemostasis Endoscopy mō te Endoclip
Taipitopito Hua:
Topenga ka taea te neke
He hoahoa topenga hurihuri e taea ai te uru atu me te whakanoho ngāwari
He whakatuwheratanga nui mō te hopu kiko whai hua
Mahi hurihuri kotahi-mō-kotahi e taea ai te whakahaere ngāwari
Pūnaha tuku tairongo, ngāwari ki te tuku i ngā topenga -
Te Whakamahinga Kotahi o te Gastroskopi Endoscopy Wera Biopsy Forceps mō te Whakamahinga Hauora
Taipitopito Hua:
●Ka whakamahia tēnei kuku mō te tango i ngā polyp iti,
●Porotītaha meĀrikarikakauae i hangaia ki te kowiri tira pokanga,
●Te katitere pania ki te PTFE,
●Ka tutuki te totohu mā te whakatuwhera, te kati rānei i ngā kauae
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Ngā Forceps Biopsy Wera Endoscopic Whakakorekore mō te Gastroscope Colonoscopy Bronchoscopy
Taipitopito Hua:
1. He pai ake te hoahoa hurihuri tukutahi 360° mō te whakatikatika i ngā whara.
2. Kua pania te mata o waho ki tētahi paparanga ārai, ka taea te whai wāhi ārai me te karo i te pakaru o te hongere rawhi endoscope.
3. Mā te hoahoa tukanga motuhake o te pane rawhi ka taea te aukati i te toto me te ārai i te nui o te pāpaka.
4. He maha ngā momo kōwhiringa kauae e pai ana mō te tapahi kiko, te electrocoagulation rānei.
5. He mahi ārai-paheke te kauae, e whai hua ai, e tere ai, e whai hua ai hoki te mahi.
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Ngāwari Pokanga Endoscpopic Wera Biopsy Forceps kahore he ngira
Taipitopito Hua:
● Ngā kutikuti auau-teitei, te hemostasis tere
● Kua pania tōna taha waho ki te paninga tino hinuhinu, ā, ka taea te whakauru mārie ki roto i te awa o te taputapu, ka whakaiti i te pakaru o te awa i puta mai i te kukupa koiora.
● Ka whakamahia tēnei kuku mō te tango i ngā porepore iti,
● Ngā kauae porowhita me ngā kauae whēneti i hangaia ki te maitai kore waikura pokanga,
●Tte whānui o te ipu 2.3 mm
●Lte roa 180 henimita me te 230 henimita
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Ngā Taputapu Endoscopy Paraihe Cytology Endoscopic Whakakorekore mō te Ara Gastrointestinal
Taipitopito Hua:
•He hoahoa paraihe whakauru, kāore he mōrearea o te taka.
•Paraihe āhua tika: he ngāwari ki te tomo ki roto i te hohonutanga o te ara manawa me te ara nakunaku
•He pito āhua matā i hangaia hei āwhina i te whakaiti i te whara o te kiko
• Kakau ergonomic
•He pai te āhuatanga tauira me te whakahaere haumaru
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Paraihe Cytological mō ngā Ara Gastrointestinal ka taea te whakakore mō te Endoscope
Taipitopito Hua:
1. Kakau mowhiti koromatua, ngāwari ki te whakahaere, ngāwari me te watea;
2. Hoahoa pane paraihe whakauru; kāore e taka ngā paraihe;
3. He nui te koki whānui o ngā huruhuru paraihe, ā, he katoa te tauira hei whakapai ake i te tere kitenga pai;
4. He maeneene, he mārō te pito o te pane porowhita, ā, he ngawari, he mārō hoki ngā huruhuru o te paraihe, e pai ake ai te whakaiti i te whakaoho me te kino ki te pakitara o te awaawa;
5. Hoahoa anga takirua me te ātete piko pai me ngā āhuatanga pana;
6. He māmā ake te uru atu ki ngā wāhanga hohonu o te ara manawa me te ara nakunaku i te pane paraihe tika;
