Mahanga Polypectomy Whakakore - Porowhita Tango Polyp Endoscopic mō te Polypectomy Wera me te Makariri
Mahanga Polypectomy Whakakore - Porowhita Tango Polyp Endoscopic mō te Polypectomy Wera me te Makariri
Taipitopito Hua
1. He porowhita mō ia kōtaha whara
2. He waea angiangi hei tapahi, he mārō hei pupuri. I te 0.30 mm (0.012 inihi)
3. Matao, wera rānei, i runga i te whata kotahi.
4. Kua horoia ki te EO i roto i tētahi pēke ka taea te tihore takitahi, e toru tau te roa o te oranga - kāore e hiahiatia he tukatuka anō, kāore e hiahiatia he tatari mō te hurihanga.
5. Te uhi waho o te PTFE e ārai ana.
6. Āhua Porowhita: Hexagonal, Porotītaha, Marama-ā-rangi
Taupānga:
✅ Ngā Whakamahinga Matua:
He mahanga endoscopic kotahi te whakamahinga mō te tango me te/ranei te tahu i ngā polyp iti, noho pūmau, me ngā polyp whai kakau puta noa i te ara kai - ahakoa makariri, ahakoa wera.
●Iti (≤ 5 mm) — mahanga makariri, koropiko 10–15 mm, whakawhiti ā-ringa, kāore he horapa wera.
●He iti te noho (6–10 mm) — he makariri, he wera rānei, he koropiko 15–20 mm, he āhua papatahi te nohoanga.
●He taratara — he mahanga wera, he koropiko 20–27 mm, he hohonu te nohoanga o te kakau me te mea kua tapahia, kua whakapūpū.
●He mahanga noho/papatahi nui ake — he mahanga wera, he koropiko 25–33 mm, he hipoki whakamahana hei pupuri i te wera.
●Tāpiri EMR — te tangohanga i muri i te werohanga, te tangohanga katoa, te tangohanga wāhanga rānei.
Whakatakotoranga
| Kāore. | TAUIRA | WHAKATAURANGA | Diameter o te Porowhita D（mm） | Roa Mahi R±10%（mm） | Hongere Iti rawa Diameter d±0.1（mm） | Mahi hurihuri |
| 1 | OVAL（RA） | ZRH-RA-1812-10 | 10 | 1200 | Ø1.8 | kāore |
| 2 | ZRH-RA-1812-15 | 15 | 1200 | Ø1.8 | kāore | |
| 3 | ZRH-RA-1812-20 | 20 | 1200 | Ø1.8 | kāore | |
| 4 | ZRH-RA-1812-25 | 25 | 1200 | Ø1.8 | kāore | |
| 5 | ZRH-RA-1812-30 | 30 | 1200 | Ø1.8 | kāore | |
| 6 | ZRH-RA-1812-35 | 35 | 1200 | Ø1.8 | kāore | |
| 7 | ZRH-RA-1816-10 | 10 | 1600 | Ø1.8 | kāore | |
| 8 | ZRH-RA-1816-15 | 15 | 1600 | Ø1.8 | kāore | |
| 9 | ZRH-RA-1816-20 | 20 | 1600 | Ø1.8 | kāore | |
| 10 | ZRH-RA-1816-25 | 25 | 1600 | Ø1.8 | kāore | |
| 11 | ZRH-RA-1816-30 | 30 | 1600 | Ø1.8 | kāore | |
| 12 | ZRH-RA-1816-35 | 35 | 1600 | Ø1.8 | kāore | |
| 13 | ZRH-RA-2418-10 | 10 | 1800 | Ø2.4 | kāore | |
| 14 | ZRH-RA-2418-15 | 15 | 1800 | Ø2.4 | kāore | |
| 15 | ZRH-RA-2418-20 | 20 | 1800 | Ø2.4 | kāore | |
| 16 | ZRH-RA-2418-25 | 25 | 1800 | Ø2.4 | kāore | |
| 17 | ZRH-RA-2418-30 | 30 | 1800 | Ø2.4 | kāore | |
| 18 | ZRH-RA-2418-35 | 35 | 1800 | Ø2.4 | kāore | |
| 19 | ZRH-RA-2423-10 | 10 | 2300 | Ø2.4 | kāore | |
| 20 | ZRH-RA-2423-15 | 15 | 2300 | Ø2.4 | kāore | |
| 21 | ZRH-RA-2423-20 | 20 | 2300 | Ø2.4 | kāore | |
| 22 | ZRH-RA-2423-25 | 25 | 2300 | Ø2.4 | kāore | |
| 23 | ZRH-RA-2423-30 | 30 | 2300 | Ø2.4 | kāore | |
| 24 | ZRH-RA-2423-35 | 35 | 2300 | Ø2.4 | kāore | |
| 25 | Hexagon (RB) | ZRH-RB-1812-10 | 10 | 1200 | Ø1.8 | kāore |
| 26 | ZRH-RB-1812-15 | 15 | 1200 | Ø1.8 | kāore | |
| 27 | ZRH-RB-1812-20 | 20 | 1200 | Ø1.8 | kāore | |
| 28 | ZRH-RB-1812-25 | 25 | 1200 | Ø1.8 | kāore | |
| 29 | ZRH-RB-1812-30 | 30 | 1200 | Ø1.8 | kāore | |
| 30 | ZRH-RB-1812-35 | 35 | 1200 | Ø1.8 | kāore | |
| 31 | ZRH-RB-1816-10 | 10 | 1600 | Ø1.8 | kāore | |
| 32 | ZRH-RB-1816-15 | 15 | 1600 | Ø1.8 | kāore | |
| 33 | ZRH-RB-1816-20 | 20 | 1600 | Ø1.8 | kāore | |
| 34 | ZRH-RB-1816-25 | 25 | 1600 | Ø1.8 | kāore | |
| 35 | ZRH-RB-1816-30 | 30 | 1600 | Ø1.8 | kāore | |
| 36 | ZRH-RB-1816-35 | 35 | 1600 | Ø1.8 | kāore | |
| 37 | ZRH-RB-2418-10 | 10 | 1800 | Ø2.4 | kāore | |
| 38 | ZRH-RB-2418-15 | 15 | 1800 | Ø2.4 | kāore | |
| 39 | ZRH-RB-2418-20 | 20 | 1800 | Ø2.4 | kāore | |
| 40 | ZRH-RB-2418-25 | 25 | 1800 | Ø2.4 | kāore | |
| 41 | ZRH-RB-2418-30 | 30 | 1800 | Ø2.4 | kāore | |
| 42 | ZRH-RB-2418-35 | 35 | 1800 | Ø2.4 | kāore | |
| 43 | ZRH-RB-2423-10 | 10 | 2300 | Ø2.4 | kāore | |
| 44 | ZRH-RB-2423-15 | 15 | 2300 | Ø2.4 | kāore | |
| 45 | ZRH-RB-2423-20 | 20 | 2300 | Ø2.4 | kāore | |
| 46 | ZRH-RB-2423-25 | 25 | 2300 | Ø2.4 | kāore | |
| 47 | ZRH-RB-2423-30 | 30 | 2300 | Ø2.4 | kāore | |
| 48 | ZRH-RB-2423-35 | 35 | 2300 | Ø2.4 | kāore | |
| 49 | Marama-ā-rangi (RC) | ZRH-RC-1812-10 | 10 | 1200 | Ø1.8 | kāore |
| 50 | ZRH-RC-1812-15 | 15 | 1200 | Ø1.8 | kāore | |
| 51 | ZRH-RC-1812-20 | 20 | 1200 | Ø1.8 | kāore | |
| 52 | ZRH-RC-1812-25 | 25 | 1200 | Ø1.8 | kāore | |
| 53 | ZRH-RC-1812-30 | 30 | 1200 | Ø1.8 | kāore | |
| 54 | ZRH-RC-1812-35 | 35 | 1200 | Ø1.8 | kāore | |
| 55 | ZRH-RC-1816-10 | 10 | 1600 | Ø1.8 | kāore | |
| 56 | ZRH-RC-1816-15 | 15 | 1600 | Ø1.8 | kāore | |
| 57 | ZRH-RC-1816-20 | 20 | 1600 | Ø1.8 | kāore | |
| 58 | ZRH-RC-1816-25 | 25 | 1600 | Ø1.8 | kāore | |
| 59 | ZRH-RC-1816-30 | 30 | 1600 | Ø1.8 | kāore | |
| 60 | ZRH-RC-1816-35 | 35 | 1600 | Ø1.8 | kāore | |
| 61 | ZRH-RC-2418-10 | 10 | 1800 | Ø2.4 | kāore | |
| 62 | ZRH-RC-2418-15 | 15 | 1800 | Ø2.4 | kāore | |
| 63 | ZRH-RC-2418-20 | 20 | 1800 | Ø2.4 | kāore | |
| 64 | ZRH-RC-2418-25 | 25 | 1800 | Ø2.4 | kāore | |
| 65 | ZRH-RC-2418-30 | 30 | 1800 | Ø2.4 | kāore | |
| 66 | ZRH-RC-2418-35 | 35 | 1800 | Ø2.4 | kāore | |
| 67 | ZRH-RC-2423-10 | 10 | 2300 | Ø2.4 | kāore | |
| 68 | ZRH-RC-2423-15 | 15 | 2300 | Ø2.4 | kāore | |
| 69 | ZRH-RC-2423-20 | 20 | 2300 | Ø2.4 | kāore | |
| 70 | ZRH-RC-2423-25 | 25 | 2300 | Ø2.4 | kāore | |
| 71 | ZRH-RC-2423-30 | 30 | 2300 | Ø2.4 | kāore | |
| 72 | ZRH-RC-2423-35 | 35 | 2300 | Ø2.4 | kāore | |
| 73 | Marama-ā-rangi (RCR) | ZRH-RC-1812-10-R | 10 | 1200 | Ø1.8 | āe |
| 74 | ZRH-RC-1812-15-R | 15 | 1200 | Ø1.8 | āe | |
| 75 | ZRH-RC-1812-20-R | 20 | 1200 | Ø1.8 | āe | |
| 76 | ZRH-RC-1812-25-R | 25 | 1200 | Ø1.8 | āe | |
| 77 | ZRH-RC-1812-30-R | 30 | 1200 | Ø1.8 | āe | |
| 78 | ZRH-RC-1812-35-R | 35 | 1200 | Ø1.8 | āe | |
| 79 | ZRH-RC-1816-10-R | 10 | 1600 | Ø1.8 | āe | |
| 80 | ZRH-RC-1816-15-R | 15 | 1600 | Ø1.8 | āe | |
| 81 | ZRH-RC-1816-20-R | 20 | 1600 | Ø1.8 | āe | |
| 82 | ZRH-RC-1816-25-R | 25 | 1600 | Ø1.8 | āe | |
| 83 | ZRH-RC-1816-30-R | 30 | 1600 | Ø1.8 | āe | |
| 84 | ZRH-RC-1816-35-R | 35 | 1600 | Ø1.8 | āe | |
| 85 | ZRH-RC-2418-10-R | 10 | 1800 | Ø2.4 | āe | |
| 86 | ZRH-RC-2418-15-R | 15 | 1800 | Ø2.4 | āe | |
| 87 | ZRH-RC-2418-20-R | 20 | 1800 | Ø2.4 | āe | |
| 88 | ZRH-RC-2418-25-R | 25 | 1800 | Ø2.4 | āe | |
| 89 | ZRH-RC-2418-30-R | 30 | 1800 | Ø2.4 | āe | |
| 90 | ZRH-RC-2418-35-R | 35 | 1800 | Ø2.4 | āe | |
| 91 | ZRH-RC-2423-10-R | 10 | 2300 | Ø2.4 | āe | |
| 92 | ZRH-RC-2423-15-R | 15 | 2300 | Ø2.4 | āe | |
| 93 | ZRH-RC-2423-20-R | 20 | 2300 | Ø2.4 | āe | |
| 94 | ZRH-RC-2423-25-R | 25 | 2300 | Ø2.4 | āe | |
| 95 | ZRH-RC-2423-30-R | 30 | 2300 | Ø2.4 | āe | |
| 96 | ZRH-RC-2423-35-R | 35 | 2300 | Ø2.4 | āe | |
| 97 | OVAL（RAR） | ZRH-RA-1812-10-R | 10 | 1200 | Ø1.8 | āe |
| 98 | ZRH-RA-1812-15-R | 15 | 1200 | Ø1.8 | āe | |
| 99 | ZRH-RA-1812-20-R | 20 | 1200 | Ø1.8 | āe | |
| 100 | ZRH-RA-1812-25-R | 25 | 1200 | Ø1.8 | āe | |
| 101 | ZRH-RA-1812-30-R | 30 | 1200 | Ø1.8 | āe | |
| 102 | ZRH-RA-1812-35-R | 35 | 1200 | Ø1.8 | āe | |
| 103 | ZRH-RA-1816-10-R | 10 | 1600 | Ø1.8 | āe | |
| 104 | ZRH-RA-1816-15-R | 15 | 1600 | Ø1.8 | āe | |
| 105 | ZRH-RA-1816-20-R | 20 | 1600 | Ø1.8 | āe | |
| 106 | ZRH-RA-1816-25-R | 25 | 1600 | Ø1.8 | āe | |
| 107 | ZRH-RA-1816-30-R | 30 | 1600 | Ø1.8 | āe | |
| 108 | ZRH-RA-1816-35-R | 35 | 1600 | Ø1.8 | āe | |
| 109 | ZRH-RA-2418-10-R | 10 | 1800 | Ø2.4 | āe | |
| 110 | ZRH-RA-2418-15-R | 15 | 1800 | Ø2.4 | āe | |
| 111 | ZRH-RA-2418-20-R | 20 | 1800 | Ø2.4 | āe | |
| 112 | ZRH-RA-2418-25-R | 25 | 1800 | Ø2.4 | āe | |
| 113 | ZRH-RA-2418-30-R | 30 | 1800 | Ø2.4 | āe | |
| 114 | ZRH-RA-2418-35-R | 35 | 1800 | Ø2.4 | āe | |
| 115 | ZRH-RA-2423-10-R | 10 | 2300 | Ø2.4 | āe | |
| 116 | ZRH-RA-2423-15-R | 15 | 2300 | Ø2.4 | āe | |
| 117 | ZRH-RA-2423-20-R | 20 | 2300 | Ø2.4 | āe | |
| 118 | ZRH-RA-2423-25-R | 25 | 2300 | Ø2.4 | āe | |
| 119 | ZRH-RA-2423-30-R | 30 | 2300 | Ø2.4 | āe | |
| 120 | ZRH-RA-2423-35-R | 35 | 2300 | Ø2.4 | āe | |
| 121 | Hexagon (RBR) | ZRH-RB-1812-10-R | 10 | 1200 | Ø1.8 | āe |
| 122 | ZRH-RB-1812-15-R | 15 | 1200 | Ø1.8 | āe | |
| 123 | ZRH-RB-1812-20-R | 20 | 1200 | Ø1.8 | āe | |
| 124 | ZRH-RB-1812-25-R | 25 | 1200 | Ø1.8 | āe | |
| 125 | ZRH-RB-1812-30-R | 30 | 1200 | Ø1.8 | āe | |
| 126 | ZRH-RB-1812-35-R | 35 | 1200 | Ø1.8 | āe | |
| 127 | ZRH-RB-1816-10-R | 10 | 1600 | Ø1.8 | āe | |
| 128 | ZRH-RB-1816-15-R | 15 | 1600 | Ø1.8 | āe | |
| 129 | ZRH-RB-1816-20-R | 20 | 1600 | Ø1.8 | āe | |
| 130 | ZRH-RB-1816-25-R | 25 | 1600 | Ø1.8 | āe | |
| 131 | ZRH-RB-1816-30-R | 30 | 1600 | Ø1.8 | āe | |
| 132 | ZRH-RB-1816-35-R | 35 | 1600 | Ø1.8 | āe | |
| 133 | ZRH-RB-2418-10-R | 10 | 1800 | Ø2.4 | āe | |
| 134 | ZRH-RB-2418-15-R | 15 | 1800 | Ø2.4 | āe | |
| 135 | ZRH-RB-2418-20-R | 20 | 1800 | Ø2.4 | āe | |
| 136 | ZRH-RB-2418-25-R | 25 | 1800 | Ø2.4 | āe | |
| 137 | ZRH-RB-2418-30-R | 30 | 1800 | Ø2.4 | āe | |
| 138 | ZRH-RB-2418-35-R | 35 | 1800 | Ø2.4 | āe | |
| 139 | ZRH-RB-2423-10-R | 10 | 2300 | Ø2.4 | āe | |
| 140 | ZRH-RB-2423-15-R | 15 | 2300 | Ø2.4 | āe | |
| 141 | ZRH-RB-2423-20-R | 20 | 2300 | Ø2.4 | āe | |
| 142 | ZRH-RB-2423-25-R | 25 | 2300 | Ø2.4 | āe | |
| 143 | ZRH-RB-2423-30-R | 30 | 2300 | Ø2.4 | āe | |
| 144 | ZRH-RB-2423-35-R | 35 | 2300 | Ø2.4 | āe |
Ngā Pātai Auau
Mai i te rongoā ZRH.
Te Wā Arataki Whakaputa: 2-3 wiki i muri i te whiwhinga o te utu, ka whakawhirinaki ki te rahinga o tō ota
Tikanga Tukunga:
1. Mā te Express: Fedex, UPS, TNT, DHL, SF express 3-5day, 5-7days.
2. Mā te Rori: Mai i te kāinga me te whenua tata: 3-10 rā
3. I te Moana: 5-45 rā puta noa i te ao.
4. Mā te rangi: 5-10 ngā rā puta noa i te ao.
Tauranga Utaina:
Shenzhen, Yantian, Shekou, Hong Kong, Xiamen, Ningbo, Shanghai, Nanjing, Qingdao
E ai ki tāu whakaritenga.
Ngā Ture Tukunga:
EXW, FOB, CIF, CFR, C&F, DDU, DDP, FCA, CPT
Ngā Tuhinga Tukunga:
B/L, Nama Tauhokohoko, Rārangi Tākai
● He āhua porowhita i hangaia hei hopu, ehara i te mea hei whakararu.
● Āhuatanga waea: tapahi angiangi, pewa pumau.
● Te pupuri wera.
● Mana whakahaere porowhita kotahi-ringa.
● Atanga monopolar paerewa.
● Te whānuitanga o te rahi e taurite ana ki te whara
● Te koretake o te whakamahinga kotahi, kua manatokohia
Kotahi te taputapu, e toru ngā whakatau — te āhua, te rahi, te tikanga. Ngā mahanga polypectomy kotahi te whakamahinga, he parakore mō ngā polyp iti, he noho noa, he pūwero puta noa i te ara GI.
Te Whakamahinga Hauora
● Te tango i ngā polyp iti (≤ 5 mm) — Cold Snare Polypectomy (CSP).
● Te tango i ngā polyp iti (6–10 mm) — Tikanga makariri, wera rānei (mō ia tauira).
● Te tango i ngā polyp kua pūngāwerewere — Hot Snare Polypectomy (HSP).
● Te tango i ngā polyp noho me ngā whara papatahi — Hot Snare me te hipoki whakamahana.
● Te whakakā / te tango i te kiko mucosal tāpiri
● Ngā tukanga mahi āwhina-polypectomy i roto i te EMR (Endoscopic Mucosal Resection)
● Te tiki tauira mō te histopathology
● Te whakamahinga i roto i te colonoscopy, te gastroscopy, me te duodenoscopy
