Xididdada Caloosha ee La Tuuri Karo ee Furitaanka iyo Xidhitaanka Soo Noqnoqda
Xididdada Caloosha ee La Tuuri Karo ee Furitaanka iyo Xidhitaanka Soo Noqnoqda
Codsiga
Waxaa loo isticmaalaa in si farsamo ahaan loogu xidho xididdada dhiigga. Endoclip waa qalab farsamo oo bir ah oo loo isticmaalo endoscopy si loo xidho laba dusha xuubka iyada oo aan loo baahnayn qalliin iyo tolid. Shaqadiisu waxay la mid tahay tolid marka la isticmaalayo qalliinka guud, maadaama loo isticmaalo in lagu xidho laba dusha sare ee kala go'an, laakiin, waxaa lagu dabaqi karaa kanaalka endoscope iyadoo la adeegsanayo muuqaal toos ah. Endoclips waxay ogaadeen in loo isticmaalo daawaynta dhiigbaxa caloosha iyo mindhicirka (labadaba marinnada GI-ga sare iyo hoose), ka hortagga dhiigbaxa ka dib hababka daaweynta sida polypectomy, iyo xidhitaanka daloolada caloosha iyo mindhicirka.
Faahfaahinta
| Moodel | Cabbirka Furitaanka Biinanka (mm) | Dhererka Shaqada (mm) | Kanaalka Endoscopic (mm) | Astaamaha | |
| ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Dahaarka aan lahayn |
| ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Xididdada | |
| ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
| ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | Gastro | Dahaarka leh |
| ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Xididdada | |
| ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 | ||
Sharaxaadda Badeecadaha
360° Qaab-dhismeedka Goosan ee Wareegsan
Bixi meelayn sax ah.
Talada Atraumatic-ka
waxay ka hortagtaa in endoscopy-gu dhaawac soo gaaro.
Nidaamka Sii-deynta Xasaasiga ah
Bixinta fiidiyowga si fudud loo sii dayn karo.
Furitaanka iyo Xidhitaanka Soo Noqnoqda
si loo helo meel sax ah.
Gacan-qabsi qaabaysan oo Ergonomic ah
Isticmaale Fudud
Isticmaalka Caafimaadka
Hemoclip-ka waxaa la gelin karaa marinka caloosha iyo mindhicirka (GI) si loogu sameeyo hemostasis:
Cilladaha xuubka/hoosaadka xuubka< 3 cm
Boogaha dhiigga, -Xiddiyaal dhiig leh< 2 mm
BurooyinDhexroorka < 1.5 cm
Diverticula ee #colon
Muuqaalkan waxaa loo isticmaali karaa hab dheeraad ah oo lagu xirayo daloolada iftiinka ee marinnada GI< 20 mm ama calaamadaynta endoscopic-ga.
Hemoclip-ka loo isticmaalo ESD
(1) Calaamadee, isticmaal jeexitaan irbad ama isku-xidhka argon ion si aad u calaamadiso aagga kala-goynta adigoo isticmaalaya electrocoagulation 0.5cm oo ku yaal geeska nabarka;
(2) Kahor duritaanka dareeraha submucosal-ka, dareerayaasha caafimaad ahaan loo heli karo ee duritaanka submucosal waxaa ka mid ah saline-ka fiisiyoolajiga, fructose-ka glycerol, sodium hyaluronate iyo wixii la mid ah.
(3) Horay u jar xuubka ku hareeraysan: isticmaal qalabka ESD si aad u jarto qayb ka mid ah xuubka ku wareegsan nabarka oo ku teedsan barta calaamadaynta ama geeska dibadda ee barta calaamadaynta, ka dibna isticmaal mindi IT ah si aad u jarto dhammaan xuubka ku hareeraysan;
(4) Sida laga soo xigtay qaybaha kala duwan ee nabarka iyo caadooyinka qalliinka ee hawl wadeennada, qalabka ESD IT, Flex ama HOOK mindiyaha iyo qalabka kale ee wax lagu xoqo ayaa la xushay si loo furo nabarka ku teedsan xuubka hoose;
(5) Daaweynta nabarrada, isku-xidhka argon ion waxaa loo isticmaalay in lagu sameeyo electrocoagulation dhammaan xididdada dhiigga ee yaryar ee muuqda ee nabarka si looga hortago dhiig-baxa qalliinka kadib. Haddii loo baahdo, isku-xidhka hemostatic ayaa loo isticmaalay in lagu xiro xididdada dhiigga.
