Loo isticmaalo in si farsamaysan lagu xidho xididdada dhiigga.Endoclip-ka waa qalab makaanik bir ah oo loo isticmaalo endoscopic si loo xiro laba xabbo oo korka ah iyada oo aan loo baahnayn qaliin iyo tolliin.Shaqadeedu waxay la mid tahay tolitaanka codsiyada qalliinka guud, maadaama loo isticmaalo in la isku daro laba qaybood oo kala duwan, laakiin, waxaa lagu dabaqi karaa kanaalka endoscope iyadoo la eegayo muuqaal toos ah.Endoclips waxay heleen isticmaalka daawaynta dhiigbaxa caloosha iyo mindhicirka (labadaba qaybta sare ee GI), ka hortagga dhiigbaxa ka dib hababka daweynta sida polypectomy, iyo xidhitaanka daloolada caloosha iyo mindhicirka.
Qaabka | Xajmiga furitaanka ee clip (mm) | Dhererka Shaqada (mm) | Kanaalka Endoscopic (mm) | Astaamaha | |
ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Dahaar la'aan |
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 | Colon | |
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 | Colon | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Gacan-qabashada Qaab Ergonomically
Isticmaale saaxiibtinimo leh
Isticmaalka Caafimaad
Hemoclip-ka waxaa la gelin karaa gudaha marinka Gastro-mindhicirka (GI) iyadoo ujeedadu tahay dhiigbaxa:
Cilladaha xuubka-xuubka-hoosaadka<3cm
Boogaha dhiigbaxa, -Arteries<2 mm
Burooyin<1.5cm dhexroorka
Diverticula ee #colon
clipkan waxa loo isticmaali karaa hab kaabis ah oo lagu xidho daldaloolada nalka ee marinka GI<20 mm ama loogu talagalay # sumadeynta endoscopic.
(1) Calaamadee, isticmaal jeexida irbadda ama xinjirowga argon ion si aad u calaamadiso aagga dib-u-celinta ee 0.5cm korantada ee cidhifka dhaawaca;
(2) Kahor duritaanka dareeraha submucosal ee dareeraha, dareeraha kiliinikada laga heli karo ee duritaanka submucosal waxaa ka mid ah saline physiological, fructose glycerol, sodium hyaluronate iyo wixii la mid ah.
(3) Horay u jar xuubka xuubka ku wareegsan: isticmaal qalabka ESD si aad u gooyso qayb ka mid ah xuubka nabarka ee ku wareegsan barta calaamadaynta ama cidhifka dibadda ee barta calaamadaynta, ka dibna isticmaal mindida IT si aad u gooyso dhammaan xuubka ku wareegsan;
(4) Marka loo eego qaybaha kala duwan ee nabarka iyo hab-dhaqanka hawl-wadeennada, qalabka ESD IT, Flex ama HOOK iyo qalab kale oo dharbaaxo ah ayaa la doortay si loo diiriyo nabarka weheliya xuubka hoose;
(5) Daawaynta dhaawaca, xinjirowga argon ion ayaa loo isticmaalay in lagu xidho dhammaan xididdada dhiigga yaryar ee muuqda ee dhaawaca si looga hortago dhiig-baxa qalliinka kadib.Haddii loo baahdo, xirmooyinka hemostatic ayaa la isticmaalay si loo xakameeyo xididdada dhiigga.