EMR EMR Eds aaladda polspectomy polypectomy qabow oo loogu talagalay soosaarayaasha hal adeegsiga iyo alaab-qeybiyeyaasha

EMR Eds aaladda polpectomy polypectomy qabow oo loogu talagalay hal sawir oo loo adeegsado

Emr eds aaladda polspectomy polypectomy qabow ee loo isticmaalo hal

Sharraxaadda Gaaban:

Astaamo

● Waxaa loo sameeyay polyps <10 mm

Silig goynta qaaska ah

● naqshadeynta dabinka lagu hagaajiyo

● mid sax ah, labis labis

● Heerka sare ee xakamaynta

Confult ergonomis

U dir emaylka

Si faahfaafo

Calaamadaha wax soo saarka

Isticmaal

Snare qabow waa aalad ku habboon dhammaan waxyaabaha ka sarreeya dhammaan si loogu daro qabowga ee burooyinka<10 mm. Silicadan khafiifka ah, goynta goynta ayaa si gaar ah loogu sameeyay dib-u-dhigga qabow waxayna ka dhigtaa mid aad u sarreeya, nadiif ah oo isku darka naqshadda dabinka ee loo habeeyey ka-saarista burooyinka yar yar. Proyp-ka la daadiyay ayaa ka madax bannaan ciladaha kuleylka waxayna hubisaa in qiimeynta taariikhiga ah ay bixin doonto macluumaad qiimo leh.

Cayimid

Nooc	Loop ballaadhan d-20% (mm)	Dhererka shaqada l ± 10% (mm)	Shelt Ond oranc ± 0.1 (mm)	Astaamo
Zrh-Ra-18-120-15-r	15	1200	Φ1.8	Snare	Wareejin
Zrh-Ra-18-160-15-r	15	1600	Φ1.8
Zrh-ra-24-180-r	15	1800	Φ2.4
Zrh-ra-24-230-15-r	15	2300	Φ2.4
Zrh-rb-18-120-r	15	1200	Φ1.8	Hexagonal dabinka	Wareejin
Zrh-rb-18-160-r	15	1600	Φ1.8
Zrh-rb-24-180-r	15	1800	Φ1.8
Zrh-rb-24-330-r	15	2300	Φ2.4
Zrh-rc-18-120-r	15	1200	Φ1.8	Bisha Bisha	Wareejin
Zrh-rc-18-160-15-r	15	1600	Φ1.8
Zrh-rc-24-18-15-r	15	1800	Φ2.4
Zrh-rc-24-230-15-r	15	2300	Φ2.4

Sharraxaadda Faahfaahinta

360 ° Duugitaan daloolo
Sii 360 digrii digsi si ay kaaga caawiso helitaanka burooyinka adag.

Silig dhisme
ka dhigaysa in Pols-ka aysan sahlaneyn in la baxo

Musiibo furan iyo qaab xirxiran
si ugu wanaagsan ee loo isticmaalo isticmaalka

Cunno-gacmeedyo caafimaad leh
Soo bandhig guryaha saxda ah iyo mid deg deg ah goynta.

Galmo siman
Ka hortag waxyeelada kanaalkaaga endoscopic

Xiriirka Awoodda Heerka
La jaan qaada dhammaan aaladaha ugu badan ee ugu sarreeya suuqa

Isticmaalka caafimaad

Bartilmaameedka burooyinka	Qalabka ka saarista
Polyp <4mm cabir ahaan	Xirmooyinka (Koobka Cabbirka 2-3mm)
Buro-aragnimo oo ah 4-5mm	Xirmooyinka (Cup Cabbirka 2-3mm) Jumbo Passips (Cabbirka Koobka> 3mm)
Polyp <5mm cabir ahaan	Kuleylka kulul
Buro-aragnimo oo ah 4-5mm	Mini-oval Snare (10-15mm)
Burop oo cabir ah 5-10mm	Mini-oval Snare (doorbiday)
Polp> 10mm cabir ahaan	Feejignaanta, heesaha heesaha

TAARIIKHDA TAAGEERADA STARP HOOS KA DHAGEYSO

1. Burooyin waaweyn ayaa xadidan.
2. Ku habboon EMR iyo ESD Endoscopy, qaan-gaarka ah iyo dhameystiran EMR ama tikniyoolajiyadda ka saarista ESD waa la dooran karaa.
3.
4. Snare caadiga ah sidoo kale waa la isticmaali karaa, iyo dabinka burooyinka burooyinka khafiifka ah ee khafiifka ah ayaa ku habboon goynta qabow.
5. Ka gudda qabow ee suugaanta waa mid aan ansax ahayn, iyo soocida korantada si toos ah uma xirneyn, ugu dambayntiina waxaa loo beddelay EMR.
6. U fiirso inaad dhammaystirto ka soo bixitaan dhammaystiran.
Dhacdooyinka iyo geerida kansarka caloosha iyo caloosha sida kansarka mindhicirka ayaa weli sarreeya. Cudurrada dhillanimada iyo dhimashada ayaa ka mid ah kansarka ugu sareeya, iyo kormeerka waqtiga waa in la sameeyaa haddii loo baahdo.

Hore: Xannuun galka gaaska ee loo yaqaan 'polytric' ee loo yaqaan 'poluoscopy poluscopy poluewed'

Xiga: U adeegso mid kalida ah ee loo adeegsado daaqa loo yaqaan 'endoscopic spipe' oo loo yaqaan 'pipe' oo loogu talagalay gaaska

Halkan ku qor farriintaada oo noo soo dir