Qalabka EMR EDS Polypectomy Qabow Dabinnada Qabow ee Isticmaalka Kaliya
Qalabka EMR EDS Polypectomy Qabow Dabinnada Qabow ee Isticmaalka Kaliya
Codsiga
Dabinka Qabow waa qalab ku habboon wax kasta oo ka sarreeya si loo kala saaro qabowga burooyinka<10 mm.Siligan khafiifka ah, ee tidcan ayaa si gaar ah loogu sameeyay dib-u-soo-celinta qabow waxayna ka dhigaysaa mid aad u saxsan oo nadiif ah oo lagu daray naqshadda dabinka ee loo habeeyay in laga gooyo burooyinka yaryar.Burburka la gooyey waa ka nadiif ciladaha kulaylka waxayna hubisaa in qiimaynta taariikhiga ahi ay bixin doonto macluumaad qiimo leh.
Tilmaamid
| Qaabka | Ballaca Wareegga D-20% (mm) | Dhererka Shaqada L ± 10% (mm) | Galka ODD ± 0.1 (mm) | Astaamaha | |
| ZRH-RA-18-120-15-R | 15 | 1200 | Φ1.8 | Dabin Oval ah | Wareegid |
| ZRH-RA-18-160-15-R | 15 | 1600 | Φ1.8 | ||
| ZRH-RA-24-180-15-R | 15 | 1800 | Φ2.4 | ||
| ZRH-RA-24-230-15-R | 15 | 2300 | Φ2.4 | ||
| ZRH-RB-18-120-15-R | 15 | 1200 | Φ1.8 | Dabin laba geesood ah | Wareegid |
| ZRH-RB-18-160-15-R | 15 | 1600 | Φ1.8 | ||
| ZRH-RB-24-180-15-R | 15 | 1800 | Φ1.8 | ||
| ZRH-RB-24-230-15-R | 15 | 2300 | Φ2.4 | ||
| ZRH-RC-18-120-15-R | 15 | 1200 | Φ1.8 | Bisha Dabin | Wareegid |
| ZRH-RC-18-160-15-R | 15 | 1600 | Φ1.8 | ||
| ZRH-RC-24-180-15-R | 15 | 1800 | Φ2.4 | ||
| ZRH-RC-24-230-15-R | 15 | 2300 | Φ2.4 | ||
Sharaxaada Alaabta
360° Dabinnada Deggan ee Rotatable
Bixi wareega 360 si aad u caawiso gelitaanka burooyinka adag.
Silig ku jira Dhismaha Tidcan
waxay ka dhigaysaa kuwa aan si fudud loo siibi karin
Soomth Furan oo Xir Mechanism
si ay ugu fududaato isticmaalka
Birta-Aan-la-aanta Caafimaad ee Adag
Bixi guryaha goynta saxda ah oo degdeg ah.
Galka siman
Ka hortag burbur ku yimaada kanaalkaaga endoscopic
Isku xirka Awoodda caadiga ah
La jaanqaadi kara dhammaan aaladaha ugu muhiimsan ee soo noqnoqda sare ee suuqa
Isticmaalka Caafimaad
| Bartilmaameedka Polyp | Qalabka saarista |
| Burada <4mm cabbirkeeda | Xoogaga (koob cabbirkiisu yahay 2-3mm) |
| Polyp oo cabbirkeedu yahay 4-5mm | Xoogaga (koob cabbirkiisu yahay 2-3mm) Jumbo forceps( cabbirka koob>3mm) |
| Burada <5mm cabbirkeeda | Xoog kulul |
| Polyp oo cabbirkeedu yahay 4-5mm | Dabin-Oval-yar (10-15mm) |
| Polyp oo cabbirkeedu yahay 5-10mm | Dabin-Oval-yar (la doorbiday) |
| Polyp> 10mm cabbirkeeda | Dabinka Oval, Hexagonal |
Ka taxadarka goynta dabinnada qabow ee burooyinka
1. Burooyin waaweyn ayaa xaddidan.
2. Ku haboon EMR iyo ESD endoscopy, baaluq oo dhamaystiran EMR ama farsamada saarista ESD waa la dooran karaa.
3. Burburka pedicle sidoo kale wuxuu si toos ah ugu xayiran karaa goynta koronto, ma aha gooyn qabow oo gaar ah, iyo gudaha miskaha waa laga tagay, clip-kuna wuxuu hayn karaa xididka.
4. Dabinnada caadiga ah ayaa sidoo kale loo isticmaali karaa, iyo dabinnada dhuuban ee gaarka ah ee polyp ayaa ku habboon goynta qabow.
5. Goynta qabow ee suugaanta waa mid aan sax ahayn, korontadu si toos ah uma xirna, ugu dambeyntiina waxay isu beddeshay EMR.
6. U fiirso goynta dhammaystiran.
Dhacdooyinka iyo dhimashada kansarka mindhicirka sida kansarka mindhicirka ayaa weli ah mid sarreeya.Heerarka cudurrada iyo dhimashadu waxay ka mid yihiin kansarka ugu sarreeya, waana in la baaro waqtigeeda haddii loo baahdo.
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