Endoclip-kayaga waxaa loo isticmaalaa in lagu joojiyo dhiigbaxa halbowlayaasha yaryar ee ku dhex jira habka dheefshiidka.
Tilmaamaha daawaynta waxaa sidoo kale ka mid ah: Boogaha dhiigbaxa, diverticula ee xiidmaha, daloolada iftiinka ee ka yar 20 mm.
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 |
360° Clip Degign
Bixi meelayn sax ah
Talo Atraumatic ah
waxay ka hortagtaa endoscopy-ga dhaawac.
Nidaamka Siideynta Xasaasi ah
fudud si loo sii daayo bixinta clip.
Soo noqnoqda Furitaanka iyo Xiritaanka
meeleyn sax ah.
Gacan-qabashada Qaab Ergonomically
Isticmaale saaxiibtinimo leh
Isticmaalka Caafimaad
Endoclip-ka waxaa la gelin karaa gudaha marinka caloosha iyo mindhicirka (GI) iyadoo ujeedadu tahay dhiigbaxa:
Cilladaha xuubka-xuubka-hoosaadka <3 cm
Boogaha dhiig-baxa, -halbowlayaasha <2 mm
Burooyinka <1.5cm dhexroorka
Diverticula ee #colon
Muuqaalkan waxa loo isticmaali karaa hab kaabsi ah xidhitaanka daloolada nalka ee marinka GI <20 mm ama calaamadaynta #endoscopic.
Qalabyada loo baahan yahay hawlgalka EMR waxaa ka mid ah irbadda duritaanka, dabinka polypectomy, qalabka endoclip iyo ligation (haddii ay khuseyso) baaritaanka dabinka hal-isticmaalka ah ayaa loo isticmaali karaa labadaba EMR iyo ESD hawlgallada, waxay sidoo kale magacawday dhammaan-in-mid sababtoo ah hawlaheeda hybird.Qalabka ligation wuxuu caawin karaa polyp ligate, oo sidoo kale loo isticmaalo boorsada-string-tol ka hooseeya endoscop, hemoclip waxaa loo isticmaalaa hemostasis endoscopic iyo isku dhejinta boogta GI.
S;Waa maxay EMR iyo ESD?
A;EMR waxay u taagan tahay dib-u-soo-celinta xuubka endoscopic, waa bukaan-socodka ugu yar ee soo-galitaanka habraaca ka-saarista kansarka ama nabarrada kale ee aan caadiga ahayn ee laga helo habka dheef-shiidka.
ESD waxay u taagan tahay kala-baxa endoscopic submucosal, waa bukaan-socodka ugu yar ee soo galitaanka habraaca iyadoo la isticmaalayo endoscopy si looga saaro burooyinka qoto dheer ee mareenka caloosha iyo mindhicirka.
S;EMR ama ESD, sida loo go'aamiyo?
A;EMR waa inay noqotaa doorashada koowaad ee xaaladdan hoose:
●Nabar sare oo hunguriga Barrett ah;
● Dhaawac yar oo caloosha ah <10mm, IIa, booska adag ee ESD;
● Dhaawaca duodenal;
●Mid-midab aan-granular/aan niyad-jab lahayn <20mm ama dhaawac granular ah.
A;ESD waa inay noqotaa doorashada ugu sareysa:
● Kansarka unugyada squamous (hore) ee hunguriga;
● Kansarka caloosha hore;
● Midab leh (aan ahayn granular/depression :
●20mm) dhaawac.