Nidaamyada Endoscope-ka Endoscope ee Endoscope-ka ee The Endoscope-ka ee The Endoscope gaarsiinta taxaddarka ee taxanaha hemoclip endoclip soosaarayaasha iyo alaab-qeybiyeyaasha

Nidaamyada gaarsiinta Endoscope-ka ee Endoscope-ka ee loo yaqaan 'hemostasis' ee loo rogayo choctossis choctoclip muuqaalka muuqaalka

Nidaamyada gudbinta ee Endoscope-ka dib-u-soo-kicinta Hemostasis-ka

Sharraxaadda Gaaban:

Faahfaahinta badeecada:

Wareejinta gacanta 1: 1 saamiga. (* Wareeji gacanta inta aad ku hayso tuubada tuubada hal gacan)

Dib u fur shaqada ka hor inta aan la geyn. (Digniin: Furan oo xir ilaa shan jeer)

Mr shuruud ah: Bukaanka maray nidaamka MRI ka dib meelaynta Clip.

11mm furitaanka la hagaajin karo.

U dir emaylka

Si faahfaafo

Calaamadaha wax soo saarka

Isticmaal

Endoclip-kayada waxaa loo isticmaalaa in lagu joojiyo dhiigbaxa ka yimaada halbowleyaasha yar-yar ee ku jira marinka dheef-shiidka.
Tilmaamaha daaweynta waxaa sidoo kale ka mid ah: boogaha dhiigbaxa, u digtoonow xiidanka, jajabinta lugta ka yar 20 mm.

Cayimid

Nooc	Cabbirka furitaanka (mm)	Dhererka shaqada (mm)	Channel Channel (MM)	Astaamo
Zrh-HCA-165-9-L	9	1650	≥2.8	Calool	Aan xirnayn
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	Gallo
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	Calool	Dahaadh
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	Gallo
Zrh-HCA-235-12-s	12	2350	≥2.8
Zrh-HCA-235-15-s	15	2350	≥2.8

Sharraxaadda Faahfaahinta

360 ° burburka suufka ah
Sii meelaynta saxda ah.

Talo hore
waxay ka hortagtaa endoscopy waxyeelada.

Nidaamka siidaynta xasaasiga ah
Way fududahay in la sii daayo bixinta clip.

Furitaanka soo-celinta iyo xiritaanka
Meel sax ah.

Gacandal ahaan qaab dhismeedka
Isticmaale saaxiibtinimo

Isticmaalka caafimaad
Endoclip-ka waxaa lagu ridi karaa gudaha marinka caloosha-xiidmaha (GI) ee ujeedada hemostasis ee:
Miisaaniyada / sum-hoosaad <3 cm
Boogaha dhiigbaxa, -reys <2 mm
Polyps <1.5 cm dhexroor
Diperticula ku yaal #colon
Clip-kan waxaa loo isticmaali karaa hab dheeri ah oo loogu talagalay xiritaanka jaranjarada dheecaanka ah <20 mm ama calaamadaha #-ga #doscopic.

Codsiga Qalabka EMR / EMB

Qalabka loo baahan yahay qalliinka EMR waxaa ka mid ah cirbadda duritaanka, aaladda polypectomy, aaladda endoclip iyo fadeexad (haddii ay quseyso) ee loo adeegsado hawlgallada EMR iyo ESD, waxay sidoo kale magacooda ka dhigan tahay wax-ka-qabashada-galka. Aaladda soo socota ayaa ka caawin karta sunta polp, oo sidoo kale loo isticmaalaa burooyinka xargaha ee endoscop, hemoclip-ka waxaa loo isticmaalaa hemoscopic healsosis iyo garaacista nabarka ee gi.

Su'aalaha EMR / EMR

Q; Waa maxay EMR iyo ESD?
A; EMR waxay u taagan tahay dib-u-dhigga xuubka ee endoscopic, waa hawl-socod aan caadi ahayn oo ku-meelgaar ah oo laga qaado kansarka ama nabaro kale oo aan caadi ahayn oo laga helo marinka dheef-shiidka.
ESD waxay u taagan tahay faseex hoos udhaca endoscopic, waa hawl-gal ballaaran oo loo adeegsado oo la adeegsanayo endoscopy-ga si looga saaro burooyinka qoto dheer ee ka soo baxa marinka caloosha.

Q; EMR ama ESD, sida loo go'aamiyo?
A; EMR waa inay noqotaa doorashada koowaad ee xaaladda hoose:
● Nabarka sare ee hungooska ah ee 'Barrett'.
● Dhaawaca caloosha yar yar <10mm, iia, mowqif adag oo loogu talagalay ESD;
● lesion lesion;
● Midab-gooyo aan lahayn oo aan la-jarin / aan niyad jabin <20mm ama nabarro granular.
A; ESD waa inay noqotaa doorashada ugu sareysa ee:
● Cellcinoma unugyada squamoma (hore) ee hunguriga;
● Cancinoma hore ee gaaska hore;
● Midab (oo aan ahayn 'granular / niyad jab>
● 20mm) nabarrada.