Qalabka ERCP Saddex Lumen Isticmaalka Keli ah ee Sphincterotome ee loogu talagalay Isticmaalka Endoscopic
Qalabka ERCP Saddex Lumen Isticmaalka Keli ah ee Sphincterotome ee loogu talagalay Isticmaalka Endoscopic
Codsiga
Dawada la tuuri karo ee loo yaqaan 'sphincterotome' waxaa loo isticmaalaa endoscopic cannulation ee nidaamka marinnada dhiigga iyo sphincterotomy.
Nooca: Saddex-geesoodka Lumen Dhexroorka dibadda: 2.4mm Dhererka caarada: 3mm/ 5mm/ 15mm Dhererka jarista: 20mm/ 25mm/ 30mm Dhererka shaqada: 2000mm
Qodobbada ugu Muhiimsan ee Sphincterotome-ka la tuuri karo
1. Dhexroor
Dhexroorka sphincterotome-ka guud ahaan waa 6Fr, qaybta sarena si tartiib tartiib ah ayaa loo dhimaa ilaa 4-4.5Fr. Dhexroorka sphincterotome-ka uma baahna fiiro gaar ah, laakiin waxaa la fahmi karaa iyadoo la isku darayo dhexroorka sphincterotome-ka iyo xoogga shaqada ee endoscope-ka. Ma la mari karaa silig kale oo hagitaan ah inta sphincterotome-ka la dhigayo?
2. Dhererka daabku
Dhererka daabku waa in fiiro gaar ah loo yeesho, guud ahaan 20-30 mm. Dhererka siligga hagaha ayaa go'aamiya xagasha qaansada ee mindi qaansada iyo dhererka xoogga inta lagu jiro jeexitaanka. Sidaa darteed, marka siligga mindigu sii dheeraado, ayaa "xagalka" qaansada uu u dhow yahay jihada anatomical ee marin-haweedka qanjidhada, kaas oo si fudud loogu gelin karo tuubada si guul leh. Isla mar ahaantaana, fiilooyinka mindi ee aadka u dheer waxay sababi karaan jarista khaldan ee laf-dhabarta iyo dhismayaasha ku xeeran, taasoo keenta dhibaatooyin halis ah sida daloolin, sidaa darteed waxaa jira "mindi caqli badan" oo daboolaysa baahiyaha badbaadada iyadoo la buuxinayo dhererka.
3. Aqoonsiga Sphincterotome
Aqoonsiga sphincterotome-ka waa qayb aad muhiim u ah, gaar ahaan si loo fududeeyo hawlwadeenka inuu si fudud u fahmo oo uu aqoonsado booska sphincterotome-ka inta lagu jiro hawlgalka jeexitaanka ee qarsoon oo muhiimka ah, iyo in la tilmaamo booska guud iyo booska jeexitaanka ee badbaadada leh. Guud ahaan, dhowr boos sida "bilow", "bilow", "dhexdhexaad" iyo "1/4" ee sphincterotome-ka ayaa la calaamadeyn doonaa, kuwaas oo 1/4-ka hore iyo bartamaha mindi-ga caqliga badan ay yihiin meelo ammaan ah oo lagu jari karo, oo si caadi ah loo isticmaalo. Intaa waxaa dheer, calaamadda bartamaha ee sphincterotome-ka waa radiopaque. La socodka X-ray-ga, booska qaraabada ah ee sphincterotome-ka ee sphincter-ka si fiican ayaa loo fahmi karaa. Sidan, oo lagu daro dhererka mindi-ga la soo bandhigay iyadoo la eegayo aragtida tooska ah, waxaa suurtagal ah in la ogaado in mindi-gu si ammaan ah u samayn karo jeexitaanka sphincter-ka. Si kastaba ha ahaatee, shirkad kastaa waxay leedahay caadooyin kala duwan oo astaanta ah oo ku saabsan soo saarista calaamadaha, taas oo u baahan in la fahmo.
