Hemostasis loogu talagalay: xuubka xuubka.Guuldarrooyinka <3cm, boogaha dhiigbaxa / halbowlayaasha <2mm, goobaha qalliinka, xidhitaanka waxqabadka iftiinka GI ee loo isticmaalo in si farsamaysan loogu xidho xididdada dhiigga
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 |
Isticmaalka Caafimaad
Hemoclip-ka waxaa lagu dhejin karaa gudaha marinka Gastro-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.
EMR iyo ESD waxay ka soo jeedaan isku asal waxayna leeyihiin astaamo farsamo oo isku mid ah.Farqiga EMR ESD waa sida soo socota:
Khasaaraha EMR waa in ay xaddidan tahay xajmiga nabarrada la soo saari karo ee endoscopy (in ka yar 2cm).Haddii nabarradu ay ka weyn yihiin 2cm, waxay u baahan tahay in la gooyo blocks, daaweynta cirifka unugyada la jarjaray waa mid aan dhammaystirnayn, iyo pathology-ga post-operative waa mid aan sax ahayn.
Si kastaba ha noqotee, qalabka ESD wuxuu ballaariyaa calaamadaha dib-u-soo-celinta endoscopic.Nabarada ka weyn 2cm, sidoo kale gabi ahaanba waa laga saari karaa.Waxay noqotay hab wax ku ool ah oo loogu talagalay daawaynta kansarka mindhicirka hore iyo nabarrada hore ee kansarka.
Waqtigan xaadirka ah, EMR iyo ESD ayaa si weyn loogu isticmaalaa soo-celinta iyo daaweynta endoscopy dheefshiidka.
Tignoolajiyada EMR iyo ESD waa dilaaga dib-u-soo-celinta endoscopic, waxayna noqotay hab muhiim ah oo daawaynta ugu yar ee daaweynta kansarka mindhicirka hore iyo nabarrada kansarka hore.Waxaa la rumeysan yahay in qalabka EMR iyo ESD iyo EMR iyo ESD endoscopy ay u abuuri karaan qiime caafimaad oo weyn caafimaadka dadka mustaqbalka.