(1). Farsamooyinka aasaasiga ah Farsamooyinka aasaasiga ah ee EMR waa sida soo socota:
Tixraaca farsamada
①Isku duri xalka duritaanka deegaanka wax yar ka hooseeya nabarka.
②Dabin dhig nabarka ku wareegsan.
③Dabinku waa la adkeeyay si uu u qabto oo loo ceejiyo dhaawaca.
④Sii wad inaad xoojiso dabinka markaad koronto codsanayso si aad u jarto dhaawaca.
⑤Soo qaado muunada dib loo dhigay.
(2). Talooyin
1.Tips ee xulashada booska jirka iyo meelaynta endoscope
Sababtoo ah nabarku wuxuu u baahan yahay in la daweeyo inta sawirka oo dhan la arki karo, booska bukaanku aad buu muhiim u yahay. Isku day inaad maroojiso baaxadda si uu nabarku u yaalo meel u dhow furitaanka xoog-biopsy, taas oo ah, laga bilaabo 5 ilaa 7 saac ee shaashadda.
Daawaynta ka hor, haraaga iyo midabka xad-dhaafka ah waxay u baahan yihiin in la dhaqo ka dibna laga saaro nuugista.
Tusaale ahaan, haddii nabar ka mid ah xiidanka sigmoid ee u dhow laga saaro booska decubitus ee dambe ama bidix, muunadku waxay inta badan u guuri doontaa xiidanka soo degaya, taas oo adkeyneysa in la soo saaro, markaa booska decubitus ee midig ee midig ayaa u fiican dib-u-celinta.
Sidoo kale, marka laga eego aragtida soo kabashada muunada, booska decubitus ee bidix ee bidix ayaa loo door bidaa dib-u-soocidda dhaawacyada mindhicirka ah.
2.Tips for local injections
Cirbad qaro weyn oo gudaha ah ayaa lagu duri karaa cadaadis hoose, laakiin kuma filna daloolka irbaddana aad buu u weyn yahay, sidaa darteed qoraagu wuxuu isticmaalaa irbadda gudaha ee 25G.
Ma aha buunbuunin in la yiraahdo guusha ama guuldarada EMR waxay inta badan ku xiran tahay irbado gudaha ah.
Dhaawacyada yaryar, daloolin ayaa laga sameeyaa dhinaca futada ee nabarka ilaa wax yar ka hooseeya nabarka.
Dhaawacyada qaybta qaloocan ama laalaabyada, haddii cirbad maxalli ah laga sameeyo dhinaca futada, inta badan nabaruhu ma cadda sababtoo ah waxay u jeedaan dhinaca afka, markaa cirbadeynta maxaliga ah waa in laga bilaabo dhinaca afka.
Waxyaabaha lagama maarmaanka u ah Farsamooyinka Endoscopy-ga
Haddii dareere soo daato, ama ay jirto iska caabin weyn xilliga duritaanka, ama aysan jirin wax iska caabin ah marka dareeruhu soo galo laakiin aan la samaynin, cirbadeynta waa in la joojiyaa oo hawlwadeenka waa in lagu wargeliyaa xaaladda waqtigeeda si looga hadlo tallaabooyin ka hortag ah.
Mugga durida badan, ayaa ka sii wanaagsan.
Xeeladda ayaa ah in la sii wado duritaanka inta ugu badan ee suurtogalka ah iyada oo la marayo hal dalool ilaa inta dhaawaca oo dhan laga soo qaadayo.
3.Talooyinka doorashada dabinka
Haddii dabinku uu yahay qaabka oval-dheer, xuubka caadiga ah ee afka nabarka iyo dhinacyada futada ayaa si fudud oo aan loo baahnayn loogu dari karaa .
Dabinku waxa uu ku dhow yahay wareeg, fududahay in dhinaca dambe loo furo, ma fududa in la simbiriiriyo, oo waxa uu leeyahay xoogaa adag oo lagu cadaadiyo nabarka si uu u qabsado nabarka.
Baaxadda dabinku waa in lagu waafajiyaa xajmiga nabarka.
Dabinnada Polypectomy ee la tuuri karo
Tusaalooyinka EMR
a. Sawir iftiin cad
25 mm nooca IIa nabar ah oo leh qayb dhexe oo waxoogaa niyad jabsan.
b. Sawirada sawirka band cidhiidhiga ah (NBI).
c. Ku buufinta indigo carmine si sawirka loo weyneeyo
Waxaa la ogaaday in niyad-jabka lagu arkay indho-indheynta caadiga ah ay dhab ahaantii ahaayeen godad u dhexeeya caleemaha.
d. Sawirka weyn ee midabaynta violet-ka crystal
Habka godka ee marinka qanjidhada ee ka furmay cidhifka dhaawaca ayaa ahaa nooca IV.
e. Sawirka weyn ee midabaynta violet-ka crystal
badhtamaha nabarku wuxuu ahaa VI, wax yar oo aan caadi ahayn, mana la helin faleebo cad oo submucosal ah.
f. Duritaan gudaha ah
Dulitaanka iyo duritaanka maxalliga ah ayaa lagu sameeyay bartamaha dhaawaca, taasoo keentay barar wanaagsan.
g. Dabin fur
Ku riix caarada dabinka gidaarka mindhicirka si aad u furto dabinka.
h. Xir dabinka
Xir dabinka oo qabso dhaawaca.
i.Awoodda saarista
Wax dalool ah, dhiig-bax ama buro hadhaa ah lama helin.
j. hagaajinta tusaalaha
Muunada la jaray ayaa lagu xidhay xaashi caag ah.
Cilad-baadhista ugu dambaysa ee cudurka:Kansarka intramucosal (Tis)
4.Talooyinka hawlgalka dabinka
Caarada dabinka ayaa si tartiib ah loogu dhejiyaa xuubka afka ee nabarka, ka dibna si tartiib ah ayaa loo furay oo xididka dabinka ayaa lagu cadaadiyaa dhinaca dabada ee nabarka. Si looga hortago in la jeexiyo dhinaca dambe ay noqoto mid togan, xaddi yar oo xuubka caadiga ah waa in la geliyo.
Waa in la ogaadaa in marka caarada dabinka aan la arki karin, ay suurtogal tahay in xuubka caadiga ah la geliyo intii la filayay. Ka dib markii dabinku si buuxda loo adkeeyo, riix oo soo jiid gacanta dibadda ee dabinka si aad u ilaaliso dhaqdhaqaaqa dhaawaca. Haddii la geliyo lakabka murqaha, dhaqdhaqaaqa nabarku waa la dhimi doonaa.
Talooyin ku saabsan iska-soo-baxa korantada
Ha ku cadaadin dabinka gidaarka mindhicirka, laakiin xoogaa kor u qaad nabarka si ay dib ugu noqoto. Khatarta daloolintu way yar tahay marka la isticmaalayo qalliinka elektiroonigga ah, laakiin waxay u nugul tahay qalliinka (horraanta ka dib dib-u-soo-celinta) dhiig-baxa.
Goynta degdega ah waxay keeni kartaa dhiigbax, halka goynta oo aad u gaabis ah ay keeni karto daloolin daahitaan ah. Haddii bukaanku uu dareemo xanuun, ama kaaliyuhu uu dareemo in nudaha ay yihiin kuwo jilicsan sida caag oo ay adagtahay in la gooyo, waxay u badan tahay in nudaha ay ku lug leeyihiin lakabka muruqa, goynta waa in isla markiiba la joojiyaa.
Waxyaabaha lagama maarmaanka u ah Farsamooyinka Endoscopy-ga
Haddi takhtarka endoscopist uu dareemo in unuggu u lallaagsan yahay sida caag oo ay adag tahay in la gooyo, isaga ama iyada waa in ay isla markiiba ku wargeliyaan hawlwadeenka si ay ugala hadlaan tallaabooyinka ka hortagga ah.
Talooyin ku saabsan Sharding EMR
Dhaawacyada waaweyn, mararka qaarkood way ka badbaado badan tahay in la sameeyo dib-u-soo-saarid jajab ah halkii lagu qasbi lahaa iska-soocidda hal mar-mar ah. Si kastaba ha ahaatee, inta qaybo badan oo ka mid ah ay jiraan, ayaa sii weynaanaysa suurtagalnimada soo noqoshada haraaga deegaanka. Xataa iyadoo EMR-yar, dib-u-soo-celinta bilowga ah waa in lagu sameeyaa sida ugu weyn ee suurtogalka ah iyadoo la adeegsanayo dabin weyn si loo yareeyo tirada qaybaha.
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Xoog-qaadista biopsy:
https://www.zrhendoscopy.com/single-use-endoscopic-tissue-biopsy-forceps-with-graduation-product/
Hemoclip
https://www.zrhendoscopy.com/disposable-rotatable-endoscopic-hemoclip-for-gastroscopy-use-product/
irbadda sclerotherapy
https://www.zrhendoscopy.com/gastroenterology-accessories-endoscopic-sclerotherapy-injection-needle-product/
Kateetarka buufin
https://www.zrhendoscopy.com/ce-certified-disposable-endoscopic-spray-catheter-for-digestive-chromoendoscopy-product/
burushka cytology
https://www.zrhendoscopy.com/endoscopy-accessories-disposable-endoscopic-cytology-brush-for-gastrointestinal-tract-product/
dambiilaha soo celinta dhagaxa
https://www.zrhendoscopy.com/ercp-instrument-gallstone-stone-retrieval-basket-for-endoscopy-product/
tuubada dheecaanka biliary sanka
https://www.zrhendoscopy.com/medical-instrument-disposable-nasal-biliary-drainage-catheter-for-ercp-operation-product/
EMR
https://www.zrhendoscopy.com/emresd/
ESD
https://www.zrhendoscopy.com/emresd/
ERCP
https://www.zrhendoscopy.com/ercp/
Waqtiga boostada: Febraayo-13-2025