(1). Farsamooyinka aasaasiga ah Farsamooyinka aasaasiga ah ee EMR waa sidan soo socota:
Taxanaha farsamooyinka
① Ku dur xalka duritaanka ee deegaanka meel ka hooseysa nabarka.
②Dhig dabinka ku wareegsan nabarka.
③Dabinka waa la adkeeyaa si loo qabto oo loo ceejiyo nabarka.
④ Sii wad inaad adkeeso dabinka inta aad isticmaaleyso koronto si aad u jarto nabarka.
⑤ Soo cesho muunadda la jaray.
(2). Talooyin
1. Talooyin ku saabsan xulashada booska jirka iyo booska endoscope
Maadaama nabarku u baahan yahay in la daweeyo inta sawirka oo dhan la arki karo, booska bukaanka aad ayuu muhiim u yahay. Isku day inaad rogrogto muuqaalka si nabarku ugu yaal meel u dhow furitaanka biopsy forceps, taas oo ah, laga bilaabo 5 ilaa 7 saac ee shaashadda.
Kahor daaweynta, haraaga iyo midabka xad-dhaafka ah waa in la dhaqo ka dibna laga saaraa nuugid.
Tusaale ahaan, haddii nabar ku yaal xiidmaha sigmoid proximal laga saaro booska decubitus-ka ee dhinaca bidix ama dhabarka, muunaddu waxay badanaa u dhaqaaqi doontaa xiidmaha hoos u dhacaya, taasoo adkeyneysa in la soo celiyo, sidaa darteed booska decubitus-ka dhinaca midig ayaa ka wanaagsan in la kala gooyo.
Sidoo kale, marka laga eego aragtida soo kabashada muunadda, booska decubitus-ka dhinaca bidix ayaa la doorbidaa marka la jarayo nabarrada mindhicirka ee isdhaafka ah.
2. Talooyin ku saabsan duritaanka maxalliga ah
Irbad mudis oo maxalli ah oo qaro weyn ayaa lagu duri karaa cadaadis hooseeya, laakiin ma aha mid fiiqan oo godka irbadda aad buu u weyn yahay, sidaa darteed qoraagu wuxuu isticmaalaa irbad mudis oo maxalli ah oo 25G ah.
Ma aha wax la buunbuuniyo in la yiraahdo guusha ama guuldarada EMR waxay inta badan ku xiran tahay duritaanka maxalliga ah.
Nabaro yaryar, dalool ayaa laga sameeyaa dhinaca dabada ee nabarka ilaa meel ka hooseysa nabarka.
Nabarrada qaybta qaloocan ama laablaabyada, haddii duritaanka maxalliga ah laga sameeyo dhinaca dabada, inta badan nabarrada way caddaadaan sababtoo ah waxay u jeedaan dhinaca afka, sidaa darteed duritaanka maxalliga ah waa in laga bilaabo dhinaca afka.
Muhiimadda Farsamoyaqaannada Endoscopy
Haddii dareeruhu daato, ama uu jiro iska caabin weyn inta lagu jiro duritaanka, ama uusan jirin wax iska caabin ah marka dareeruhu galo laakiin uusan jirin barar, waa in la joojiyaa duritaanka, hawlwadeenkana waa in si degdeg ah loogu wargeliyaa xaaladda si looga wada hadlo tallaabooyinka ka hortagga ah.
Mugga duritaanka oo badan, ayaa ka sii fiican.
Xeeladdu waa in la sii wado duritaanka intii suurtogal ah iyada oo loo marayo hal dalool ilaa nabarka oo dhan laga qaado.
3. Talooyin ku saabsan doorashada dabin
Haddii dabinku u eg yahay qaab oval dheer, xuubka caadiga ah ee ku yaal afka nabarka iyo dhinacyada futada ayaa si fudud oo aan loo baahnayn loogu dari karaa.
Dabinku wuxuu si fiican u wareegsan yahay, si fudud ayaa looga furi karaa dhinaca, si fudud looma simbiriirixi karo, wuxuuna leeyahay adkeysi gaar ah oo lagu cadaadiyo nabarka si uu u qabsado nabarka.
Cabbirka dabinku waa in loo waafajiyaa cabbirka nabarka.
Dabinka Polypectomy ee la tuuri karo
Tusaalooyinka EMR
a. Sawir iftiin cad
Nabar 25 mm ah oo nooca IIa ah oo leh qayb dhexe oo yar oo niyad jabsan.
b. Sawirrada sawir-qaadista kooxda cidhiidhiga ah (NBI)
c. Buufinta indigo carmine si loo weyneeyo sawirka
Waxaa la ogaaday in niyad-jabka lagu arkay aragtida caadiga ah ay dhab ahaantii ahaayeen godad u dhexeeya caleemaha.
d. Sawir ballaaran oo ah rinjiga buluugga ah ee kirismaska
Qaabka godka ee furitaanka marinnada qanjidhada ee geeska nabarka wuxuu ahaa nooca IV.
e. Sawir ballaaran oo ah rinjiga buluugga ah ee kirismaska
Bartamaha nabarku wuxuu ahaa VI, oo waxoogaa aan caadi ahayn, mana jirin wax si cad u soo galay xuubka hoose.
f. Duritaanka maxalliga ah
Daloolin iyo duritaan maxalli ah ayaa lagu sameeyay bartamaha nabarka, taasoo keentay barar wanaagsan.
g. Fur dabinka
Caaradda dabinka ku cadaadi darbiga xiidmaha si aad u furto dabinka.
h. Xidh dabinka
Xidh dabinka oo qabso nabarka.
i. Ku shub ka saarista
Lama helin dalool, dhiigbax ama buro hartay.
j. Hagaajinta muunadda
Muunadda la jaray waxaa lagu dhejiyay xaashi caag ah.
Cilad-baarista ugu dambeysa ee cudur-sidaha:Kansarka xuubka maskaxda (intramuscular carcinoma)
4. Talooyin ku saabsan hawlgalka dabinnada
Caaradda dabinnada ayaa si tartiib ah loogu dhejiyaa xuubka afka ee nabarka, ka dibna si tartiib ah ayaa loo furaa ka dibna xididka dabinnada ayaa lagu cadaadiyaa dhinaca dabada ee nabarka. Si looga hortago in jeexitaanka dhinaca uu noqdo mid togan, waa in la geliyaa xaddi yar oo xuubka caadiga ah.
Waa in la ogaadaa in marka aan la arki karin cidhifka dabinnada, ay suurtogal tahay in xuubka caadiga ah la geliyo si ka badan intii la filayay. Ka dib marka dabinnada si buuxda loo adkeeyo, riix oo jiid gacanta dibadda ee dabinnada si aad u aragto dhaqdhaqaaqa nabarka. Haddii lagu geliyo lakabka muruqa, dhaqdhaqaaqa nabarku wuu yaraan doonaa.
Talooyin ku saabsan kala-goynta korantada
Ha ku cadaadin dabinka darbiga mindhicirka, laakiin si yar u kor u qaad nabarka si loo jeexo. Khatarta ah in dalool dib loo dhigo waa yar tahay marka la isticmaalayo qalliinka elektiroonigga ah, laakiin waxay u nugul tahay dhiigbax gudaha qalliinka (ka dib qalliinka).
Goynta aadka u dhakhso badan waxay sababi kartaa dhiigbax, halka goynta aadka u gaabiska ah ay sababi karto dalool dib u dhac ah. Haddii bukaanku dareemo xanuun, ama kaaliyaha uu dareemo in unuggu uu laastikada yahay sida cinjirka oo ay adag tahay in la gooyo, waxay u badan tahay in unuggu uu ku lug leeyahay lakabka muruqa, jaristana waa in isla markiiba la joojiyaa.
Muhiimadda Farsamoyaqaannada Endoscopy
Haddii dhakhtarka endoscope uu dareemo in unugyadu ay yihiin kuwo dabacsan sida cinjir oo ay adag tahay in la gooyo, waa inuu isla markiiba ku wargeliyaa hawlwadeenka si uu ugala hadlo tallaabooyinka ka hortagga ah.
Talooyin ku saabsan Sharding EMR
Nabarrada waaweyn, mararka qaarkood way ka ammaan badan tahay in la sameeyo jeexitaan yar halkii laga samayn lahaa jeexitaan hal mar ah oo qasab ah. Si kastaba ha ahaatee, inta badan ee qaybaha ay jiraan, ayaa sii badanaysa suurtagalnimada soo noqoshada haraadiga maxalliga ah. Xitaa haddii la isticmaalo EMR yar, jeexitaanka bilowga ah waa in la sameeyaa intii suurtagal ah iyadoo la isticmaalayo dabin weyn si loo yareeyo tirada qaybaha.
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Hemoclip
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Dabin polyp ah
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irbad daaweynta sclerotherapy
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Kateetarka buufinta
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Burushyada unugyada
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Hagaha Tilmaamaha
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dambiisha soo celinta dhagaxa
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kateetarka dheecaanka sanka ee biliary-ga
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