(1). Farsamooyinka aasaasiga ah ee farsamooyinka aasaasiga ah ee EMR waa sida soo socota:
Taxanaha farsamooyinka
In xalka duritaanka maxalliga ah ka hooseeyaa nabarrada.
Dabin ku wareegsan nabarrada.
Snare wuxuu aad u adkeeyay inuu fahmo oo uu murugoodo nabarrada.
④Conntaueue si loo adkeeyo dabinka inta aad adeegsaneyso korantada si loo jaro nabarrada nabarka.
⑤⑤retrive muunada la dhigto.
(2). Talooyin
1.Qarafka booska jirka ee xulashada jirka iyo soo-dejinta endoscope
Sababtoo ah nabarradu waxay u baahan tahay in la daaweeyo inta sawirka oo dhami uu muuqdo, booska bukaanku aad ayuu muhiim u yahay. Isku day inaad qalloociso baaxadda si nabarradu u taagnaato meel u dhow furitaanka ashyaa'da biopsy, taasi waa, laga bilaabo 5 illaa 7-da shaashadda shaashadda.
Kahor daweynta, hadhaaga iyo midabka xad-dhaafka ah ayaa loo baahan yahay in la maydho ka dibna laga saaro nuugista.
Tusaale ahaan, haddii nabar ay ka soo saarto xinjirowga Sigmoid ee sigmoid-ka lagana saaro booska dambe ama booska dambe ee loo yaqaan 'pareubut', ayaa inta badan u gudbin doonta xiidanka soo deganaya, taasoo adkeyneysa in la soo celiyo booska dambe, sidaa darteed booska dambe ee loo yaqaan 'putebutus' ayaa ka fiican dhisidda.
Sidoo kale, marka laga eego aragtida soo kabashada muunada, booska bidix ee bidix goynta Jeer-ka-goynta ayaa laga doorbideysaa dib-u-dhigga lagu beddelo nabarro ka-hortagga gumeysiga.
2.tips muddada irbadaha maxalliga ah
Irbad duriin qaro weyn ayaa lagu duri karaa cadaadis hoose, laakiin ma ahan mid aad u xun oo daloolka cirbadu aad ayuu u weyn yahay, markaa qoraagu wuxuu adeegsanayaa cirbad 25G ah oo mudis ah.
Waa buunbuunin in la yiraahdo guusha ama guuldaradii EMR ay si weyn ugu tiirsan tahay cirbadaha maxalliga ah.
Loogu talagalay nabaro yaryar, feeradina waxaa laga sameeyaa dhinaca dabada ee nabarrada ilaa hoostiisa oo ka hooseysa nabarrada.
Dhaawacyada qeybta qaloocsan ama laalaabyada oo dhan, haddii duriinka maxalliga ah laga sameeyo dhinaca dabada, xaaladaha badankood nabaad-guuradu ma cadda sababta oo ah in mudis afka ah ay ka soo bilaaban karaan dhinaca afka.
Waxyaabaha lagama maarmaanka u ah farsamayaqaannada Endoscopy
Haddii dareeruhu ka soo baxo, ama waxaa jira iska caabbinta weyn inta lagu jiro duritaanka, ama ma jiraan iska caabbinta marka uu dareeruhoodu soo galo laakiin mudista waa in lagu ogeysiiyaa xaalada hab ku habboon si looga wada hadlo kuwa ugu dambeeya si looga wada hadlo kuwa ugu dambeeyay
Mugga duritaanka badan, ayaa ka sii fiican.
Tilmaanta ayaa ah in la sii wado duritaanka inta ugu badan ee suurtogalka ah iyada oo loo marayo hal xabbadood oo hal mar ah ilaa nabarrada oo dhan la qaado.
3.tips oo lagu xusho dabinka
Haddii dabinka uu ku jiro qaabka oval oo dheer, xabka caadiga ah ee dhinacyada nabarrada afka iyo futada ayaa si fudud loo noqon kara si fudud oo aan loo baahnayn.
Dabaylka ayaa doorbidan inuu kudhowdo wareegga, fududahay in gadaal loo furo gadaal, ma fududa in la istaagaa, oo uu leeyahay adkeyn gaar ah oo lagu cadaadiyo nabarrada si uu u fahmo nabarrada.
Cabbirka dabinka waa in lagu waafajiyaa cabirka nabarrada.
Polypectomy polupectomy dabinka
Tusaalooyinka EMR
a. Sawirka iftiinka cad
25 mm Nooca iftiinka IIA oo leh qayb yar oo isku meel yar oo niyad jab leh.
b. Sawirka Band ee Sawir (NBI) sawirro
c. Ku buufinaya carmine-ka Indigo si loo ballaariyo sawirka
Waxaa la ogaadey in niyad-jabka ah ee garashada indha indheynta caadiga ah ay dhab ahaantii ahaayeen caleemaha dhexdooda.
d. Muuqaal ballaadhan oo ah xaraashka crystal violet
Qaabka godka ee furitaanka tuubada qanjirada ee geeska nabarrada ee nabarrada ayaa ahaa nooca IV.
e. Muuqaal ballaadhan oo ah xaraashka crystal violet
Bartamaha nabarrada lesion waxay ahayd vi, wax yar oo aan caadi ahayn, oo aan jirin wax infekshin hoos u dhigista oo aan muuqan ayaa la helay.
f. Cirbadda maxalliga ah
Gawaarida iyo duritaanka maxalliga ah ayaa lagu sameeyay bartamaha nabarrada, taasoo dhalisay in tallod wanaagsan.
g. Fur dabinka
Riix caarada dabinka ee ka dhanka ah derbiga xiidanka si aad u furto dabinka.
h. Xir dabinka
Xir dabinka oo qabso nabarrada nabarrada.
i.power on ka saaritaan
Ma jiro wax dambaysta ah, dhiigbax ama buro hadiyado ah ayaa la helay.
j. Hagaajinta saadaasha
Muunadaha la soo saaray ee la soo saaray ayaa lagu dhejiyay xaashi caag ah.
Baadhitaanka cudurada ugu dambeysa:Intramucosal Carcinoma (TIS)
4. Diyaarinta hawlgalka dabinka
Tilmaanta dabinka ayaa si tartiib ah loogu ridayaa xagagga afka ah ee nabarrada, ka dibna si tartiib tartiib ah loo furay oo xididkii dabinka lagu riixaa dhinaca nabarrada. Si looga hortago in jeexitaanka dambe ee dambe inuu noqdo mid togan, qadar yar oo xambar caadi ah waa in la galiyaa.
Waa in la ogaadaa in marka caarada dabinka aan la arki karin, waxaa suuragal ah in xaashi aad u caadi ah la galiyay sidii la galiyay. Ka dib dabinka si buuxda loo adkeeyo, riix oo jiid jiid jiritaanka dusha sare ee dabinka si loo fiiriyo dhaqdhaqaaqa nabarrada. Haddii la galiyo lakabka muruqyada, dhaqdhaqaaqa nabarrada ayaa la dhimi doonaa.
Talooyin ku saabsan korontada
Dabinnadiisa ha ku dhaafin derbiga mindhicirka, laakiin waxyar kor u qaad, oo lesion da 'yarta ah. Khatarta ah ee dib-u-dhaca dib-u-dhaca ayaa hooseysa marka la isticmaalayo ciribtirka elektrosurgical, laakiin waxay u nugul tahay intraoperate (goor hore ka dib markii dib loo dhisayo) dhiig-baxa
Ka-soocidda aad u dhakhso badan ayaa sababi kara dhiigbax, halka laga soo baxo aad u gaabis ah oo u horseedi karta daloolka dib loo dhigay. Haddii bukaanku dareemayo xanuun, ama kaaliyeha wuxuu dareemayaa in unugyada laastikada loo yaqaan 'luuqadda laastikada la eg yahay oo ay adag tahay in la gooyo, waxay u badan tahay in unugyada ay ku lug leeyihiin lakabka muruqyada, oo ka soo bixitaanku waa in si dhakhso ah loo joojiyaa.
Waxyaabaha lagama maarmaanka u ah farsamayaqaannada Endoscopy
Haddii EndosCopist-ka uu dareemo in unugyada laastikada la eg yahay oo ah caag ah oo ay adag tahay in la gooyo, isaga ama iyadu waa inay si dhakhso leh u ogeysiiyaan hawl wadeenka si ay ugala hadlaan kuwa ka hortagaya.
Talooyin ku saabsan xanaaneynta EMR
Dhaawacyo waaweyn, waxaa mararka qaarkood amaan ah in la sameeyo deganaanshaha guud ee loo yaqaan 'peiemieal' halkii laga isticmaali lahaa hal-abuurka-mar-ka-dhigga. Si kastaba ha noqotee, qaybo badan oo ay jiraan, waxa ugu badan ee ugu badan ee soo noqnoqoshada haraaga ee maxalliga ah. Xitaa iyada oo loo yaqaan 'peciciciemeal EMR', dib-u-dejinta bilowga ah waa in loo sameeyaa sida ugu weyn ee suurtogalka ah ee ku habboon dabinka weyn si loo yareeyo tirada gogo '.
Annaga, Jiangxi Zhuoruoruihua Cli., Ltd. Kateetarka biyo-baxa iwm oo si weyn loogu isticmaalo EMR, ESD, ERCP. Alaabooyinkeenu waa CE shakhtal, oo dhirtuna waa ISO shahaadaysan. Alaabteena ayaa loo dhoofiyay Yurub, woqooyiga Mareykanka, Bariga Dhexe iyo qeyb Aasiya, oo si ballaaran ayaa loo helaa macaamiisha aqoonsiga iyo ammaanta!
Xirmooyinka biopsy
https://www.zrhedoscopycy.com/singlele-usenoscopic-tissispaue-bipy-Biopy -Giop-Wax-Graduistion-productive/
Maroklish
https://www.zrhendoscopy.com/disposable-rotatable-endoscopic-hemoclip-for-gastroscopy-use-product/
burushyada cytology
https://www.zrhedoscopy.com/endoscopypy -ciesciess-Discoscopic-choscolosic-Broush-Wax -Tactest -Tact-prodbastest-product-ka
Happipire
https://www.zrhedoscopypypy.com/GasterShoscopict-Cep-CECH-hydrophilic-cuide/
Dhagaxa dhagaxa dhabarka
https://www.zrhedoscopypypypypypy.com/erp-intrumenttrualt-gallstone-stone-retreaval-baskets-fo-froscopy-proscoscopy-proscopy-proscoscopy-proscompy)
Kateetarka biligel ee nasal
https://www.zrhendoscopy.com/medical-instrument-disposable-nasal-biliary-drainage-catheter-for-ercp-operation-product/
EMR
https://www.zrhedoscopy.com/emresd/
Esd
https://www.zrhedoscopy.com/emresd/
Ercp
https://www.zrhendoscopy.com/ercp/
Waqtiga Post: Feb-13-2025