01.Ureteroscopic lithotripsy waxaa si weyn loogu isticmaalaa daawaynta dhagxaanta kaadi mareenka sare, iyadoo qandhada infekshanka ay tahay dhibaato weyn oo qaliinka kadib ah. Qanjirrada qalliinka ee joogtada ah ayaa kordhiya cadaadiska miskaha gudaha (IRP). IRP-ga aadka u sarreeya waxay u keeni kartaa dhibaatooyin isdaba-joog ah oo ku yimaada habka wax-ururinta, ugu dambeyntiina waxay keenaan dhibaatooyin sida caabuqa. Iyadoo horumarinta joogtada ah ee farsamooyinka ugu yar ee intracavitary intracavitary, ureteroscopy dabacsan oo ay weheliso holmium laser lithotripsy ayaa helay codsiga daaweynta dhagxaan kelyaha oo ka weyn 2.5 cm sababtoo ah faa'iidooyinka dhaawaca ugu yar, soo kabashada degdega ah ee qalliinka kadib, dhibaatooyin yar, iyo dhiigbax yar. Si kastaba ha noqotee, habkani wuxuu jajabiyaa oo kaliya dhagaxa, si buuxda uma saaro jajabyada la jajabiyey. Nidaamku wuxuu ugu horreyntii ku tiirsan yahay dambiilaha soo celinta dhagaxa, kaas oo waqti badan qaata, aan dhammaystirnayn, oo u nugul samaynta waddooyinka. Sidaa darteed, hagaajinta heerarka dhagax-la'aanta, gaabin waqtiyada qalliinka, iyo yaraynta dhibaatooyinka qalliinka kadib ayaa ah caqabado adag.
02. Sanadihii la soo dhaafay, habab kala duwan oo loogu talagalay kormeerka intraoperative ee IRP ayaa la soo jeediyay, iyo tignoolajiyada nuugista cadaadiska xun ayaa si tartiib tartiib ah loogu dabaqay ureteroscopic lithotripsy.
Y-qaabeeya/suctionkaadi mareenkagelidgalkeeda
Isticmaalka la damacsan yahay
Waxaa loo isticmaalaa in lagu dhiso gelitaanka qalabka inta lagu jiro hababka ureteroscopic urology.
Hababka
ureteroscopy dabacsan/ adag
Tilmaamaha
Lithotripsy holmium laser dabacsan,
Baaritaanka microscopic iyo daaweynta hematuria ee kaadi mareenka sare,
Dheecaannada leysarka holmium dabacsan iyo dheecaanka fiix parapelvic,
Isticmaalka endoscopy dabacsan ee daaweynta cidhiidhiga kaadi mareenka,
Isticmaalka lithotripsy laser holmium dabacsan xaaladaha gaarka ah.
Habka Qalliinka:
Marka la eego sawirka caafimaadka, dhagxaan ayaa lagu arkay kaadi mareenka, kaadiheysta, ama kelyaha. Wire hage ah ayaa la geliyaa daloolka dibadda ee kaadi mareenka. Hoosta hagaha, galka hagaha nuugista vacuum-cadaadiska kaadi mareenka ayaa la dhigayaa goobta dhagaxa laga saarayo. Qalabka hagaha iyo tuubada dilator ee galka hagaha kaadi mareenka waa la saarayaa. Daboolka silikoon ayaa la dhigayaa. Iyada oo loo marayo daloolka dhexe ee daboolka silikoon, ureteroscope dabacsan, endoscope, fiber laser, iyo fiilada qalliinka ayaa lagu soo bandhigaa kanaalka ugu weyn ee galka hagaha kaadi mareenka kaadi mareenka, kaadiheysta, ama miskaha kelyaha ee hababka qalliinka ee khuseeya. Inta lagu jiro nidaamka, dhakhtarka qalliinka wuxuu geliyaa endoscope iyo fiber laser dhex mara kanaalka galka. Inta lagu jiro lithotripsy laysarka, dhakhtarka qalliinka ayaa isku mar damcinaya oo ka saaraya dhagxaanta isagoo isticmaalaya qalab nuugista vacuum ah oo ku xidhan dekedda vacuum drainage. Dhakhtarka qaliinka ayaa hagaajiya cadaadiska faakuumka isaga oo hagaajinaya cidhiidhiga koofiyada isku xirka Luer si loo hubiyo in dhagaxa laga saaro.
Faa'iidooyinka ka sarreeya dhaqankamarinka kaadi mareenkagalalka
01. Waxtarka kasaarista Dhagaxa Sare: Heerka bilaa dhagaxa ah ee bukaanada lagu samaynayo qaliinka dhagaxa ee isticmaalaya gadhka hagaha kaadi mareenka cadaadiska cadaadiska ayaa gaadhay 84.2%, marka la barbar dhigo kaliya 55-60% bukaanada isticmaalaya gadhka hagaha caadiga ah.
02. Wakhtiga Qalliinka oo Dhakhso leh, Dhibaato yar: Galka hagaha kaadi mareenka cadaadiska ee vacuum-pressure wuxuu isku mar kala jajabin karaa oo ka saari karaa dhagaxa inta lagu jiro qaliinka, si weyn u yareynaya wakhtiga qalliinka iyo khatarta dhiig-baxa iyo caabuqa bakteeriyada.
03. Aragti cad inta lagu jiro qaliinka: Galka hagaha vacuum-cadaadiska kaadi mareenku waxa uu dadajiyaa soo saarista iyo faleebada cadarka, isaga oo si wax ku ool ah u saaraya walxaha qulqulaya inta lagu jiro qaliinka. Tani waxay ku siinaysaa goob muuqaal oo cad inta lagu jiro qaliinka.
Tilmaamaha Naqshadeynta Alaabta
Qolka Nuugista
Waxay ku xidhaa qalab nuugid waxayna u adeegtaa sidii kanaal nuugid, taas oo u oggolaanaysa dareeraha dheecaanku inuu ka soo baxo iyo sidoo kale hamiga jajabyada dhagaxa.
Luer Connector
Hagaajin cidhiidhiga furka si aad u hagaajiso cadaadiska nuugista. Marka daboolka si buuxda loo adkeeyo, nuugista ayaa la kordhiyaa, taasoo keentay awoodda nuugista ee ugu sareysa. Waxa kale oo loo isticmaali karaa sidii qolka waraabka.
Koofida silikoon
Daboolkani wuxuu daboolayaa kanaalka ugu muhiimsan. Waxay ka kooban tahay dalool yar oo dhexe, taas oo u oggolaanaysa soo bandhigida ureteroscope dabacsan, endoscope, fiber laser, ama fiilada qalliinka iyada oo loo marayo kanaalka ugu weyn ee galiyaha kaadi-mareenka ee xuubka kaadi-mareenka, kaadiheysta, ama miskaha kelyaha ee hababka qalliinka aseptic.
Anaga, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., waa soo saaraha Shiinaha oo ku takhasusay isticmaalka endoscopic. Waxaan leenahay GI line, sida xoog-qaadis ka-qaadis-qaadis, hemoclip, dabin-dabin-dabiici ah, irbadda sclerotherapy, tuubada buufinta, burushyada cytology, hagaha, dambiilaha dib-u-soo-celinta dhagxaanta, tuubada dheecaanka biliary sanka kuwaas oo si weyn loogu isticmaaloEMR, ESD, ERCP. Iyo khadka kaadi mareenka, sidaDambiga Soo Celinta Dhagaxa Kaadi, Guidewire, Galka kaadi mareenka iyoGalka kaadi mareenka oo leh nuugid iwm.Badeecadahayagu waa shahaado CE, dhirtayaduna waa ISO shahaado. Alaabadayada waxaa loo dhoofiyay Yurub, Waqooyiga Ameerika, Bariga Dhexe iyo qayb ka mid ah Aasiya, waxayna si ballaaran u helaan macaamiisha aqoonsiga iyo ammaanta!
Waqtiga boostada: Agoosto-02-2025