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TSONO YEJEKISI INORASIKA YE ERCP

TSONO YEJEKISI INORASIKA YE ERCP

Tsananguro pfupi:


Ruzivo rweChigadzirwa

Matagi eChigadzirwa

Ruzivo rweChigadzirwa

1. Gauge yetsono: 21G, 22G, 23G, 25G sarudzo

2. Kuwedzerwa kwetsono: 4mm, 5mm, 6mm, 8mm, 10mm

3. Dhayamita yekunze yemugodhi: 1.8mm - 2.4mm

4. Kureba kwekushanda: 1200 / 1600 / 1800 / 2300 mm

5. Hupenyu hweSherufu: Makore matatu

6. Zvinhu zvetsono: Simbi isina ngura yemhando yekurapa

7. Rudzi rweMubato: Kutsvedza nekiyi

8. Kurongedza: Yakaputirwa yega yega, isina utachiona

9. Kushandiswa: Kushandiswa kamwe chete

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Kushandiswa:

✅ Mashandisirwo Akakosha:

Hapana hutachiona, hapana kuomesa, hapana kugadziriswazve - kungoita basa rakachengeteka nguva dzese.

● Kubvisa duct yenyongo/pancreatic duct nenzira yakasarudzwa:panguva yekuongorora nekurapa ERCP.

● Jekiseni repakati rinosiyanisa musiyano:ye cholangiography uye pancreatography pasi pe fluoroscopy.

● Jekiseni remvura rine saline/ risina utachiona:rubatsiro rwekushambidza ductal kana hydrodissection.

● Kutumirwa kwemushonga wekurapa:sezvakaratidzwa nenyanzvi yekurapa endoscopist (semuenzaniso, nzira dzekuwedzera dzesphincterotomy).

● Kushandiswa kwekuwedzeramukubvisa matombo, kuwedzera kwe stricture, uye mashandiro ekuisa stent yenyongo / pancreatic.

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Tsanangudzo

Muenzaniso

Dhayamita D±0.1(mm)

Kureba kwekushanda L±50(mm)

Saizi yetsono (dhayamita/kureba)

Nzira yekushanda

ZRH-PN-1812-254

Φ1.8

1200

25 G,4mm

≥2.0

ZRH-PN-2418-214

Φ2.4

1800

21G,4mm

≥2.8

★ZRH-PN-2418-234

Φ2.4

1800

23G,4mm

≥2.8

ZRH-PN-2418-254

Φ2.4

1800

25 G,4mm

≥2.8

ZRH-PN-2418-216

Φ2.4

1800

21 G,6mm

≥2.8

ZRH-PN-2418-236

Φ2.4

1800

23 G,6mm

≥2.8

ZRH-PN-2418-256

Φ2.4

1800

25 G,6mm

≥2.8

ZRH-PN-2423-214

Φ2.4

2300

21G,4mm

≥2.8

ZRH-PN-2423-234

Φ2.4

2300

23G,4mm

≥2.8

ZRH-PN-2423-254

Φ2.4

2300

25 G,4mm

≥2.8

ZRH-PN-2423-216

Φ2.4

2300

21 G,6mm

≥2.8

★ZRH-PN-2423-236

Φ2.4

2300

23 G,6mm

≥2.8

ZRH-PN-2423-256

Φ2.4

2300

25 G,6mm

≥2.8

★ Mhando dzinowanzo sarudzwa

Mibvunzo Inowanzo bvunzwa

Kubva kuZRH med.

Nguva Yekugadzira Yekutungamira: Mavhiki maviri kusvika matatu mushure mekubhadhara kwakagamuchirwa, zvinoenderana nehuwandu hweodha yako

Nzira yekutumira:
1. Na Express: Fedex, UPS, TNT, DHL, SF express kwemazuva matatu kusvika mashanu, mazuva mashanu kusvika manomwe.
2. Nemugwagwa: Munyika nekwavakidzani: Mazuva 3-10
3. Negungwa: Mazuva mashanu kusvika makumi mana nemashanu pasi rese.
4. Nendege: Mazuva mashanu kusvika gumi pasi rese.

Chiteshi cheKurodha:
Shenzhen, Yantian, Shekou, Hong Kong, Xiamen, Ningbo, Shanghai, Nanjing, Qingdao
Zvinoenderana nezvaunoda.

Mitemo Yekutumira:
EXW, FOB, CIF, CFR, C&F, DDU, DDP, FCA, CPT

Magwaro Ekutumira:
B/L, Invoice Yekutengesa, Rondedzero Yekurongedza

● Kudzora hutachiona - Dhizaini yekushandisa kamwe chete inobvisa kusiyana kwekugadzirisa zvakare uye inoderedza njodzi yekusvibiswa kwevarwere vese.

● Kubvisa tsvina nemazvo - Muromo wakapinza uye kuwedzera kwakadzorwa kunotsigira kubatana kwakarurama kweampulla yeVater.

● Kuona mvura yakachena - Kupenya kwakajeka kunoita kuti vanoongorora vasimbise kuyerera kwemhando ye "contrast" uye vaone kudzoka kweropa nekukasika.

● Nzira yekuisa scope yakatsetseka - PTFE sheath inoderedza kukweshana uye inodzivirira nzira inoshanda ye endoscope panguva yekuiswa.

● Kudzivirira jekiseni kwakaderera - Kureba kwemukati me lumen kwakagadziriswa kunotsigira kuburitswa kwe contrast kwakasimba, kwakaderera.

● Kushanda zvakanaka kwemabasa-Kurongedza kwakagadzirwa zvisina tsvina kwakagadzirira kushandiswa kunopfupisa nguva yekugadzirisa maitiro muERCP suite.

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Yakagadzirwa kuti ishande zvakanaka mumamiriro ezvinhu akaomarara emuviri, tsono iyi inobvumira kubaya jekiseni rekuenzanisa, kutumirwa kwemushonga zvakananga, uye kusimudza submucosal pasina kukuvara kwakanyanya kwenyama.

Kushandiswa Kwekiriniki

● Kusimudza EMR/ESD– Isa jekiseni remvura kuti ronda riwedzere kukwidziridzwa usati wabvisa ganda.

●Kurapa neSclerotherapy- Inoisa sclerosant muzvirwere zvevarices kana hemorrhoids.

●Kubaya jekiseni remhando ye "contrast"– Isai dhayi kuti muwane gwara rekushandisa fluoroscopic.

●Kuendesa mishonga– Shandisa mishonga yekurapa yemunharaunda.

●Kunyora nyora– Maka maronda kuti aonekwe panzvimbo yaari kuvhiyiwa mune ramangwana.

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  • Yakapfuura:
  • Zvinotevera: