TSONO YEJEKISI INORASIKA YE ERCP
TSONO YEJEKISI INORASIKA YE ERCP
Ruzivo rweChigadzirwa
1. Simbi isina ngura ine Teflon coating uye chitubu/mubato unochinjika kuderedza njodzi yekupwanyika.
2. 23G kusvika 25G.
3. Inosanganisira catheter yemukati yekuderedza kukweshana kwemukati.
4. Hurefu hwepamusoro hwetsono hunobva pa4 mm kusvika pa5 mm.
5. Kureba kwekatheta yekunze kwemasendimita mazana maviri nemakumi matatu.
6. Upamhi hwecatheter hunobva pa1.8 mm kusvika 2.5 mm.
7. Ine mubato weLuer unotsvedza une pombi yekuisa jekiseni.
8. Kiyi yekuchengetedza tsono.
9. Haana utachiona.
10. Kushandiswa kamwe chete.
Kushandiswa:
✅ Mashandisirwo Akakosha:
Hapana hutachiona, hapana kuomesa, hapana kugadziriswazve - kungoita basa rakachengeteka nguva dzese.
● Kubviswa kweMucosal Resection neEndoscopic (EMR)– Kubviswa kwema polyps ne GI neoplasms pasi pemucosal.
● Kubviswa kwemudumbu mudumbu (ESD) neEndoscopic Submucosal Dissection- Kubviswa kwemvura kuti ubvise tsvina yakachengeteka.
● Kurapa neSclerotherapy– Kubaiwa jekiseni resclerosant mugurokuro nepadumbu.
● Kurapa nekubvisa hemorrhoid sclerotherapy– Kubaiwa sclerosant mumahemorrhoids emukati.
● Kunyora nyora pamaronda– Kuisa chiratidzo cheganda remudumbu usati wavhiyiwa kuti uone kuti riri panzvimbo yakadii pakuvhiyiwa.
●Jekiseni reERCP rekusiyanisa- Kuvharika kwenzira dzemudumbu nedzedumbu.
●Kutumirwa kwemishonga munharaunda– Jekiseni re chemotherapy kana mimwe mishonga inorapa zvakananga.
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 | 21 G,4mm | ≥2.8 |
| ★ZRH-PN-2418-234 | Φ2.4 | 1800 | 23 G,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 | 21 G,4mm | ≥2.8 |
| ZRH-PN-2423-234 | Φ2.4 | 2300 | 23 G,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
● Nguva dzose yakapinza - Tsino itsva yesimbi isina ngura pese painoshandiswa
● Hapana njodzi yekutapukirwa - Haina utachiona, inoshandiswa kamwe chete, hapana kugadziriswazve
● Yakachengeteka pakushandisa scope - Tsono inodzoserwa inodzivirira nzira inoshanda
● Kudzika kwekubatanidza - Kuwedzerwa kunogona kugadziriswa kubva pa4mm kusvika pa10mm
● Hapana kubuda kwemvura - Kubatana kwakachengeteka kweLuer lock
● Ona zvakajeka - Musoro unoonekwa zvakanyanya pasi pe endoscopy
● Masiraidhi ari nyore - Chifukidziro chePTFE chisina kukweshana
Kusimudza submucosal nemazvo paEMR, ESD, uye sclerotherapy - tsono imwe, kuvhiyiwa kumwe, murwere mumwe chete.
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"– Isa dhayi kuti utungamirire fluoroscopic.
●Kuendesa mishonga– Shandisa mishonga yekurapa yemunharaunda.
●Kunyora nyora– Maka maronda kuti aonekwe panzvimbo yaari kuvhiyiwa mune ramangwana.
