Musungo weEMR EDS wemhando yepamusoro weCold Snare wekushandisa kamwe chete

EMR EDS Instrument Polypectomy Musungo Unotonhora wekushandiswa kamwe chete Mufananidzo Wakaratidzwa

EMR EDS Instrument Polypectomy Musungo Unotonhora wekushandisa kamwe chete

Tsananguro pfupi:

Hunhu

● Yakagadzirirwa ma polyps < 10 mm

● Waya yekucheka yakakosha

● Dhizaini yemusungo yakagadzirwa zvakanaka

● Kucheka kwakanyatsojeka, kwakafanana

● Kudzora kwakanyanya

● Kubata kwakasimba

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Ruzivo rweChigadzirwa

Matagi eChigadzirwa

Kushandiswa

Musungo weCold snare chishandiso chakakodzera kupfuura zvese chekubvisa polyps muchando< 10 mm. Waya iyi yakatetepa, yakarukwa yakagadzirwa zvakanyanya kuti ichekerwe inotonhora uye inoita kuti ichekerwe zvakanaka uye yakachena pamwe chete nedhizaini yemusungo yakagadzirirwa kubvisa ma polyps madiki. Polyp yakabviswa haina zvikanganiso zvekupisa uye inoita kuti kuongororwa kwehistological kupe ruzivo rwakakosha.

Tsanangudzo

Muenzaniso	Upamhi hweChidimbu D-20% (mm)	Kureba kwekushanda L ± 10% (mm)	Muromo wemugodhi ± 0.1 (mm)	Hunhu
ZRH-RA-18-120-15-R	15	1200	Φ1.8	Musungo weOval	Kutenderera
ZRH-RA-18-160-15-R	15	1600	Φ1.8
ZRH-RA-24-180-15-R	15	1800	Φ2.4
ZRH-RA-24-230-15-R	15	2300	Φ2.4
ZRH-RB-18-120-15-R	15	1200	Φ1.8	Musungo weHexagonal	Kutenderera
ZRH-RB-18-160-15-R	15	1600	Φ1.8
ZRH-RB-24-180-15-R	15	1800	Φ1.8
ZRH-RB-24-230-15-R	15	2300	Φ2.4
ZRH-RC-18-120-15-R	15	1200	Φ1.8	Musungo weCrescent	Kutenderera
ZRH-RC-18-160-15-R	15	1600	Φ1.8
ZRH-RC-24-180-15-R	15	1800	Φ2.4
ZRH-RC-24-230-15-R	15	2300	Φ2.4

Tsananguro yeZvigadzirwa

Kugadzirisa Musungo Unotenderera we360°
Rongedza madhigirii 360 kuti ubatsire kuwana ma polyps akaomarara.

Waya muChivako Chakarukwa
inoita kuti ma polys asave nyore kubvisa

Nzira Yakavhurika Uye Yakavharika
kuti zvive nyore kushandisa

Simbi Isina Kusimba Yekurapa
Ipa hunhu hwekucheka hwakarurama uye hunokurumidza.

Muhara Wakatsetseka
Dzivirira kukuvara kwe endoscopic channel yako

Kubatanidza Simba Kwakajairika
Inoenderana nemidziyo mikuru yemagetsi ari pamusika

Kushandiswa Kwekiriniki

Target Polyp	Chishandiso Chekubvisa
Saizi yePolyp <4mm	Mafoshoro (saizi yekapu 2-3mm)
Polyp ine saizi ye4-5mm	Mafosi makuru (saizi yekapu 2-3mm) Mafosi makuru (saizi yekapu>3mm)
Saizi yePolyp <5mm	Maforceps anopisa
Polyp ine saizi ye4-5mm	Musungo Mudiki-Wakaita Oval (10-15mm)
Polyp ine saizi ye5-10mm	Musungo Mudiki-Oval (unodiwa)
Saizi yePolyp>10mm	Misungo yeOval, Hexagonal

Nzira dzekudzivirira kubva pakubviswa kwepolyp cold snare

1. Mapolyps makuru ane muganho.
2. Yakakodzera EMR neESD endoscopy, tekinoroji yekubvisa EMR kana ESD yakakura uye yakakwana inogona kusarudzwa.
3. Pedicle polyp inogonawo kuvharirwa zvakananga kuti ichekwe nemagetsi, kwete kucheka kwakapfava uye kwakakosha, uye mukati mepedicle inosara, uye clip inogona kubata mudzi.
4. Musungo wenguva dzose unogona kushandiswawo, uye musungo wepolyp wakatetepa wakakodzera kucheka uchitonhora.
5. Kubviswa kwechinhu chinotonhora mumabhuku hakushande, uye kubviswa kwemagetsi hakuna kubatwa zvakananga, uye pakupedzisira kwakachinjwa kuita EMR.
6. Nyatsoteerera kubviswa kweganda zvachose.
Kuwanda kwevanhu vanofa nekenza yemudumbu yakadai sekenza yemudumbu kuchiri kukwira. Huwandu hwevanhu vanorwara nekufa huri pakati pezvirwere zvinonyanya kukonzera kenza, uye kuongororwa kwacho kunofanirwa kuitwa nenguva kana zvichidikanwa.

Yakapfuura: Kuvhiyiwa kweEndoscopy yeGastric Endoscopy Inoraswa

Zvinotevera: Pipe yeCatheter yeEndoscopic inoshandiswa kamwe chete yeGastroenterology

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