ERCP Instruments Triple Lumen Single Use Sphincterotome yekushandiswa kweEndoscopic

1. Dhayamita
Dhayamita yesphincterotome inowanzova 6Fr, uye chikamu chepamusoro chinoderedzwa zvishoma nezvishoma kusvika 4-4.5Fr. Dhayamita yesphincterotome haidi kutariswa zvakanyanya, asi inogona kunzwisiswa nekubatanidza dhayamita yesphincterotome uye simba rekushanda re endoscope. Pane imwe waya yekutungamira inogona kupfuudzwa here sphincterotome ichiiswa?
2. Kureba kwebanga
Kureba kwebanga kunofanirwa kutariswa, kazhinji 20-30 mm. Kureba kwewaya inotungamira kunosarudza kona yebanga rebanga uye kureba kwesimba panguva yekucheka. Saka, kana waya yebanga yakareba, "kona" yearc iri pedyo nekwakanangana kwemukati me pancreaticobiliary duct intubation, izvo zvingave nyore kupinza matubhu zvinobudirira. Panguva imwe chete, waya dzebanga dzakareba dzinogona kukonzera kukanganisa kwe sphincter nezvivakwa zvakapoteredza, zvichikonzera matambudziko akakomba akadai sekuboorwa, saka kune "banga rakangwara" rinozadzisa zvinodiwa zvekuchengetedza panguva yekusangana nehurefu hwaro.
3. Kuzivikanwa kweSphincterotome
Kuzivikanwa kwesphincterotome chinhu chakakosha zvikuru, kunyanya kubatsira mushandi kunzwisisa zviri nyore uye kuziva nzvimbo yesphincterotome panguva yekucheka kwakaoma uye kwakakosha, uye kuratidza nzvimbo yakajairika uye nzvimbo yakachengeteka yekucheka. Kazhinji, nzvimbo dzakasiyana dzakadai se "kutanga", "kutanga", "pakati" uye "1/4" yesphincterotome dzichaiswa chiratidzo, apo 1/4 yekutanga nepakati pebanga rakangwara nzvimbo dzakachengeteka dzekucheka, dzinonyanya kushandiswa. Pamusoro pezvo, chiratidzo chepakati chesphincterotome ndeche radiopaque. Pasi pekutarisa kweX-ray, nzvimbo yakabatana yesphincterotome musphincter inogona kunzwisiswa zvakanaka. Nenzira iyi, pamwe nehurefu hwebanga rakaonekwa pasi pekuona zvakananga, zvinokwanisika kuziva kana banga richigona kuita sphincter incision zvakachengeteka. Zvisinei, kambani yega yega ine maitiro akasiyana elogo mukugadzira malogo, ayo anofanira kunzwisiswa.