Gi Disposable Endoscopic Flexible Rotatable Hemoclip Hemostatic Clips
Gi Disposable Endoscopic Flexible Rotatable Hemoclip Hemostatic Clips
Kushandiswa
Kubvisa ropa mumuviri (hemostasis) pa: mucosal/submucosal. Kukunda <3cm, maronda/tsinga dzinobuda ropa <2mm, nzvimbo dzekuvhiyiwa, kuvharika kwekushanda kwe GI luminal. Inoshandiswa kusunga mitsipa yeropa nehunyanzvi.
Tsanangudzo
| Muenzaniso | Saizi Yekuvhura Clip (mm) | Kureba Kwekushanda (mm) | Nzira yeEndoscopic (mm) | Hunhu | |
| ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Isina kuputirwa |
| ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Colon | |
| ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
| ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | Gastro | Yakafukidzwa |
| ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Colon | |
| ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 | ||
Tsananguro yeZvigadzirwa
Kubvisa Clip Inotenderedzwa ne360°
Ipa nzvimbo chaiyo.
Zano reAtraumatic
inodzivirira endoscopy kuti isakuvara.
Sisitimu Yekusunungura Inonzwa
zviri nyore kuburitsa clip.
Chidimbu Chekuvhura Nekupedzisa Chinodzokororwa
kuti pave nenzvimbo chaiyo.
Mubato Wakaumbwa Nesimba
Zviri nyore kushandisa
Kushandiswa Kwekiriniki
Hemoclip inogona kuiswa mukati medumbu (GI tract) nechinangwa che hemostasis ye:
Kukanganisika kwematako/pasi pematako < 3 cm
Maronda anobuda ropa, -Tsitsi dzeropa < 2 mm
Mapolyps < 1.5 cm mudhayamita
Diverticula mu #colon
Iyi clip inogona kushandiswa senzira yekuwedzera yekuvhara maburi eGI tract luminal <20 mm kana #endoscopic marking.
Hemoclip inogona kushandiswa muEMR neESD, saka musiyano uripo pakati peEMR neESD ndeupi?
EMR neESD zvinobva pamavambo akafanana uye zvine hunhu hwakafanana. Musiyano weEMR ESD ndewekuti:
Dambudziko reEMR nderekuti rinogumira pahukuru hwemaronda anogona kubviswa kuburikidza ne endoscopy (pasi pe 2cm). Kana maronda acho akakura kupfuura 2cm, anofanira kubviswa muzvidimbu, kurapwa kwemupendero kwenyama dzakabviswa hakuna kukwana, uye chirwere che postoperative hachina kururama.
Zvisinei, michina yeESD inowedzera zviratidzo zvekubviswa kwe endoscopic. Kune maronda akakura kupfuura 2cm, anogonawo kubviswa zvachose. Yave nzira inoshanda yekurapa kenza yemudumbu yekutanga uye maronda asati aita kenza.
Parizvino, EMR neESD zvinoshandiswa zvakanyanya mukubvisa masero emudumbu nekurapa endoscopy yekugaya chikafu.
Tekinoroji yeEMR neESD ndiyo inouraya kubviswa kwe endoscopic resection, uye yave nzira yakakosha yekurapa kenza yemudumbu nekukurumidza uye maronda asati aita kenza. Zvinotendwa kuti michina yeEMR neESD uye endoscopy yeEMR neESD zvinogona kugadzira kukosha kukuru kwehutano hwevanhu mune ramangwana.
