Panzvimbo yekugaya chikafu, nzira yega yega yekurapa inobva pakubatanidzwa kwakarurama kwezvinhu zvinodyiwa nemazvo. Ingava kuongororwa kwekenza kwekutanga kana kubviswa kwematombo enyongori, aya "magamba ari kumashure" anosarudza zvakananga kuchengetedzeka uye mwero wekubudirira kwekuongorora nekurapa. Chinyorwa chino chinoongorora zvizere mamiriro ezvinhu anoshanda, hunyanzvi hwetekinoroji, uye pfungwa yekusarudza kiriniki yezvinhu zvinodyiwa makumi matatu nenomwe, zvichibatsira vanachiremba nevarwere kugadzirisa matambudziko ezvirwere zvemudumbu zvinobudirira!
I. Bvunzo Dzekutanga (Mhando 5)
- Basa: Rinoshandiswa kubvisa nemazvo sampuli dzenyama ye biopsy kubva mudumbu nemunzira yekufema kuti iongororwe pathological (sekuongororwa kenza pakutanga).
- Basa: Rinoshandiswa kuwana sampuro dzemasero kubva munzvimbo dzakamanikana (dzakadai segurokuro neburi) kubatsira mukuongorora pathological.
3. Dondo reIndigo Carmine Mucosal
- Basa: Inopfapfaidzwa kuti iratidze magadzirirwo emaronda emucosal, zvichivandudza mwero wekuona kenza nekukurumidza ne30%.
4. Chivharo Chinoonekera
- Basa: Rinoiswa kumucheto wepamberi pe endoscope kuti riwedzere nzvimbo yekuona, kubatsira mukudzikisa ropa, kubvisa zvinhu zvisiri zvekunze, kana kudzikamisa nzvimbo yekuvhiyiwa.
- Basa: Inochenesa nzira dze endoscope kudzivirira hutachiona hwehutachiona (kushandiswa kamwe chete kuti pave nekuchengetedzeka kukuru).
II. Maitiro Ekurapa (Marudzi 18)
Zvishandiso zveElectrosurgical Zvinowanzoitwa Kakawanda
6. Banga reElectrosurgical
- Basa: Kuisa matumbu, kuchekwa, uye kuchekwa (chinhu chikuru chekushandisa ESD/POEM). Inowanikwa mumhando dzakapinzwa mumvura (kuderedza kukuvara kwekupisa) uye dzisina kupinzwa mumvura.
7. MagetsiMisungo yekubvisa polypectomy
- Basa: Kubviswa kwepolyps kana bundu (dhayamita 25-35 mm). Waya yakarukwa inowedzera nzvimbo yekubata uye inoderedza njodzi yekubuda ropa.
8. Maforceps eBiopsy Anopisa
- Basa: Kubviswa kwemapolyps madiki nemagetsi <5 mm. Kunobatanidza kubatanidza tissue clamping uye hemostasis.
9. Zvidimbu zveHemostatic(Zvidimbu zveTitanium)
- Basa: Kuvhara ronda kana kuvharwa kwetsinga dzeropa. Kugadziriswa kunotenderedzwa ne360° kunowanikwa. Kunowanikwa mu90° ne135° kuti zviitwe zvakadzama.
10. Chishandiso cheNylon Loop Ligation
- Basa: Kuisa pasi pema polyps akakora kudzivirira kubuda ropa kunonoka.
11. Argon Electrode
- Basa: Kuvhara maronda epamusoro (akadai sema adenomas akasara). Kudzika kwekupinda kwemasero kunongova 0.5 mm, zvichipa kuchengetedzeka kwakanyanya.
Jekiseni uye Kurapa NeSclerotherapy
12.Tsono yejekiseni yeEndoscopic
- Basa: Jekiseni remudumbu (chiratidzo chekusimudza), sclerosing yetsinga dziri kukuvadzwa, kana kuvharika kweglue rematishu. Rinowanikwa mu21G (yakapinza) uye 25G (yakaboorwa zvishoma).
13. Mutambi weBhendi
- Basa: Kusunga bhandi rerubha remagumbu emudumbu kana mahemorrhoids emukati. ≥ mabhandi matatu anogona kuburitswa panguva imwe chete.
14. Guruu reTishu/Sclerosant
- Basa: Vhara mitsipa yakakuvara (semuenzaniso, cyanoacrylate yekudzivirira mitsipa yemudumbu).
Kuwedzerwa uye Kuiswa kweStent
15. Bharuni Yakakura
- Basa: Kukura zvishoma nezvishoma kwezvikamu zvedumbu (esophagus/colon). Dhayamita: 10-20 mm.
16. Chinogaya Mudumbu
- Basa: Rinotsigira masero ane kenza. Dhizaini yakafukidzwa inodzivirira kupinda kwegomarara.
17. Seti yeGastrostomy yePercutaneous Gastrostomy
- Basa: Rinopa mukana wekuwana zvekudya zvinovaka muviri kwenguva refu, zvakakodzera varwere vasingagoni kudya nemuromo
III.ERCP-Zvigadzirwa Zvakasiyana (Mhando 9)
18.Kuvhiyiwa kweSphincterotomy
- Basa: Inovhura duodenal papilla uye inovhura bile nepancreatic duct. Chidimbu chine arched chinoita kuti zvive nyore kufamba.
19.Bhasikiti reKubvisa Matombo
- Basa: Inobvisa matombo enyongo (20-30 mm). Tswanda yesimbi isingatsvi inonyatsoratidza kuti ari pasi peX-ray.
20. Lithotomy Balloon Catheter
- Basa: Inobvisa matombo nematombo. Upamhi hwebharumu hwe ≥8.5 mm hunovimbisa kukurumidza kutorwa kwechinhu chose.
21. Bhasikiti reLithotripsy
- Basa: Zvinoita semakanika zvinopwanya matombo makuru. Dhizaini yakabatana inobvumira lithotripsy uye kutora matombo panguva imwe chete.
22.Catheter yemvura inoyerera muchubhu
- Basa: Kuburitsa tsvina yekunze. Maumbirwo emuswe wenguruve anodzivirira kutsvedza. Nguva yekugara mukati ≤mazuva manomwe.
23. Chinovhara Bhiriary
- Basa: Ma stenti epurasitiki anopa mvura kwenguva pfupi (mwedzi 3-6). Ma stenti esimbi anoshandiswa kutsigira kwenguva refu kuvharika kwemasero ane kenza.
24. Catheter yeAngiography
- Basa: Inopa mifananidzo ye cholangiopancreatography. Dhizaini ye lumen imwe chete/mbiri inobvumira kugadziriswa kwewaya dzinotungamira.
25. MbiziWaya yekutungamira
- Basa: Rinotungamira zvishandiso kuburikidza nemaumbirwo akaomarara emuviri. Kuputira kwemvura kunoderedza kukweshana ne60%.
26. Stent Pusher
- Basa: Inoburitsa ma stent nemazvo kudzivirira kutama.
IV. Zvishongedzo (mhando 5)
27. Kuruma Block
- Basa: Inochengetedza endoscope yemuromo nekugadzirwa kwayo kunodzivirira kurumwa. Chinhu chinodzvinyirira rurimi chinowedzera nyaradzo.
28. Ndiro Yekuneta
- Basa: Inopa dunhu rekuchengetedza remagetsi rinoita kuti magetsi atsve (hazvidikanwi kune mayuniti emagetsi ekubipolar).
29. Tubhu rekudiridza
- Basa: Inosuka madzihwa kana ropa panguva yekuvhiyiwa kuti nzvimbo yekuvhiyiwa irambe yakachena.
30. Mafosi emuviri wekunze/Loop yeNetting
- Basa: Kubvisa zvinhu zvekunze zvakamedzwa (mari, mazino ekugadzira, nezvimwewo).
31. Bhatani reMvura/Mhepo
- Basa: Kudzora mabasa emvura, mhepo, uye kusveta e endoscope nemunwe.
Tsananguro
- Zvinhu makumi matatu nenomwe zvine chekuita nenhamba: Izvi zvinosanganisira zvakakamurwa muzvikamu zviri muchikamu chimwe chete (semuenzaniso, mhando ina dzemablade ekucheka ane frequency high-frequency, mhando nhatu dzetsono dzejekiseni), zvichibvumira kusanganiswa kwekiriniki zvichienderana nekudiwa.
- Kufukidzwa Kwebasa Repamusoro: Kurongwa kuri pamusoro apa kunosanganisira zvikamu zvese zvebasa, zvichizadzisa zvinodiwa nemamiriro ese ezvinhu, kubva pakuongororwa kwekenza kwekutanga (biopsy forceps, dyes) kusvika pakuvhiyiwa kwakaoma (ESDmapanga,ERCPzviridzwa).
Isu, Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., tinogadzira zvinhu muChina zvine chekuita ne endoscopic consumables, zvinosanganisira GI line dzakadai se biopsy forceps, hemoclip, polyp snare, sclerotherapy needle, spray catheter, cytology brushes, guidewire wire, stone retrieval basket, nasal biliary drainage cathete nezvimwewo zvinoshandiswa zvakanyanya muEMR, ESD, ERCP. Zvigadzirwa zvedu zvakabvumidzwa neCE uye zvine mvumo yeFDA 510K, uye mafekitori edu akabvumidzwa neISO. Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East neAsia, uye zvinowana vatengi vakawanda mukurumbira nerumbidzo!
Nguva yekutumira: Nyamavhuvhu-18-2025