MuColonoscopic kurapwa, mumiriri zvinetso ndezvekusarongeka uye kubuda ropa.
Forforation inoreva mamiriro ayo iyo iyo cavity yakabatana zvakasununguka kune iyo muviri wemuviri nekuda kweiyo yakazara-gobvu terfect, uye kuvapo kwemhepo yemahara pane x-ray bvunzo haina kukanganisa tsananguro yayo.
Kana iyo denderedzwa yeiyo yakazara-ukobvu hurema yakafukidzwa uye hapana kutaurirana kwemahara nemuviri wemuviri, inonzi fungidziro. Tsananguro yekubuda ropa haina kunyatsotsanangurwa, uye zviratidzo zvazvino zvinosanganisira kuderera muHemoglobin kweanopfuura 2 g / dl kana kudikanwa kwekuwedzerwa ropa.
Postopengerative kubuda ropa kazhinji kunowanzoitika sechiitiko cheropa rakakosha mune chitsiko mushure mekuvhiyiwa zvinoda kurapwa kwekurapa kana kuwedzerwa ropa.
Iko kuitika kwezviitiko izvi zvinoitika zvinosiyana nekurapwa:
Kufungidzira kwehunyanzvi:
Polypectomy: 0.05%
Zvinoenderana neChidimbu Conscopic Zvekushandisa: Kuraswa Polypectomy musungo
Endoscopic mucosal rection (EMR): 0.58% ~ 0.8%
Zvinoenderana neChicoscopic Zvipfuyo: Kuraswa HeastSis Clip
Yakanangana neChicoscopic Destables: Inoraswa Injection Indele Endoscopic Submucosal Disced (ESD): 2% ~ 14%
Inoenderana Endoscopic Inodzvinyirira: Kuraswa Esd banga
Postopengerative kubuda ropa
Polypectomy: 1.6%
EMR: 1.1% ~ 1.7%
ESD: 0.7% ~ 3.1%
1. Maitiro ekuita nekufunga
Sezvo madziro emudumbu hombe akatetepa pane iyo yemudumbu, njodzi yekutsanangurwa yakakwira. Kugadzirira kwakaringana kunodiwa kusati kuvhiyiwa kuti ubate nemukana wekutsanangurwa.
Intranaoperative Prechandura:
Ita shuwa zvakanaka zvinopindirwa neEndoscope. Sarudza macoscopes akakodzera, zviridzwa zvekurapa, zvemagetsi jekiseni, uye carbon dioxide gasi michero zvinoenderana nenzvimbo, morphology, uye degree of fibrosis yebundo.
Management yeIntraoperative Perforation:
Kuvhara nekukurumidza: Pasinei nenzvimbo yacho, zvikamu zvinosarudzwa zvekuvhara (kurudziro yesimba: Chikamu chekutanga: Chikamu cheChirevo: c). Muna Esd, dzimwe nguva nzvimbo yakatenderedza inofanira kutakurwa kutanga kuti adzivise kupindira nekuvhiringidza kwacho.
Tishu, ita simbisa nzvimbo yekuvhiya isati yasvika pamberi pekuvhara.
Zvekushandisa pekutarisa: Kana iyo fungidziro inogona kuvharwa zvachose, kuvhiyiwa kunogona kudzivirirwa nemushonga unorwisa mabhakitiriya uye kutsanya.
Chisarudzo chekuvhiya: Iko kudiwa kwekuvhiyiwa kwakavakirwa pane musanganiswa wezviratidzo zvebato, ropa bvunzo, uye kufungidzira kwete gasi remahara rakaratidzwa paCT yega yega.
Zvakakosha Zvikamu Zvinorapwa:
Iyo yakadzika rectum haizokonzerese mudumbu mukurumbira nekuda kwehunhu hwayo hwechiratidzo, asi zvinogona kukonzera
Pelvic paformation, inoratidzwa seRetroperitoneal, yemutungamiriri, kana subcutaneous emphysema.
Zvekungwaririra:
Kuvhara ronda mushure mekuvhiyiwa kunogona kudzivirira matambudziko kune imwe nhanho, asi haina
Kune humbowo hwakakwana kuratidza kuti zvinoshanda mukudzivirira kunonoka kutsanangurwa.
2. Mhinduro yekubuda ropa
Management yeLitraoperative kubuda ropa:
Shandisa kupisa kabhuku kana hemati yemakenduru yekumisa kubuda ropa.
Chidiki chidiki kubuda ropa:
MuEMR, musungo wechidimbu anogona kushandiswa kune yekubhadhara kabhuku.
MuEsd, iyo tip yemapepa emagetsi inogona kushandiswa kubata mari yekudyara kana masimba ekukwiridzira kumisa kubuda ropa.
Bread Ruble Broeding: shandisa hembe himatike, asi kudzora huwandu hwekubatana kuti udzivise kunonoka.
Kudzivirira kwekudzora kubuda ropa:
Kutakurwa kweVanga mushure mekunge EMR:
Zvidzidzo zvakaratidza kuti kushandiswa kwemakomputa ezvipfuyo zvekudzivirira hakuna kukosha pakubata kweropa rekubuda ropa, asi kune maitiro ekudzikisira. Kudzivirira Clamping kunoshamisa pane zvidiki zvidiki, asi zvinoshanda kune hombe maronda kana varwere panjodzi huru yekubuda ropa
Ronda ruregerero mushure meESD:
Midziyo yeropa yakafumurwa ndeyekuti inobatanidzwa, uye heighiti inotora inogona kushandiswa kudzivirira kusawirirana kwemidziyo mikuru yeropa.
ONA:
Kuti uwane EMR yeLesions Dessions, maronda ekudzivirira haaikurudzirwe, asi nekuda kwemaronda makuru kana varwere vane njodzi, kurudziro yekudzivirira.
Kufungisisa uye kubuda ropa kune zviitiko zvinozivikanwa zveColorel endoscopy.
Kutora zvakakodzera kudzivirira uye matanho ekurapa emamiriro ezvinhu akasiyana anogona kuderedza zvinobudirira zviitiko zvezvirwere zveSporadic uye kugadzirisa kuchengetedza murwere.
Isu, JiangXi Zhuihua Medical Chekurapa CO., LTD SHEATH uye URETERAL SEPS SHEATH ine suitati etc. iyo inoshandiswa zvakanyanya muMR, ESD, ESD, ESD, ESD, ESD. Zvigadzirwa zvedu zvinonzi CE Certified, uye zvidyarwa zvedu hazvipe zvakasimbiswa. Zvinhu zvedu zvatumirwa kuEurope, North America, Middle East uye chikamu cheAsia, uye chinowana mutengi wokuzivikanwa uye kurumbidzwa!
Kutumira Nguva: Kubvumbi-09-2025