Colonoscopy: Kurapa matambudziko

Mukurapa kwecolonoscopy, matambudziko anomiririra kubooka uye kubuda ropa.
Kuboorwa kunoreva mamiriro ekuti gomba rakabatana zvakasununguka negomba remuviri nekuda kwekukora kwenyama, uye kuvapo kwemhepo yakasununguka pakuongororwa kweX-ray hakukanganisi kutsanangurwa kwaro.
Kana mativi emuviri akakora akavharwa uye asina kutaurirana nemuviri, inonzi kubooka.
Tsanangudzo yekubuda ropa haina kunyatsotsanangurwa; zvinokurudzirwa pari zvino zvinosanganisira kudzikira kwehemoglobin inodarika 2 g/dL kana kudiwa kwekuwedzerwa ropa.
Kubuda ropa mushure mekuvhiyiwa kunowanzotsanangurwa sekubuda kweropa rakawanda mutsvina mushure mekuvhiyiwa kunoda kurapwa kweropa kana kuwedzerwa ropa.
Kuwanda kwezviitiko izvi zvinongoitika kwakasiyana zvichienderana nekurapwa:
Mwero wekuboorwa kwebvudzi:
Kuvhiyiwa kwePolypectomy: 0.05%
Kubviswa kwemucosal mucosal ne endoscopic (EMR): 0.58%~0.8%
Kubviswa kwemudumbu mudumbu (ESD): 2%~14%
Mwero wekubuda ropa mushure mekuvhiyiwa:
Kuvhiyiwa kwePolypectomy: 1.6%
EMR: 1.1%~1.7%
ESD: 0.7%~3.1

1. Maitiro ekugadzirisa kana pakaboorwa
Sezvo madziro eura hukuru akatetepa pane emudumbu, njodzi yekuboorwa yakakura. Kugadzirira kwakakwana kunodiwa usati wavhiyiwa kuti ugadzirise mukana wekuboorwa.
Matanho ekudzivirira panguva yekuvhiyiwa:
Ita shuwa kuti endoscope inoshanda zvakanaka.
Sarudza maendoscope akakodzera, zvishandiso zvekurapa, majekiseni ejekiseni uye michina yekuendesa gasi recarbon dioxide zvichienderana nenzvimbo, chimiro uye mwero wefibrosis yebundu.
Kutarisira kuboorwa kweganda panguva yekuvhiyiwa:
Kuvhara nekukasika: Pasinei nenzvimbo, kuvharwa kweclip ndiyo nzira inosarudzwa (simba rekurudziro: Giredhi 1, humbowo hwepamusoro: C).

In ESD, kuitira kudzivirira kukanganiswa kwekushanda kwekucheka, nyama yakapoteredza inofanira kutanga yachekwa kuti ive nechokwadi chekuti pane nzvimbo yakakwana yekushanda isati yavharwa.
Kuongorora mushure mekuvhiyiwa: Kana kubooka kwacho kukavharika zvachose, kuvhiyiwa kunogona kudzivirirwa nekurapwa nemishonga inorwisa mabhakitiriya nekutsanya chete.
Sarudzo yekuvhiyiwa: Kudiwa kwekuvhiyiwa kunobva pakusanganiswa kwezviratidzo zvemudumbu, mhedzisiro yekuongororwa kweropa, uye mifananidzo pane kungoshandisa gasi rakasununguka rinoratidzwa paCT.
Kurapa kwezvikamu zvakakosha:
Chikamu chezasi chemudumbu hachizokonzere kubhoboka kwedumbu nekuda kwehunhu hwaro, asi chinogona kukonzera kubhoboka kwechiuno, zvichionekwa se retroperitoneal, mediastinal, kana subcutaneous emphysema.
Zvekungwaririra:
Kuvhara ronda mushure mekuvhiyiwa kunogona kudzivirira matambudziko kusvika pamwero wakati, asi hapana humbowo hwakakwana hunoratidza kuti rinogona kudzivirira kunonoka kubooka.

2. Mhinduro yekubuda ropa
Kutarisira kubuda ropa panguva yekuvhiyiwa:
Shandisa heat coagulation kana hemostatic clips kuti umise kubuda ropa.
Kubuda ropa mutsinga diki:
EMR, muromo wemusungo unogona kushandiswa pakuomesesa kwemuviri.
ESD, muromo webanga remagetsi unogona kushandiswa kubata thermal coagulation kana hemostatic forceps kumisa kubuda ropa.
Kubuda ropa mutsinga huru: Shandisa hemostatic forceps, asi dzora kuvharika kweropa kuti usanonoka kubooka.
Kudzivirira kubuda ropa mushure mekuvhiyiwa:
Kubviswa kweronda mushure mekuvhiyiwaEMR :
Ongororo dzakaratidza kuti kushandiswa kwe hemostatic forceps kudzivirira kuvharika kweropa hakuna zvakunokanganisa pahuwandu hwekubuda ropa mushure mekuvhiyiwa, asi pane katsika kekudzikira.
Kucheka kwekudzivirira chirwere hakune simba guru pamaronda madiki, asi kunoshanda kune maronda makuru kana varwere vane njodzi huru yekubuda ropa mushure mekuvhiyiwa (senge avo vanorapwa nemishonga inorwisa thrombosis).
ESD, ronda rinobviswa uye mitsipa yeropa iri pachena inovharika. Zvidimbu zvehemostatic zvinogonawo kushandiswa kudzivirira kubatwa kwemitsipa mikuru yeropa.
Cherechedza:
Kune EMR yemaronda madiki, kurapwa kwekudzivirira nguva dzose hakukurudzirwi, asi kune maronda makuru kana varwere vane njodzi huru, kuchekwa kwekudzivirira mushure mekuvhiyiwa kune mhedzisiro yakati (simba rekurudziro: Level 2, evidence level: C).
Kuboorwa uye kubuda ropa matambudziko anowanzoitika e colorectal endoscopy.
Kutora matanho akakodzera ekudzivirira nekurapa mamiriro akasiyana kunogona kuderedza kuwanda kwezvirwere zvisingawanzoitiki uye kuvandudza kuchengetedzeka kwevarwere.

Isu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., tinogadzira zvinhu muChina zvine chekuita ne endoscopic consumables, zvakaita sesimba re biopsy, hemoclip, musungo wepolyp, tsono yekurapa sclerotherapy, katheta yekupfapfaidza,mabhurashi e cytology, waya yekufambisa, tswanda yekutorwa kwematombo, katheta yekubuditsa mvura yemumhino,sheya yekupinda muuretiuyesheya yekupinda muureti ine kusvetanezvimwewo zvinoshandiswa zvakanyanya muEMR, ESD, ERCPZvigadzirwa zvedu zvakanyoreswa neCE, uye mafekitori edu akanyoreswa neISO. Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East nedzimwe nzvimbo dzeAsia, uye zviri kuita kuti mutengi azivikanwe uye arumbidzwe zvikuru!