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 zvakakwana akavharwa uye pasina kutaurirana kwakasununguka nemuviri, zvinonzi kubooka. Tsananguro yekubuda ropa haina kunyatsotsanangurwa, uye zvinokurudzirwa pari zvino zvinosanganisira kudzikira kwehemoglobin inodarika 2 g/dL kana kudiwa kwekuisirwa 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%
Zvimwe Zvinoshandiswa zveEndoscopic: Disposable Polypectomy Snare
Kubviswa kwemucosal mucosal ne endoscopic (EMR): 0.58%~0.8%
Zvimwe Zvinoshandiswa zveEndoscopic: Zvidimbu zveHemostasis Zvinoraswa
Zvimwe Zvinoshandiswa zveEndoscopic: Disposable Jekiseni Tsono
Kubviswa kwemudumbu mudumbu (ESD): 2%~14%
Zvimwe Zvinoshandiswa zveEndoscopic: Banga reESD Rinoraswa
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:
Iva nechokwadi chekuti 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 kwegomarara panguva yekuvhiyiwa:
Kuvhara nekukasika: Pasinei nenzvimbo, maklipu anofarirwa kuvharwa (simba rekurudziro: danho 1, danho reuchapupu: C). MuESD, dzimwe nguva nzvimbo yakapoteredza inofanira kutanga yabviswa kuti isapindire pakubviswa kwemaklipu.
Tishu, iva nechokwadi chekuti nzvimbo yakakwana yekushanda usati wavhara.
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 gasi rinoratidzwa paCT chete.
Kurapa kwezvikamu zvakakosha:
Chikamu chepazasi chemudumbu hachizokonzere kubhoboka kwedumbu nekuda kwehunhu hwaro, asi chinogona kukonzera
Kuboorwa kwechiuno, kunoratidzwa se retroperitoneal, mediastinal, kana subcutaneous emphysema.
Zvekungwaririra:
Kuvhara ronda mushure mekuvhiyiwa kunogona kudzivirira matambudziko kusvika pamwero wakati, asi hazviiti
Pane humbowo hwakakwana hunoratidza kuti inoshanda mukudzivirira 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:
MuEMR, snare tip inogona kushandiswa pakupisa.
MuESD, 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 kwemaronda mushure meEMR:
Ongororo dzakaratidza kuti kushandiswa kwezvibatiso zvehemostatic kudzivirira kuvharika kweropa hakuna zvakunokanganisa zvakanyanya pakubuda ropa mushure mekuvhiyiwa, asi pane nzira yekuderedza. Kuvhara ropa kudzivirira kune zvakunokanganisa zvishoma pamaronda madiki, asi kunoshanda kune maronda makuru kana varwere vari panjodzi huru yekubuda ropa mushure mekuvhiyiwa (senge avo vanorapwa ne antithrombotic therapy).
Kubviswa kweronda mushure meESD:
Mitsipa yeropa iri pachena inovharika, uye hemostatic clips dzinogona kushandiswa kudzivirira kubatwa kwetsinga huru dzeropa.
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 mashoko, 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!
Nguva yekutumira: Kurume-21-2025