(1). Matekiniki ekutanga Matekiniki ekutanga eEMR ndeaya anotevera:
Kutevedzana kwemaitiro
①Jekiseni remushonga wejekiseni remunzvimbo iyoyo riri pasi pechironda.
② Isa musungo wakakomberedza ronda.
③Musungo wacho wakasimbiswa kuti ubate uye udzipe gomarara.
④Ramba uchisunga musungo uchishandisa magetsi kuti ubvise ronda.
⑤Tora sampuli yakabviswa.
(2). Mazano
1. Mazano ekusarudza nzvimbo yemuviri uye nzvimbo ye endoscope
Nekuti chironda chinofanira kurapwa mufananidzo wese uchionekwa, nzvimbo yemurwere yakakosha zvikuru. Edza kutenderedza scope kuitira kuti chironda chive pedyo nekuvhurwa kwe biopsy forceps, kureva, kubva na5 kusvika na7 o'clock pachiratidziro.
Usati warapwa, zvasara nepigment yakawandisa zvinoda kusukwa uye zvobva zvabviswa nekusveta.
Semuenzaniso, kana gomarara riri muproximal sigmoid colon rikabviswa panzvimbo yekurara kana kuruboshwe, sampuli inowanzoenda kudumbu rinoburuka, zvichiita kuti zviome kuburitsa dumbu, saka nzvimbo yekurara yerudyi ndiyo iri nani pakuvhiyiwa.
Saizvozvowo, kubva pakuona kwekudzorerwa kwemuenzaniso, nzvimbo yekuruboshwe yekubvisa maronda muura ndiyo inonyanya kufarirwa pakubvisa maronda emudumbu akachinjika.
2. Mazano ekubaiwa jekiseni remunzvimbo
Tsono yakakora yemunzvimbo inogona kubaiwa nepressure yakaderera, asi haina kupinza zvakakwana uye buri retsono rakakura zvakanyanya, saka munyori anoshandisa tsono yemunzvimbo ye25G.
Hazvisi zvekuwedzeredza kutaura kuti kubudirira kana kukundikana kweEMR kunoenderana zvakanyanya nemajekiseni emunzvimbo.
Pamaronda madiki, kuboorwa kunoitwa kubva kurutivi rwekumashure rweronda kusvika pasi peronda.
Pamaronda ari muchikamu chakakombama kana kuti akakombama, kana jekiseni remunzvimbo rikaitwa kubva kudivi rekumashure, kazhinji maronda acho haanyatsojeka nekuti anenge akatarisana nedivi remuromo, saka jekiseni remunzvimbo rinofanira kutanga kubva kudivi remuromo.
Zvakakosha zveEndoscopy Technicians
Kana mvura ikadonha, kana paine kuramba kukuru panguva yekubaiwa jekiseni, kana pasina kuramba kana mvura ikapinda asi pasina kuzvimba, jekiseni rinofanira kumira uye mushandi anofanira kuziviswa nezvemamiriro acho ezvinhu nenguva kuti vakurukure matanho ekudzivirira.
Kuwanda kwehuwandu hwejekiseni, ndiko kuri nani.
Chinokosha ndechekuramba uchibaya jekiseni zvakanyanya sezvinobvira kuburikidza nekuboorwa kamwe chete kusvika ronda rese rapera.
3. Mazano ekusarudza musungo
Kana musungo wacho wakaita sedenderedzwa refu, mucosa yakajairika iri pamuromo wegomarara nepadivi pemusana inogona kuiswa zviri nyore uye zvisina kufanira.
Musungo wacho unofanirwa kunge wakatenderera, uri nyore kuvhura wakatarira mativi, hausi nyore kutsvedza, uye une kuoma kwakati kuti udzvanye pachironda kuti ubate chironda.
Saizi yemusungo inofanira kuenderana nehukuru hwechironda.
Musungo wePolypectomy Unoshandiswa Pakurapwa
Mienzaniso yeEMR
a. Mufananidzo wechiedza chichena
Chironda cherudzi rwechipiri che25 mm chine chikamu chepakati chakapwanyika zvishoma.
b. Mifananidzo yeNarrow band imaging (NBI)
c. Kupfapfaidza indigo carmine kuti mufananidzo ukure
Zvakaonekwa kuti mipata yaionekwa nekucherechedza kwakajairika yaive migero iri pakati pemashizha.
d. Mufananidzo wakakura wekupenda kwekristaro violet
Maitiro egomba remugero weglandular pamucheto wechironda aive erudzi rwechina.
e. Mufananidzo wakakura wekupenda kwekristaro violet
Pakati pechironda paiva neVI, isina kurongeka zvishoma, uye hapana kupindira kwakajeka kwemudumbu kwakawanikwa.
f. Jekiseni remunzvimbo
Kuboorwa nekubayiwa jekiseni repanzvimbo kwakaitwa pakati pechironda, zvikaita kuti pave nebundu rakanaka.
g. Vhura musungo
Dzvanya muromo wemusungo pamadziro emudumbu kuti uvhure musungo.
h. Vhara musungo
Vhara musungo wobata ronda racho.
i.Simba rekubvisa
Hapana chakaboorwa, kubuda ropa kana bundu rakasara rakawanikwa.
j. Kugadzika kwemuenzaniso
Muenzaniso wakabviswa wakabatanidzwa papepa rerabha.
Kuongororwa kwekupedzisira kwechirwere:kansa yemukati memucosal (Tis)
4. Mazano ekushandisa snare
Musoro wemusungo unoiswa zvinyoro nyoro pamuromo wemukumbo wechironda, wozovhurwa zvishoma nezvishoma uye mudzi wemusungo unodzvanywa padivi remukumbo wechironda. Kuti kucheka kwepadivi kusave kwakanaka, musungo mudiki unofanira kuiswa.
Zvinofanira kucherechedzwa kuti kana muromo wemusungo usingaonekwe, zvinogona kuitika kuti mucosa yaiswa zviri nyore kupfuura zvaitarisirwa. Mushure mekunge musungo wanyatsosimba, dhonza wodhonza ruoko rwekunze rwemusungo kuti uone kufamba kwemusungo. Kana ukaiswa mutsandanyama, kufamba kwemusungo kuchaderera.
Mazano ekubvisa electroresection
Usadzvanya musungo pamadziro eura, asi simudza zvishoma gonda kuti ubvise. Njodzi yekunonoka kuboorwa yakaderera kana uchishandisa electrosurgical resection, asi inogona kubuda ropa panguva yekuvhiyiwa (kutanga kwekubvisa).
Kuchekwa kweganda nekukurumidza kunogona kukonzera kubuda ropa, nepo kuchekwa kweganda kunonoka kunogona kukonzera kunonoka kubooka. Kana murwere achinzwa kurwadziwa, kana mubatsiri wake akanzwa kuti nyama yacho yakareruka serabha uye yakaoma kucheka, zvingangoita kuti nyama yacho inobatanidzwa mutsandanyama, uye kuchekwa kweganda kunofanira kumiswa nekukasika.
Zvakakosha zveEndoscopy Technicians
Kana chiremba we endoscopist achiona kuti nyama yacho yakapfava serabha uye yakaoma kucheka, anofanira kuzivisa mushandi nekukurumidza kuti vakurukure matanho ekudzivirira.
Mazano ekugadzira EMR
Kune maronda makuru, dzimwe nguva zvakachengeteka kubvisa zvidimbu pane kubvisa zvese panguva imwe chete. Zvisinei, kana zvidimbu zvakawanda zviripo, mukana wekuti zvisaririra zvidzoke zvakare. Kunyangwe neEMR yezvidimbu, kubviswa kwekutanga kunofanirwa kuitwa kwakakura sezvinobvira netsvimbo huru kuderedza huwandu hwezvidimbu.
Isu, Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., tinogadzira zvinhu muChina zvine chekuita ne endoscopic consumables, zvakaita se biopsy forceps, hemoclip, polyp snare, sclerotherapy needle, spray catheter, cytology brushes, guidewire wire, stone retrieval basket, nasal biliary drainage catheter nezvimwewo zvinoshandiswa zvakanyanya muEMR, ESD, ERCP. Zvigadzirwa zvedu zvakanyoreswa neCE, uye zvirimwa zvedu zvakanyoreswa neISO. Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East nechikamu cheAsia, uye zvinowana vatengi vakawanda mukurumbira nerumbidzo!
Maitiro ekurapa nekushandisa biopsy:
https://www.zrhendoscopy.com/single-use-endoscopic-tissue-biopsy-forceps-with-graduation-product/
Hemoclip
https://www.zrhendoscopy.com/disposable-rotatable-endoscopic-hemoclip-for-gastroscopy-use-product/
musungo wepolyp
https://www.zrhendoscopy.com/disposable-endoscopic-resection-polypectomy-snare-for-gastroenterology-product/
tsono yekurapa sclerotherapy
https://www.zrhendoscopy.com/gastroenterology-accessories-endoscopic-sclerotherapy-injection-needle-product/
Pfapfaidza katheta
https://www.zrhendoscopy.com/ce-certified-disposable-endoscopic-spray-catheter-for-digestive-chromoendoscopy-product/
mabhurashi e cytology
https://www.zrhendoscopy.com/endoscopy-accessories-disposable-endoscopic-cytology-brush-for-gastrointestinal-tract-product/
Waya yekutungamira
https://www.zrhendoscopy.com/gastrointestinal-endoscopic-ptfe-coated-ercp-hydrophilic-guidewire-product/
tswanda yekutorwa kwematombo
https://www.zrhendoscopy.com/ercp-instrument-gallstone-stone-retrieval-basket-for-endoscopy-product/
katheta yekubuditsa mvura yemumhino
https://www.zrhendoscopy.com/medical-instrument-disposable-nasal-biliary-drainage-catheter-for-ercp-operation-product/
EMR
https://www.zrhendoscopy.com/emresd/
ESD
https://www.zrhendoscopy.com/emresd/
ERCP
https://www.zrhendoscopy.com/ercp/
Nguva yekutumira: Kukadzi-13-2025