(1). Basic maitiro ehunyanzvi hwekutanga eMR ndizvo zvinotevera:
Kutevedzana kwehunyanzvi
①Injecha yemuno jekiseni jekiseni pazasi lesion.
②ASA PAKUTI PAMUSORO PENYAYA.
Musungo unosimbiswa kuti unzwisise uye zvinokatyamadza lesion.
④Continue kusimbisa musungo uchishandisa magetsi kuti ubve maronda.
⑤Reretrive iyo yakaenzana yakafungidzirwa.
(2). Matipi
1.tips yeyemuviri chinzvimbo uye endoscope positioning
Nekuti lesion inoda kurapwa nguva yese iyo mufananidzo wese unoonekwa, chinzvimbo chemurwere chakakosha. Edza kusvetuka chiyero kuitira kuti Lesion iri pedyo neiyo biopsy forceps kuvhura, ndiko kuti, kubva ku5 kusvika ku7 kusvika pa7 ox pachiratidziro.
Asati arapwa, iyo yakasara uye yakawandisa pigment inoda kushambidzwa uye ikabviswa nekubika.
Semuenzaniso, kana lesion muProximal SigMoid Colon inobviswa mune Supine Colon chinzvimbo, iyo nzira inowanzo fambisa kuColon, ichiita kuti zviome kudzosera, saka chikamu chakazotevera cheDecral decan.
Saizvozvovo, kubva pamaonero ekufungidzira kupora, iyo yekuruboshwe Recubitus chinzvimbo chinosarudzwa pakubata kweanotumira colon lesions.
2.Tips yemasendimita emuno
Iyo gobvu yemuno jekiseni inogona kuiswa pjepinje kudzvinyirira, asi haina kupinza zvakakwana uye gomba retsono rakakura kwazvo, saka munyori anoshandisa jekiseni remunharaunda 25.
Izvo hazvisi zvekuwedzeredza kutaura kuti kubudirira kana kutadza kwe emr zvinoenderana zvakanyanya pamaunzi majekiseni emuno.
Kune zvidiki zvidiki, kupinza kunoitwa kubva kune anal rutivi rwechibvumirano kune pazasi pehurefu.
Zvekupaza maronda.
Zvakakosha kune endoscopy nyanzvi
Kana mvura ikabvumuka, kana kuti pane kurwisa kukuru panguva yekukura, kana kuti hapana kupokana kana mvura ikaumbwa asi isina kuumbwa uye mushandi anofanira kuziviswa nezvemamiriro ezvinhu nenzira yakakodzera yekukurukurirana.
Iyo yakawanda jekiseni vhoriyamu, zvirinani.
Iyo trick ndeyekuenderera mberi nekuisa zviwanikwa zvakanyanya sezvinobvira kuburikidza neyakaona kamwechete kusvikira iyo Lesion yose yasimudzwa.
3..tips yekusarudza musungo
Kana musungo uri muchimiro chemuzambiringa oval, akajairwa mucosa pamuromo wemuromo uye anus mativi anogona kunge ari nyore uye asina kusarudzika aisanganisirwa.
Musungo unonyanya kutenderedza, zviri nyore kuvhurika gare gare, zvisiri nyore kutsvedza, uye une kumwe kuomarara kudzvanya pane lesion kunzwisisa lesion.
Saizi yemusungo inofanira kuchinjika kusvika pakukura kweiyo lesion.
Kuraswa polypectomy musungo
Mienzaniso yeMR
a. Chena chena mufananidzo
A 25 mm Type Iia Lesion ine zvishoma kushungurudzika kwepakati chikamu.
b. Narrow Band kufungidzira (NBI) mifananidzo
c. Spray Indigo carmine kuti uwedzere mufananidzo
Zvakaonekwa kuti kushungurudzika kwaifungidzirwa nekuona kwaakaona kwaive kwakanyatso gomera pakati pemashizha.
d. Yakakurisa mufananidzo weCrystal Violet Staining
Iyo gomba maitiro eGlandular Duct kuvhurika pamupendero weiyo lesion yaive mhando iv.
e. Yakakurisa mufananidzo weCrystal Violet Staining
Pakati peiyo lesion yaive vi, zvishoma zvisingaiti, uye hapana kupfupiswa kwepakungwa kwakajeka kwakawanikwa.
f. Yenharaunda jekiseni
Puncture uye jekiti renzvimbo rakaitwa pakati peiyo lesion, zvichikonzera bulge yakanaka.
g. Vhura musungo
Dhinda musungo wetsiva kurwisa rusvingo rwekoroni kuti uvhure musungo.
h. Vhara musungo
Vhara musungo uye unzwisise lesion.
I.power pane kubviswa
Hapana kufungidzirwa, kubuda ropa kana kuti bundu rasara rakawanikwa.
j. Fungidziro yekugadzirisa
Iyo yakanakisa fungidziro yakanga yakabatanidzwa kune rimwe rabha pepa.
Final Pathological Diagnosis:Intramucosal Carcinoma (tis)
4..tips yeStare Kushanda
Musungo wembudzi unoiswa zvinyoro-nyoro mucosa weiyo lesion. Kuti udzivise iyo inotevera incision kubva pakuva yakanaka, huwandu hushoma hweMocosa hunofanira kuiswa.
Izvo zvinofanirwa kucherechedzwa kuti kana musungo wekusatsiwa asingaonekwe, zvinokwanisika kuti akajairika mucosa akaiswa pane zvaitarisirwa. Mushure mekunge musungo wasimbiswa zvakakwana, sundira uye dhonza ruoko rwekunze kwemusungo wekucherekedza kusara kweiyo lesion. Kana iyo yakaiswa mumasaga emasaini, kufamba kweiyo lesion kuchadzikiswa.
Mazano Electrorection
Usamanikidza musungo kumadziro emadziro, asi kusimudza zvishoma lesion yekuitongwa. Ngozi yekunonoka kutsamwiswa kwakaderera kana uchishandisa emagetsi emagetsi, asi zvinopindirana (kutanga mushure mekutsigirwa) kubuda ropa.
Tsanangudzo iyo yakanyanya kukurumidza inogona kukonzera kubuda ropa, nepo chinjana chinononoka chinogona kukonzera kunonoka kutsamwisa. Kana murwere achinzwa kurwadziwa, kana mubatsiri anonzwa kuti tishu rakapetwa senge rabha uye rakaoma kucheka, zvinoita kuti tishu rinobatanidzwa mumasuru, uye chirevo chinofanira kumiswa pakarepo.
Zvakakosha kune endoscopy nyanzvi
Kana iyo endoscopist inonzwa kuti iyo tishu iri elastic seRubber uye zvakaoma kucheka, iye anofanira kungozivisa overator kuti ukurukure macustomer.
Mazano Ekupaza EMR
Kwemaronda akakura, dzimwe nguva kuchengetedzeka kuti uite piecemeal rection kwete kumanikidzwa ese-pa-kamwechete. Nekudaro, zvidimbu zvizhinji zviripo, zvakakura mukana wekugara uchidzokorora kwenzvimbo. Kunyangwe nePedeMEAL EMR, redzidziso dzekutanga dzinofanira kuitwa yakakura sezvinobvira nemusungo mukuru kuderedza huwandu hwezvidimbu.
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Biopsy Forceps:
https://www.zrinotoscopy.com/ssingle- neendoscopic-tivecopic-Tissyu-bopsy-With-witudation-produation-uproduct/
polyp musungo
https://www.zrhendoscopy.com/disposable-kwebl-endoscopic-Selypection-formorter-PROFTROGELY-PUTROCT/
Spray Catheter
https://www.zrhendoscopy.com/ce-certified-disposable-endoscopic-spray-catheter-for-digestive-chromoendoscopy-product/
cytology brushes
https://www.zrinotoscopy.com/endoscopy-accessonsories-endosologic-br-Strologytinal-Tabtring/
Kutungamira
https://www.zrinotoscopy.com/gastrointestinal-endoscopic--
Dombo Rekutengesa Dombo
https://www.zrhendoscopy.com/erentp-instrement-lstone-stme-bretriev -basil-basil-produktopy-production/broduct.
Nasal Biliary Drainage Catheter
https://www.zrinotoscopy.com/medy-instrement-disposed-nasaary-D'biliage-Dether-foration-patration-Petiration-Production-Production-Production-Production
EMR
https://www.zrhendoscopy.com/emresd/
Esd
https://www.zrhendoscopy.com/emresd/
Ercp
https://www.zrhendoscopy.com/formp/
Kutumira Nguva: Kukadzi-13-2025