Intestinal polyp kubvisa maitiro: pedunculated polyps

Kana watarisana ne stalk polyposis, zvinodiwa zvepamusoro zvinoiswa pa endoscopist nekuda kweiyo anatomical hunhu uye kuoma kwekushanda kweronda.

Ichi chinyorwa chinotsanangura nzira yekuvandudza hunyanzvi hwekushanda endoscopic uye kuderedza matambudziko epashure kuburikidza nematanho ekupikisa akadai sekugadzirisa chinzvimbo uye kudzivirira ligation.

1. Zvipembenene zvinogadziriswa zveHSP: maronda emakumbo

Nokuda kwezvipembenene, iyo yakakura musoro wechirwere, iyo inonyanya kukosha simba regiravhiti, izvo zvinowanzoita kuti zvive zvakaoma kuti musungo uvhare nenzira yakarurama pedicle. Muchiitiko ichi, kugadziriswa kwechigaro kunogona kushandiswa kuvandudza munda wekuona uye kuwana nzvimbo yakanakisisa yekushanda, nokudaro kuve nechokwadi chekururama kwekushanda.

2. Ngozi yekubuda ropa uye kukosha kwekudzivirira ligation

Iyo hunde yezvipembenene zve pedunculated inowanzoperekedzwa nemidziyo yeropa yakakora, uye kubviswa kwakananga kunogona kukonzera kubuda ropa kukuru uye kuwedzera kuoma kwehemostasis.Naizvozvo, prophylactic pedicle ligation inokurudzirwa kusati kwaitwa.

Zvinokurudzira nzira dzekubatanidza

Kushandisa Clip

Zvikamu zvirefu zvinofanirwa kuiswa padhuze nechepazasi pe pedicle sezvinobvira kuti zvifambise zvinotevera musungo mashandiro. Uye zvakare, isati yaitwa resection, inofanirwa kuve nechokwadi kuti chironda chinoshanduka chakasviba chitsvuku nekuda kwekuvharika kweropa, zvikasadaro mamwe ma clips anofanirwa kuwedzerwa kuti awedzere kuvharira kubuda kweropa.

Cherechedza: Dzivisa kupa simba musungo uye clip panguva ye resection, sezvo izvi zvinogona kukonzera njodzi yekuparara.

 hemoclip

Kushandisa Musungo

Kuchengetwa kwenylon loop kunogona kunyatso sunga iyo pedicle mechanically, uye inogona kunyatsovhara kubuda ropa kunyangwe iyo pedicle yakati wandei.

Maitiro ekushanda anosanganisira:

1. Wedzera mhete yenaironi kusvika pakukura zvishoma kudarika dhayamita yekukuvadza (usawedzere-kuwedzera);

2. Shandisa endoscopy kupfuudza musoro wekukuvadza kuburikidza nejira renaironi;

3. Mushure mekusimbisa kuti mhete yenylon iri pasi pe pedicle, nyatsosimbisa pedicle uye upedze kusunungurwa kwebasa.

Polyp musungo

Resection precautions

A. Iva nechokwadi chokuti loop yenaironi haibatiki munyama yakatenderedza.

B. Kana iwe uchinetseka kuti mhete yenylon inogara ichadonha, unogona kuwedzera klipu pachigadziko chayo kana panzvimbo yeresection kudzivirira kubuda ropa mushure mekushanda.

3. Matanho ekushanda chaiwo

(1) Mazano ekushandisa simbi

Klipu refu inosarudzwa uye inoiswa pazasi pe pedicle, kuve nechokwadi kuti clip haikanganise kushanda kwemusungo.

Simbisa kuti chironda chatsvuka chakasviba nekuda kwekuvharika kweropa usati waita kuvhiya.

(2) Mazano ekushandisa ringi renaironi rekuchengeta

1. Wedzera mhete yenaironi kusvika pakukura zvishoma pane dhayamita yeronda kudzivirira kuvhurika zvakanyanya.

2. Shandisa endoscope kupfuudza musoro weronda nemuchiuno chenaironi uye ona kuti loop yenaironi haina kusimba.

Kunyatsokomberedza pedicle.

3. Zvishoma nezvishoma simbisa loop yenylon uye nyatsosimbisa kuti hapana mhuka yakapoteredza inobatanidzwa.

4. Mushure mekugadzirisa, pakupedzisira simbisa nzvimbo uye upedze kusungirirwa kwenylon loop.

(3) Kudzivirira kubuda ropa mushure mekushanda

Kuti udzivise kudonha kwekutanga kweiyo inogara nylon mhete, mamwe ma clips anogona kuwedzerwa kune hwaro hwesection kuti uwedzere kuderedza njodzi yekubuda ropa mushure mekushanda.

Pfupiso uye mazano

Mhinduro kune pesvedzero yesimba rinokwevera zvinhu pasi: Nekugadzirisa chinzvimbo chemuviri, ndima yekuona inogona kugadziridzwa uye oparesheni inogona kufambiswa. Preventive ligation: Kungave uchishandisa clip kana kuti mhete yenaironi, inogona kuderedza zvakanyanya njodzi yekubuda ropa panguva uye mushure mekuvhiyiwa. Kushanda kwakarurama uye kuongorora: Kunyatsotevera maitiro ekushanda uye kuongorora munguva mushure mekuvhiyiwa kuti uone kuti chironda chacho chabviswa zvachose uye hapana matambudziko.

Isu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., inogadzira muChina inyanzvi mune endoscopic consumables, senge.biopsy forceps, hemoclip, polyp musungo, sclerotherapy tsono, pfapfaidza catheter, cytology brushes, guidewire, dombo rekudzosa tswanda, nasal biliary drainage catheteretc. ayo anoshandiswa zvakanyanya muEMR, ESD, ERCP. Zvigadzirwa zvedu ndezveEC Certified, uye zvidyarwa zvedu ISO certified. Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East uye chikamu cheAsia, uye zvakanyanya kuwana mutengi wekuzivikanwa nekurumbidzwa!