Matombo madiki emuuro anogona kurapwa nenzira yekuchengetedza kana kuti kunze kwemuviri, asi matombo ane dhayamita hombe, kunyanya matombo anovhara, anoda kuvhiyiwa nekukurumidza.
Nekuda kwenzvimbo yakakosha yematombo ekumusoro kweureteral, anogona kusasvikika ne ureteroscope yakaoma, uye matombo anogona kufamba nyore nyore achipinda muchiuno cheitsvo panguva ye lithotripsy. Percutaneous nephrolithotomy inowedzera njodzi yekubuda ropa muitsvo kana uchigadzira nzira.
Kukwira kwe "flexible ureteroscopy" kwakagadzirisa matambudziko ari pamusoro apa zvinobudirira. Inopinda mu "ureter" ne "itsvo" kuburikidza ne "orifice" yemuviri wemunhu. Yakachengeteka, inoshanda, haipindi zvakanyanya, haina ropa rakawanda, marwadzo mashoma kumurwere, uye haina matombo akawanda. Iye zvino yava nzira yekuvhiya inoshandiswa zvakanyanya kurapa matombo e "ureteral" epamusoro.
Kubuda kwesheya yekupinda muuretizvakaderedza zvakanyanya kuoma kwekushandisa ureteroscopic lithotripsy. Zvisinei, nekuwedzera kwehuwandu hwezvirwere, matambudziko ayo akakwezva vanhu zvishoma nezvishoma. Matambudziko akadai sekuboorwa kweureteral uye kuomeswa kweureteral anowanzoitika. Izvi zvinotevera ndizvo zvinhu zvitatu zvikuru zvinotungamira kuomeswa kweureteral uye kuboorwa kwayo.
1. Nzira yechirwere, dhayamita yedombo, kuputika kwedombo
Varwere vane chirwere chakareba vanowanzova nematombo makuru, uye matombo makuru anoramba ari muureter kwenguva yakareba kuti aite mujeri. Matombo ari panzvimbo yekurova anodzvinyirira mucosa yeureteral, zvichikonzera kusakwana kweropa remunharaunda, ischemia yemucosal, kuzvimba uye kuumbwa kwemavanga, izvo zvine chekuita nekuumbwa kwe stricture yeureteral.
2. Kukuvara kwemudumbu
Ureteroscope inochinjika iri nyore kukotama, uye ureteral access sheath inofanira kuiswa usati waita lithotripsy. Kuiswa kwechannel sheath hakuitwe nekuona zvakananga, saka hazvidzivisike kuti mucosa yeureteral ichakuvara kana kubooka nekuda kwekukombama kweureter kana kuti lumen yakamanikana panguva yekuiswa kwesheath.
Pamusoro pezvo, kuti ureter itsigire uye ibvise mvura inoyerera muropa kuti ideredze kumanikidzwa kwechiuno cheitsvo, sheath yemugero inopinda neF12/14 inowanzo sarudzwa, izvo zvinogona kukonzera kuti sheath yemugero idzvinyirire zvakananga madziro emugero. Kana nzira yachiremba wezvekuvhiya isati yakwana uye nguva yekuvhiya ikawedzerwa, nguva yekudzvinyirirwa kwesheath yemugero pamadziro emugero ichawedzerwa kusvika pamwero wakati, uye njodzi yekukuvadzwa kwemadziro emugero ichave yakakura.
3. Kukuvadzwa neLaser yeHolmium
Kupwanyika kwedombo kwe holmium laser kunonyanya kutsamira pakushanda kwayo kwe photothermal, izvo zvinoita kuti dombo ritore simba re laser zvakananga uye riwedzere tembiricha yemunzvimbo kuti ribudirire pakupwanyika kwedombo. Kunyangwe kudzika kwemwaranzi yekupisa panguva yekupwanywa kwematombo kuri 0.5-1.0 mm chete, mhedzisiro inopindirana inokonzerwa nekupwanywa kwematombo nguva dzose haigone kufungidzirwa.
Pfungwa huru dzekuisasheya yekupinda muuretindeinotevera:
1. Pane pfungwa yakajeka yekuti jira rinobuda kana richiiswa muureter, uye rinonzwa rakatsetseka kana richikwira muureter. Kana kuiswa kwacho kwakaoma, unogona kutenderedza waya yekufambisa kuti uone kana waya yekufambisa ichipinda nekubuda zvakanaka, kuitira kuti uone kana jira rekufambisa riri kufambira mberi nenzira yewaya yekufambisa, sekuti kana paine kupokana kuri pachena, gwara rekuisa jira rinofanira kugadziriswa;
Mupendero wemugero wakaiswa zvakanaka wakanyatsogadzika uye haupindi nekubuda kana uchida. Kana mupendero wemugero ukabuda pachena, zvinoreva kuti wakamonera mudundira uye waya yekufambisa yabuda kubva muureter uye inofanira kuiswazve;
3. Masheya emugero weuretera ane zvirevo zvakasiyana. Varwere vechirume vanowanzo shandisa modhi yakareba 45 cm, uye varwere vechikadzi kana vechirume vapfupi vanoshandisa modhi yakareba 35 cm. Kana sheya yemugero ikaiswa, inogona kungopfuura nepaburi reuretera kana kuti haigone kukwira kusvika padanho repamusoro. Nzvimbo, varwere vechirume vanogona zvakare kushandisa sheya inopinza 35 cm, kana kuchinja kune sheya yekuwedzera ye14F kana yakatetepa yefascial kudzivirira ureteroscope inochinjika kuti isakwanise kukwira kutsvo;
Usaise sheath yemugero nedanho rimwe chete. Siya 10 cm kunze kweburi remugero weurethra kudzivirira kukuvara kwemucosa yemugero weurethra kana renal parenchyma paUPJ. Mushure mekuisa flexible scope, nzvimbo yesheath yemugero inogona kugadziriswa zvakare kana waona zvakananga.
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 yemumhinonezvimwewo zvinoshandiswa zvakanyanya muEMR, ESD, ERCPUyeNhevedzano yeUrology, zvakaita seChinoburitsa Dombo reNitinol, Maforceps eUrological BiopsyuyeMugodhi wekupinda muUreterauyeGwaro Rekushandisa UrologyZvigadzirwa 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: Gunyana-11-2024