Munzira dzekubvisa endoscopic resection, tinowanzoisa tariro yedu pamidziyo yepamusoro, asi kazhinji tinofuratira zvinhu zvidiki zvinoitwa nemaitiro ekutanga. Sei zvichiitika kuti kunyangwe kana ronda racho raonekwa zvakanaka, rinobuda pakarepo patinosunga musungo? Nhasi, tichiwana pfungwa kubva mubhuku iri.Nzira yeOho: Maitiro Ekutanga muEndoscopy YekugayaNgationei zvinhu zvidiki-diki zviri mukushandiswa kwemusungo zvinozopedzisira zvaita kuti munhu abudirire kana kuti akundikana.
Vanachiremba veEndoscopist vese vangangove vakasangana nenguva idzi dzekuti 'BP iwedzere': Unonyatsofambisa jira pamusoro pechironda, woisa maronda zvakanaka, wobva watsika pedal—wozongonzwa 'kudonha', chironda chacho chobva chabuda, kana kuti zvakatoipa, chobviswa zvishoma nezvishoma.
Munguva dzino, vanhu vazhinji vanotanga kupomera mhosva yerombo rakaipa kana kuti michina isina kunaka. Zvisinei, mukuona kwenyanzvi dzine ruzivo dzakaongorora maitiro akawanda, izvi hazviwanzoitiki. Kazhinji ibhomba rinongoerekana raiswa nemaitiro asina kunaka ekushanda.
Nhasi, tichishandisa pfungwa dzehunyanzvi dzenyanzvi yekurapa masero emuviri yeJapan Dr. Ken Oho, ngatipindei mu 'nzvimbo mbiri dzisingaonekwi' mukubvisa masero emukenza dzinonyanya kufuratirwa nevatsva nevarwi vekare — iyochikamu chakazarauyepakati.
Kutevedzana Kwakajairika Kwekusunga - Matanho Akabatana, Rimwe Nerimwe Rinokosha
Pakushandisa musungo, vazhinji vanotanga basa vanowanzo mhanyira panzvimbo ine chironda pavanongowana mudziyo wacho. Kunyange zvazvo kufamba kwavo kuchikurumidza, vanowanzo pedzisira vasisina kurongeka uye vasina kurongeka.
Mu "Oho Method," kugadzirisa musungo kunotevera kurongeka kwakasimba, kunowanzo kamurwa kuita matanho mana:
Gadzirisa musungo:Kutanga, tsvaga nzvimbo yekudzikamisa chishandiso.
Bvisa sheya rekunze kuti uvhure musungo wogadzirisa saizi yawo:Danho iri rinoona kuti kubviswa kwegomarara kunofanira kuitwa sei. Rinofanira kugadziriswa nemazvo zvichienderana nehukuru hwegomarara.
Bata wosimbisa sekuti "uri kugamuchira" ronda racho mumusungo:Iyi inzira inoshanda yekugamuchira "chironda" chiri mukati, pane kungomirira kuti chiwire mukati.
Fambisa sheya rekunze uchisimbisa kudzivirira kuti muromo wemusungo usabve panzvimbo yawo:Iri ndiro danho rakakosha zvikuru, uye apo vazhinji vevanachiremba ve endoscopist vanowanzogumburwa. Kana sheath yekunze isina kukwidziridzwa, simba rekusunga rinodhonza muromo wemusungo kumashure, zvichiita kuti ronda risaonekwe.
Maitiro aya anganzwika seari nyore, asi danho rega rega rinoda kubatana kwakanyanya kwemaoko nemaziso.
Tarisa paZano reMusungo - Kuwana "Nzvimbo Yakagadzikana"
Sei muromo wacho uchikosha kudaro? Nekuti mumukanwa wakapfava uye une simba muura, muromo wacho unoshanda se "anchor" yedu inoshanda.
Vanachiremba vazhinji ve endoscopist vakajaira kushandisa chikamu chakamanikana cheura kana divi rakatarisana ne mesenteric attachment sechikamu che fulcrum, asi izvi zvinowanzoita kuti munhu atsvedze.
Chakavanzika che "Oho Method" chiri muizvi:vachishandisa muromo wemusungo pachawo sechikamu chekupedzisira.
Kune nzira mbiri dzakakosha dzekuita izvi. Munhu wese anogona kunyatsoongorora Mufananidzo 1 (Kugadzirisa Musungo), wandakatora kubva mubhuku:
Maitiro 1 (Mufananidzo 1a):Vhura musungo wacho zvizere wovhara gomarara kubva kumusoro. Iyi ndiyo nzira inoshandiswa kana ura hwakatwasuka uye gomarara racho riri nyore kubata.
Maitiro 2 (Mufananidzo 1b):Shandisa madziro emudumbu ari parutivi rwemuromo sechikamu chekupedzisira, wovhura musungo zvishoma nezvishoma.
Maitiro 3 (Mufananidzo 1c):Kana pasina divi remuromo rakagadzikana, unogona kushandisa madziro eparutivi sechikamu chemuromo. Wobva wavhura musungo zvishoma nezvishoma; izvi zvinoita kuti zvive nyore kubata ronda.
Cherechedza:Tinogona kungoenderera mberi nematanho anotevera ekuvhura nekusimbisa kana muromo wemusungo wagadzikana uye wakasimba panzvimbo yawo usingatsvedze. Kana muromo wacho usingakwanise kumira zvakanaka, zvese zvinozoitwa zvichashaya basa.
Tarisa Pakati Pemusungo - Dzivisa Kufungidzira Kwekuti "Kutora Zvinhu Sezvine Musoro"
"Kunyatsosimbisa musungo kunogona kukonzera kuti ronda ribve pakati."
Sei? Pane chimwe chinhu chisina kunyatsojeka chiri kuitika pano.
Patinosimbisa musungo, unodzoserwa mugomba rekunze. Munguva iyi, hwaro hwemusungo (mugumo wakabatana negomba) hunoshandisa simba rekusunda kunze. Izvi zvinotungamirira kumhedzisiro yakakosha: chironda chinowanzo kudhonzwa zvakanyanya pakati pemusungo pane kuenda kuhwaro hwacho.
Kana usina kugadzirisa nzvimbo yacho zvakanaka usati wasimbisa, chikamu chegomarara chete chingave chiri mukati memusungo asi chimwe chasara chichisara panze. Kana wangotanga kushandisa electrocautery, chikamu chakafumurwa hachizobviswi, zvichikonzera "kubviswa kwegomarara zvishoma nezvishoma."
Saka, mhinduro yacho ndeipi?
Panguva chaiyo yekusunga musungo, unofanirwa kufambisa sheath yekunze panguva imwe chete zvishoma nezvishoma. Chinangwa chekusundira sheath kunze uku uchisunga ndechekuona kuti chironda chinoramba chiri pakati pemusungo (sezvinoratidzwa paMufananidzo 2).
Usarerutsa chiito ichi chiri nyore cheku'sundidzira zvishoma usati wasimbisa'—zvinokutendera kuti uone zvakajeka ronda racho rakavharirwa zvizere pamonitor, pane kungovimba ne'kunzwa'.
Pfungwa huru yaDr. Ohba - Ramba Wakatarira Zvakazara Kuti Udzivise 'Kupotsa Chinangwa'
Dr. Ohba vapfupisa chinangwa chikuru chekushandisa snare.
Kana muromo wemusungo usina kudzvanywa zvakasimba pamucheka, muromo wacho unodhonzwa paunosunga musungo, zvichiita kuti ronda ritsvedze. Kusiyana neizvi, kana muromo wacho ukadzvanywa zvakanyanya, fulcrum ichabva pamuromo uchienda kumucheto wekunze. Saka, zvakakosha kuti"Mugumo wemusungo ndiwo unova mugumo."
"Ndinotenda kuti munhu wese akambofunga kuti, 'Ndaive nechokwadi chekuti ronda rese raive mukati memusungo,' asi akazopedzisira abviswa zvidimbu. Iri harisi rombo rakaipa chete; pane chikonzero charo. Tinofanira kuramba takatarisa zvizere kuti tive nechokwadi chekuti ronda rese raive mukati memusungo, uye kudzivirira kuti risatsvedzerere panguva yekusunga!"
Mashoko aya anonyatsoenderana nenyanzvi dze endoscopist dzisingaverengeki. Zvatinoti "rombo rakaipa" chaizvoizvo kungokanganisa ruzivo rwedu rwekuita.
Paunenge uchiverenga izvi, une "nguva iyoyo here"? Zvinozoitika kuti zvinhu zvidiki zvatinowanzo kanganwa panguva yemaitiro zvakatotsanangurwa zvakajeka nevakatitangira.
"Kana uchida kudzidza nzira iyi yekushanda kwe endoscopic 'yepamusoro pemabhuku ekudzidzisa' uye kunzwisisa zvakadzama kuti Dr. Ken Ohba anogadzirisa sei nzira dzese dzakakosha kusvika padanho repamusoro, ndinokurudzira zvikuru kuverenga."Endoscopy Yekugaya: Maitiro Ekutanga eOhba StyleKuziva zvinhu zvepakutanga ndicho chinhu chikuru chinoita kuti munhu afambire mberi kwenguva refu uye agare kwenguva refu.
Musungo Wakakodzera Unoita Kuti Unyanzvi Hupedziswe
Kugona kuzadza chigadziko nepakati ndiyo hwaro. Asi munhu ane hunyanzvi anodawo mudziyo wakavimbika. Chishandiso chemhando yepamusoromusungo we polypectomyinofanira kupa:
Kuvhura nekuvhara zvakanaka
Hapana kurira, hapana kuzeza
Simba remagetsi rinogara riripo
Kubatwa kwakavimbika pasina kubvarura nyama
Kuenderana kweElectrosurgical
Kucheka nekugwamba kweganda zvinofanotaurwa
Kutenderera
Kurongeka kwakarurama muchimiro chakaoma chemuviri
KuZRHmed, tinogadzira mishonga yekubvisa tsvina yakagadzirwa nemaitiro aya ekurapa. Mishonga yedu inowanikwa muchimiro cheoval, hexagonal, uye crescent, ine sarudzo dzinotenderedzwa nedzisingatenderedzwi, kushandiswa kunotonhora nekupisa, uye kureba kwebasa kubva pa1200mm kusvika 2300mm. Zvigadzirwa zvese zvakanyoreswa neMDR CE uye zvakagadzirwa pasi peISO 13485.
Isu hatigadziri maendoscope. Isu tinogadzira maturusi anokubatsira kuti uite zviri nani.
Nguva yekutumira: Chikumi-05-2026