I-Hemoclip ephinda-phindweyo yokuvula nokuvala esiswini elahlwayo
I-Hemoclip ephinda-phindweyo yokuvula nokuvala esiswini elahlwayo
Isicelo
Isetyenziselwa ukubopha imithambo yegazi ngoomatshini. I-endoclip sisixhobo esenziwe ngesinyithi esisetyenziswa kwi-endoscopy ukuze sivale iindawo ezimbini ze-mucosal ngaphandle kwesidingo sotyando kunye nokuthungwa. Umsebenzi waso ufana nomthungo kwiindawo zotyando olukhulu, njengoko sisetyenziselwa ukudibanisa iindawo ezimbini ezidibeneyo, kodwa, singasetyenziswa ngejelo le-endoscope phantsi kombono othe ngqo. Ii-endoclip zifumene ukusetyenziswa ekunyangeni ukopha kwamathumbu (kokubini kwindlela ephezulu nesezantsi ye-GI), ekuthinteleni ukopha emva kweenkqubo zonyango ezifana ne-polypectomy, kunye nokuvala ukugqobhoka kwamathumbu.
Inkcazo
| Imodeli | Ubungakanani bokuvula iClip (mm) | Ubude bokusebenza (mm) | Itshaneli ye-Endoscopic (mm) | Iimpawu | |
| I-ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | I-Gastro | Ayigqunywanga |
| I-ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
| I-ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
| I-ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Ikholoni | |
| I-ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
| I-ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
| I-ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | I-Gastro | Igqunyiwe |
| I-ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
| I-ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
| I-ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Ikholoni | |
| I-ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
| I-ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 | ||
Inkcazelo yeemveliso
I-Clip Degign ejikeleziswayo eyi-360°
Nika indawo echanekileyo.
Ingcebiso ye-Atraumatic
ithintela i-endoscopy ukuba ingonakaliswa.
Inkqubo Yokukhulula Enovelwano
kulula ukukhulula ilungiselelo lekliphu.
Isikliphu sokuVula nokuVala esiPhindwayo
ukuze ufumane indawo echanekileyo.
Isibambo Esimile Ngokwendalo
Isebenziseka kakuhle
Ukusetyenziswa kwezonyango
I-hemoclip ingafakwa ngaphakathi kwendlela yesisu (GI) ngenjongo yokukhupha igazi emzimbeni ngenxa yezi zinto zilandelayo:
Iziphene zeMucosal/sub-mucosal< 3 cm
Izilonda eziphuma igazi, -Imithambo yegazi< 2 mm
Iipolyps< 1.5 cm ububanzi
I-Diverticula kwi-#colon
Le kliphu ingasetyenziswa njengendlela eyongezelelweyo yokuvala iimbobo ze-GI tract luminal< 20 mm okanye #ukumakisha kwe-endoscopic.
I-Hemoclip esetyenziswa kwi-ESD
(1) Phawula, sebenzisa inaliti okanye i-argon ion coagulation ukuphawula indawo yokususwa kwenxeba nge-electrocoagulation eyi-0.5cm kumphetho wesilonda;
(2) Ngaphambi kokufakwa kolwelo olungaphantsi kolwelo, ulwelo olufumanekayo ngokwezonyango lokufakwa kolwelo olungaphantsi kolwelo luquka i-physiological saline, i-glycerol fructose, i-sodium hyaluronate njalo njalo.
(3) Sika i-mucosa ejikelezileyo kwangaphambili: sebenzisa izixhobo ze-ESD ukusika inxalenye ye-mucosa ejikeleze isilonda ecaleni kwendawo yokuphawula okanye kumda ongaphandle wendawo yokuphawula, uze usebenzise imela ye-IT ukusika yonke i-mucosa ejikelezileyo;
(4) Ngokweendawo ezahlukeneyo zesilonda kunye nemikhwa yokusebenza yabaqhubi, izixhobo ze-ESD IT, imela yeFlex okanye ye-HOOK kunye nezinye izixhobo zokukrazula zikhethiwe ukuze zikhuphe isilonda ecaleni kwe-submucosa;
(5) Unyango lwenxeba, i-argon ion coagulation yasetyenziswa ukubopha yonke imithambo yegazi emincinci ebonakalayo enxebeni ukuthintela ukopha emva kotyando. Ukuba kuyimfuneko, ii-hemostatic clamps zasetyenziswa ukubopha imithambo yegazi.
