UkuLahlwa kweGastric okuPhindayo Ukuvula kunye nokuvala iHemoclip
UkuLahlwa kweGastric okuPhindayo Ukuvula kunye nokuvala iHemoclip
Isicelo
Isetyenziselwa ukubopha imithambo yegazi ngoomatshini.I-endoclip sisixhobo somatshini wesinyithi esisetyenziswa kwi-endoscopy ukuze kuvalwe imiphezulu emibini ye-mucosal ngaphandle kwesidingo sotyando kunye nokuthunga.Umsebenzi wayo ufana ne-suture kwizicelo zotyando olubi, njengoko isetyenziselwa ukudibanisa iindawo ezimbini ezidityanisiweyo, kodwa, zinokusetyenziswa ngomjelo we-endoscope phantsi kokubonwa ngokuthe ngqo.I-Endoclips ifumene ukusetyenziswa ekunyangeni ukopha kwesisu (zombini kwiphecana le-GI ephezulu nasezantsi), ekuthinteleni ukopha emva kweenkqubo zonyango ezifana ne-polypectomy, kunye nokuvala ukutyhulwa kwesisu.
Inkcazo
| Umzekelo | Ubungakanani bokuvula iClip (mm) | Ubude bokusebenza(mm) | Ijelo leEndoscopic(mm) | Iimpawu | |
| ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Ingagqunywanga |
| ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Ikholoni | |
| ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
| ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | Gastro | Coated |
| ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Ikholoni | |
| ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 | ||
IiNkcazo zeeMveliso
360°I-Rotatable Clip Degign
Nikeza indawo echanekileyo.
Ingcebiso ye-Atraumatic
ikhusela i-endoscopy kumonakalo.
Inkqubo yoKhupho olubuthathaka
kulula ukukhulula ulungiselelo lwekliphu.
Ukuphinda Ukuvula kunye neClip yokuvala
kwindawo echanekileyo.
Isiphatho esimilise okwe-ergonomically
Isebenziseka kakuhle
Ukusetyenziswa kweKlinikhi
I-hemoclip inokubekwa ngaphakathi kwiphecana le-Gastro-intestinal (GI) ngenjongo ye-hemostasis:
Iziphene ze-Mucosal / sub-mucosal< 3cm
Izilonda zokopha, -Imithambo< 2 mm
Iipolyps< 1.5 cm ububanzi
Diverticula kwi #colon
Le kliphu ingasetyenziswa njengendlela eyongezelelweyo yokuvalwa kwe-GI tract luminal perforations<20 mm okanye #endoscopic marking.
IHemoclip esetyenziswa kwi-ESD
(1) Phawula, sebenzisa inaliti okanye i-argon ion coagulation ukuphawula indawo yokutshatyalaliswa kunye ne-0.5cm electrocoagulation ekupheleni kwesilonda;
(2) Phambi kwenaliti ye-submucosal yolwelo, ulwelo olufumaneka ekliniki lwenaliti ye-submucosal lubandakanya i-saline ye-physiological, i-glycerol fructose, i-hyaluronate ye-sodium njalo njalo.
(3) Ukusika kwangaphambili i-mucosa ejikelezileyo: sebenzisa izixhobo ze-ESD ukusika inxalenye ye-mucosa ejikeleze isilonda ecaleni kwendawo yokumakisha okanye umda wangaphandle wendawo yokumakisha, kwaye usebenzise i-IT knife ukusika yonke i-mucosa ejikelezileyo;
(4) Ngokweendawo ezahlukeneyo zesilonda kunye nemikhwa yokusebenza kwabaqhubi, izixhobo ze-ESD IT, i-Flex okanye i-HOOK imela kunye nezinye izixhobo zokuqhawula zikhethwe ukuxobula isilonda ecaleni kwe-submucosa;
(5) Ngonyango lwenxeba, i-argon ion coagulation yayisetyenziselwa i-electrocoagulate yonke imithambo yegazi encinci ebonakalayo kwinxeba ukukhusela ukuphuma kwegazi emva kokusebenza.Ukuba kuyimfuneko, i-hemostatic clamps yayisetyenziselwa ukunyanzelisa imithambo yegazi.
