IColonoscopy: Ulawulo lweengxaki

I-Endoscopic ehambelana ne-Endoscopic: I-Esd ye-Esd e-Esd
I-Poidermopharation ye-Popositity:
I-Polypectomy: 1.6%
EMR: 1.1% ~ 1.7%
I-ESD: 0.7% ~ 3.1%

1. Ungajongana njani nokungalunganga
Kuba udonga lwethumbu elikhulu luthambile kunolo lwesisu, umngcipheko wokungafezeki uphezulu. Ukulungiselela okwaneleyo kuyafuneka ngaphambi koqhaqho ukujongana nokungafezeki.
Amanyathelo okhuseleko ngaphakathi:
Qinisekisa ukuba ulungelelwaniso oluhle lwe-endoscope. Khetha i-endoscopes efanelekileyo, izixhobo zonyango, inaliti, kunye ne-carbon dioxide Izixhobo zokuhambisa igesi ngokwendawo, i-morphology, kunye nenqanaba lokungacingisi.
UKUPHATHWA KWEENKONZO ZE-intraopetive:
Ukuvalwa kwangoko: Ngaphandle kwendawo, iiplip zikhethwa ukuba kuvaliwe (amandla okucebisa: Inqanaba 1, inqanaba lobungqina: c). E-Esd, ngamanye amaxesha indawo ejikelezileyo kufuneka ifakwe kuqala ukunqanda ukuphazamisa umsebenzi otyhafileyo.
Izicubu, qinisekisa indawo eyaneleyo yokusebenza ngaphambi kokuvalwa.
Ukuqwalaselwa kwendawo: Ukuba ukuncitshiswa kungavalwa ngokupheleleyo, utyando unokuthintelwa ngokuphela konyango lwe-antibiotic kunye nokuzila ukutya.
Isigqibo soNyango: Isidingo sotyando simiselwe ngokusekwe kwindibaniselwano yeempawu zesisu, iziphumo zovavanyo lwegazi, kwaye zicinga kunokuba irhasi yasimahla eboniswe kwi-CT kuphela.
Unyango olukhethekileyo:
I-rectum esezantsi ayiyi kubangela ukungagungqi kwesisu ngenxa yeempawu zayo ze-anatomical, kodwa kunokubangela
Ukungafezeki kwe-pelvic, kubonakaliswe njengoMbuyiselo, ongenayo, okanye i-subcutaneous vphyma.
Ukulumkela:
Ukuvala inxeba emva kotyando lingathintela iingxaki kwinqanaba elithile, kodwa alikho
Kukho ubungqina obaneleyo bokubonisa ukuba iyasebenza ekuthinteleni ukulibaziseka.

2. Impendulo ukopha
Ulawulo lwe-intraoperative ophalazo:
Sebenzisa i-shaist ceagonic okanye iziqwengana ze-herimotic zokuyeka ukopha.
Inqanawa encinci yenqanawa:
E-EMR, i-tip yeziqwengana inokusetyenziselwa ukuqunjelwa kwe-themermal.
E-ESD, incam yommesi wombane inokusetyenziselwa ukunxibelelana ne-thermal caag okanye i-gonatic forces ukuyeka ukopha.
Inqanawa enkulu yenqanawa: Sebenzisa i-hestitals yamandla, kodwa ulawule uluhlu lwe-hlection ukunqanda ukulibaziseka.
UKUHLAZIYELWA KWEMPAHLA YOKUZIPHATHA:
Ukupheliswa kwenxeba emva kwe-EMR:
Izifundo zibonakalise ukuba ukusetyenziswa kwee-clamplic ze-canomic yokurhweba okuthintelayo akunasiphumo esibonakalayo kwireyithi yobukonyama, kodwa kukho imeko ekunciphiseni. Ukuthintela ukuthintela kuchaphazelekile kwizilonda ezincinci, kodwa kuyasebenza kwizilonda ezikhulu okanye izigulana ezisemngciphekweni omkhulu wokulala (njengabamkeli i-antithrombotic unyango).
Inxeba elinenxeba emva kwe-ESD:
Imithambo yegazi evulekileyo iyadilizwa, kwaye iiklip ze-herimotic zinokusetyenziselwa ukuthintela ukubetha kwemithambo yegazi enkulu.
Phawula:
Nge-EMR yezinto ezincinci, unyango oluqhelekileyo alucetyiswa, kodwa ngenxa yezilonda ezikhulu okanye izigulana ezisemngciphekweni omkhulu, i-PounPiction Clikity inesiphumo esithile (iNqanaba 2, inqanaba: c).
Ukungafezeki kunye nokopha ziingxaki eziqhelekileyo ze-Scoretal Endoscopy.
Ukuthatha amanyathelo okuthintela kunye nonyango kwiimeko ezahlukeneyo kunokunciphisa ngokufanelekileyo isigulo kwizifo ze-sporadic kunye nokuphucula ukhuseleko lwezigulana.

Thina, Jiangxi Zhuoruhiuuuuuuuuuuuuuuhua wezonyango Coouth Cooder of Tooscopic Toustos, i-Chelokhethe, i-Sclocheter Inaliti, Isikhokelo se-SCOPEEN, ISIQINISEKISO SOKUGQIBELA, UKUFUMANEKA KWE-SCILIRE I-Sheath kunye ne-Sheetic Pheating kunye ne-Nt. njl. Iimveliso zethu kufuneka ziqinisekiswe, kwaye izityalo zethu ziqinisekisiwe. Impahla yethu ithunyelwe eYurophu, iMntla Melika, eMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana umthengi wokuqonda kunye nokudumisa!