Kunyango lwe-colonoscopy, iingxaki ezimeleyo zi-perforation kunye nokuphuma kwegazi.
I-Perforation ibhekisela kwimeko apho i-cavity idityaniswe ngokukhululekileyo kwi-cavity yomzimba ngenxa yesiphako se-tissue egcweleyo, kwaye ubukho bomoya okhululekileyo kwiimviwo ze-X-ray akuchaphazeli inkcazo yayo.
Xa i-periphery yesiphene sezicubu ezityebileyo sigqunyiwe kwaye akukho nxibelelwano lwasimahla kunye nomgodi womzimba, kubizwa ngokuba yi-perforation. Inkcazo yokuphuma kwegazi ayichazwanga kakuhle, kwaye iingcebiso zangoku ziquka ukuncipha kwe-hemoglobin engaphezu kwe-2 g / dL okanye imfuno yokumpontshelwa.
Ukuphuma kwegazi emva kokuhlinzwa ngokuqhelekileyo kuchazwa njengesiganeko segazi elibalulekileyo kwi-stool emva kokuhlinzwa okudinga unyango lwe-hemostatic okanye utofelo-gazi.
Izehlo zezi ziganeko ziyahluka ngonyango:
Izinga lokugqobhoza:
Polypectomy: 0.05%
Ukususwa kwe-endoscopic mucosal resection (I-EMR): 0.58%~0.8%
Izinto eziDityanisiweyo ze-Endoscopic:Polypectomy Umgibe
Izinto eziDityanisiweyo ze-Endoscopic:Iikliphu zeHemostastic
Izinto eziDityanisiweyo ze-Endoscopic: Sclerotherapy inaliti
I-Endoscopic submucosal dissection (ESD): 2% ~ 14%
Ezinxulumene Endoscopic Consumables:ESD Knife
Izinto eziDityanisiweyo ze-Endoscopic:ZinokulahlwaESD Knife
Izinga lokopha emva kotyando:
Polypectomy: 1.6%
I-EMR: 1.1% ~ 1.7%
ESD: 0.7%~3.1%
1. Indlela yokujongana nokugqobhoza
Ekubeni udonga lwamathumbu amakhulu luncinci kunesisu, umngcipheko wokubhoboza uphezulu. Ukulungiswa okwaneleyo kuyafuneka phambi kotyando ukujongana nokwenzeka kokubhoboza.
Imiqathango yonyango lwangaphakathi:
Qinisekisa ukusebenza kakuhle kwe-endoscope. Khetha ii-endoscopes ezifanelekileyo, izixhobo zonyango, ulwelo lwesitofu, kunye nezixhobo zokuhanjiswa kwegesi yekharbon diokside ngokwendawo, i-morphology, kunye nenqanaba le-fibrosis yethumba.
Ulawulo lokugqobhoza kwangaphakathi:
Ukuvalwa ngokukhawuleza: Kungakhathaliseki ukuba indawo, iikliphu zikhethwa ukuvalwa (amandla okucebisa: inqanaba 1, inqanaba lobungqina: C). Kwi-ESD, ngamanye amaxesha indawo ejikelezileyo kufuneka ihlanjululwe kuqala ukuphepha ukuphazamisa ukusebenza kwe-peeling.
Izicubu, qinisekisa indawo yokusebenza eyaneleyo ngaphambi kokuvala.
Ukuqwalaselwa kwe-Postoperative: Ukuba i-perforation inokuvalwa ngokupheleleyo, utyando lunokuphetshwa kuphela unyango lwe-antibiotic kunye nokuzila ukudla.
Isigqibo sotyando: Isidingo sotyando sinqunywe ngokusekelwe kwindibaniselwano yeempawu zesisu, iziphumo zovavanyo lwegazi, kunye nemifanekiso kunokuba igesi yamahhala iboniswe kwi-CT yodwa.
Unyango lwamalungu akhethekileyo:
I-rectum esezantsi ayiyi kubangela ukugqobhozwa kwesisu ngenxa yeempawu zayo ze-anatomical, kodwa inokubangela
I-pelvic perforation, ebonakaliswa njenge-retroperitoneal, i-mediastinal, okanye i-emphysema engaphantsi kwesikhumba.
Ukulumkela:
Ukuvala inxeba emva kotyando kunokuthintela iingxaki ukusa kumlinganiselo othile, kodwa akunjalo
Kukho ubungqina obaneleyo obubonisa ukuba iyasebenza ekuthinteleni ukulibaziseka kokugqobhoza.
2. Ukusabela ekopheni
Ulawulo lokopha kwangaphakathi:
Sebenzisa i-heat coagulation okanyeiikliphu hemostaticukuyeka ukopha.
Ukopha kwenqanawa encinci:
In I-EMR, i-tip yomgibe ingasetyenziselwa i-thermal coagulation.
Kwi-ESD, incam yemela yombane inokusetyenziselwa ukuqhagamshelana ne-thermal coagulation okanye i-hemostatic forceps ukumisa ukopha.
Ukopha kwesitya esikhulu: Sebenzisa i-hemostatic forceps, kodwa lawula uluhlu lwe-coagulation ukunqanda ukulibaziseka ukugqobhoza.
Uthintelo lokopha emva kokuhlinzwa:
Ukukhutshwa kwenxeba emva kwe-EMR:
Uphononongo lubonise ukuba ukusetyenziswa kwe-hemostatic clamps yokukhusela i-coagulation ayinayo impembelelo ebalulekileyo kwizinga lokuphuma kwegazi emva kokuhlinzwa, kodwa kukho umkhwa wokunciphisa. Ukuthintela ukuthintela kunesiphumo esilinganiselweyo kwizilonda ezincinci, kodwa kusebenza kwizilonda ezinkulu okanye izigulane ezisengozini enkulu yokopha emva kokuhlinzwa (ezifana nezo zifumana unyango lwe-antithrombotic).
Ukukhutshwa kwamanxeba emva kwe-ESD:
Imithambo yegazi evezwayo ijiyile, kwaye iikliphu ze-hemostatic zingasetyenziselwa ukunqanda ukuxinana kwemithambo yegazi emikhulu.
Phawula:
Kwi-EMR yezilonda ezincinci, unyango oluqhelekileyo lokukhusela alukhuthazwa, kodwa kwizilonda ezinkulu okanye izigulane ezinobungozi obuphezulu, i-postoperative yokuthintela i-clipping inomphumo othile (amandla okucebisa: iNqanaba 2, inqanaba lobungqina: C).
Ukugqobhoza kunye nokopha ziingxaki eziqhelekileyo ze-endoscopy ye-colorectal.
Ukuthatha amanyathelo afanelekileyo okukhusela kunye nonyango kwiimeko ezahlukeneyo kunokunciphisa ngokufanelekileyo iziganeko zezifo ze-sporadic kunye nokuphucula ukhuseleko lwesigulane.
Thina, i-Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ngumvelisi e-China ogxile kwizinto ezityiwayo ze-endoscopic, ezifanai-biopsy forceps, i-hemoclip, umgibe we-polyp,inaliti ye-sclerotherapy, fafaza i-catheter, iibrashi zecytology, guidewire, ibhasikithi yokubuyiswa kwamatye, i-catheter ye-biliary drainage yeempumlo,i-sheath yokufikelela kwi-ureter kunye ne-ureter yokufikelela kwi-sheath ngokufunxa njl. ezisetyenziswa ngokubanzi kwi I-EMR,ESD, I-ERCP. Iimveliso zethu ziqinisekisiwe nge-CE, kwaye izityalo zethu ziqinisekisiwe nge-ISO. Impahla yethu ithunyelwe eYurophu, kuMntla Melika, kuMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana ngokubanzi umthengi wokuqatshelwa kunye nendumiso!
Ixesha lokuposa: Apr-18-2025