I-Colonoscopy: Ulawulo lweengxaki

Kunyango lwe-colonoscopy, iingxaki ezimeleyo kukugqobhoka nokopha.
Ukugqobhoka kubhekisa kwimeko apho umngxuma uqhagamshelwe ngokukhululekileyo kumngxuma womzimba ngenxa yesiphene sezicubu ezixineneyo, kwaye ukubakho komoya okhululekileyo xa kujongwa i-X-ray akuchaphazeli ukuchazwa kwawo.
Xa umngcelele wesiphene sezicubu ezixineneyo ugqunywe kwaye ungenanxibelelwano olukhululekileyo nomzimba, oku kubizwa ngokuba yi-perforation.
Inkcazo yokopha ayichazwanga kakuhle; iingcebiso zangoku ziquka ukwehla kwe-hemoglobin engaphezulu kwe-2 g/dL okanye imfuneko yokufakwa igazi.
Ukopha emva kotyando kudla ngokuchazwa njengokuvela kwegazi elibalulekileyo esitulweni emva kotyando olufuna unyango lwe-hemostatic okanye utofelo-gazi.
Ukwenzeka kwezi ziganeko zengozi kuyahluka ngokwezonyango:
Izinga lokugqobhoza:
Utyando lwe-polypectomy: 0.05%
Ukususwa kwe-mucosal ye-Endoscopic (EMR): 0.58%~0.8%
Ukuqhaqha kwe-submucosal ye-Endoscopic (ESD): 2%~14%
Izinga lokopha emva kotyando:
Utyando lwe-polypectomy: 1.6%
I-EMR: 1.1%~1.7%
I-ESD: 0.7%~3.1

1. Indlela yokujongana nokugqobhoka
Ekubeni udonga lwamathumbu amakhulu luncinci kunelo lwesisu, umngcipheko wokugqobhoka uphezulu. Kufuneka amalungiselelo aneleyo ngaphambi kotyando ukuze kujongwane nokwenzeka kokugqobhoka.
Amanyathelo okhuseleko ngexesha lotyando:
Qinisekisa ukuba i-endoscope isebenza kakuhle.
Khetha ii-endoskopu ezifanelekileyo, izixhobo zonyango, ulwelo lwenaliti kunye nezixhobo zokuhambisa igesi ye-carbon dioxide ngokwendawo, imo kunye nobungakanani be-fibrosis yethumba.
Ulawulo lokugqobhoza kwamazinyo ngexesha lotyando:
Ukuvalwa kwangoko: Nokuba indawo iphi na, ukuvalwa kwekliphu yeyona ndlela ikhethwayo (amandla engcebiso: Ibanga loku-1, inqanaba lobungqina: C).

In I-ESD, ukuze kuthintelwe ukuphazamiseka komsebenzi wokuqhaqha, izicwili ezijikelezileyo kufuneka ziqale zihlulwe ukuqinisekisa indawo eyaneleyo yokusebenza ngaphambi kokuba zivale.
Ukuqwalaselwa emva kotyando: Ukuba ukugqobhoka kungavalwa ngokupheleleyo, utyando lunokuphetshwa ngonyango lwee-antibiotics kunye nokuzila ukutya kuphela.
Isigqibo sotyando: Imfuneko yotyando imiselwa ngokusekwe kudibaniso lweempawu zesisu, iziphumo zovavanyo lwegazi, kunye nemifanekiso endaweni yokujonga igesi yasimahla eboniswa kwi-CT.
Unyango lwamacandelo akhethekileyo:
I-rectum esezantsi ayizukubangela ukugqobhoka kwesisu ngenxa yeempawu zayo zomzimba, kodwa inokubangela ukugqobhoka kwe-pelvic, okubonakala njenge-retroperitoneal, mediastinal, okanye subcutaneous emphysema.
Ukulumkela:
Ukuvalwa kwenxeba emva kotyando kunokuthintela iingxaki ukuya kuthi ga kwinqanaba elithile, kodwa akukho bungqina baneleyo bokubonisa ukuba kunokuthintela ngempumelelo ukugqobhoka okulibazisekileyo.

2. Impendulo kwiNgxaki yokopha igazi
Ulawulo lokopha ngexesha lotyando:
Sebenzisa i-heat coagulation okanye i-hemostatic clips ukuze uyeke ukopha.
Ukopha kwegazi kwimithambo emincinci:
I-EMR, incam yesnare ingasetyenziselwa ukujiya kobushushu.
I-ESD, incam yemela yombane ingasetyenziselwa ukuchukumisa i-thermal coagulation okanye i-hemostatic forceps ukunqanda ukopha.
Ukopha kwemithambo emikhulu: Sebenzisa i-hemostatic forceps, kodwa lawula uluhlu lokujiya kwemithambo ukuze uphephe ukugqobhoka okulibazisekileyo.
Ukuthintela ukopha emva kotyando:
Ukususwa kwenxeba emvaI-EMR :
Izifundo zibonise ukuba ukusetyenziswa kwe-hemostatic forceps ekuthinteleni ukujiya kwegazi akunampembelelo ingako kwizinga lokopha emva kotyando, kodwa kukho umkhwa wokwehla.
Ukusika izicubu zokuthintela ukudumba kunefuthe elilinganiselweyo kwizilonda ezincinci, kodwa kusebenza kwizilonda ezinkulu okanye kwizigulana ezisengozini enkulu yokopha emva kotyando (njengabo bafumana unyango lwe-antithrombotic).
I-ESD, inxeba liyasuswa kwaye imithambo yegazi evezweyo iyajiya. Ii-hemostatic clips nazo zingasetyenziselwa ukuthintela ukuvaleka kwemithambo yegazi emikhulu.
Phawula:
Kwi-EMR yezilonda ezincinci, unyango oluqhelekileyo lokuthintela alukhuthazwa, kodwa kwizilonda ezinkulu okanye izigulana ezisengozini enkulu, ukusika emva kotyando kunomphumo othile (amandla engcebiso: Inqanaba lesi-2, inqanaba lobungqina: C).
Ukugqobhoka nokopha zizinto eziqhelekileyo ezibangela i-endoscopy ye-colorectal.
Ukuthatha amanyathelo afanelekileyo okuthintela nonyango kwiimeko ezahlukeneyo kunokunciphisa ngempumelelo ukwanda kwezifo ezingaqhelekanga kwaye kuphucule ukhuseleko lwezigulane.

Thina, Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., singumvelisi eTshayina ogxile kwizinto ezisetyenziswayo ze-endoscopic, ezifanai-biopsy forceps, i-hemoclip, umgibe we-polyp, inaliti ye-sclerotherapy, i-catheter yokutshiza,iibhrashi ze-cytology, ucingo lwesikhokelo, ibhaskithi yokuqokelela amatye, i-catheter yokukhupha amanzi empumlweni,isingxobo sokufikelela kwi-ureteralkwayeisingxobo sokufikelela kwi-ureteral esinokufunxanjl. ezisetyenziswa kakhulu kwiI-EMR, I-ESD, I-ERCPIimveliso zethu ziqinisekisiwe yi-CE, kwaye izityalo zethu ziqinisekisiwe yi-ISO. Iimpahla zethu zithunyelwe eYurophu, eMntla Melika, eMbindi Mpuma nakwinxalenye ye-Asia, kwaye zifumana umthengi udumo nodumo ngokubanzi!