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 ummandla wesiphako sezicubu ezixineneyo ugqunywe kwaye kungekho nxibelelwano lukhululekileyo nomzimba, oku kubizwa ngokuba yi-perforation. Inkcazo yokopha ayichazwanga kakuhle, kwaye 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%
Izinto ezisetyenziswayo ze-Endoscopic ezinxulumene noko: Umgibe we-Polypectomy olahlwayo
Ukususwa kwe-mucosal ye-Endoscopic (EMR): 0.58%~0.8%
Izinto ezisetyenziswayo ze-Endoscopic ezinxulumene noko: Iikliphu zeHemostasis ezilahlwayo
Izinto ezisetyenziswayo ze-Endoscopic ezinxulumene noko: Inaliti yenaliti elahlwayo
Ukuqhaqha kwe-submucosal ye-Endoscopic (ESD): 2%~14%
Izinto ezisetyenziswayo ze-Endoscopic ezinxulumene noko: Imela ye-ESD elahlwayo
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-endoscope 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, iikliphu ziyathandwa xa kuvalwa (amandla engcebiso: inqanaba loku-1, inqanaba lobungqina: C). Kwi-ESD, ngamanye amaxesha indawo engqongileyo kufuneka ixotyulwe kuqala ukuze kuthintelwe ukuphazamisana nomsebenzi wokuxotyulwa.
Ithishu, qinisekisa indawo eyaneleyo yokusebenza ngaphambi kokuba uvale.
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 yegesi yasimahla eboniswa kwi-CT yodwa.
Unyango lwamacandelo akhethekileyo:
I-rectum esezantsi ayizukubangela ukugqobhoka kwesisu ngenxa yeempawu zayo zomzimba, kodwa inokubangela
Ukugqobhoka kwepelvic, okubonakaliswa njenge-retroperitoneal, mediastinal, okanye subcutaneous emphysema.
Ukulumkela:
Ukuvala inxeba emva kotyando kunokuthintela iingxaki ukuya kuthi ga kwinqanaba elithile, kodwa akwenzi
Kukho ubungqina obaneleyo bokubonisa ukuba iyasebenza ekuthinteleni 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:
Kwi-EMR, i-snare tip ingasetyenziselwa ukujiya kobushushu.
Kwi-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 emva kwe-EMR:
Izifundo zibonise ukuba ukusetyenziswa kwee-hemostatic clamps zokuthintela ukujiya kwegazi akunampembelelo ingako kwizinga lokopha emva kotyando, kodwa kukho umkhwa wokunciphisa ukopha. Ukuthintela ukujiya kwegazi akunampembelelo ingako kwizilonda ezincinci, kodwa kuyasebenza kwizilonda ezinkulu okanye kwizigulana ezisengozini enkulu yokopha emva kotyando (njengabo bafumana unyango lwe-antithrombotic).
Ukususwa kwenxeba emva kwe-ESD:
Imithambo yegazi evezwe ngaphandle iyajiya, kwaye ii-hemostatic clips zingasetyenziselwa ukuthintela ukuxinana 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 okuthintela nonyango afanelekileyo 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 yeAsia, kwaye zifumana umthengi udumo nodumo!
Ixesha leposi: Matshi-21-2025