(1). Iindlela ezisisiseko ngeendlela ezisisiseko ze-EMR zezi zilandelayo:
Ukulandelelana kweendlela
①ingiselela isisombululo sentsholongwane singezantsi nje kwesilonda.
徽标 Indawo yomgibe ejikeleze iLesion.
③Imiginyisi, inyibilikisiwe ndiyiqonde kwaye ndiyikhulule isilonda.
④continununue ukuqinisa umgibe ngelixa usebenzisa umbane ukuze unqumle isilonda.
⑤urt Yourecriection.
(2). Iingcebiso
I-1.Ip zoKhetho lomzimba womzimba kunye ne-Endoscope Ukuma
Kuba isilonda kufuneka sinyangwe ngelixa yonke imifanekiso ibonakala, indawo yesigulana ibaluleke kakhulu. Zama ukujija umda ukuze i-lesion ikwindawo ekufuphi neendlela ze-biopsy ukuvula, oko kukuthi, ukusuka kwi-5 ukuya kwi-7 ngentsimbi yesikrini.
Phambi konyango, intsalela kunye ne-pigment ye-pigment kufuneka ihlanjwe kwaye isuswe ngenjongo.
Umzekelo, ukuba i-lesion kwi-Supigmoid isuswe kwi-Supine okanye iSpeugitus yeSomaphitus, i-Studiitus ihlala ihla ikholoni, esenza ukuba kube nzima ukubuyisa, ke imeko yasemva kwexesha ilunge ngakumbi.
Ngokukwanjalo, ukusuka kwimbono yokufumana kwakhona, isikhundla sasemva kwexesha esisigxina kukhethwa ukuba kuthathwe izilonda ze-colon ezixineneyo.
I-2.ips zenaliti yendawo
Inaliti enkulu yenaliti inokutshutshiswa kuxinzelelo olusezantsi, kodwa alubukhali ngokwaneleyo kwaye umngxunya wenaliti mkhulu kakhulu, ngoko umbhali usebenzisa inaliti ye-25G yenaliti.
Ayisiyongxaki yokuthetha ukuba impumelelo okanye ukusilela kwe-EMR kuxhomekeke kakhulu kwinaliti yasekhaya.
Kwizilonda ezincinci, ukugxothwa kwenziwa kwicala le-anal ye-lesion ukuya ngezantsi nje kwezilonda.
Kwizilonda kwinxalenye egobileyo okanye ngaphaya kwezixhobo, ukuba inaliti yasekuhlaleni yenziwa ukusuka kwicala le-ANAL, kwiimeko ezininzi izilonda zingacacanga kuba zijonge kwicala lomlomo, ke kufuneka ziqalise kwicala lomlomo.
Iinkangeleko ze-Endoscopy Iitekhnoloji
Ukuba i-alless ivuliwe, okanye kukho ukumelana kakhulu ngexesha lokuzila, okanye akukho nto xa ulwelo lungenayo, inaliti kufuneka yaziswe kwaye inaliti kufuneka yaziswe ngemeko yexeshana yokuxoxa kwangexesha ukuze ixoxe kwakhona.
Ivolumu eninzi kakhulu, engcono.
Iqhinga liqhubeka liqhubeka lijongile kangangoko kunokwenzeka ngepeni enye de i-lasion iphakanyisiwe.
3.Pips zokukhetha umgibe
Ukuba umgibe ukwimo ye-oval ye-oval ebalaseleyo, i-MUCOSA eqhelekileyo kumlomo we-lession kunye namacala anokubandakanywa ngokulula kwaye ngokungeyomfuneko.
Umgibe kukhetheka ngokukhethekileyo, kulula ukuvula kamva, akukho lula ukutyhala, kwaye unobunzima obuthile bokucinezela isilonda ukuze siqonde isilonda.
Ubungakanani bomgibe kufuneka buhlengahlengiswe kubungakanani besilophe.
I-polypectomy ye-polypectomy
Imizekelo ye-EMR
a. Umfanekiso oHigh Wight
I-25 mM yohlobo lwe-IIA ye-lesion enendawo enoxinzelelo oluhlangeneyo.
b. I-band emxinwa i-band (bi) Imifanekiso
c. Ukutshiza i-Indigo Carmine ukuze wandise umfanekiso
Kwafunyaniswa ukuba ukudakumba okwabonwa ngoqwalaselo oluqhelekileyo belugrowe phakathi kwamagqabi.
d. I-Started umfanekiso we-crystal staices
Ipateni yomkhondo we-guald ye-guald emphethweni ye-lesion yayihlobo lwe-IV.
e. I-Started umfanekiso we-crystal staices
Embindini we-lesion yayingu-VI, ingekho mthethweni, kwaye akukho kungeniswa ngokucacileyo.
f. Inaliti yasekhaya
Ukuhlwaywa kunye nenaliti yasekhaya kwenziwa embindini wesilonda, okukhokelela kwibhotile elungileyo.
g. Vula umgibe
Cinezela i-piki ye-vatire nxamnye nodonga lwekoloni ukuze uvule umgibe.
H. Vala umgibe
Vala umgibe kwaye uqonde isilonda.
i.
AKUKHO BUNGOZI LOKUGQIBELA, I-TURORY SUMOS ifunyenwe.
j. Ukulungiswa kwenqaku
I-curimen ebalaseleyo iqhotyoshelwe kwiphepha lerabha.
Isifo sokuqala sokuQala:intramucosal carcinoma (tis)
4.Izixhobo zokusebenza
I-tip tip ifakwe ngobumnene kwi-mucosa yomlomo yesion, emva koko yavula ngokuthe ngcembe kwaye ingcambu icinezelwe kwicala le-lesion. Ukuthintela i-veloction yangamava ekubeni nethemba, kufuneka inani elincinci le-MUCOSA eliqhelekileyo kufuneka lifakwe.
Kufuneka kuqatshelwe ukuba xa i-smip ingenakubonwa, kunokwenzeka ukuba i-MUCOSA eqhelekileyo ifakiwe kunokuba bekulindelwe. Emva kokuba umgibe iqinekile, tyhala kwaye utsala imikhono yangaphandle yomgibe wokubona ukushukuma kwesilonda. Ukuba ifakwe kwi-suble yemisipha, ukushukuma kwesilonda kuya kuncitshiswa.
Iingcebiso ngombane
Sukucinezela umgibe nxamnye nodonga lwe-boul, kodwa phakamisa kancinci isilonda sophando. Umngcipheko wokulibaziseka okuphayisiweyo uphantsi xa usebenzisa i-Electrosurg Recial Action, kodwa uthandane nentshukumo (ekuqaleni emva kokuphela) ukopha.
Isigculelo esikhawuleza kakhulu sinokubangela ukopha, ngelixa isincoko sicothise kakhulu sibangela ukulibaziseka. Ukuba isigulana sivakalelwa kukuba yintlungu, okanye umncedisi uziva ngathi i-tishu i-elastiki njengerabha kwaye kunokubandakanyekile ukusika, kwaye kunokubangelwa kukungabikho komsipha.
Iinkangeleko ze-Endoscopy Iitekhnoloji
Ukuba i-gondoscopist ivakalelwa kukuba izicubu ziyi-elastiki njengerabha kwaye kunzima ukuyisika, kufuneka ikwazise kwangoko uMqhubi ukuba axoxe ngokubalisa.
Iingcebiso zokutsala i-EMR
Kwizilonda ezikhulu, ngamanye amaxesha kukhuselekile ukwenza uphando olucekeceke endaweni yokunyanzelwa kwaphela-kwasemva kwexesha. Nangona kunjalo, ezi ziqwengana zininzi, kokukhona kufaneleka ukubakho kokuphinda-phinda kwakhona. Nditsho ne-EUPEAL, i-EURTECALLYO, ipriptions yokuqala kufuneka yenziwe ibe nkulu kangangoko kunokwenzeka ngomgibe omkhulu ukunciphisa inani lamaqhekeza.
Thina, iJiangxi Zhuoruhiuuuuuhu I-Caheter ye-Caheter njl 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!
I-biopsy proces:
https: //wwwdhendoscopy.com/Esle-scopicicic-biopsy-biopsy-Imismy
I-hemoclip
https: //wwwwhendoscopy.com/disposed-rotad-rotatducy-Endopiclipplipplipplipplippy-ccouse-
I-Polyp gorare
https: //wwwwhendoscop.com/disposedIc-prescopicXaction-prelpectomyy-snareXhosa-
Inaliti ye-sclerotherapy
https //wwwdhendoscopy.com/gastroerology-bcescopic-scleprotherapy-inneclection-clecleclecleclect -Eclect/
Ukutshiza i-catheter
https: //wwwdhendoscop.com/ce-certh-diyoscopic-spy-spanPic-sCom-cathe
Ibrashi ye-cytology
https: //wwwdhendoscopy.com/endoscopy-acprescopyopy-cysopy -ckescopic-cytologic-cy -ctology-play-pct-best-best
Isikhokelo
https //wwwdhendoscopy.com/gastrointestinal-Endopinpicicickic-up-ngoku-ngoku-ngoku
Ibhasikithi yokubuyisa ilitye
https: //wwwdhendolscopy.com/erprincertyrumertone-stone-stone-stottevals-Xasket -cket -ckert-
I-Nasal Biling Drasheter Casheter catheter
https: //wwwdhendolscopy.com/medicalrume-Ided-ided-cal-cal-cailist-cailist
Ems
https: //wwwdhendoscop.com/mresd/
Esd
https: //wwwdhendoscop.com/mresd/
I-ercp
https: //wwwhndoscop.com/erp/
Ixesha leposi: NgoFebwe-13 ukuya ku-525