Indlela yokususa amatye e-common bile duct nge-ERCP
I-ERCP yokususa amatye e-bile duct yindlela ebalulekileyo yokunyanga amatye e-bile duct eqhelekileyo, kunye neenzuzo zokungena kancinci kunye nokuchacha ngokukhawuleza. I-ERCP yokususa amatye e-bile duct kukusebenzisa i-endoscopy ukuqinisekisa indawo, ubungakanani kunye nenani lamatye e-bile duct nge-intracholangiography, uze emva koko ususe amatye e-bile duct kwinxalenye esezantsi ye-common bile duct ngebhasikithi ekhethekileyo yokukhupha amatye. Iindlela ezithile zezi zilandelayo:
1. Ukususwa nge-lithotripsy: i-common bile duct ivuleka kwi-duodenum, kwaye kukho i-sphincter ka-Oddi kwicandelo elisezantsi le-common bile duct ekuvulekeni kwe-common bile duct. Ukuba ilitye likhulu, i-sphincter ka-Oddi kufuneka inqunyulwe kancinci ukuze kwandiswe i-common bile duct, nto leyo enceda ekususweni kwamatye. Xa amatye emakhulu kakhulu ukuba angasuswa, amatye amakhulu anokuqhekeka abe ngamatye amancinci ngokutyumza amatye, nto leyo elula ukuwasusa;
2. Ukususwa kwamatye ngotyando: Ukongeza kunyango lwe-choledocholithiasis nge-endoscopic, i-choledocholithotomy encinci kakhulu inokwenziwa ukuze kususwe amatye ngotyando.
Zombini zingasetyenziselwa unyango lwamatye e-common bile duct, kwaye iindlela ezahlukeneyo kufuneka zikhethwe ngokweminyaka yesigulane, ubungakanani bokwanda kwe-bile duct, ubungakanani kunye nenani lamatye, kunye nokuba ukuvuleka kwecandelo elisezantsi le-common bile duct akuthintelwanga na.
Iimveliso zethu zisetyenziselwa ukususa amatye e-common bile duct nge-ERCP.
Iintambo zeZikhokelo zeZhuoRuiHua Medical ezisetyenziswa kanye, zenzelwe ukusetyenziswa ngexesha leenkqubo ze-endoscopic biliary kunye ne-pancreati duct zokungeniswa kunye nokutshintshwa kwe-catheter, kunye nokuphucula izinga lempumelelo ye-ERCP. Iintambo zesikhokelo zenziwe ngumbindi weNitinol, incam ye-radiopaque eguquguqukayo kakhulu (ethe tye okanye engile) kunye nombala otyheli/omnyama oneempawu zokutyibilika eziphezulu kakhulu. Ngokude, ezi zixhotyiswe ngengubo ye-hydrophilic. Ukukhusela kunye nokuphathwa ngcono, iintambo zibekwe kwi-dispenser yeplastiki enemilo yesangqa. Ezi ntambo zesikhokelo ziyafumaneka kwiidayamitha eziyi-0.025" kunye ne-0.035" kunye nobude bokusebenza obufumaneka kwi-260 cm kunye ne-450 cm. Incam yentambo yeSikhokelo inokuqina okuhle ukunceda ekulinganisweni kobunzima kwaye incam ye-hydrophilic yentambo yesikhokelo iphucula ukuhamba kwe-ductal.
Ingobozi yokubuyisela elahlwayo evela kwiZhuoRuiHua Medical ikumgangatho ophezulu kwaye iyilwe ngendlela esemgangathweni, ukuze kususwe ngokulula nangokukhuselekileyo amatye enyongo kunye nemizimba yangaphandle. Uyilo lwesibambo sesixhobo esisebenzayo lunceda ekuphuhliseni nasekukhupheni ngesandla esinye ngendlela ekhuselekileyo nelula. Izinto ezenziwe ngentsimbi engagqwaliyo okanye iNitinol, nganye inencam ye-atraumatic. I-Injection port elula iqinisekisa ukuba kulula ukuyisebenzisa kwaye kulula ukuyifaka i-contrast medium. Uyilo lwesiqhelo lweengcingo ezine oluquka idayimani, i-oval, imilo ejikelezayo yokufumana uluhlu olubanzi lwamatye. Nge-ZhuoRuiHua Stone Retrieval Basket, unokukwazi ukujongana phantse nayo nayiphi na imeko ngexesha lokufumana amatye.
IiCatheters zeZhuoRuiHua Medical Nasal Biliary Drainage zisetyenziselwa ukuphambukisa okwethutyana imibhobho yenyongo kunye nepancreas. Zibonelela ngokuphuma kwamanzi okusebenzayo kwaye ngaloo ndlela zinciphisa umngcipheko we-cholangitis. IiCatheters zenyongo yempumlo zifumaneka kwiimo ezimbini ezisisiseko ngobukhulu obuyi-5 Fr, 6 Fr, 7 Fr kunye ne-8 Fr nganye: umsila wengulube kunye nomsila wengulube onesimo se-alpha curve. Iseti iqulathe oku kulandelayo: iprobe, ityhubhu yempumlo, ityhubhu yokudibanisa amanzi kunye nesixhumi seLuer Lock. I-catheter yeNyungo yenziwe nge-radiopaque kunye nezinto ezilungileyo zolwelo, ezibonakala lula kwaye zibekwe kwindawo yazo.
Ixesha lokuthumela: Meyi-13-2022