Iindlela zokususa i-polyp yamathumbu: i-polyps edibeneyo

Xa ujongene ne-stalk polyposis, iimfuno eziphezulu zibekwe kwii-endoscopists ngenxa yeempawu ze-anatomical kunye nobunzima bokusebenza kwesilonda.

Eli nqaku lichaza indlela yokuphucula izakhono zokusebenza kwe-endoscopic kunye nokunciphisa iingxaki emva kokuhlinzwa ngokusebenzisa amanyathelo achaseneyo afana nokulungelelaniswa kwesikhundla kunye nokuthintela ukuthintela.

1. Izilonda eziguquguqukayo ze-HSP: izilonda ze-pedunculated

Kwizilonda ze-stem, intloko enkulu ye-lesion, eyona nto ibaluleke kakhulu impembelelo ye-gravity, ehlala yenza kube nzima ukuba umgibe ugubungele ngokuchanekileyo i-pedicle. Kule meko, ukulungiswa kwendawo kungasetyenziselwa ukuphucula intsimi yokujonga kwaye ufumane indawo efanelekileyo yokusebenza, ngaloo ndlela iqinisekisa ukuchaneka komsebenzi.

2. Umngcipheko wokuphuma kwegazi kunye nokubaluleka kokuthintela ukuthintela

Isiqu sezilonda ze-pedunculated ngokuqhelekileyo sihamba kunye nemithambo yegazi enzima, kwaye ukutshatyalaliswa ngokuthe ngqo kunokubangela ukopha okukhulu kunye nokwandisa ubunzima be-hemostasis.Ngoko ke, i-prophylactic pedicle ligation iyanconywa ngaphambi kokutshatyalaliswa.

Iingcebiso kwiindlela zokubopha

Ukusebenzisa iClip

Iziqeshana ezide kufuneka zibekwe ngokusondeleyo kwisiseko se-pedicle ngokusemandleni ukuququzelela imisebenzi elandelayo yomgibe. Ukongezelela, ngaphambi kokutshatyalaliswa, kufuneka kuqinisekiswe ukuba i-lesion ijika ibe mnyama ebomvu ngenxa yokuvalwa kwegazi, ngaphandle koko iziqeshana ezongezelelweyo kufuneka zongezwe ukuqhubela phambili ukuvala ukuhamba kwegazi.

Qaphela: Kuphephe ukunika amandla umgibe kunye nekliphu ngexesha lokuqhawula, njengoko oku kunokubangela umngcipheko wokugqobhoza.

 i-hemoclip

Ukusebenzisa Umgibe

Ukugcinwa kwe-loop ye-nylon kunokudibanisa ngokupheleleyo i-pedicle ngomatshini, kwaye kunokuthintela ngokufanelekileyo ukopha nokuba i-pedicle inzima kakhulu.

Iindlela zokusebenza ziquka:

1. Yandisa iringi yenayiloni ibe nkulu kancinane kunedayamitha yesilonda (kuphephe ukwandiswa kakhulu);

2. Sebenzisa i-endoscopy ukudlulisa intloko yesilonda kwiluphu yenayiloni;

3. Emva kokuqinisekisa ukuba i-nylon ring iphantsi kwe-pedicle, qinisa ngokucophelela i-pedicle kwaye ugqibezele umsebenzi wokukhululwa.

Polyp umgibe

Izilumkiso zokulahla

A. Qinisekisa ukuba iluphu yenayiloni ayibambeki kwiithishu ezingqongileyo.

B. Ukuba unexhala lokuba umsesane wenayiloni ohlala kuyo uya kuwa, unokongeza ikliphu kwisiseko sayo okanye kwindawo yokuhluza ukuthintela ukopha emva kokuhlinzwa.

3. Amanyathelo okusebenza athile

(1) Iingcebiso zokusebenzisa izibane

I-clip ende ikhethwa kwaye ibekwe kwisiseko se-pedicle, iqinisekisa ukuba ikliphu ayiphazamisi ukusebenza komgibe.

Qinisekisa ukuba isilonda sijike saba mnyama bomvu ngenxa yokuvaleka kwegazi phambi kokuba wenze utyando lokuqhawuka.

(2) Iingcebiso zokusebenzisa iringi yenayiloni yokugcina

1. Yandisa iringi yenayiloni ibe kubukhulu obuncinane kunobubanzi bomonakalo ukunqanda ukuvuleka kakhulu.

2. Sebenzisa i-endoscope ukugqithisa intloko yesilonda kwiluphu yenayiloni kwaye uqinisekise ukuba iluphu yenayiloni ilungile.

Ujikeleze ngokupheleleyo i-pedicle.

3. Kancinci uqinise i-loop ye-nylon kwaye uqinisekise ngokucophelela ukuba akukho zicubu ezijikelezileyo ezibandakanyekayo.

4. Emva kokulungiswa kwangaphambili, ekugqibeleni qinisekisa indawo kwaye ugqibezele ukudibanisa kwe-loop ye-nylon.

(3) Ukuthintela ukuphuma kwegazi emva kokuhlinzwa

Ukuthintela ukuwa kwangaphambili kweringi yenylon yokuhlala, iikliphu ezongezelelweyo zingongezwa kwisiseko se-resection ukuze kuncitshiswe ngakumbi umngcipheko wokuphuma kwegazi emva kokuhlinzwa.

Isishwankathelo kunye neengcebiso

Isisombululo kwimpembelelo yobunzima: Ngokulungelelanisa indawo yomzimba, intsimi yombono inokulungiswa kwaye umsebenzi unokuququzelelwa. I-Preventive ligation: Nokuba usebenzisa ikliphu okanye iringi yenylon, inokunciphisa ngokufanelekileyo ingozi yokopha ngexesha nasemva kotyando. Ukusebenza ngokuchanekileyo kunye nokuphononongwa: Landela ngokungqongqo inkqubo yokusebenza kunye nokuhlaziywa kwexesha emva kokuhlinzwa ukuze uqinisekise ukuba isilonda sisuswe ngokupheleleyo kwaye akukho zingxaki.

Thina, i-Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ngumvelisi e-China ogxile kwizinto ezityiwayo ze-endoscopic, ezifanai-biopsy forceps, i-hemoclip, polyp umgibe, inaliti ye-sclerotherapy, fafaza i-catheter, iibrashi zecytology, guidewire, ibhasikithi yokubuyiswa kwamatye, i-catheter ye-biliary drainage yeempumlonjl ezisetyenziswa ngokubanzi kwiI-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!