01.I-Ureteroscopic lithotripsy isetyenziswa kakhulu kunyango lwamatye angaphezulu komchamo, kunye nomkhuhlane osulelayo obangela ingxaki enkulu emva kotyando. Ukufakwa kwegazi rhoqo ngexesha lotyando kwandisa uxinzelelo lwe-pelvic intrarenal (IRP). I-IRP ephezulu kakhulu inokubangela uthotho lomonakalo we-pathological kwinkqubo yokuqokelela, ekugqibeleni ikhokelela kwiingxaki ezifana nosulelo. Ngokuqhubeka nokuqhubela phambili kweendlela ezingaphantsi kwe-intracavitary, i-ureteroscopy eguquguqukayo kunye ne-holmium laser lithotripsy iye yasetyenziswa kunyango lwamatye ezintso amakhulu kune-2.5 cm ngenxa yeenzuzo zayo zokulimala okuncinci, ukuphinda uphile ngokukhawuleza emva kotyando, iingxaki ezimbalwa, kunye nokopha okuncinci. Nangona kunjalo, le ndlela iqhekeza ilitye kuphela, ayisusi ngokupheleleyo amaqhekeza acoliweyo. Inkqubo ixhomekeke kakhulu kwingobozi yokufumana amatye, ethatha ixesha elide, ingaphelelanga, kwaye ithambekele ekwakhekeni kwesitalato samatye. Ke ngoko, ukuphucula amazinga angenamatye, ukunciphisa amaxesha otyando, kunye nokunciphisa iingxaki emva kotyando yimingeni enzima.
02. Kwiminyaka yakutshanje, iindlela ezahlukeneyo zokubeka iliso kwi-IRP ngexesha lotyando ziye zacetyiswa, kwaye ubuchwepheshe bokutsalwa koxinzelelo olungalunganga busetyenziswe kancinci kancinci kwi-ureteroscopic lithotripsy.
Imile okwe-Y/sukuveliswaureteralukufikelelaisingxobo
Ukusetyenziswa Okucetywayo
Isetyenziselwa ukumisela ukufikelela kwizixhobo ngexesha leenkqubo ze-urology ye-ureteroscopic.
Iinkqubo
I-ureteroscopy eguquguqukayo/eqinileyo
Iimpawu
I-flexible holmium laser lithotripsy,
Uvavanyo lweMicroscopic kunye nonyango lwe-hematuria ephezulu yomchamo,
Ukususwa kwe-laser ye-holmium eguquguqukayo kunye nokukhupha amanzi kwi-cysts ze-parapelvic,
Ukusetyenziswa kwe-flexible endoscopy kunyango lwe-ureteral strictures,
Ukusetyenziswa kwe-flexible holmium laser lithotripsy kwiimeko ezikhethekileyo.
Inkqubo yotyando:
Phantsi kwemifanekiso yezonyango, amatye abonwa kwi-ureter, kwisinyi, okanye kwizintso. Intambo yokuqondisa ifakwa ngomngxuma wangaphandle we-urethra. Phantsi kwentambo yokuqondisa, i-vacuum-pressure suction ureteral guide sheath ibekwa kwindawo yokususa ilitye. Intambo yokuqondisa kunye netyhubhu ye-dilator ngaphakathi kwe-ureteral guide sheath ziyasuswa. Emva koko kufakwa isiciko se-silicone. Ngomngxuma ophakathi kwisiciko se-silicone, i-flexible ureteroscope, i-endoscope, i-laser fiber, kunye nentambo yokusebenza kungeniswa nge-channel ephambili ye-ureteral guide sheath kwi-ureter, kwisinyi, okanye kwi-renal pelvis kwiinkqubo ezifanelekileyo zotyando. Ngexesha lenkqubo, ugqirha ogqirhayo ufaka i-endoscope kunye ne-laser fiber nge-sheath channel. Ngexesha le-laser lithotripsy, ugqirha ogqirhayo uyafutha ngaxeshanye aze asuse amatye esebenzisa isixhobo sokufunxa i-vacuum esiqhagamshelwe kwi-vacuum drainage port. Ugqirha ogqirhayo ulungisa uxinzelelo lwe-vacuum ngokulungisa ukuqina kwesiciko se-Luer connector ukuqinisekisa ukususwa ngokupheleleyo kwelitye.
Iingenelo ngaphezu kwezemveliukufikelela kwi-ureteralizikhonkwane
01. Ukusebenza Okuphezulu Kokususa Amatye: Izinga lokungasebenzi kwamatye kwizigulana ezityandwa ngamatye kusetyenziswa i-vacuum-pressure ureteral guide sheath lifikelele kwi-84.2%, xa kuthelekiswa ne-55-60% kuphela kwizigulana ezisebenzisa i-standard guide sheath.
02. Ixesha Lotyando Elikhawulezayo, Elingeyongozi Kakhulu: I-ureteral guide sheath enoxinzelelo lwe-vacuum-pressure inokuqhekeza kwaye isuse ilitye ngaxeshanye ngexesha lotyando, nto leyo enciphisa kakhulu ixesha lotyando kunye nomngcipheko wokopha kunye nosulelo lweebhaktheriya.
03. Ukubona Okucacileyo Ngexesha Lotyando: I-vacuum-pressure ureteral guide sheath ikhawulezisa ukukhutshwa kunye nokufakwa kwe-perfusate, isusa ngempumelelo izinto eziphumayo ngexesha lotyando. Oku kunika umbono ocacileyo ngexesha lotyando.
Iimpawu zoYilo lweMveliso
Igumbi lokufunxa
Iqhagamshela kwisixhobo sokufunxa kwaye isebenza njengomjelo wokufunxa, ivumela ulwelo lokukhupha amanzi ukuba luphume kwaye ikwavumela neziqwenga zamatye afunxayo.
Isixhumi seLuer
Lungisa ukuqina kwesigqubuthelo ukuze ulungise uxinzelelo lokufunxa. Xa isigqubuthelo siqiniswe ngokupheleleyo, ukufunxa kuyandiswa, nto leyo ebangela ukuba kubekho amandla aphezulu okufunxa. Ingasetyenziswa njengegumbi lokunkcenkceshela.
Isiciko sesilicone
Esi sigqubuthelo sivala umjelo oyintloko. Sinomngxuma omncinci ophakathi, ovumela ukufakwa kwe-ureteroscope eguquguqukayo, i-endoscope, i-laser fiber, okanye intambo yokusebenza nge-channel ephambili ye-ureteral introducer sheath ukuya kwi-ureter, i-bladder, okanye i-renal pelvis ukuze kwenziwe utyando olungenabungozi.
Thina, Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., singumvelisi eTshayina ogxile kwizinto ezisetyenziswayo ze-endoscopic. Sine-GI line, efana ne i-biopsy forceps, i-hemoclip, i-polyp snare, inaliti ye-sclerotherapy, i-spray catheter, iibhrashi ze-cytology, ucingo olukhokelayo, ibhaskithi yokukhupha amatye, i-nasal biliary drainage catheter ezisetyenziswa kakhulu kwiI-EMR, i-ESD, i-ERCP. Kwaye umgca we-urology, njengeIbhasikithi Yokufumana Amatye Omchamo, Ucingo lwesikhokelo, Isingxobo sokufikelela kwi-Ureteral kwayeIsingxobo sokufikelela kwi-Ureteral esifunxayo njl. njl.Iimveliso 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!
Ixesha lokuthumela: Agasti-02-2025