Abakhiqizi nabahlinzeki be-Gastric Endoscopy Polypectomy Cold Snarewith Braided Loop esezingeni eliphezulu

Isithombe Esifakiwe: I-Endoscopy Yesisu Elahlwayo I-Polypectomy Ebandayo Ene-Loop Elukiwe Isithombe Esifakiwe

I-Endoscopy Yesisu Elahlwayo Yokukhipha I-Polypectomy Ebandayo Ene-Loop Elukiwe

Incazelo emfushane:

Izici

Uhlobo lwesiyingi kanye nosayizi.

●Isimo se-Loop: I-Oval(A), i-Hexagonal(B) kanye ne-Crescent(C)

●Usayizi we-Loop: 10mm-15mm

Ugibe Olubandayo

●Ubukhulu obungu-0.24 no-0.3mm.

●Okuyingqayizivele, uhlobo lwesihlangu

● Lolu hlobo lwe-Snare lufakazelwe ngokwezokwelapha ukuthi luyakwazi ukwelapha i-polyp encane ngokuphepha nangokuphumelelayo ngaphandle kokusebenzisa i-cautery.

Sithumelele i-imeyili

Imininingwane Yomkhiqizo

Amathegi Omkhiqizo

Isicelo

I-ZRH Med inikeza izithiyo ezibandayo ezilahlwayo ezilinganisa kahle ikhwalithi ephezulu kanye nokusebenza kahle kwezindleko. Itholakala ngezimo ezahlukene, ukwakheka kanye nosayizi ukuze kuhambisane nezidingo ezahlukene zezokwelapha.

Isetshenziselwa ukusika ama-polyp amancane noma aphakathi nendawo emgudwini wokugaya ukudla.

Imininingwane

Imodeli	Ububanzi beLoop D-20% (mm)	Ubude Bokusebenza L ± 10% (mm)	Umgodla ODD ± 0.1 (mm)	Izici
I-ZRH-RA-18-120-15-R	15	1200	Φ1.8	Ugibe Oluyindilinga	Ukujikeleza
I-ZRH-RA-18-160-15-R	15	1600	Φ1.8
I-ZRH-RA-24-180-15-R	15	1800	Φ2.4
I-ZRH-RA-24-230-15-R	15	2300	Φ2.4
I-ZRH-RB-18-120-15-R	15	1200	Φ1.8	Ugibe Olunezinhlangothi Eziyisithupha	Ukujikeleza
I-ZRH-RB-18-160-15-R	15	1600	Φ1.8
I-ZRH-RB-24-180-15-R	15	1800	Φ1.8
I-ZRH-RB-24-230-15-R	15	2300	Φ2.4
I-ZRH-RC-18-120-15-R	15	1200	Φ1.8	Ugibe Oluyi-Crescent	Ukujikeleza
I-ZRH-RC-18-160-15-R	15	1600	Φ1.8
I-ZRH-RC-24-180-15-R	15	1800	Φ2.4
I-ZRH-RC-24-230-15-R	15	2300	Φ2.4

Incazelo Yemikhiqizo

Ukususwa Kwesigibe Okuzungezayo okungu-360°
Nikeza ukujikeleza okungu-360 degrees ukusiza ukufinyelela ama-polyp anzima.

Ucingo Esakhiweni Esilukiwe
kwenza ama-poly angabi lula ukuwasusa

Indlela Yokuvula Nokuvala Ezolile
ukuze kube lula ukuyisebenzisa

Insimbi Engagqwali Yezokwelapha Eqinile
Nikeza izakhiwo zokusika eziqondile nezisheshayo.

Umgoqo Obushelelezi
Vimbela umonakalo emzileni wakho we-endoscopic

Ukuxhumeka Kwamandla Okujwayelekile
Iyahambisana nawo wonke amadivayisi amakhulu asebenzisa imvamisa ephezulu emakethe

Ukusetshenziswa Kwezokwelapha

I-Target Polyp	Ithuluzi Lokususa
Usayizi we-polyp <4mm	I-Forceps (usayizi wendebe 2-3mm)
I-polyp ngobukhulu obungu-4-5mm	Ama-forceps (usayizi wendebe 2-3mm) Ama-forceps amakhulu (usayizi wendebe> 3mm)
Usayizi we-polyp <5mm	Ama-forceps ashisayo
I-polyp ngobukhulu obungu-4-5mm	Ugibe Oluncane Oluyindilinga (10-15mm)
I-polyp ngobukhulu obungu-5-10mm	Ugibe Oluncane Oluyindilinga (oluthandwayo)
Usayizi we-Polyp>10mm	Izingibe Eziyindilinga, Ezinezinhlangothi Eziyisithupha

Izinzuzo zokususwa kwe-polyp cold snare resection

1. Ukulula kanye nokuphulukiswa okusheshayo.
2. Ukususwa kwama-polyp afanele ngomkhuhlane kuphephile, futhi kuphephile ukuwandisa uma kudingeka. Ngokwemibiko yezincwadi, ukopha nokubhoboka akulula.
3. Kungasetshenziswa i-polyp snare kuphela, kususa isidingo sezinaliti zomjovo, imimese kagesi, njll. Ukungena okujulile kokusebenzisa ugesi ngaphandle komjovo, kanye nokungena okujulile kwama-tweezers ashisayo kanye nezinye izindlela zokwelapha.
4. Yonga izindleko.
5. I-sessile ibanjwe ngokuphelele. Ngemva kokujova i-sessile, i-EMR (EMRC) edonswa yi-cap engacacile akulula ukuyibamba.
6. Ingasebenza futhi ngaphandle kommese kagesi.
7. I-polyp cold snare ingajikeleziswa, eguquguqukayo futhi elula ukuyisebenzisa.
8. Ifanelekela izibhedlela eziyinhloko, ingakhethwa ukuze inyuselwe amacala.
9. Ukusetshenziswa kwe-snare kuvame ukuba yi-excision, kodwa ukwelashwa nge-biopsy forceps akucaci.
10. Ugibe luqine kakhulu kune-biopsy forceps.
11. Labo abathatha i-mannitol akufanele basebenzise ukuhlinzwa ngogesi. Ifaneleka ekususweni kwama-polyps ngomjovo obandayo. Uma kufaneleka, ukwelashwa endaweni efanele kulungele iziguli.
12. I-snare encane enobubanzi obungu-15mm ingalinganisa usayizi we-polyp, okuwusizo ekwahluleleni ukuthi isimo sokususwa kwe-polyp sanele yini.