Isetshenziselwa ukubopha imithambo yegazi ngomshini.I-endoclip iyithuluzi lomshini wensimbi elisetshenziswa ku-endoscopy ukuze kuvalwe izindawo ezimbili zomucosa ngaphandle kwesidingo sokuhlinzwa nokuthungwa.Umsebenzi wayo ufana ne-suture ekuhlinzweni okukhulu, njengoba isetshenziselwa ukuhlanganisa izindawo ezimbili ezihlukene, kodwa, ingasetshenziswa ngokusebenzisa umzila we-endoscope ngaphansi kokuboniswa okuqondile.Ama-Endoclips athole ukusetshenziswa ekwelapheni ukopha kwamathumbu (kokubili kupheshana le-GI eliphezulu neliphansi), ekuvimbeleni ukopha ngemva kwezinqubo zokwelapha ezifana ne-polypectomy, kanye nokuvala ukubhobozwa kwamathumbu.
Imodeli | Usayizi wokuvula isiqeshana (mm) | Ubude Bokusebenza(mm) | Isiteshi se-Endoscopic(mm) | Izici | |
I-ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | I-Gastro | Kungagqotshiwe |
I-ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
I-ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Ikholoni | |
ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | I-Gastro | Kuboshwe |
I-ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
I-ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Ikholoni | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Isibambi Esinesimo Se-Ergonomic
Kuyasebenziseka
Ukusetshenziswa Kwezokwelapha
I-hemoclip ingafakwa ngaphakathi kwepheshana le-Gastro-intestinal (GI) ngenjongo ye-hemostasis:
Ukukhubazeka kwe-mucosal/sub-mucosal<3cm
Izilonda zokopha, -Imithambo< 2 mm
Ama-Polyps< 1.5 cm ububanzi
I-Diverticula ku-#colon
Lesi siqeshana singasetshenziswa njengendlela yokwengeza yokuvalwa kwe-GI tract luminal perforations< 20 mm noma #endoscopic marking.
(1) Maka, sebenzisa imbobo yenaliti noma i-argon ion coagulation ukuze umake indawo yokuhlinza nge-electrocoagulation engu-0.5cm emaphethelweni esilonda;
(2) Ngaphambi komjovo we-submucosal woketshezi, uketshezi olutholakala emtholampilo lomjovo we-submucosal luhlanganisa usawoti womzimba, i-glycerol fructose, i-sodium hyaluronate nokunye.
(3) Sika kusengaphambili i-mucosa ezungezile: sebenzisa okokusebenza kwe-ESD ukuze usike ingxenye ye-mucosa ezungeze isilonda eduze kwendawo yokumaka noma unqenqema olungaphandle lwephoyinti lokumaka, bese usebenzisa ummese we-IT ukusika wonke ama-mucosa azungezile;
(4) Ngokwezingxenye ezihlukene zesilonda kanye nemikhuba yokusebenza kwabaqhubi, imishini ye-ESD i-IT, i-Flex noma i-HOOK ummese nezinye izinsimbi zokukhumula zikhethiwe ukuze kucwecwe isilonda eduze kwe-submucosa;
(5) Ukuze uthole ukwelashwa kwesilonda, i-argon ion coagulation yayisetshenziselwa i-electrocoagulate yonke imithambo yegazi emincane ebonakalayo esilondeni ukuvimbela ukopha kwangemva kokuhlinzwa.Uma kunesidingo, ama-clamps e-hemostatic asetshenziselwa ukubopha imithambo yegazi.