I-Hemoclip Yokuvula Nokuvala Ephindaphindwayo Elahlwayo Yesisu
I-Hemoclip Yokuvula Nokuvala Ephindaphindwayo Elahlwayo Yesisu
Isicelo
Isetshenziselwa ukubopha imithambo yegazi ngomshini. I-endoclip iyithuluzi lensimbi elisetshenziswa ku-endoscopy ukuze livale izindawo ezimbili ze-mucosal ngaphandle kwesidingo sokuhlinzwa nokuthungwa. Umsebenzi walo ufana nokuthunga ezindaweni zokuhlinzwa ezinkulu, njengoba lisetshenziselwa ukuhlanganisa izindawo ezimbili ezihlukene, kodwa, lingasetshenziswa ngomzila we-endoscope ngaphansi kokubona ngqo. Ama-endoclip athole ukusetshenziswa ekwelapheni ukopha kwamathumbu (kokubili endaweni ephezulu nengezansi ye-GI), ekuvimbeleni ukopha ngemva kwezinqubo zokwelapha ezifana ne-polypectomy, kanye nasekuvaleni ukubhoboka kwamathumbu.
Imininingwane
| 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 | Akugqokwanga |
| I-ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
| I-ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
| I-ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Ikholoni | |
| I-ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
| I-ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
| I-ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | I-Gastro | Kumboziwe |
| I-ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
| I-ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
| I-ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Ikholoni | |
| I-ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
| I-ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 | ||
Incazelo Yemikhiqizo
I-Degign ye-Clip Ejikelezayo engu-360°
Nikeza indawo eqondile.
Ithiphu Yokuhlukumezeka
kuvimbela i-endoscopy ekulimaleni.
Uhlelo Lokukhulula Okubucayi
ukuhlinzekwa kwesiqeshana okulula ukukhulula.
Isiqeshana Sokuvula Nokuvala Esiphindaphindwayo
ukuze uthole indawo efanele.
Isibambo Esime Ngokwemvelo
Kuyasebenziseka
Ukusetshenziswa Kwezokwelapha
I-hemoclip ingafakwa ngaphakathi kwendlela yesisu (GI) ngenhloso yokukhipha igazi ukuze:
Ukukhubazeka kwe-mucosal/sub-mucosal< 3 cm
Izilonda eziphuma igazi, -Imithambo yegazi< 2 mm
Ama-polyp< 1.5 cm ububanzi
I-Diverticula ku-#colon
Lesi siqeshana singasetshenziswa njengendlela eyengeziwe yokuvala izimbobo ze-GI tract luminal< 20 mm noma #ukumaka kwe-endoscopic.
I-Hemoclip Esetshenziswa ku-ESD
(1) Maka, sebenzisa inaliti noma i-argon ion coagulation ukuze uphawule indawo yokususwa nge-electrocoagulation engu-0.5cm emaphethelweni esilonda;
(2) Ngaphambi kokufakwa koketshezi olungaphansi kwe-mucosal, uketshezi olutholakala emtholampilo lokufakwa kwe-submucosal luhlanganisa i-saline yemvelo, i-glycerol fructose, i-sodium hyaluronate njalo njalo.
(3) Sika kusengaphambili i-mucosa ezungezile: sebenzisa imishini ye-ESD ukusika ingxenye ye-mucosa ezungeze isilonda endaweni yokumaka noma emaphethelweni angaphandle endawo yokumaka, bese usebenzisa ummese we-IT ukusika yonke i-mucosa ezungezile;
(4) Ngokwezingxenye ezahlukene zesilonda kanye nemikhuba yokusebenza yabasebenzi, imishini ye-ESD IT, ummese we-Flex noma we-HOOK kanye nezinye izinto zokususa isilonda zakhethwa ukuze kuhlutshwe isilonda eduze kwe-submucosa;
(5) Ukwelapha inxeba, i-argon ion coagulation yasetshenziswa ukubopha yonke imithambo yegazi emincane ebonakalayo enxebeni ukuze kuvinjelwe ukopha ngemva kokuhlinzwa. Uma kudingeka, kwasetshenziswa ama-hemostatic clamp ukubopha imithambo yegazi.
