Izinhlelo Zokulethwa Zezesekeli Ze-Endoscope Ezisezingeni Eliphezulu Abakhiqizi Nabahlinzeki Beziqeshana Ze-Hemostasis Ezijikelezayo ze-Endoclip

Izesekeli ze-Endoscope Izinhlelo Zokulethwa Iziqeshana ze-Hemostasis Ezijikelezayo ze-Endoclip Isithombe Esifakiwe

Izesekeli ze-Endoscope Izinhlelo Zokulethwa Iziqeshana ze-Hemostasis Ezijikelezayo I-Endoclip

Incazelo emfushane:

Imininingwane Yomkhiqizo:

Ukujikeleza ngesibambo ngesilinganiso esingu-1:1. (*Jikelezisa isibambo ngenkathi ubambe i-tube joint ngesandla esisodwa)

Phinda uvule umsebenzi ngaphambi kokusetshenziswa. (Isexwayiso: Vula futhi uvale kuze kube kahlanu)

MR Conditional: Iziguli zithola inqubo ye-MRI ngemva kokufakwa kwe-clip.

Ukuvula Okulungisekayo okungu-11mm.

Sithumelele i-imeyili

Imininingwane Yomkhiqizo

Amathegi Omkhiqizo

Isicelo

I-endoclip yethu isetshenziselwa ukuvimba ukuphuma kwegazi emithanjeni emincane engaphakathi kwendlela yokugaya ukudla.
Izinkomba zokwelapha zifaka phakathi: Izilonda eziphuma igazi, i-diverticula emathunjini amakhulu, ukubhoboka kwe-luminal okungaphansi kwama-20 mm.

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-Endoclip ingafakwa ngaphakathi kwendlela yesisu (GI) ngenhloso yokwehlisa igazi ukuze:
Ukukhubazeka kwe-mucosal/sub-mucosal < 3 cm
Izilonda eziphuma igazi, -Imithambo yegazi < 2 mm
Ama-polyp angaphansi kuka-1.5 cm ububanzi
I-Diverticula ku-#colon
Lesi siqeshana singasetshenziswa njengendlela eyengeziwe yokuvala izimbobo ze-GI tract luminal < 20 mm noma #endoscopic marking.

Ukusetshenziswa kwezesekeli ze-EMR/ESD

Izesekeli ezidingekayo ekusebenzeni kwe-EMR zifaka phakathi inaliti yomjovo, izithiyo ze-polypectomy, i-endoclip kanye nedivayisi yokubopha (uma kusebenza) i-snare probe esetshenziswa kanye ingasetshenziswa kokubili ekusebenzeni kwe-EMR kanye ne-ESD, futhi ibiza konke-ku-munye ngenxa yemisebenzi yayo ye-hybird. Idivayisi yokubopha ingasiza i-polyp ligate, ephinde isetshenziswe ekwelashweni kwe-purse-string-suture ngaphansi kwe-endoscop, i-hemoclip isetshenziselwa i-endoscopic hemostasis kanye nokubopha inxeba endleleni yokugaya ukudla.

Imibuzo Evame Ukubuzwa Ngezesekeli ze-EMR/ESD

Q; Kuyini i-EMR ne-ESD?
A; I-EMR imele ukususwa kwe-mucosal endoscopic, inqubo evame ukuhlasela ngaphandle kwesiguli ukuze kususwe izilonda ezinomdlavuza noma ezinye izilonda ezingavamile ezitholakala endleleni yokugaya ukudla.
I-ESD imele i-endoscopic submucosal dissection, inqubo evame ukuhlasela abantu abagulayo ngaphandle esebenzisa i-endoscopy ukususa izimila ezijulile endleleni yokugaya ukudla.

Q; I-EMR noma i-ESD, ungayithola kanjani?
A; I-EMR kufanele ibe yisinqumo sokuqala salesi simo esingezansi:
●Isilonda esingaphandle komphimbo kaBarrett;
●Isilonda esiswini esincane <10mm, IIa, indawo enzima ye-ESD;
●Isilonda se-duodenal;
●Isilonda esingenazinhlayiya/esingacindezelekile esingu-20mm noma esinamaqhubu.
A; I-ESD kufanele ibe yisinqumo esiphezulu salokhu:
●I-Squamous cell carcinoma (ekuqaleni) yomqala;
●I-carcinoma yesisu esiqalayo;
●I-Colorectal (engenawo ama-granular/ecindezelekile ＞
●20mm) isilonda.