Esikhungweni se-endoscopy sokugaya ukudla, yonke inqubo incike ekuxhumaneni okunembayo kwezinto ezisetshenziswayo ezinembayo. Kungakhathaliseki ukuthi ukuhlolwa komdlavuza kusenesikhathi noma ukususwa kwetshe eliyinkimbinkimbi ye-biliary, lawa "maqhawe angemuva kwesigcawu" anquma ngokuqondile ukuphepha kanye nezinga lempumelelo lokuxilongwa nokwelashwa. Lesi sihloko sihlaziya kabanzi izimo zokusebenza, ukuthuthukiswa kwezobuchwepheshe, kanye nengqondo yokukhetha emtholampilo yezinto ezisetshenziswayo ezingu-37, esiza kokubili odokotela neziguli ukubhekana ngokuphumelelayo nezinselele zezifo zesisu!
I. Izivivinyo Eziyisisekelo (Izinhlobo Ezi-5)
- Umsebenzi: Isetshenziselwa ukususa ngokunembile amasampula ezicubu ze-biopsy emathunjini nasemgudwini wokuphefumula ukuze kuhlolwe ukugula (njengokuhlolwa komdlavuza kusenesikhathi).
- Umsebenzi: Isetshenziselwa ukuthola amasampula eseli ezindaweni eziwumngcingo (njengomminzo kanye nomgudu wenyongo) ukusiza ekuhlaziyeni ukugula.
3. I-Indigo Carmine Mucosal Stain
- Umsebenzi: Kufafazwe ukuze kugqanyiswe ukuthungwa kwezilonda zamafinyila, kuthuthukisa izinga lokutholwa komdlavuza wakuqala ngama-30%.
4. I-Transparent Cap
- Umsebenzi: Kusetshenziswa ekugcineni kwe-endoscope ukuze kwandiswe inkambu yokubuka, ukusiza ukopha, ukususa izinto zangaphandle, noma ukuzinzisa insimu yokuhlinza.
- Umsebenzi: Ihlanza iziteshi ze-endoscope ukuvimbela ukutheleleka (ukusetshenziswa kanye ukuze kuphephe kakhulu).
II. Izinqubo zokwelapha (Izinhlobo ezingu-18)
Izinsimbi Zokuhlinza Kagesi Ezivamile
6. Ummese we-Electrosurgical
- Umsebenzi: Ukumakwa kwe-mucosal, ukusika, nokuhlukanisa (ithuluzi eliyinhloko lezinqubo ze-ESD/POEM). Itholakala emanzini ajovwe (ukunciphisa umonakalo oshisayo) kanye nezinguqulo ezingenawo amanzi
7. UgesiIzingibe ze-polypectomy
- Umsebenzi: Ukususwa kwama-polyps noma izimila (25-35 mm ububanzi). Ucingo olulukiwe lukhulisa indawo yokuxhumana futhi lunciphisa ingozi yokopha.
8. I-Hot Biopsy Forceps
- Umsebenzi: Ukukhishwa kwe-Electrocoagulation kwama-polyps amancane <5 mm. Ihlanganisa i-tissue clamping kanye ne-hemostasis.
9. Iziqeshana ze-Hemostatic(Iziqeshana ze-Titanium)
- Umsebenzi: Ukuvalwa kwenxeba noma ukubopha imithambo. 360° ukulungiswa okujikeleziswayo kuyatholakala. Itholakala ekucushweni okungu-90° no-135° ngezinqubo ezijulile.
10. Inayiloni Loop Ligation Idivayisi
- Umsebenzi: Hlanganisa isisekelo sama-polyp aminyene-pedunculated ukuvimbela ukopha okubambezelekile.
11. I-Argon Electrode
- Umsebenzi: Coagulate izilonda ezingaphezulu (njenge-residual adenomas). Ukujula kokungena kungu-0.5 mm kuphela, okunikeza ukuphepha okuphezulu.
Umjovo kanye ne-Sclerotherapy
12.I-Endoscopic Injection Needle
- Umsebenzi: Umjovo we-submucosal (uphawu lokuphakamisa), i-varicose vein sclerosing, noma i-tissue glue occlusion. Itholakala 21G (viscous) kanye 25G (fine puncture) izinaliti.
13. Ibhendi Ligator
- Umsebenzi: I-Rubber band ligation ye-varices yomphimbo noma ama-hemorrhoids angaphakathi. ≥ 3 amabhendi angakhululwa ngesikhathi.
14. I-Tissue Glue / Sclerosant
- Umsebenzi: Vala imithambo ye-varicose (isb, i-cyanoacrylate yokuqinisa imithambo yesisu).
Ukunwetshwa kanye nokubekwa kwe-Stent
15. I-Dilation Balloon
- Umsebenzi: Ukunwetshwa kancane kancane kwama-strictures (umphimbo/ikholoni). Ububanzi: 10-20 mm.
16. I-Digestive Stent
- Umsebenzi: Isekela imivimbo eyingozi. Idizayini ehlanganisiwe ivimbela ukungena kwesimila.
17. Isethi ye-Percutaneous Gastrostomy
- Umsebenzi: Isungula ukufinyelela kokudla okunomsoco wesikhathi eside, okufanele iziguli ezingakwazi ukudla ngomlomo
III.I-ERCP-Imikhiqizo ethize (9 Izinhlobo)
- Umsebenzi: Ivula i-duodenal papilla futhi ivule i-bile kanye ne-pancreatic duct. I-arched blade ivumela ukuhamba kalula.
- Umsebenzi: Ikhipha amatshe e-biliary (20-30 mm). Ubhasikidi wensimbi engagqwali uwabona ngokucacile ngaphansi kwe-X-ray.
20. I-Lithotomy Balloon Catheter
- Umsebenzi: Kususa amatshe namatshe. Ububanzi bebhaluni obungu-≥8.5 mm buqinisekisa izinga lokubuyisa eliphelele.
21. Ubhasikidi we-Lithotripsy
- Umsebenzi: Ngomshini uhlukanisa amatshe amakhulu. Idizayini ehlanganisiwe ivumela i-lithotripsy kanye nokubuyiswa.
22.I-Nasobiliary Drainage Catheter
- Umsebenzi: Ukuphuma kwe-bile ngaphandle. Isakhiwo se-pigtail sivimbela ukushelela. Isikhathi sokuhlala ≤7 izinsuku.
23. I-Biliary Stent
- Umsebenzi: Izitenti zepulasitiki zinikeza amanzi esikhashana (izinyanga ezi-3-6). Ama-stents ensimbi asetshenziselwa ukusekelwa kwesikhathi eside kokuvinjelwa okuyingozi.
24. I-Angiography Catheter
- Umsebenzi: Ihlinzeka nge-cholangiopancreatography imaging. Idizayini ye-lumen eyodwa/embili ivumela ukukhohlisa kwe-guidewire.
25. IdubeI-Guidewire
- Umsebenzi: Iqondisa amathuluzi ngokusebenzisa izakhiwo eziyinkimbinkimbi ze-anatomical. I-hydrophilic coating inciphisa ukungqubuzana ngo-60%.
26. I-Stent Pusher
- Umsebenzi: Ikhipha ngokunembile ama-stents ukuvimbela ukufuduka.
IV. Izesekeli (izinhlobo ezi-5)
27. Bite Block
- Umsebenzi: Ivikela i-endoscope yomlomo ngomklamo ongazwani nokuluma. I-depressor yolimi ithuthukisa ukunethezeka.
28. Ipuleti Elibi
- Umsebenzi: Inikeza isifunda sokuphepha esinemvamisa ephezulu ukuvikela ukusha kukagesi (akudingeki kumayunithi e-bipolar electrosurgical).
29. I-Irrigation Tube
- Umsebenzi: Igcoba amafinyila noma igazi phakathi nokuhlinzwa ukuze kugcinwe indawo ecacile yokuhlinza.
30. I-Foreign Body Forceps/Netting Loop
- Umsebenzi: Ukususwa kwezinto zangaphandle ezigwinywe (izinhlamvu zemali, amazinyo okufakelwa, njll.).
31. Inkinobho Yamanzi/Yomoya
- Umsebenzi: Ukulawulwa kweminwe ye-endoscope yamanzi, umoya, kanye nemisebenzi yokumunca.
Incazelo
- Ukuqondanisa kwezibalo zezinto ezingu-37: Lokhu kuhlanganisa ukucaciswa okuhlukene phakathi kwesigaba esifanayo (isb, izinhlobo ezine zamablade okusika imvamisa ephezulu, izinhlobo ezintathu zezinalithi zomjovo), okuvumela inhlanganisela yomtholampilo ngokusekelwe esidingweni.
- Umsebenzi Obalulekile: Ukufakwa ngezigaba okungenhla kuhlanganisa zonke izingxenye eziyisisekelo zokusebenza, ezihlangabezana nezidingo zazo zonke izimo, kusukela ekuhlolweni komdlavuza kusenesikhathi (i-biopsy forceps, odayi) kuya ekuhlinzweni okuyinkimbinkimbi (ESDama-blades,I-ERCPizinsimbi).
Thina, i-Jiangxi Zhuoruihua Medical Instrument Co., Ltd., singumkhiqizi e-China onguchwepheshe ezintweni ezisetshenziswayo ze-endoscopic, sifaka ulayini we-GI onjenge-biopsy forceps, i-hemoclip, i-polyp snare, inaliti ye-sclerotherapy, i-spray catheter, amabhulashi e-cytology, ucingo lomhlahlandlela, ubhasikidi wokubuyisa amatshe osetshenziswa kabanzi, i-EM. ESD, ERCP. Imikhiqizo yethu iqinisekiswe yi-CE futhi inemvume ye-FDA 510K, futhi izitshalo zethu ziqinisekiswe yi-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi nasengxenyeni ye-Asia, futhi zithola kabanzi ikhasimende lokuqashelwa nokudumisa!
Isikhathi sokuthumela: Aug-18-2025