I-Colonoscopy: Ukuphathwa kwezinkinga

Ekwelashweni kwe-colonoscopy, izinkinga ezimele ukubhoboka kanye nokopha.
Ukubhoboka kubhekisela esimweni lapho umgodi uxhunywe ngokukhululekile nomgodi womzimba ngenxa yesici sezicubu ezijiyile ngokuphelele, futhi ukuba khona komoya okhululekile ekuhlolweni kwe-X-ray akuthinti incazelo yawo.
Uma umngcele wesici sezicubu ezijiyile ngokuphelele umboziwe futhi ungenakho ukuxhumana okukhululekile nomgodi womzimba, kubizwa ngokuthi ukubhoboka.
Incazelo yokopha ayichazwanga kahle; izincomo zamanje zifaka phakathi ukwehla kwe-hemoglobin engaphezu kuka-2 g/dL noma isidingo sokumpontshelwa igazi.
Ukopha ngemva kokuhlinzwa kuvame ukuchazwa njengokuvela kwegazi elibalulekile esitulweni ngemva kokuhlinzwa okudinga ukwelashwa kwe-hemostatic noma ukumpontshelwa igazi.
Ukwanda kwalezi zigameko ezingalindelekile kuyahlukahluka ngokuya ngokwelashwa:
Izinga lokubhoboza:
Ukususwa kwe-polypectomy: 0.05%
Ukususwa kwe-mucosal ye-Endoscopic (EMR): 0.58%~0.8%
Ukususwa kwe-submucosal ye-Endoscopic (ESD): 2%~14%
Izinga lokopha ngemva kokuhlinzwa:
Ukususwa kwe-polypectomy: 1.6%
I-EMR: 1.1%~1.7%
I-ESD: 0.7%~3.1

1. Indlela yokubhekana nokubhoboka
Njengoba udonga lwamathumbu amakhulu luncane kunolwesisu, ingozi yokubhoboka iphakeme. Kudingeka ukulungiselela okwanele ngaphambi kokuhlinzwa ukuze kubhekanwe nethuba lokubhoboka.
Izinyathelo zokuphepha ngesikhathi sokuhlinzwa:
Qinisekisa ukuthi i-endoscope isebenza kahle.
Khetha ama-endoscope afanele, amathuluzi okwelapha, uketshezi lomjovo kanye nemishini yokulethwa kwegesi ye-carbon dioxide ngokuya ngendawo, isimo kanye nezinga le-fibrosis yesimila.
Ukuphathwa kokubhoboza kwentamo ngesikhathi sokuhlinzwa:
Ukuvalwa okusheshayo: Kungakhathaliseki ukuthi indawo ikuphi, ukuvalwa kwesiqeshana kuyindlela ekhethwayo (amandla esincomo: Ibanga 1, izinga lobufakazi: C).

In I-ESD, ukuze kugwenywe ukuphazamiseka kokusebenza kokusikwa, izicubu ezizungezile kufanele zisikwe kuqala ukuqinisekisa isikhala esanele sokusebenza ngaphambi kokuvala.
Ukuqaphela ngemva kokuhlinzwa: Uma ukubhoboka kungavalwa ngokuphelele, ukuhlinzwa kungagwenywa ngokwelashwa ngama-antibiotic nokuzila ukudla kuphela.
Isinqumo sokuhlinzwa: Isidingo sokuhlinzwa sinqunywa ngokusekelwe enhlanganisela yezimpawu zesisu, imiphumela yokuhlolwa kwegazi, kanye nezithombe kunokuba kusekelwe kuphela kugesi yamahhala eboniswa ku-CT.
Ukwelashwa kwezingxenye ezikhethekile:
I-rectum engezansi ngeke ibangele ukubhoboka kwesisu ngenxa yezici zayo zomzimba, kodwa ingabangela ukubhoboka kwe-pelvic, okubonakala njenge-retroperitoneal, mediastinal, noma subcutaneous emphysema.
Izinyathelo zokuzivikela:
Ukuvalwa kwesilonda ngemva kokuhlinzwa kungavimbela izinkinga ngezinga elithile, kodwa abukho ubufakazi obanele bokubonisa ukuthi kungavimbela ngempumelelo ukubhoboka okulibazisekile.

2. Impendulo Yokopha
Ukuphathwa kokopha ngesikhathi sokuhlinzwa:
Sebenzisa i-heat coagulation noma i-hemostatic clips ukuze umise ukuphuma kwegazi.
Ukopha kwegazi emthanjeni omncane:
I-EMR, i-snare tip ingasetshenziswa ekujiyeni kokushisa.
I-ESD, isihloko sommese kagesi singasetshenziswa ukuxhumana nokushisa noma i-hemostatic forceps ukuze kumiswe ukopha.
Ukopha okukhulu kwemithambo yegazi: Sebenzisa i-hemostatic forceps, kodwa lawula ububanzi bokujiya ukuze ugweme ukubhoboka okulibazisekile.
Ukuvimbela ukopha ngemva kokuhlinzwa:
Ukususwa kwesilonda ngemva kokuhlinzwaI-EMR :
Izifundo zikhombisile ukuthi ukusetshenziswa kwe-hemostatic forceps ekuvimbeleni ukujiya kwegazi akunawo umthelela omkhulu emazingeni okopha ngemva kokuhlinzwa, kodwa kukhona ukuthambekela kokwehla.
Ukusika izitho zokuvimbela kunethonya elilinganiselwe ezilonda ezincane, kodwa kusebenza kahle ezilonda ezinkulu noma ezigulini ezisengozini enkulu yokopha ngemva kokuhlinzwa (njengalezo ezithola ukwelashwa kwe-antithrombotic).
I-ESD, inxeba liyasuswa bese imithambo yegazi eveziwe iqina. Ama-hemostatic clips angasetshenziswa futhi ukuvimbela ukuvaleka kwemithambo yegazi emikhulu.
Qaphela:
Nge-EMR yezilonda ezincane, ukwelashwa okuvamile kokuvimbela akukhuthazwa, kodwa ngezilonda ezinkulu noma iziguli ezisengozini enkulu, ukusika izitho zokuvimbela ngemva kokuhlinzwa kunomphumela othile (amandla esincomo: Izinga 2, izinga lobufakazi: C).
Ukubhoboka nokopha yizinkinga ezivamile ze-endoscopy ye-colorectal.
Ukuthatha izinyathelo ezifanele zokuvimbela nokwelapha ezimweni ezahlukene kunganciphisa ngempumelelo ukwanda kwezifo ezingavamile futhi kuthuthukise ukuphepha kwesiguli.

Thina, iJiangxi Zhuoruihua Medical Instrument Co.,Ltd., singumkhiqizi eShayina ogxile ezintweni ezisetshenziswayo ze-endoscopic, njengei-biopsy forceps, i-hemoclip, ugibe lwe-polyp, inaliti ye-sclerotherapy, i-catheter yokufafaza,amabhulashi e-cytology, ucingo lokuqondisa, ubhasikidi wokuthola amatshe, i-catheter yokukhipha amanzi ekhaleni,isivikelo sokufinyelela urethrafuthiisivikelo sokufinyelela urethra esinommuncanjll. ezisetshenziswa kabanzi ku-I-EMR, I-ESD, I-ERCPImikhiqizo yethu inesitifiketi se-CE, kanti izitshalo zethu zinesitifiketi se-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi kanye nengxenye ye-Asia, futhi zithola ukuqashelwa nokunconywa kakhulu ngamakhasimende!