Ekwelashweni kwe-colonoscopy, izinkinga ezimele ukubhoboza nokuphuma kwegazi.
I-perforation ibhekisela esimweni lapho i-cavity ixhunywe khona ngokukhululekile emgodini womzimba ngenxa yesiphambeko sezicubu ezigcwele, futhi ukuba khona komoya okhululekile ekuhlolweni kwe-X-ray akuthinti incazelo yayo.
Uma i-periphery yesiphako sezicubu ezijiyile ngokugcwele simboziwe futhi ingenakho ukuxhumana okukhululekile nembobo yomzimba, kubizwa ngokuthi i-perforation.
Incazelo yokopha ayichazwa kahle; izincomo zamanje zihlanganisa ukuncipha kwe-hemoglobin engaphezu kuka-2 g/dL noma isidingo sokumpontshelwa.
Ukopha kwangemva kokuhlinzwa ngokuvamile kuchazwa njengokuvela kwegazi elibalulekile esitulweni ngemva kokuhlinzwa okudinga ukwelashwa kwe-hemostatic noma ukumpontshelwa igazi.
Izehlakalo zalezi zenzakalo zengozi ziyehluka ngokuya ngokwelashwa:
Izinga lokubhoboza:
I-Polypectomy: 0.05%
Ukukhishwa kwe-endoscopic mucosal (EMR): 0.58%~0.8%
I-Endoscopic submucosal dissection (ESD): 2%~14%
Izinga lokopha kwangemva kokuhlinzwa:
I-Polypectomy: 1.6%
I-EMR: 1.1%~1.7%
ESD: 0.7%~3.1
1. Ungabhekana kanjani nokubhobozwa
Njengoba udonga lwamathumbu amakhulu luncane kunolwesisu, ingozi yokubhoboza iphezulu. Ukulungiselela okwanele kuyadingeka ngaphambi kokuhlinzwa ukuze kubhekwane nokwenzeka kokubhobozwa.
Izinyathelo zokuphepha ze-intraoperative:
Qinisekisa ukusebenza kahle kwe-endoscope.
Khetha ama-endoscopes afanelekile, amathuluzi okwelapha, uketshezi lomjovo kanye nemishini yokulethwa kwegesi ye-carbon dioxide ngokuya ngendawo, i-morphology kanye nezinga le-fibrosis yesimila.
Ukuphathwa kwe-intraoperative perforation:
Ukuvalwa ngokushesha: Kungakhathalekile indawo, ukuvala isiqeshana kuyindlela ekhethwayo (amandla okuncoma: Ibanga loku-1, izinga lobufakazi: C).
In ESD, ukuze ugweme ukuphazamisa ukusebenza kwe-dissection, izicubu ezizungezile kufanele zihlakazwe kuqala ukuze kuqinisekiswe indawo yokusebenza eyanele ngaphambi kokuvala.
Ukubuka kwangemva kokuhlinzwa: Uma ukubhoboza kungavalwa ngokuphelele, ukuhlinzwa kungagwenywa kuphela ngokwelashwa ngama-antibiotic nokuzila ukudla.
Isinqumo sokuhlinzwa: Isidingo sokuhlinzwa sinqunywa ngokusekelwe kwinhlanganisela yezimpawu zesisu, imiphumela yokuhlolwa kwegazi, nokuthwebula izithombe kunokuba kube kuphela igesi yamahhala eboniswa ku-CT.
Ukwelashwa kwezingxenye ezikhethekile:
I-rectum engezansi ngeke ibangele ukubhobozwa kwesisu ngenxa yezici zayo ze-anatomical, kodwa ingase ibangele ukubhobozwa kwe-pelvic, okubonakala njenge-retroperitoneal, i-mediastinal, noma i-emphysema engaphansi.
Izinyathelo zokuzivikela:
Ukuvalwa kwesilonda kwangemva kokuhlinzwa kungase kuvimbele izinkinga ngezinga elithile, kodwa abukho ubufakazi obanele obubonisa ukuthi kungavimbela ngempumelelo ukulibaziseka kokubhobozwa.
2. Ukusabela Ekopheni
Ukulawulwa kokuphuma kwegazi ngaphakathi kokuhlinzwa:
Sebenzisa i-heat coagulation noma iziqeshana ze-hemostatic ukumisa ukopha.
Ukopha komkhumbi omncane:
I-EMR, ithiphu logibe lingasetshenziselwa ukuhlangana okushisayo.
ESD, ichopho lommese kagesi lingasetshenziswa ukuxhumana ne-thermal coagulation noma i-hemostatic forceps ukuze kumiswe ukopha.
Ukopha komkhumbi omkhulu: Sebenzisa i-hemostatic forceps, kodwa lawula ububanzi bokuhlangana ukuze ugweme ukulibaziseka ukubhoboza.
Ukuvimbela ukopha kwangemva kokuhlinzwa:
Ukukhishwa kwenxeba ngemvaI-EMR :
Ucwaningo luye lwabonisa ukuthi ukusetshenziswa kwe-hemostatic forceps yokuvimbela i-coagulation akunawo umthelela omkhulu emazingeni okopha ngemva kokuhlinzwa, kodwa kukhona ukuthambekela ekunciphiseni.
I-prophylactic clipping inomphumela olinganiselwe ezilonda ezincane, kodwa isebenza kahle ezilonda ezinkulu noma ezigulini ezisengozini enkulu yokopha ngemva kokuhlinzwa (njengalezo ezithola ukwelashwa kwe-antithrombotic).
ESD, inxeba liyakhishwa futhi imithambo yegazi eveziwe iyajiya. Iziqeshana ze-Hemostatic nazo zingasetshenziswa ukuvimbela ukubopha kwemithambo yegazi emikhulu.
Qaphela:
Ku-EMR yezilonda ezincane, ukwelashwa okujwayelekile kokuvimbela akukhuthazwa, kodwa ezilonda ezinkulu noma iziguli ezinobungozi obukhulu, ukunqanyulwa kokuvimbela ngemuva kokuhlinzwa kunomphumela othile (amandla okuncoma: Izinga 2, izinga lobufakazi: C).
Ukubhoboza nokopha kuyizinkinga ezivamile ze-endoscopy ye-colorectal.
Ukuthatha izinyathelo ezifanele zokuvimbela kanye nokwelapha izimo ezihlukahlukene kunganciphisa ngempumelelo izehlakalo zezifo ezingavamile futhi kuthuthukise ukuphepha kwesiguli.
Thina, i-Jiangxi Zhuoruihua Medical Instrument Co., Ltd., singumkhiqizi waseChina ogxile ezintweni ezisetshenziswayo ze-endoscopic, ezifanai-biopsy forceps, i-hemoclip, polyp ugibe, inaliti ye-sclerotherapy, fafaza i-catheter, amabhulashi e-cytology, guidewire, ubhasikidi wokubuyisa amatshe,i-catheter ye-nasal biliary drainage,ukungena kwe-urethrah futhiUkungena emgodleni we-ureral ngokumuncwanjll ezisetshenziswa kakhulu kuI-EMR, ESD, I-ERCP. Imikhiqizo yethu iqinisekiswe yi-CE, 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: May-23-2025