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 kungekho ukuxhumana okukhululekile nomgodi womzimba, kubizwa ngokuthi ukubhoboka. Incazelo yokopha ayichazwanga kahle, futhi 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%
Izinto Ezisetshenziswayo Ezihlobene Ne-Endoscopic: Isicupho Esilahlwayo Se-Polypectomy
Ukususwa kwe-mucosal ye-Endoscopic (EMR): 0.58%~0.8%
Izinto Ezisetshenziswayo Ezihlobene Ne-Endoscopic: Iziqeshana Ze-Hemostasis Ezilahlwayo
Izinto Ezisetshenziswayo Ezihlobene Ne-Endoscopic: Inaliti Yomjovo Olahlwayo
Ukususwa kwe-submucosal ye-Endoscopic (ESD): 2%~14%
Izinto Ezisetshenziswayo Ezihlobene Ne-Endoscopic: Ummese Olahlwayo we-ESD
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 kwesikhumba ngesikhathi sokuhlinzwa:
Ukuvalwa okusheshayo: Kungakhathaliseki ukuthi indawo ikuphi, ama-clip ayathandwa uma kuvalwa (amandla esincomo: izinga 1, izinga lobufakazi: C). Ku-ESD, ngezinye izikhathi indawo ezungezile kufanele ihlutshulwe kuqala ukuze kugwenywe ukuphazamisa ukusebenza kokuhlutshulwa.
Izicubu, qinisekisa 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 esikhundleni segesi yamahhala eboniswa ku-CT kuphela.
Ukwelashwa kwezingxenye ezikhethekile:
I-rectum engezansi ngeke ibangele ukubhoboka kwesisu ngenxa yezici zayo zomzimba, kodwa ingabangela
Ukubhoboka kwe-pelvic, okubonakaliswa njenge-retroperitoneal, mediastinal, noma subcutaneous emphysema.
Izinyathelo zokuzivikela:
Ukuvala inxeba ngemva kokuhlinzwa kungavimbela izinkinga ngezinga elithile, kodwa akwenzi
Kunobufakazi obanele bokukhombisa ukuthi kuyasebenza ekuvimbeleni ukubhoboka okubambezelekile.
2. Impendulo Yokopha
Ukuphathwa kokopha ngesikhathi sokuhlinzwa:
Sebenzisa i-heat coagulation noma i-hemostatic clips ukuze umise ukuphuma kwegazi.
Ukopha kwegazi emthanjeni omncane:
Ku-EMR, i-snare tip ingasetshenziswa ekujiyileni kokushisa.
Ku-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 kwe-EMR:
Ucwaningo luye lwabonisa ukuthi ukusetshenziswa kwama-hemostatic clamps ukuze kuvinjwe ukujiya kwegazi akunawo umthelela omkhulu esilinganisweni sokopha ngemva kokuhlinzwa, kodwa kukhona ukuthambekela kokunciphisa. Ukuvimbela ukubopha kunemiphumela elinganiselwe ezilonda ezincane, kodwa kusebenza kahle ezilonda ezinkulu noma ezigulini ezisengozini enkulu yokopha ngemva kokuhlinzwa (njengalezo ezithola ukwelashwa kwe-antithrombotic).
Ukususwa kwesilonda ngemva kwe-ESD:
Imithambo yegazi eveziwe iyaqina, futhi ama-hemostatic clips angasetshenziswa 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 oluqondisayo, 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!
Isikhathi sokuthunyelwe: Mashi-21-2025