I-sphincterotome elahlwayo | “Isikhali” esiwusizo sabasebenzi be-endoscopists

Ukusetshenziswa kwei-sphincterotomein I-ERCP

Kunezindlela ezimbili eziyinhloko zokusebenzisai-sphincterotomekwezokwelaphaI-ERCP:

1. Nweba i-duodenal papilla sphincter ukusiza udokotela ekufakeni i-catheter ku-duodenal papilla ngaphansi kwesiqondiso sentambo yokuqondisa.

Ukufakwa kwepayipi okusizwa ukusikwa lapha kubonakala kakhulu “ekugobeni” kanye “nokuqina” kwe-i-sphincterotomeNgaphezu kwalokho, uma ifakwe i-nipple ejikelezayoi-sphincterotome, inokulawula okuqondiswe ngezindlela eziningi njengokuthi “phezulu, phansi, kwesobunxele, nakwesokudla”. Ikhono, lingabonakala “libonisa” lapho lisizaucingo lokuqondisaukufakwa kwepayipi.

2. Sika i-duodenal papilla sphincter ukuze ukhulise imbobo yayo ukuze ihlangabezane nezidingo zokwelapha ezilandelayo njengokususwa kwamatshe e-bile duct evamile.

Ukusetshenziswa kwe-i-sphincterotomeLapha ikakhulukazi ukuhlikihla i-bile duct sphincter, okungukuthi, ingxenye engaphakathi yodonga lwe-duodenal lwe-Oddi's sphincter, ngakho-ke ubude nosayizi wokuhlikihla kufanelekile ukugwema ukubhoboka nokuhlangana nokwelashwa okulandelayo njengokususwa kwamatshe.

Izigaba zomkhiqizo

1. Ummese omise okwe-arch, owaziwa nangokuthi “ummese womnsalo”, nawo usetshenziswa kakhului-sphincterotome. Umklamo we-arc owakhiwe ngokudonsa ucingo wenza i-engeli kanye nensimu yokubuka kwesibuko esiseceleni (i-duodenoscope) lapho kufakwa i-bile kanye ne-pancreatic ducts. Ngesikhathi esifanayo, i-engeli yomnsalo ilungiswa ngokudonsa usayizi womnsalo, ngaleyo ndlela kushintshwe indlela yokusikwa. Lokhu kwenza udokotela ohlinzayo akwazi ukulawula kahle indlela yokuqondisai-sphincterotomekuze kube yihora le-11 elinqunyiwe.

2. Ummese omise okwenaliti, owaziwa nangokuthi “ummese wenaliti”. Uyisithasiselo esibalulekile uma usebenzisa i-arcuatei-sphincterotomengokwezokwelapha. Isihloko sommese omise okwenaliti lucingo olufana nenaliti, olungagcini nje ngokubhoboza, kodwa futhi lunokuqina okudingekayo ekucushweni ngogesi kanye "nokusikwa". Njengamanje, ummese wenaliti usetshenziswa kakhulu ngaphambi kokusikwa ukusiza enqubweni yokufaka ipayipi lokuvalelwa kwetshe le-nipple kanye nokufaka ipayipi okunzima kwe-nipple.

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 ekhaleninjll. 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!