Ukusetshenziswa kwei-sphincterotomein I-ERCP
Kunezinhlelo ezimbili eziyinhloko ze-i-sphincterotomekwezokwelaphaI-ERCP:
1. Nweba i-duodenal papilla sphincter ukuze usize udokotela ekufakeni i-catheter ku-papilla ye-duodenal ngaphansi kokuqondisa kwentambo yomhlahlandlela.
I-intubation eyisiza ukusika lapha ibonakala ikakhulukazi “esabini” kanye “nokuqina”i-sphincterotome. Ngaphezu kwalokho, uma ifakwe ingono ephendukayoi-sphincterotome, inokulawula okunezinhlangothi eziningi njengokuthi “phezulu, phansi, kwesokunxele, nakwesokudla”. Ikhono, “lingabukisa” lapho lisizaguidewireintubation.
2. Sika i-duodenal papilla sphincter ukuze ukhulise ukuvuleka kwayo ukuze ihlangabezane nezidingo zokwelashwa ezilandelayo njengokususwa kwamatshe avamile wombhobho wenyongo.
Ukusetshenziswa kwe-i-sphincterotomelapha ikakhulukazi ukusika i-sphincter ye-bile duct, okungukuthi, ingxenye yangaphakathi yodonga lwe-duodenal ye-sphincter ye-Oddi, ngakho ubude nobukhulu bokusika kuyafaneleka ukugwema ukubhobozwa kanye nokuhlangabezana nokwelashwa okulandelayo njengokususwa kwamatshe.
Izigaba zomkhiqizo
1. Ummese omise okwe-Arch, owaziwa nangokuthi “ummese womnsalo”, nawo usetshenziswa kakhului-sphincterotome. Idizayini ye-arc eyakhiwe ngokudonsa ucingo yenza i-engeli kanye nendawo yokubuka yesibuko esiseceleni (i-duodenoscope) lapho i-intubating i-bile ne-pancreatic ducts. Ngesikhathi esifanayo, i-engeli yomnsalo ilungiswa ngokudonsa ubukhulu bomnsalo, ngaleyo ndlela iguqule isiqondiso sokusika. Lokhu kwenza udokotela ohlinzayo akwazi ukulawula kahle isiqondiso se-i-sphincterotomekuze kube ihora le-11 elinqunywe kusengaphambili.
2. Ummese omise njengenaliti, owaziwa nangokuthi “ummese yenaliti”. Kuyisithasiselo esibalulekile uma usebenzisa i-arcuatei-sphincterotomengokomtholampilo. Isihloko sommese owenziwe ngenaliti iyintambo efana nenaliti, engenawo umsebenzi wokubhoboza kuphela, kodwa futhi inobunzima obudingekayo ukuze kusetshenziswe ugesi kanye "nokusika". Njengamanje, ummese yenaliti usetshenziswa kakhulu ekusikeni kwangaphambi kwesikhathi ukuze usize enqubweni yokufaka intuba yokuboshwa ngamatshe engono kanye nokufaka ingono okunzima.
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 drainagenjll 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: Aug-28-2024