(1). Amasu ayisisekelo amasu ayisisekelo we-EMR anjengokulandelayo:
Ukulandelana kwamasu
① Thatha isixazululo somjovo wendawo ngezansi kwesilonda.
② buza ugibe nxazonke kwesilonda.
Isigibe siqiniswa ukuba siqonde futhi sikwazi ukuhambisa isilonda.
Qinisa ukuqinisa ugibe ngenkathi usebenzisa ugesi ukuze unqume i-lesion.
⑤retrieve the reded specimen.
(2). Amathiphu
1.Tips for ukukhethwa kwesikhundla somzimba kanye nokuma kwe-endoscope
Ngoba i-lesion idinga ukuphathwa ngenkathi wonke isithombe sibonakala, isikhundla sesiguli sibaluleke kakhulu. Zama ukusonta isikali ukuze i-leseion itholakala eduze kwe-biopsy forceps evula, okungukuthi, kusuka ngehora lesi-5 kuye kwayi-7 esikrinini.
Ngaphambi kokwelashwa, izinsalela kanye ne-pigment eyeqile kudingeka zigezwe bese zisuswa ngokumunca.
Isibonelo, uma i-lension ku-proximal sigmoid colon isuswe endaweni efanelekile noma ishiywe i-lateral decubike isikhundla, i-specimen ivame ukuya kukholoni eyehlayo, okwenza kube nzima ukuthola kabusha, ngakho-ke isikhundla sokuqalwa kwangaphambi kwesokudla kungcono ukusetha kabusha.
Ngokunjalo, ngokombono wokuvuselelwa okucacisiwe, isikhundla sesobunxele se-lateral decaluncitus sithandwa ukusetha kabusha kwezilonda zekoloni ze-transverse.
Ama-2.Tips emijovo yendawo
Inaliti yomjovo yendawo obukhulu ingafakwa engcindezi ephansi, kepha ayibukhali ngokwanele futhi umgodi wenaliti mkhulu kakhulu, ngakho-ke umbhali usebenzisa inaliti yendawo yokujova.
Akukona ukweqisa ukusho ukuthi impumelelo noma ukwehluleka kwe-EMR kuncike kakhulu emijondolo yendawo.
Ngezilonda ezincane, ukubhobozwa kwenziwa kusuka ohlangothini lwe-anal of the lesiyoni kungaphansi kwesilonda.
Ngezilonda engxenyeni egobile noma ngaphesheya kwemijovo yasendaweni eyenziwa kusuka ohlangothini lwe-anal, ezimweni eziningi izilonda zingacaci ngoba zibhekene nohlangothi lomlomo, ngakho-ke umjovo wendawo kufanele uqalwe ohlangothini lomlomo, ngakho-ke umjovo wendawo kufanele aqalwe ohlangothini lomlomo.
Okubalulekile kwabachwepheshe be-Endoscopy
Uma kuphuma uketshezi ngaphandle, noma kunokuphikiswa okukhulu ngesikhathi somjovo, noma akukho ukumelana lapho kufakwa uketshezi kodwa akukho bulge kuyakhiwa, umjovo kumele amelwe bese kuthi uma umjovo kufanele aziswe ngalesi simo ngesikhathi esifanele sokuxoxa ngezikhathi ezithile.
Umthamo womjovo owengeziwe, okungcono.
Ubuqili ukuqhubeka nokujova okuningi ngangokunokwenzeka nge-puncture eyodwa kuze kube yilapho yonke ibhubesi liphakanyiswa.
3.Tips ngokukhetha ugibe
Uma ugibe lusesimweni se-oval ephakeme, i-mucosa ejwayelekile emlonyeni we-lesion kanye nezinhlangothi ze-anus ingahle ifakwe kalula futhi ngokungadingekile.
Ugibe lungcono kakhulu cishe, kube lula ukuvula ngokuhamba kwesikhathi, akukho lula ukuslayida, futhi unobulukhuni obuthile ukucindezela esilweni.
Usayizi wesigibe kufanele uguqulwe ngosayizi we-lesion.
Ugibe lwe-polypeckomy
Izibonelo ze-EMR
a. Isithombe esimhlophe esimhlophe
Uhlobo lwe-25 mm lwe-IA leseon ngengxenye esezingeni eliphakeme ecindezelekile.
b. Izithombe Zomsindo we-Marthw Imaging (NBI)
c. Ukufafaza i-indigo carmine ukwandisa isithombe
Kutholakale ukuthi ukucindezelwa okwakubonakala ukubonwa okujwayelekile empeleni kwakungama-grooves phakathi kwamaqabunga.
d. Isithombe esandisiwe seCrystal Violet Stain
Iphethini ye-PIT yokuvulwa kwe-glandular duct emaphethelweni we-lesion kwakuyi-IV.
e. Isithombe esandisiwe seCrystal Violet Stain
Maphakathi nesilonda kwakunguVI, okungajwayelekile okuncane, futhi akukho lutho olusobala olusobala lwatholakala.
f. Umjovo Wendawo
I-puncture kanye nomjovo wendawo kwenziwa enkabeni yesilonda, okuholela ekuqhumeni okuhle.
g. Vula ugibe
Cindezela ithiphu le-SNARLE ngokumelene nodonga lwekoloni ukuvula ugibe.
H. Vala ugibe
Vala ugibe uqonde lesi sizonke.
i.Power ekusukeni
AKUKHO BORORATION, ukopha noma okuseleyo kwatholakala isimila.
J. Ukulungiswa okucacisiwe
Isampuli esondayo yanamathiselwa ephepheni lerabha.
Ukuxilongwa kokugcina kwe-pathological:I-Intramucosal Carcinoma (TIS)
Ama-4.Tips wokusebenza kwesigine
Ithiphu ye-SANLE ifakwa ngobumnene ku-mucosa yomlomo ye-lesion, bese ivuleka kancane kancane futhi izimpande ezigibe zicindezelwe eceleni kwesilo se-lesion. Ukuvimbela ukuvela kwamuva kokuba nethemba, kufanele kufakwe inani elincane le-mucosa ejwayelekile.
Kumele kuqashelwe ukuthi lapho ithiphu le-snande lingabonakala, kungenzeka ukuthi i-mucosa evamile efakiwe ithathelwe kunalokho obekulindelwe. Ngemuva kokuba ugibe liqiniswe ngokuphelele, hlikihla futhi udonsele umkhono wangaphandle wesiginali ukuze ubheke ukuhamba kwesilonda. Uma ifakwe kungqimba yemisipha, ukuhamba kwesilonda kuzoncishiswa.
Amathiphu we-electrorection
Musa ukucindezela ugibe olumelana nodonga lwamathumbu, kepha luphakamisa kancane isilonda ukuze siphinde sisebenze. Ingozi yokubambezeleka okubambezelekile iphansi lapho usebenzisa i-electrosurgical revection, kepha ithambekele ekusetshenzisweni kwe-intraperative (kusenesikhathi ngemuva kokuvuselelwa kabusha kokopha.
I-Excision eshesha kakhulu ingadala ukopha, ngenkathi ukuthokozela okuhamba kancane kungadala ukuzungeza okubambezelekile. Uma isiguli sizwa izinhlungu, noma umsizi uzizwa sengathi izicubu zifana nenjoloba futhi kunzima ukusika, kungenzeka ukuthi izicubu zibandakanyeke engxenyeni yemisipha, futhi ama-excision kufanele amiswe ngokushesha.
Okubalulekile kwabachwepheshe be-Endoscopy
Uma i-endoscopist inomuzwa wokuthi izicubu zinwebeka njengenjoloba futhi kunzima ukusika, kufanele azise ngokushesha opharetha ukuthi axoxe ngezinto eziphikisayo.
Amathiphu we-Sharding EMR
Ngezilonda ezinkulu, kwesinye isikhathi kuphephile ukwenza kabusha kabusha kwe-piecemeeal hhayi ukulungiswa kabusha okuphoqelelwe. Kodwa-ke, izingcezu eziningi lapho zikhona, kukhulu kakhulu lapho kwenzeka khona okuseleyo kwendawo. Noma nge-EMR ye-PieceMeal, amalungiselelo okuqala kufanele kwenziwe makhulu ngangokunokwenzeka ngesigina esikhulu sokunciphisa inani lezingcezu.
We, Jiangxi Zhuoruihui Inthanethi Inthanethi Co, Ltd, ungumkhiqizi eChina ochwepheshe kokudla kwe-endoscopic, ama-hemoclip, ama-cyrology, amabhulashi we-cylerology, umhlahlandlela, amatshe abuyisa amatshe, ama-biliary I-Drainage Catheter njll. Imikhiqizo yethu iqinisekisiwe, futhi izitshalo zethu ziqinisekisiwe ze-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi nendawo nengxenye ye-Asia, futhi zithola amakhasimende wokuqashelwa nokudumisa!
I-Biopsy Forceps:
https:/www.zrhendoscopy.com/single-use-biopsy-orcepsup-withr-Braduct-
I-PolyP Snare
https://www.zrhendoscopy.com/disheroscopicction-proscoscopiccresteection-polypeckomy-snare-for-gastroenterology----
inaliti ye-sclerotherapy
https:
Fafaza i-catheter
https:
ama-cytolology amabhulashi
https://www.zrhendoscopy.com/endoscopy-accessouries-diposable-endoscopic-cytology-for-fork-product-
Umhlahlandlela
https:/www.zrhendoscopy.com/Gastreintestinal-Enzoscopic-coed-cpudewiliilic-guidewire-product/
I-Stone Retrieval Basket
https:/www.zrhendoscopy.com/rCP-insttrumement-gallstone-balot-for-endoscopy-product/
I-Catheter ye-Nasal Buily Catheter
https://www.zrhendoscopy.com/medical-intrumement-disposable-nisol-biliary-propetric-creater-
EMR
https://www.zrhendoscopy.com/emresd/
Ivi
https://www.zrhendoscopy.com/emresd/
I-ERCPP
https:/www.zrhendoscopy.com/rCP/
Isikhathi sePosi: Feb-13-2025