Izindlela zokususa ama-polyp emathunjini: ama-polyps aphethwe

Lapho ubhekene ne-stalk polyposis, izidingo eziphezulu zifakwa kuma-endoscopists ngenxa yezimpawu ze-anatomical kanye nobunzima bokusebenza kwesilonda.

Lesi sihloko sichaza indlela yokuthuthukisa amakhono okusebenza kwe-endoscopic kanye nokunciphisa izinkinga zangemva kokuhlinzwa ngokusebenzisa izinyathelo eziphikisanayo ezifana nokulungiswa kwendawo kanye ne-blocker ligation.

1. Izilonda eziguquguqukayo ze-HSP: izilonda ze-pedunculated

Ngezilonda ze-stem, inhloko enkulu ye-lesion, ithonya elibaluleke kakhulu lamandla adonsela phansi, okuvame ukwenza kube nzima ukuthi ugibe lumboze ngokunembile i-pedicle. Kulokhu, ukulungiswa kwesikhundla kungasetshenziswa ukuthuthukisa inkambu yokubuka futhi uthole indawo engcono kakhulu yokusebenza, ngaleyo ndlela kuqinisekiswe ukunemba komsebenzi.

2. Ingozi yokopha kanye nokubaluleka kokuvimbela ukuxhunywa

Isiqu sezilonda ze-pedunculated ngokuvamile sihambisana nemithambo yegazi eminyene, futhi ukukhishwa okuqondile kungabangela ukopha okukhulu futhi kwandise ubunzima be-hemostasis.Ngakho-ke, i-prophylactic pedicle ligation inconywa ngaphambi kokukhishwa.

Izincomo zezindlela zokuhlanganisa

Ukusebenzisa Isiqeshana

Iziqeshana ezinde kufanele zibekwe eduze kwesisekelo se-pedicle ngangokunokwenzeka ukuze kube lula imisebenzi elandelayo yogibe. Ngaphezu kwalokho, ngaphambi kokukhishwa kabusha, kufanele kuqinisekiswe ukuthi isilonda siphenduka sibe mnyama ngokubomvu ngenxa yokuvinjelwa kwegazi, ngaphandle kwalokho iziqeshana ezengeziwe kufanele zengezwe ukuze kuqhubeke ukuvinjelwa kwegazi.

Qaphela: Gwema ukunika amandla ugibe nesiqeshana ngesikhathi sokuhlinza, njengoba lokhu kungase kubangele engcupheni yokubhobozwa.

 i-hemoclip

Ukusebenzisa Ugibe

Ukugcinwa kweluphu yenayiloni kungahlanganisa ngokuphelele i-pedicle ngomshini, futhi kungavimba ngokuphumelelayo ukopha ngisho noma i-pedicle iwugqinsi.

Izindlela zokusebenza zihlanganisa:

1. Nweba iringi yenayiloni ibe usayizi omkhulu kancane kunodayamitha lwesilonda (gwema ukunwebeka ngokweqile);

2. Sebenzisa i-endoscopy ukuze udlulise ikhanda lesilonda ku-loop yenayiloni;

3. Ngemva kokuqinisekisa ukuthi indandatho yenayiloni ingaphansi kwe-pedicle, qinisa ngokucophelela i-pedicle bese uqedela umsebenzi wokukhipha.

Ugibe lwe-polyp

Izinyathelo zokuphepha zokususwa kabusha

I. Qinisekisa ukuthi iluphu yenayiloni ayibambeki esicupheni esizungezile.

B. Uma ukhathazekile ngokuthi indandatho enayiloni engaphakathi izowa, ungakwazi ukwengeza isiqeshana esisekelweni sayo noma endaweni yokukhishwa kabusha ukuze uvimbele ukopha kwangemva kokuhlinzwa.

3. Izinyathelo ezithile zokusebenza

(1) Amathiphu okusebenzisa izinsimbi

Isiqeshana eside siyakhethwa futhi sibekwe phansi kwe-pedicle, ukuqinisekisa ukuthi isiqeshana asiphazamisi ukusebenza kogibe.

Qinisekisa ukuthi isilonda sibe mnyama sababomvu ngenxa yokuvinjwa kwegazi ngaphambi kokwenza umsebenzi wokuhlinza.

(2) Amathiphu okusebenzisa iringi yenayiloni yokugcina

1. Nweba iringi yenayiloni ibe usayizi omkhulu kancane kunodayamitha wesilonda ukuze ugweme ukuvuleka ngokweqile.

2. Sebenzisa i-endoscope ukudlulisa inhloko yesilonda kwiluphu yenayiloni futhi uqiniseke ukuthi iluphu yenayiloni iphelele.

Izungeze ngokuphelele i-pedicle.

3. Qinisa kancane kancane iluphu yenayiloni futhi uqinisekise ngokucophelela ukuthi akukho zicubu ezizungezile ezihilelekile.

4. Ngemva kokulungiswa kwangaphambili, ekugcineni uqinisekise indawo futhi uqedele ukuhlanganisa iluphu yenayiloni.

(3) Ukuvimbela ukopha ngemva kokuhlinzwa

Ukuvimbela ukuwa kwangaphambi kwesikhathi kweringi yenayiloni ehlala ngaphakathi, iziqeshana ezengeziwe zingangezwa esisekelweni sokuhlinza ukuze kuqhutshekwe nokunciphisa ingozi yokopha kwangemva kokuhlinzwa.

Isifinyezo neziphakamiso

Isixazululo sethonya lamandla adonsela phansi: Ngokulungisa isimo somzimba, inkambu yombono ingathuthukiswa futhi ukusebenza kungenziwa lula. I-Preventive ligation: Kungakhathaliseki ukuthi usebenzisa isiqeshana noma iringi yenayiloni, inganciphisa ngempumelelo ingozi yokopha phakathi nangemuva kokuhlinzwa. Ukusebenza okunembile nokubuyekezwa: Landela ngokuqinile inqubo yokusebenza futhi ubuyekeze ngesikhathi ngemva kokuhlinzwa ukuze uqinisekise ukuthi isilonda sisuswe ngokuphelele futhi azikho izinkinga.

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!