Amatshe ama-Ureteral amancane angalashwa ngokulondoloziwe noma okwedlule okushaqekile kwe-Lithodripsy, kepha amatshe amakhulu abubanzi, amatshe avimbela ikakhulukazi, adinga ukungenelela kokuhlinzwa kusenesikhathi.
Ngenxa yendawo ekhethekile yamatshe aphezulu ama-ureteral, kungenzeka angafinyeleleki nge-uretoscope eqinile, futhi amatshe angahle afike ku-relvis we-renal ngesikhathi se-lithodripsy. I-Perecutaneourneouneouneoune nepharoLotomy inyusa ingozi yokuphuma kwe-renal lapho usungula isiteshi.
Ukunyuka kwe-uretoscopy eguquguqukayo kuxazulule ngempumelelo izinkinga ezingenhla. Ingena ku-ureter ne-renal pelvis ngokusebenzisa i-orifice ejwayelekile yomzimba womuntu. Kuphephile, kuyasebenza, ukuhlanya okuncane, kunokopha okuncane, izinhlungu ezingaphansi kwesiguli, kanye nesilinganiso esinamatshe aphezulu. Manje sekuyindlela yokuhlinzwa evame ukusetshenziswa yokwelapha amatshe aphezulu ama-ureteral.
Ukuvela kweI-Ureteral Access SheathUnciphise kakhulu ubunzima be-uretoopropic ye-uretoscopic ye-urefotroscopic. Kodwa-ke, ngokwanda kwenani lamacala okulashwa, izinkinga zalo zidonsele ukunakwa kancane kancane. Izinkinga ezinjengokufana kwe-ureteral kanye ne-Ureteral Struction zivamile. Lokhu okulandelayo yizici ezintathu ezinkulu eziholela ekulweni ne-Ureteral.
1. Inkambo yesifo, ububanzi betshe, ukungasebenzi kwetshe
Iziguli ezinenkambo ende yesifo zivame ukuba namatshe amakhulu, futhi amatshe amakhulu ahlala ku-ureter isikhathi eside ukwakha ukuboshwa. Amatshe endaweni yokuphazamiseka acindezela i-mucosa ye-ureteral, okuholela ekuhlinzekeni kwegazi kwasendaweni enganele, i-ischemia ye-mucosal, ukuvuvukala kanye nokwakheka kwesikhafu, okuhlobene kakhulu nokwakhiwa kwezimpawu zokubhala u-Ureteral.
2. Ukulimala kwe-Ureteral
I-uretoscope eguquguqukayo kulula ukuyiguqa, futhi i-asheath yokufinyelela i-Ureteral idinga ukufakwa ngaphambi kwe-lithodripsy. Ukufakwa kwesiteshi Sheath akwenziwa ngaphansi kombono oqondile, ngakho-ke akunakugwemeka ukuthi i-mucosa ye-ureteral izolimala noma ifakwe nge-mucosa ngenxa yokugoba i-uretha noma i-lumen emincane ngesikhathi sokufakwa kwe-sheath.
Ngaphezu kwalokho, ukuze uxhase i-ureter futhi ukhiphe uketshezi lwe-Perfsion ukuze unciphise ingcindezi ku-renal pelvis, isiteshi Sheath ngokusebenzisa i-F12 / 14 kuvame ukukhethwa, okungenza ukuthi kukhethwe i-Channel Sheath ukuthi icindezele ngqo odongeni lwe-ureteral. Uma inqubo yodokotela ohlinzayo ihlala isikhathi eside futhi isikhathi sokusebenza sihlala isikhathi eside, isikhathi sokushintshana kwesiteshi Sheath odongeni lwe-ureteral sizokwandiswa ngezinga elithile, futhi ingozi yokulimala kwe-ischemis odongeni lwe-uretering luzoba lukhulu.
3. I-Holmium Laser Damage
Ukuhlukaniswa kwamatshe kweHalmium Laser kuncike ekutheni kube nomphumela waso we-POORTRORTDAL, okubangela itshe ukuba limunge ngqo amandla we-laser futhi andise izinga lokushisa lendawo ukuze afinyelele inhloso yokuqhekeka kwamatshe. Yize ukujula kwemisebe ye-thermal ngesikhathi senqubo yokuchoboza amatshe amatshe amatshe angu-0.5-1,0 mm, umphumela ogqamile obangelwa ukuqunjelwa kwamatshe amatshe aqhubekayo angenakusebenza.
Amaphuzu asemqoka wokufakaI-Ureteral Access Sheathzimi ngokulandelayo:
1. Kunomqondo osobala wokuphumelela lapho ufaka ku-ureter, futhi uzizwa ebushelelezi lapho ukhuphuka ku-ureter. Uma ukufakwa kunzima, ungashintsha i-wire yomhlahlandlela emuva naphambili ukuze ubheke ukuthi ucingo lomhlahlandlela lungena futhi lunqunywe ngokuqondile, njengokuthi ukunqunyelwa kwesiteshi kuthuthuka ngokuqondile, okufana nokuphikiswa, ukuqondiswa kokufutheka kudinga ukulungiswa;
I-Shear efakwe ngempumelelo i-Channel Sheath ihleliwe futhi ngeke ingene futhi iphume ngentando. Uma isiteshi Sheath siphuma ngokusobala, kusho ukuthi kuhlanganiswe esiteji kanye ne-wire yomhlahlandlela sekuphulwe ku-ureter futhi kudinga ukubekwa kabusha;
3. Iziteshi ze-Ureteral Channel zinokucaciswa okuhlukile. Iziguli zabesilisa zivame ukusebenzisa imodeli ende engu-45 cm, neziguli zabesifazane noma ezimfishane zesilisa zisebenzisa imodeli ende engu-35 cm. Uma i-Channel Sheath ifakiwe, ingadlula kuphela ekuvulekeni kwe-Ureteral noma ayikwazi ukukhuphukela ezingeni eliphakeme. Isikhundla, iziguli zabesilisa nazo zingasebenzisa i-sheath engu-35 cm, noma zishintshele ku-14f noma i-turnance yokunwebeka emnandi noma emncane ukuvimbela i-uretoscope eguqukayo ngaphandle kokungakwazi ukukhuphukela ku-relvis ye-renal;
Ungafaki isiteshi Sheath ngesinyathelo esisodwa. Shiya i-10 cm ngaphandle kwe-orifice ye-urethral ukuvikela ukulimala kwe-mucosa ye-ureteral noma i-renal parenchyma e-UPJ. Ngemuva kokufaka ubukhulu obuvumelana nezimo, isikhundla sesiteshi Sheath singashintshwa futhi ngaphansi kombono oqondile.
We, Jiangxi Zhuoruihui Medical Incument Co, Ltd, umenzi waseChina ochwepheshe kokudla kwe-endoscopic, njengeI-Biopsy Forceps, hemoclip, I-PolyP Snare, inaliti ye-sclerotherapy, fafaza i-catheter, ama-cytolology amabhulashi, Umhlahlandlela, I-Stone Retrieval Basket, I-Catheter ye-Nasal Buily Catheternjll. Kusetshenziswe kabanziEMR, Ivi, I-ERCPP. Na-UReging Series, njengeI-Nitinol Stone Extractor, Uroungo biopsy Forceps, futhiI-Ureteral Access Sheathna-Urology Guidewire. 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!
Isikhathi sePosi: Sep-11-2024