Njengoba uMhlangano Waminyaka Yonke Wama-32 we-Urology Association (CUA) usuzobanjwa eDalian, sengiqala kabusha, ngiphinde ngibuke ulwazi lwami lwangaphambilini lwe-endoscopy ye-urological. Kuyo yonke iminyaka yami ye-endoscopy, angikaze ngibone umnyango owodwa onikeza izinhlobo eziningi kangaka ze-endoscope, okuhlanganisa imininingwane ye-optical, ye-electronic, kanye neyahlukahlukene. Ngaphezu kwalokho, ama-endoscope e-urological ashintsha ngokushesha, futhi ezweni, anikezwa amagama agqamile njenge-"cannonscope" kanye ne-"aircraft carrier scope." Okuhlangenwe nakho kwami kokuqala ngawo kwakumangalisa. Ngaphambilini ngihlanganise uhlu lokubonakala kanye nemikhiqizo ye-endoscopes eguquguqukayo neqinile, okusebenza njengesipiliyoni sokufunda esiwusizo emsebenzini wami.
Muva nje, bengifunda i-urological endoscopy ngengqondo engasekelwe ndawo. Ngizoyiqopha ngokwendawo isifo esikuyo. Ngaphambi kokufunda, ngizoqala ngiqonde idatha eyisisekelo.
Idatha kanye nenani lokuhlinzwa okudingekayo ezimweni ezithile zomchamo
I-Urology manje ihlukaniswe nge-upper urinary tract (izinso kanye ne-ureters), umgudu womchamo ophansi (isinyi kanye ne-prostate), kanye ne-andrology. Ngaphezu kwalokho, njengoba abantu sebekhulile, kulindeleke ukuthi ukwanda kwezifo zomchamo kukhuphuke. Umthombo wedatha: Ucwaningo olushicilelwe ku-Scientific Reports yi-Urology Team ye-First Affiliated Hospital yaseSoochow University lwenze ukuhlaziywa kokuqala okuphelele komthwalo womhlaba wonke we-BPH (benign prostatic hyperplasia) kusukela ngo-1990 kuya ku-2021 ngokusekelwe kudathabheyisi ye-GBD 2021. Ukuhlaziywa kokubola kuqinisekisile ukuthi ukwanda okungu-61% kwamacala emhlabeni wonke kwakubangelwa ukuguga kwabantu, u-29% ekukhuleni kwabantu, kanye no-10% ezinguqukweni ze-epidemiological.
Ngasekupheleni kuka-2024, inani labantu baseShayina abaneminyaka engu-60 nangaphezulu selifinyelele ku-310.31 million (cishe izigidi ezingu-310), okubalwa u-22.0% wenani labantu; phakathi kwabo, inani labantu abaneminyaka engu-65 nangaphezulu lingu-220.23 million (cishe izigidi ezingu-220), okubalwa u-15.6% wenani labantu.
Umdlavuza we-prostate (CA): Ubekwe endaweni yokuqala phakathi komdlavuza womgudu womchamo, ngesilinganiso sokusabalala esingu-13.42 kubantu abayi-100,000. Ngokusekelwe edolobheni elinabantu abayizigidi ezi-5, kunamacala amasha angu-671 minyaka yonke. Ngokusho kokubuyekezwa kuka-2025 “Imikhuba Yezifo Zomdlavuza We-prostate, Izici Ze-Genomic, kanye Neziqondiso Zesikhathi Esizayo Zokuphathwa Okuthuthukisiwe eShayina,” cishe ama-54% eziguli ezweni lakithi ane-metastases ekude ekuxilongweni kokuqala. Ngakho-ke, inani leziguli ezinezinkomba zokuhlinzwa licishe libe ngu-671 * 0.46 = 308.
Umdlavuza wesinye: Izinga lokwanda kwabantu lingu-9.29 kubantu abayi-100,000, kanti izinga lonyaka labantu abasha licishe libe ngu-465 edolobheni elinabantu abayizigidi ezi-5. Ngokusekelwe kudatha eku-inthanethi, uma sicabanga ukuthi izinga le-NMIBC (Tis, Ta, T1) lingu-75%, inani lonyaka lamacala amasha anezinkomba zokuhlinzwa lingu-348. Umdlavuza wezinso we-Laparoscopic: Izinga lokwanda kwabantu lingu-7.37 kubantu abayi-100,000, kanti izinga lonyaka labantu abasha licishe libe ngu-368 edolobheni elinabantu abayizigidi ezi-5. Ngokusekelwe ezicini ze-pathological ze-“Ten-Year Study on Correlation between Surgical Trends and Clinicopathological Characteristics of Renal Cell Carcinoma” eyanyatheliswa yiPeking University First Hospital, isigaba se-pT1 singu-79.6%, okuholela ekukhombeni kokuhlinzwa okulinganiselwa ku-293. I-Laparoscopic benign prostatic hyperplasia (BPH): Ngokusekelwe kudatha engenhla, ngo-2024, kuzoba nabantu abayizigidi ezingu-310.31 ezweni lakithi abaneminyaka engu-60 nangaphezulu, okubalwa u-22.03% wabantu, cishe u-48.73% wabo ngabesilisa (wozani, madoda, aniphili isikhathi eside njengabesifazane). Ukusabalala kwe-BPH kulabo abaneminyaka engu-60 nangaphezulu kungu-50%, okungu-10% wabo abadinga ukuhlinzwa. Inani labantu abadinga ukwelashwa nge-BPH edolobheni elinabantu abayizigidi ezi-5 lithi: izigidi ezi-5 * 22.03% * 48.73% * 50% * 10% ≈ abantu abangu-26,838, okuyinto eningi kakhulu.
Amatshe omchamo: Akukho datha esemthethweni etholakalayo. Ngokusekelwe kwisilinganiso sokwanda okungu-5%, ama-25% adinga ukwelashwa ngokuhlinzwa. Edolobheni elinabantu abayizigidi ezi-5, ukwanda kanye nokwelashwa kwaminyaka yonke cishe kungama-62,500, okuyinani elikhulu kakhulu. Yiqiniso, lokhu kungumkhawulo ophezulu. I-extracorporeal lithotripsy, i-ureteroscopic laser lithotripsy, kanye ne-percutaneous nephrolithotomy ene-pneumatic (laser) lithotripsy kuyasetshenziswa.
Kusukela phezulu kuya phansi ngendawo yokwakheka komzimba
I-Percutaneous nephrolithotomy
I-Percutaneous nephrolithotomy (PCNL) inqubo engangenisi kakhulu edala umsele odlula esikhumbeni ukwelapha amatshe ezinso noma izilonda. Isetshenziswa kakhulu ukwelapha amatshe ezinso amakhulu (>2 cm) noma ayinkimbinkimbi. Izinzuzo zayo eziyinhloko zisekuhluphekeni okuncane, ukululama okusheshayo, kanye namazinga aphezulu okususa amatshe. Ama-Nephroscope aya ngokuya eba mancane ngobubanzi, ngeziteshi ezijwayelekile (24-30 Fr), iziteshi ezincane (16-22 Fr), kanye neziteshi ezi-ultrafine (<16 Fr). Izinsimbi ze-lithotripsy ezimise okwenaliti ezinobubanzi obungu-1.4 mm manje seziyatholakala. I-Percutaneous nephrolithotomy iyimishini ejwayelekile ezikhungweni ze-urological lithotripsy.
I-nephroscope ye-percutaneous inensimu yokubuka engu-12°, i-elliptical sheath, ububanzi bangaphandle obungu-8.5 Fr/12 Fr, ubude bokusebenza obusebenzayo obungaba ngu-250 mm, kanye nomzila wokusebenza ongaba ngu-6 Fr.
Thina, Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., singumkhiqizi eShayina ogxile ezintweni ezisetshenziswayo ze-endoscopic, sifaka umugqa we-GI njenge-biopsy forceps, i-hemoclip, i-polyp snare, inaliti ye-sclerotherapy, i-spray catheter, amabhulashi e-cytology, i-guidewire, ibhasikidi lokubuyisa amatshe, i-nasal biliary drainage catheter njll. ezisetshenziswa kabanzi ku-EMR, ESD, ERCP. Kanye ne-Urology Line, njengeisivikelo sokufinyelela urethra esinommuncafuthiisivikelo sokufinyelela urethra,Ibhasikidi Lokubuyisa Amatshe Elilahlwayo Lomchamo, futhiisiqondiso se-urologynjll.
Imikhiqizo 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!
Isikhathi sokuthunyelwe: Septhemba-22-2025