Njengoba uMhlangano Waminyaka Yonke wama-32 we-Urology Association (CUA) usuzoba se-Dalian, ngiyaqala phansi, ngibuyekeza ulwazi lwami lwangaphambilini lwe-endoscopic yomchamo. Kuyo yonke iminyaka yami ye-endoscopy, angikaze ngibone nowodwa umnyango ohlinzeka ngezinhlobonhlobo zama-endoscopes, okuhlanganisa i-optical, electronic, kanye nokucaciswa okuhlukahlukene. Ngaphezu kwalokho, ama-endoscopes we-urological avela ngokushesha, futhi ekhaya, anikezwa amagama anesibindi njenge-"cannonscope" kanye "nobubanzi bokuthwala indiza." Okuhlangenwe nakho kwami kokuqala nabo kwakumangalisa. Ngaphambilini ngihlanganise uhlu lokubonakala kanye nezinhlobo zama-endoscopes aguquguqukayo futhi aqinile, okusebenza njengesipiliyoni sokufunda esibalulekile somsebenzi wami.
Muva nje, bengifunda i-endoscopy ye-urological ngengqondo esekelwe ku-zero. Ngizoyiqopha ngokwendawo yesifo. Ngaphambi kokufunda, ngizoqale ngiqonde idatha ethile eyisisekelo.
Idatha kanye nenani lokuhlinzwa elidingekayo ezimweni ezithile zomchamo
I-Urology manje isihlukaniswe i-urinary tract ephezulu (izinso ne-ureter), i-urinary tract ephansi (isinye kanye ne-prostate), kanye ne-andrology. Ngaphezu kwalokho, ngenani labantu asebekhulile, izifo ze-urological kulindeleke ukuthi zenyuke. Umthombo wedatha: Ucwaningo olwanyatheliswa ku-Scientific Reports yiThimba Le-Urology le-First Affiliated Hospital of Soochow University lenze ukuhlaziya 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 u-61% wokwanda kwamacala emhlabeni jikelele kungenxa yokuguga kwesibalo sabantu, ama-29% ekukhuleni kwabantu, kanye no-10% ngenxa yezinguquko ze-epidemiological.
Kusukela ekupheleni konyaka wezi-2024, inani labantu baseShayina abaneminyaka engama-60 nangaphezulu selifinyelele ezigidini ezingama-310.31 (cishe izigidi ezingama-310), okuyisibalo esingama-22.0% yenani lonke labantu; phakathi kwabo, inani labantu abaneminyaka engu-65 nangaphezulu liyizigidi ezingu-220.23 (cishe izigidi ezingu-220), ezibalelwa ku-15.6% wabantu bonke.
Umdlavuza wendlala yesinye (CA): Ikleliswe endaweni yokuqala phakathi komdlavuza womgudu womchamo, ngezinga lezehlakalo elingu-13.42 kubantu abayizi-100,000. Ngokusekelwe edolobhaneni elinabantu abayizigidi ezi-5, kunamacala amasha angama-671 ngonyaka. Ngokusho kokubuyekezwa kwango-2025 "Amathrendi we-Prostate Cancer Epidemiological, Genomic Characteristics, and Future Directions for Optimized Management in China," cishe u-54% weziguli ezweni lami zinama-metastases akude ekuxilongweni kokuqala. Ngakho-ke, inani leziguli ezinezinkomba zokuhlinzwa lilinganiselwa ku-671 * 0.46 = 308.
Umdlavuza wesinye: Izinga lokutholakala liyi-9.29 kubantu abayizi-100,000, ngenani lamacala amasha ngonyaka cishe angama-465 edolobheni elinabantu abayizigidi ezi-5. Ngokusekelwe kudatha ye-intanethi, kucatshangwa isilinganiso se-75% se-NMIBC (Tis, Ta, T1), inombolo yonyaka yamacala amasha anezinkomba zokuhlinzwa yi-348. Umdlavuza we-Laparoscopic we-renal: Izinga lesigameko liyi-7.37 kubantu abangu-100,000, ngenani lecala elisha lonyaka cishe lika-368 edolobheni elinabantu abayizigidi ezingu-5. Ngokusekelwe ezicini ze-pathological ze-"Isifundo Seminyaka Eyishumi Ngokuhambisana Phakathi Kwemikhuba Yokuhlinza kanye Nezimpawu Zomtholampilo Ze-Renal Cell Carcinoma" enyatheliswa yi-Peking University First Hospital, isigaba se-pT1 senza i-79.6%, okuholela ekuboniseni okulinganiselwe okuhlinzekwayo okulinganiselwa ku-293. I-Laparoscopic yedatha ye-benign prostatic ngenhla, nge-20 benign prostatic hyperplasia, by20 Abantu abayizigidi ezingu-310.31 ezweni lami abaneminyaka engu-60 nangaphezulu, ababalelwa ku-22.03% wabantu, cishe u-48.73% wabo ngabesilisa (wozani, madoda, aniphili isikhathi eside njengabesifazane). Isigameko se-BPH kulabo abaneminyaka engu-60 nangaphezulu singu-50%, u-10% wabo odinga ukuhlinzwa. Isibalo sabantu abadinga ukwelashwa kwe-BPH edolobheni elinabantu abayizigidi ezi-5 yilesi: 5 million * 22.03% * 48.73% * 50% * 10% ≈ 26,838 abantu, okuyinto eningi kakhulu.
Amatshe omchamo: Ayikho idatha esemthethweni etholakalayo. Ngokusekelwe esilinganisweni sezehlakalo esingu-5%, ama-25% adinga ukwelashwa kokuhlinzwa. Edolobheni elinabantu abayizigidi ezi-5, izigameko zonyaka kanye nokwelashwa cishe zingu-62,500, okuyinto eningi kakhulu. Yiqiniso, lona umkhawulo ophezulu. I-extracorporeal lithotripsy, i-ureteroscopic laser lithotripsy, ne-percutaneous nephrolithotomy ene-pneumatic (laser) lithotripsy isetshenziswa.
Ukusuka phezulu kuye phansi ngendawo ye-anatomical
I-Percutaneous nephrolithotomy
I-Percutaneous nephrolithotomy (PCNL) iyinqubo ehlasela kancane eyenza umgudu esikhumbeni ukwelapha amatshe ezinso noma izilonda. Ngokuyinhloko isetshenziselwa ukwelapha amatshe ezinso amakhulu (>2 cm) noma ayinkimbinkimbi. Izinzuzo zayo eziyinhloko zisekuhlukumezekeni okuncane, ukululama ngokushesha, namazinga aphezulu okususwa kwamatshe. Ama-Nephroscopes aya ngokuya eba mancane ngobubanzi, aneziteshi ezijwayelekile (24-30 Fr), ama-microchannels (16-22 Fr), kanye namashaneli e-ultrafine (<16 Fr). Izinsimbi ze-lithotripsy ezimise njengenaliti ezinobubanzi obungu-1.4 mm seziyatholakala futhi. I-Percutaneous nephrolithotomy iyimishini ejwayelekile ezikhungweni ze-urological lithotripsy.
I-percutaneous nephrroscope inomkhakha wokubuka ongu-12°, i-elliptical sheath, ububanzi obungaphandle obungu-8.5 Fr/12 Fr, ubude bokusebenza obusebenzayo obucishe bube ngu-250 mm, kanye nesiteshi esisebenzayo esingaba ngu-6 Fr.
Thina, i-Jiangxi Zhuoruihua Medical Instrument Co., Ltd., singumkhiqizi e-China onguchwepheshe ezintweni ezisetshenziswayo ze-endoscopic, sifaka ulayini we-GI onjenge-biopsy forceps, i-hemoclip, i-polyp snare, inaliti ye-sclerotherapy, i-spray catheter, amabhulashi e-cytology, ucingo oluqondisayo, ubhasikidi wokubuyisa amatshe osetshenziswa kabanzi. I-EMR, ESD, ERCP. Futhi Urology Line, ezifanaUkungena emgodleni we-ureral ngokumuncwafuthiUkungena emgodleni we-ureral,alahlwayo Urinary Stone Retrieval Basket, futhii-urology guidewirenjll.
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: Sep-22-2025