URUSHINGI RW'INKENGO RWA ERCP RUTANGWA
URUSHINGI RW'INKENGO RWA ERCP RUTANGWA
Ibisobanuro birambuye ku gicuruzwa
1. Ibyuma bitagira umugese bifite Teflon coating hamwe n'agakoresho ko mu isoko/ko mu buryo bworoshye kugira ngo bigabanye ibyago byo gucika.
2. 23G kugeza kuri 25G.
3. Irimo catheter y'imbere kugira ngo igabanye ukubiri kw'imbere.
4. Uburebure ntarengwa bw'urushinge kuva kuri mm 4 kugeza kuri mm 5.
5. Uburebure bwa catheter yo hanze ya cm 230.
6. Umurambararo wa catheter uri hagati ya mm 1.8 na mm 2.5.
7. Ifite umugozi wa Luer ugenda unyerera ufite aho ushyira inshinge.
8. Ingufuri y'umutekano w'urushinge.
9. Ifite ubusembwa.
10. Gukoreshwa rimwe gusa.
Porogaramu:
✅ Imikoreshereze y'ibanze:
Nta bwandu bwandura, nta kudakora neza, nta kongera kuvugurura - gusa ni imikorere myiza kandi itekanye buri gihe.
● Gukuraho ururenda rw'imitsi mu jisho (EMR)– Guterura ibice bya mucous by’urumogi n’ibisebe bya GI bya mbere.
● Gukuraho mu nda isanzwe (ESD)– Gukuraho amazi kugira ngo habeho uburyo bwo gukata amaraso mu buryo bwizewe.
● Ubuvuzi bwa sclerotherapy– Gutera sclerosant mu mitsi yo mu gifu no mu ruhu.
● Kuvura indwara ya hemorrhoid sclerotherapy– Gutera sclerosant mu maraso y'imbere.
● Gushushanya ku bisebe– Gushyira ibimenyetso ku bikomere byo mu nda mbere yo kubagwa kugira ngo hamenyekane aho abaganga babaze.
●Inshinge ya ERCP igabanya itandukaniro– Gufunga imiyoboro y'inda n'iya pancreas.
●Gutanga imiti mu gace– Gutera imiti ya chimiotherapie cyangwa indi miti ivura hifashishijwe ikoranabuhanga.
Ibisobanuro
| Icyitegererezo | Umurambararo D± 0.1(mm) | Uburebure bw'akazi L±50(mm) | Ingano y'urushinge (umurambararo/uburebure) | Umuyoboro w'akazi |
| ZRH-PN-1812-254 | Φ1.8 | 1200 | 25 G,4mm | ≥2.0 |
| ZRH-PN-2418-214 | Φ2.4 | 1800 | 21 G,4mm | ≥2.8 |
| ★ZRH-PN-2418-234 | Φ2.4 | 1800 | 23 G,4mm | ≥2.8 |
| ZRH-PN-2418-254 | Φ2.4 | 1800 | 25 G,4mm | ≥2.8 |
| ZRH-PN-2418-216 | Φ2.4 | 1800 | 21 G,6mm | ≥2.8 |
| ZRH-PN-2418-236 | Φ2.4 | 1800 | 23 G,6mm | ≥2.8 |
| ZRH-PN-2418-256 | Φ2.4 | 1800 | 25 G,6mm | ≥2.8 |
| ZRH-PN-2423-214 | Φ2.4 | 2300 | 21 G,4mm | ≥2.8 |
| ZRH-PN-2423-234 | Φ2.4 | 2300 | 23 G,4mm | ≥2.8 |
| ZRH-PN-2423-254 | Φ2.4 | 2300 | 25 G,4mm | ≥2.8 |
| ZRH-PN-2423-216 | Φ2.4 | 2300 | 21 G,6mm | ≥2.8 |
| ★ZRH-PN-2423-236 | Φ2.4 | 2300 | 23 G,6mm | ≥2.8 |
| ZRH-PN-2423-256 | Φ2.4 | 2300 | 25 G,6mm | ≥2.8 |
| ★ Modeli zikunze gutoranywa | ||||
Ibibazo Bikunze Kubazwa
Kuva kuri ZRH med.
Igihe cyo gutanga umusaruro: Ibyumweru 2-3 nyuma yo kwishyura, biterwa n'ingano y'ibyo watumije
Uburyo bwo gutanga:
1. Na Express: Fedex, UPS, TNT, DHL, SF express iminsi 3-5, iminsi 5-7.
2. Mu muhanda: Igihugu cy'imbere mu gihugu n'igihugu cy'abaturanyi: iminsi 3-10
3. Ku nyanja: Iminsi 5-45 ku isi yose.
4. Mu ndege: iminsi 5-10 ku isi yose.
Icyambu cyo gupakira:
Shenzhen, Yantian, Shekou, Hong Kong, Xiamen, Ningbo, Shanghai, Nanjing, Qingdao
Dukurikije ibyo usaba.
Amabwiriza yo gutanga:
EXW, FOB, CIF, CFR, C&F, DDU, DDP, FCA, CPT
Inyandiko zo Kohereza:
B/L, Inyemezabuguzi z'ubucuruzi, Urutonde rw'ibipakiye
● Ihora ityaye - Urushinge rw'icyuma gishyushye buri ikoreshwa rimwe na rimwe
● Nta ngaruka zo kwandura - Ntizishobora kwandura, zikoreshwa rimwe gusa, nta kongera gukoreshwa
● Irinda uburebure bw'ikirenge - Urushinge rushobora gusubizwa inyuma rurinda umuyoboro ukora
● Ubujyakuzimu bwo gukanda - Ingano ishobora guhindurwa kuva kuri 4mm kugeza kuri 10mm
● Nta gusohoka kw'amazi - Guhuza Luer lock neza
● Bibone neza - Agace kagaragara cyane munsi ya endoskopiya
● Amadirishya yoroshye - Agapfunyika ka PTFE gafite uburyaryate buke
Guterura submucosal neza kuri EMR, ESD, na sclerotherapy - urushinge rumwe, uburyo bumwe, umurwayi umwe.
Ikoreshwa mu buvuzi
● Guterura EMR/ESD– Shyira amazi kugira ngo wongere igisebe mbere yo gucibwa.
●Ubuvuzi bwa sclerotherapy– Itanga sclerosant mu mitsi y'amaraso cyangwa mu maraso.
●Gutera inshinge zo mu bwoko bwa "contrast injection"– Shyira irangi kugira ngo ubone ubuyobozi bwa fluoroscopic.
●Gutanga imiti– Gutanga imiti ivura mu gace utuyemo.
●Gushushanya tatouage– Shyiraho ibimenyetso by'ibikomere kugira ngo umenye aho abaganga bazahurira mu gihe kizaza.
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