Ibikoresho bya Endoscope by'Ubwiza bwo hejuru Sisitemu zo gutanga ibikoresho bya Endoclip Rotatable Hemostasis Clips Endoclip abakora n'abatanga ibikoresho

Ibikoresho bya Endoscope Sisitemu zo gutanga Ibice bya Hemostasis Bizunguruka Ishusho ya Endoclip

Ibikoresho bya Endoscope Sisitemu zo gutanga Ibikoresho bya Hemostasis bizenguruka Endoclip

Ibisobanuro bigufi:

Ibisobanuro birambuye ku gicuruzwa:

Kuzunguruka ukoresheje umugozi ku gipimo cya 1: 1. (*Zunguruza umugozi ufashe umuyoboro w'amazi n'ukuboko kumwe)

Ongera ufungure imikorere mbere yo kuyikoresha. (Icyitonderwa: Fungura kandi ufunge inshuro eshanu)

MR Conditional: Abarwayi bakorerwa MRI nyuma yo gushyirwamo clip.

Ifunguro rishobora guhindurwa rya 11mm.

Ohereza imeri kuri twe

Ibisobanuro birambuye ku gicuruzwa

Ibirango by'ibicuruzwa

Porogaramu

Endoclip yacu ikoreshwa mu guhagarika kuva amaraso mu mitsi mito iri mu nzira y'igogora.
Ibimenyetso byo kuvura birimo: Ibisebe biva amaraso, diverticula mu mara, gutobora uruhu ruri munsi ya mm 20.

Ibisobanuro

Icyitegererezo	Ingano yo gufungura agapapuro (mm)	Uburebure bw'akazi (mm)	Umuyoboro wa Endoscopic (mm)	Ibiranga
ZRH-HCA-165-9-L	9	1650	≥2.8	Gastro	Bidapfutse
ZRH-HCA-165-12-L	12	1650	≥2.8
ZRH-HCA-165-15-L	15	1650	≥2.8
ZRH-HCA-235-9-L	9	2350	≥2.8	Utubyimba duto
ZRH-HCA-235-12-L	12	2350	≥2.8
ZRH-HCA-235-15-L	15	2350	≥2.8
ZRH-HCA-165-9-S	9	1650	≥2.8	Gastro	Ipfutse
ZRH-HCA-165-12-S	12	1650	≥2.8
ZRH-HCA-165-15-S	15	1650	≥2.8
ZRH-HCA-235-9-S	9	2350	≥2.8	Utubyimba duto
ZRH-HCA-235-12-S	12	2350	≥2.8
ZRH-HCA-235-15-S	15	2350	≥2.8

Ibisobanuro by'ibicuruzwa

Igenzura ry'imashini izunguruka rya 360°
Tanga ahantu nyaho.

Inama yo mu mutwe (Atraumatic Tip)
irinda ko endoskopiya yangirika.

Sisitemu yo Gusohora Impungenge
Gutanga amashusho yoroshye kuyasohora.

Igice cyo Gufungura no Gusoza Gisubirwamo
kugira ngo habeho imiterere nyayo.

Umukoki ufite ishusho ihamye
Byoroheje Gukoresha

Ikoreshwa mu buvuzi
Endoclip ishobora gushyirwa mu nzira y'igifu n'amara (GI) kugira ngo ikure amaraso mu mubiri kugira ngo:
Ubusembwa bw'amata/ubusembwa butari munsi ya cm 3
Ibisebe biva amaraso, -Imitsi y'amaraso < 2 mm
Polyps < 1.5 cm mu murambararo
Diverticula mu #colon
Iyi clip ishobora gukoreshwa nk'uburyo bw'inyongera bwo gufunga imyobo y'urumuri rw'imbere mu gifu kiri munsi ya mm 20 cyangwa mu gushushanya #endoscopic.

Gukoresha ibikoresho bya EMR/ESD

Ibikoresho bikenewe mu kubaga EMR birimo urushinge rwo guterwa inshinge, imitego ya polypectomy, endoclip n'igikoresho cyo guterwa (niba bishoboka) probe ya snare ikoreshwa rimwe ishobora gukoreshwa mu bikorwa bya EMR na ESD, inavuga byose muri kimwe bitewe n'imikorere yayo ya hybird. Igikoresho cyo guterwa gishobora gufasha polyp ligate, kinakoreshwa mu guterwa icyuma munsi ya endoscop, hemoclip ikoreshwa mu guterwa hemostasis ya endoscopic no gufata igikomere mu nzira y'imbere y'igifu.

Ibibazo Bikunze Kubazwa ku Bikoresho bya EMR/ESD

Q; EMR na ESD ni iki?
A; EMR isobanura endoscopic mucosal resection, ni uburyo bwo gukurwaho ibisebe bya kanseri cyangwa ibindi bikomere bidasanzwe biboneka mu nzira y'igogora.
ESD bisobanura endoscopic submucosal dissection, ni uburyo bwo kwa muganga bukoreshwa mu kuvura indwara nke cyane hakoreshejwe endoscope kugira ngo hakurweho ibibyimba byimbitse mu nzira y'igifu.

Q; EMR cyangwa ESD, ni gute wamenya?
A; EMR ikwiye kuba amahitamo ya mbere kuri ibi bikurikira:
●Ibisebe byo mu gituza cya Barrett;
●Igisebe gito cyo mu gifu <10mm, IIa, ahantu hagoye kuri ESD;
●Ibisebe byo mu nda isanzwe;
●Indwara yo mu mara idafite uduce duto/itarimo kwiheba <20mm cyangwa uduce duto.
A; ESD ikwiye kuba amahitamo meza kuri:
●Kanseri y'uturemangingo twa squamous (mu ntangiriro) y'umuyoboro w'amaraso;
●Kanseri yo mu gifu itangira hakiri kare;
●Amara y'urura (atari granular/depressed ＞
●20mm) igisebe.