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Endoscope Ibikoresho byo Gutanga Sisitemu Guhinduranya Hemostasis Clips Endoclip

Endoscope Ibikoresho byo Gutanga Sisitemu Guhinduranya Hemostasis Clips Endoclip

Ibisobanuro bigufi:

Ibicuruzwa birambuye:

Kuzunguruka hamwe nigitoki kuri 1: 1.(* Kuzenguruka urutoki mugihe ufashe umuyoboro ukoresheje ukuboko kumwe)

Fungura imikorere mbere yo koherezwa.(Icyitonderwa: Fungura kandi ufunge inshuro zigera kuri eshanu)

MR Ibisabwa: Abarwayi bahura na MRI nyuma yo gushyira clip.

11mm Gufungura.


Ibicuruzwa birambuye

Ibicuruzwa

Gusaba

Endoclip yacu ikoreshwa muguhagarika kuva amaraso mumitsi mito mumyanya yumubiri.
Ibimenyetso byo kuvura nabyo birimo: Amaraso ava amaraso, diverticula muri colon, perforasi ya luminal ntoya ya mm 20.

Ibisobanuro

Icyitegererezo Ingano yo gufungura Clip (mm) Uburebure bw'akazi (mm) Umuyoboro wa Endoskopi (mm) Ibiranga
ZRH-HCA-165-9-L 9 1650 ≥2.8 Gastro Bidapfunditswe
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 Colon
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 Yashizweho
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 Colon
ZRH-HCA-235-12-S 12 2350 ≥2.8
ZRH-HCA-235-15-S 15 2350 ≥2.8

Ibicuruzwa bisobanura

Hemoclip39
p15
p13
icyemezo

360 ° Guhinduranya Clip Impamyabumenyi
Tanga ahantu hasobanutse.

Inama
irinda endoskopi kwangirika.

Sisitemu yo Kurekura
byoroshye kurekura clip yatanzwe.

Gufungura inshuro nyinshi no gufunga Clip
Kuri Umwanya.

icyemezo
icyemezo

Igikoresho cya Ergonomic
Umukoresha Nshuti

Gukoresha Ivuriro
Endoclip irashobora gushirwa mubice bya Gastro-intestinal (GI) hagamijwe kuvura indwara ya hemostasis ya:
Mucosal / sub-mucosal inenge <3 cm
Amaraso ava amaraso, -Ateri <2 mm
Polyps <cm 1.5 z'umurambararo
Diverticula muri #colon
Iyi clip irashobora gukoreshwa nkuburyo bwinyongera bwo gufunga inzira ya GI tract luminal perforations <20 mm cyangwa kuri #endoskopi.

icyemezo

Gukoresha ibikoresho bya EMR / ESD

Ibikoresho bikenerwa mubikorwa bya EMR birimo urushinge rwo gutera inshinge, imitego ya polypectomy, endoclip hamwe nigikoresho cya ligation (niba bishoboka) iperereza rimwe rukumbi rishobora gukoreshwa mubikorwa bya EMR na ESD, riravuga amazina-yose-imwe kubera imikorere ya hybird.Igikoresho cyo kuburana gishobora gufasha polyp ligate, ikoreshwa kandi mugikapu-umugozi-suture munsi ya endoskopi, hemoclip ikoreshwa muri endostopique hemostasis no gufatira igikomere mubice bya GI.

Ibibazo bya EMR / ESD Ibikoresho

Ikibazo;EMR na ESD ni iki?
A;EMR isobanura endoskopique mucosal resection, ni uburyo bwo kuvura indwara zandurira mu buryo bwo gukuraho kanseri cyangwa izindi ndwara zidasanzwe ziboneka mu nzira y'ibiryo.
ESD isobanura gutandukana kwa endoskopique, ni uburyo bwo kuvura indwara zidakira hakoreshejwe endoskopi kugirango ikure ibibyimba byimbitse mu nzira ya gastrointestinal.

Ikibazo;EMR cyangwa ESD, nigute ushobora kumenya?
A;EMR igomba kuba ihitamo ryambere kubibazo bikurikira:
Ion Indwara itagaragara muri Esophagus ya Barrett;
Indwara ya gastricike < 10mm, IIa, umwanya utoroshye kuri ESD;
● Indwara ya Duodenal;
● Amabara adafite granular / adacitse intege < 20mm cyangwa igikomere.
A;ESD igomba kuba ihitamo rya mbere kuri:
C Indwara ya kanseri ya kanseri (kare) ya esofagusi;
C Kanseri yo mu gifu hakiri kare;
● Amabara (adafite granular / yihebye >
● 20mm) ibisebe.


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