Gutera inshinge za Endoskopi ya Esophageal na Gastric Varices.
Gutera Endoscopique ya Submusosa muri GI Trakt.
Urushinge rwo gutera inshinge- Urushinge rwa Sclero Ubuvuzi bukoreshwa mugutera inshinge za Endoskopi muri Esophageal Varices hejuru ya OGJunction.Ikoreshwa mugutera inshinge ya Endoskopi kugirango yinjize sclerose ya vasoconstrictor ahantu hatoranijwe kugirango igenzure ibikomere nyabyo cyangwa bishobora kuva amaraso.Gutera saline kugirango ifashe muri Endoscopic Mucosal Resection (EMR), inzira ya Polypectomy no kurwanya indwara yo kuva amaraso atari varice.
Icyitegererezo | Urupapuro rwa ODD ± 0.1 (mm) | Uburebure bw'akazi L ± 50 (mm) | Ingano y'urushinge (Diameter / Uburebure) | Umuyoboro wa Endoskopi (mm) |
ZRH-PN-2418-214 | Φ2.4 | 1800 | 21G, 4mm | ≥2.8 |
ZRH-PN-2418-234 | Φ2.4 | 1800 | 23G, 4mm | ≥2.8 |
ZRH-PN-2418-254 | Φ2.4 | 1800 | 25G, 4mm | ≥2.8 |
ZRH-PN-2418-216 | Φ2.4 | 1800 | 21G, 6mm | ≥2.8 |
ZRH-PN-2418-236 | Φ2.4 | 1800 | 23G, 6mm | ≥2.8 |
ZRH-PN-2418-256 | Φ2.4 | 1800 | 25G, 6mm | ≥2.8 |
ZRH-PN-2423-214 | Φ2.4 | 2300 | 21G, 4mm | ≥2.8 |
ZRH-PN-2423-234 | Φ2.4 | 2300 | 23G, 4mm | ≥2.8 |
ZRH-PN-2423-254 | Φ2.4 | 2300 | 25G, 4mm | ≥2.8 |
ZRH-PN-2423-216 | Φ2.4 | 2300 | 21G, 6mm | ≥2.8 |
ZRH-PN-2423-236 | Φ2.4 | 2300 | 23G, 6mm | ≥2.8 |
ZRH-PN-2423-256 | Φ2.4 | 2300 | 25G, 6mm | ≥2.8 |
Inshinge Inama Umumarayika 30 Impamyabumenyi
Gutobora bikabije
Imbere ya Tube
Irashobora gukoreshwa mukwitegereza kugaruka kwamaraso.
Ubwubatsi bukomeye bwa PTFE
Korohereza iterambere binyuze munzira zigoye.
Igishushanyo mbonera cya Ergonomic
Biroroshye kugenzura urushinge rugenda.
Uburyo Urushinge rwa Endoscopique rukoreshwa
Urushinge rwa endoskopique rukoreshwa mugutera amazi mumwanya wa subucosal kugirango uzamure igikomere kure ya muscularis propria munsi kandi ugire intego ntoya yo kwanga.
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;
● Indwara yibara (idafite granular / yihebye > 20mm).