Gutera inshinge za Endoskopi ya Esophageal na Gastric Varices.
Gutera Endoscopique ya Submusosa muri GI Trakt.
Urushinge rwo gutera inshinge- Urushinge rwo kuvura Sclero rukoreshwa mugutera inshinge za Endoskopi muri Varices ya Esophageal hejuru ya OGJunction.Byakoreshejwe mugutera inshinge za Endoskopi kugirango umenyekanishe ibintu bya vasoconstrictor ahantu hatoranijwe kugirango ugenzure 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 | Sheath 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 |
Inama y'inshinge 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 yimitsi ya muscularis hanyuma ugire intego idahwitse yo kwangwa.
Ikibazo;EMR cyangwa ESD, nigute ushobora kumenya?
A;EMR igomba kuba ihitamo ryambere kubibazo bikurikira:
Igisebe gikabije muri Esophagus ya Barrett;
● Indwara ntoya yo munda < 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 esofagus;
C Kanseri yo mu gifu hakiri kare;
● Ibara (idafite granular / depression > 20mm).