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Igikapu cyo kugarura amabuye cya ERCP Instrument Gallstone cyo gukoresha mu gupima indwara ya Endoscopy
Ibisobanuro birambuye ku gicuruzwa:
• Byoroshye gutera inshinge mu buryo bwo gutandukanya ibintu hamwe n'aho guterera inshinge ku mukono
• Byakozwe n'ibikoresho bigezweho byakozwe mu buryo bw'ibumba, bituma imiterere iguma neza nubwo byaba bigoye gukuraho amabuye.
• Imiterere mishya y'imikingo, ifite imikorere yo gusunika, gukurura no kuzunguruka, byoroshye gufata agakoko n'umubiri w'amahanga.
• Emera guhindura ibintu, bishobora kuzuza ibisabwa bitandukanye.
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Ibikoresho bya Gastroscope Igikapu cyo gukuramo amabuye gifite ishusho ya diyama kuri Ercp
Ibisobanuro birambuye ku gicuruzwa:
*Igishushanyo mbonera cy'imikingo gishya, gifite imikorere yo gusunika, gukurura no kuzunguruka, byoroshye gufata agakoko n'umubiri w'amahanga.
*Byoroshye guterwamo imashini igabanya ubukana ifite aho ishyirwa ku mukono.
*Byakozwe mu bikoresho bigezweho byakozwe mu buryo bwa aluminium, bituma imiterere yabyo igumana neza nubwo byaba bigoye gukuraho amabuye.
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Ibikoresho byo mu bwoko bwa Endoscopic Agasanduku ko gukuramo amabuye gashobora kuzunguruka
Ibisobanuro birambuye ku gicuruzwa:
Agaseke ka ERCP gakozwe mu ishusho ya Diyama n'iy'umurambararo wo gukuramo amabuye y'inkari
Ifite agace gatuma umuntu ahangayika cyane kugira ngo byoroshye kuyishyiramo
Igishushanyo mbonera cy'umukingo w'impeta eshatu, cyoroshye gufata no gukoresha
Ntibikoreshwa hamwe na lithotriptor ya mechanical
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Ibikoresho byo mu nda bizunguruka bishobora gukururwamo amabuye yo mu nda bikoreshwa mu gucukura amabuye kuri Ercp
Ibisobanuro birambuye ku gicuruzwa:
*Umushumi ugororotse utuma habaho kugenzura no gukoresha neza, byoroshye gufata agakoko n'umubiri w'amahanga.
*Inzira yo guteramo inshinge ku buryo bwo kugabanya isura yorohereza kureba neza hakoreshejwe fluoroscopic.
*Byakozwe mu bikoresho bigezweho byakozwe mu buryo bwa aluminium, bituma imiterere yabyo igumana neza nubwo byaba bigoye gukuraho amabuye.
*Emera guhindura ibintu, bishobora kuzuza ibisabwa bitandukanye.
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Insinga y'igifu ya PTFE itwikiriwe na ERCP Hydrophilic Guidewire
Ibisobanuro birambuye ku gicuruzwa:
• Irangi ry'umuhondo n'umukara, byoroshye gukurikirana insinga y'ubuyobozi kandi bigaragara neza munsi ya X-ray.
• Igishushanyo mbonera gishya cyo kurwanya amatembabuzi ku mfuruka ikunda amazi, nta ngaruka zo kumanuka.
• Irangi rya PEFE ryoroheje cyane, ryoroshye kunyura mu muyoboro ukora, nta gukangura ingingo
• Insinga y'imbere ya Niti irwanya kuzunguruka itanga imbaraga nziza zo kuzunguruka no gusunika
• Igishushanyo mbonera cy'ingingo kigororotse n'igishushanyo mbonera cy'ingingo zigoranye, bitanga amahitamo menshi yo kugenzura abaganga.
• Emera serivisi yihariye, nko gusiga irangi ry'ubururu n'umweru.
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Insinga y'ubuyobozi ya Ptfe Coating Endoscopic Hydrophilic Zebra ifite agace k'umugozi
Ibisobanuro birambuye ku gicuruzwa:
Insinga ya Super Nitinol Core: Isuzuma ry'amaso hifashishijwe fluoroscopy.
Ikimenyetso cya Radiopaque: cyemerera guhindukira nta nkomyi.
Gusiga amazi mu kirere - Bigabanya gukururana kugira ngo byoroshye gutera imbere.
Amahitamo atandukanye y'inama: guhaza ibyo ukeneye bitandukanye, guhitamo uburyo bworoshye cyangwa buhamye, Impande zigororotse cyangwa zigororotse.
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ERCP Ikoreshwa mu Gukoresha Inda mu Gupima Indwara zo mu Gifu
Ibisobanuro birambuye ku gicuruzwa:
Umutwe woroshye udacikamo, wakuze neza ukoresheje X-ray
Igishushanyo mbonera cy'uburinzi butatu bw'umutwe ukunda amazi n'imbere
Irangi ryoroshye rya Zebra rituma abantu babasha kwinjira neza kandi nta gucika intege
Imbere mu gice cy'imbere cya Niti alloy anti-twist itanga imbaraga nziza zo gusunika no gukurura
Mandrel ya Ni-Ti alloy ifite ubushobozi bwo gusunika no gucishamo neza cyane
Umutwe w'igishushanyo mbonera wongera ubushobozi bwo gushyiramo icyuma gishyushya amazi mu buryo bworoshye no kugira ngo igikorwa kigende neza.
Umutwe woroshye urinda kwangirika kw'uturemangingo tw'imitsi
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ERCP Ikoreshwa mu Gukoresha Inda mu Gupima Indwara zo mu Gifu
Ibisobanuro birambuye ku gicuruzwa:
Ziboneka muri nitinol no muri PTFE hamwe n'udupira twa nitinol dufite amabara atandukanye.
Ziza zifite agace ka nitinol gafite hydrophilic muri tungsten cyangwa platine.
Udupira two mu bwoko bwa Guidewire dutangwa mu dusanduku tw'ibice 10, dupakiye neza.
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Ibikoresho bya ERCP Ikoreshwa rimwe rya Sphincterotome mu ikoreshwa rya Endoscopic
Ibisobanuro birambuye ku gicuruzwa:
● Isaha ya saa sita z'ijoro ifite umurongo ugororotse: Menya neza ko icyuma gihagaze neza kandi koroshya gushyira icyuma mu gahu k'inyuma.
● Gukingira insinga yo gukata: Menya neza ko yaciwe neza kandi ugabanye kwangirika kw'ingingo zikikije.
● Imiterere ya Radiopaque: Menya neza ko agasongero kagaragara neza hifashishijwe fluoroscopy.
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Katheteri yo kuvoma mu mazuru ya Endoscopic Straigh Pigtail Naso Biliary Drainage Catheter
Ibisobanuro birambuye ku gicuruzwa:
• Ubudahangarwa bwiza bwo gupfunyika no guhinduka, byoroshye gukoresha
• Umwobo ufite impande nyinshi, umwobo munini w'imbere, ingaruka nziza zo gusohora amazi
• Ubuso bw'umuyoboro ni bworoshye, bworoshye kandi bukomeye, bugabanya ububabare bw'umurwayi n'ibyiyumvo by'umubiri w'amahanga.
• Isuku nziza cyane mu mpera z'isomo, yirinda kunyerera
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Katheteri yo mu mazuru ikoreshwa mu gusohora amazi mu mazuru ikoreshwa mu buvuzi yo gukoresha Ercp
Ifite imiterere myiza cyane mu mpera z'isomo, yirinda kunyerera. Umwobo w'impande nyinshi, imbere hanini, ingaruka nziza zo gusohora amazi. Irwanya neza gupfunyika no guhinduka, yoroshye kuyikoresha. Ubuso bw'umuyoboro ni bworoshye, bworoshye kandi bukomeye, bugabanya ububabare bw'umurwayi n'ibyiyumvo by'umubiri w'amahanga.
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Katheteri yo kuvoma amazuru ikoreshwa mu buvuzi ifite igishushanyo mbonera cy'umurizo w'ingurube
- ● Uburebure bw'akazi – 170/250 cm
- ● Iboneka mu bunini butandukanye – 5fr/6fr/7fr/8fr.
- ● Ikoreshwa rimwe gusa.
- ● Catheter zo mu mazuru zemerera gukuramo umwuka no gusukura neza mu gihe umuntu arwaye cholangitis n'indwara y'umuhondo wo mu mazuru. Aha umwanditsi asobanura uburyo bwo gukoresha mu murwayi ufite cholangiocarcinoma yo mu mazuru na cholangiosepsis ikomeye.
