
Guhagarika amaraso mu mitsi yo mu bwoko bwa "hemostasis" (guhagarika amaraso mu mitsi yo mu bwoko bwa "mucosal"). Gutsinda <3cm, ibisebe/imitsi yo mu bwoko bwa "verolation" <2mm, aho babazwe, gufunga imikorere y'urumuri rw'imbere mu mubiri (GI) Bikoreshwa mu gufata imitsi y'amaraso mu buryo bwa mashini.
| 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 | ||
Ikoreshwa mu buvuzi
Hemoclip ishobora gushyirwa mu nzira y'igifu n'amara (GI) kugira ngo habeho hemostasis kuri:
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.
EMR na ESD bikomoka ku nkomoko imwe kandi bifite imiterere ya tekiniki isa. Itandukaniro rya EMR ESD rikurikira:
Ingorane ya EMR ni uko igengwa n'ingano y'ibisebe bishobora gukurwaho hakoreshejwe endoskopi (munsi ya cm 2). Niba ibisebe birengeje cm 2, bigomba gucibwamo ibice, uburyo bwo kuvura impande z'ingingo zakuwemo ntibuba bwuzuye, kandi indwara nyuma yo kubagwa ntabwo ari yo.
Ariko, ibikoresho bya ESD byongera ibimenyetso byo gucibwamo endoscopic. Ku bisebe birenza cm 2, bishobora no gukurwaho burundu. Byabaye uburyo bwiza bwo kuvura kanseri y'igifu n'ibisebe bya mbere y'uko habaho kanseri.
Muri iki gihe, EMR na ESD bikoreshwa cyane mu gukata no kuvura endoscopi y'igogora.
Ikoranabuhanga rya EMR na ESD ni ryo ryica uburyo bwo gukata endoscopic, kandi ryabaye uburyo bw'ingenzi bwo kuvura kanseri y'igifu n'ibisebe bya kanseri mbere y'uko kanseri itangira. Bikekwa ko ibikoresho bya EMR na ESD hamwe na endoscopi ya EMR na ESD bishobora gutanga agaciro gakomeye ku buzima bw'abantu mu gihe kizaza.