Ku kigo cya endoscopi igogora, buri nzira ishingiye ku guhuza neza neza nibikoreshwa neza. Haba kwipimisha kanseri hakiri kare cyangwa kuvanaho amabuye ya biliary, izi "ntwari ziri inyuma yinyuma" zerekana neza umutekano nigipimo cyo gupima no kuvura. Iyi ngingo irasesengura byimazeyo ibintu bikora, guhanga udushya mu ikoranabuhanga, hamwe na logique yo gutoranya ivuriro ry’ibintu 37 byingenzi bikoreshwa, bifasha abaganga n’abarwayi gukemura neza ibibazo by’indwara zifata igifu!
I. Ibizamini by'ibanze (Ubwoko 5)
- Imikorere: Yifashishijwe mugukuraho neza ingero za biopsy tissue ziva mumara no mubuhumekero kugirango zisuzumwe indwara (nko gusuzuma kanseri hakiri kare).
2. Brush Brush
- Imikorere: Yifashishijwe kugirango tubone ingero za selile ziva ahantu hagufi (nka esofagusi na duct umuyoboro) kugirango zifashe mu gusesengura indwara.
3. Indigo Carmine Mucosal Ikirangantego
- Imikorere: Gusasira kugirango ugaragaze imiterere yimitsi ya mucosal, bizamura igipimo cyo kumenya kanseri hakiri kare 30%.
4. Cap
- Imikorere: Yashyizwe kumpera yimbere ya endoscope kugirango yongere umurima wo kureba, gufasha muri hemostasis, kuvanaho ibintu byamahanga, cyangwa guhagarika umurima wo kubaga.
5. Isuku Brus
- Imikorere: Sukura imiyoboro ya endoscope kugirango wirinde kwanduzanya (gukoresha inshuro imwe kumutekano mwinshi).
II. Uburyo bwo kuvura (Ubwoko 18)
Ibikoresho Byinshi-Byinshi bya Electrosurgical ibikoresho
6. Icyuma cya Electrosurgical
- Imikorere: Ikimenyetso cya Mucosal, gutemagura, no gutandukana (igikoresho cyibanze kubikorwa bya ESD / POEM). Kuboneka mumazi yatewe (kugabanya ibyangiritse byubushyuhe) hamwe nuburyo butatewe namazi
7. AmashanyaraziImitego ya polypectomy
- Imikorere: Gukuraho polyps cyangwa ibibyimba (mm 25-35 mm ya diameter). Umugozi usobekeranye wongera aho uhurira kandi bigabanya ibyago byo kuva amaraso.
8. Imbaraga zishyushye za Biopsy
- Imikorere: Electrocoagulation resection ya polyps nto <5 mm. Ihuza ingirabuzimafatizo hamwe na hemostasis.
9. Amashusho ya Hemostatike(Amashusho ya Titanium)
- Imikorere: Gufunga ibikomere cyangwa gufunga imitsi. 360 ° guhinduranya bishobora guhinduka. Kuboneka muri 90 ° na 135 ° iboneza kuburyo bwimbitse.
10. Igikoresho cya Nylon
- Imikorere: Liga ishingiro rya polyps yuzuye umubyimba kugirango wirinde gutinda gutinda.
11. Argon Electrode
- Imikorere: Coagulate ibikomere bitagaragara (nka adenoma isigaye). Ubujyakuzimu bwa 0.5 mm gusa, butanga umutekano mwinshi.
Gutera inshinge na Sclerotherapy
- Imikorere: Gutera insimburangingo (ikimenyetso cyo kuzamura), varicose vein sclerose, cyangwa gufunga ingirangingo. Biboneka muri 21G (viscous) na 25G (inshinge nziza).
13. Band Ligator
- Imikorere: Rubber band ligation ya esophageal varices cyangwa hemorroide y'imbere. Band Amatsinda 3 arashobora kurekurwa icyarimwe.
14. Glue Tissue / Sclerosant
- Imikorere: Funga imitsi ya varicose (urugero, cyanoacrylate ya embolisation ya gastric).
Kwagura no Gushyira Ahantu
15. Ikirahure
- Imikorere: Kwiyongera buhoro buhoro gukomera (esophagus / colon). Diameter: mm 10-20.
16
- Imikorere: Gushyigikira gukomera nabi. Igishushanyo gifunze kirinda ikibyimba kwinjira.
17. Gastrostomy Gushiraho
- Imikorere: Ishiraho uburyo bwigihe kirekire bwo kubona imirire yimbere, ibereye abarwayi badashobora kurya kumunwa
III.ERCP-Ibicuruzwa byihariye (Ubwoko 9)
- Imikorere: Ifungura papilla duodenal ikingura umuyoboro wa pansreatic. Icyuma gifatanye cyemerera kuyobora byoroshye.
19.Igiseke cyo gukuramo amabuye
- Imikorere: Kuraho amabuye ya biliary (20-30 mm). Igitebo kidafite ingese kiboneka neza munsi ya X-ray.
20. Catheter ya Lithotomy
- Imikorere: Kuraho amabuye n'amabuye. Diameter ya ballon ya .5 8.5 mm itanga igipimo cyuzuye cyo kugarura.
21. Igitebo cya Lithotripsy
- Imikorere: Muburyo bwa tekinike ibice binini. Igishushanyo mbonera cyemerera lithotripsy icyarimwe no kugarura.
- Imikorere: Gutwara amazi yo hanze. Imiterere ya pigtail irinda kunyerera. Igihe cyo guturamo days iminsi 7.
23. Stili ya Biliary
- Imikorere: Stent ya plastike itanga amazi yigihe gito (amezi 3-6). Ibyuma byuma bikoreshwa mugihe kirekire cyo gushyigikira inzitizi mbi.
24. Catheter ya Angiography
- Imikorere: Itanga amashusho ya cholangiopancreatography. Igishushanyo kimwe / bibiri bya lumen bishushanya kuyobora kuyobora.
25. ZebraGuidewire
- Imikorere: Kuyobora ibikoresho binyuze muburyo bugoye. Hydrophilic coating igabanya ubukana kuri 60%.
26. Stent Pusher
- Imikorere: Kurekura neza stent kugirango wirinde kwimuka.
IV. Ibikoresho (ubwoko 5)
27. Kuruma
- Imikorere: Kurinda endoscope yo mu kanwa hamwe nigishushanyo kidashobora kurumwa. Indimi depressor yongerera ihumure.
28. Isahani mbi
- Imikorere: Itanga umuvuduko mwinshi wumuzunguruko wumutekano kugirango wirinde umuriro (ntibisabwa kubice bya bipolar electrosurgical).
29. Kuhira Tube
- Imikorere: Yoga mucus cyangwa amaraso mugihe cyo kubagwa kugirango ukomeze umurima ubaga neza.
30. Imbaraga zumubiri zamahanga / Umuyoboro wa Netting
- Imikorere: Gukuraho ibintu byamizwe mumahanga (ibiceri, amenyo, nibindi).
31. Amazi / Akabuto
- Imikorere: Kugenzura urutoki ibikorwa bya endoskopi y'amazi, umwuka, hamwe no guswera.
Ibisobanuro
- Ibintu 37 byerekana imibare: Ibi bikubiyemo ibisobanuro bigabanijwe mubyiciro bimwe (urugero, ubwoko bune bwumubyimba mwinshi cyane, ubwoko butatu bwinshinge), butanga ivuriro rishingiye kubikenewe.
- Igikorwa c'Imikorere Igikorwa: Ibyiciro byavuzwe haruguru bikubiyemo ibice byose byibanze bikora, byujuje ibyifuzo byose, uhereye kwipimisha kanseri hakiri kare (biopsy forceps, amarangi) kugeza kubagwa bigoye (ESDicyuma,ERCPibikoresho).
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd. Ibicuruzwa byacu byemewe na CE kandi byemewe na FDA 510K, kandi ibihingwa byacu byemewe na ISO. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika y'Amajyaruguru, Uburasirazuba bwo hagati ndetse no muri Aziya, kandi bigera ku bakiriya bamenyekana kandi bashimwe!
Igihe cyo kohereza: Kanama-18-2025