Mu kigo gishinzwe gusuzuma indwara zikomoka ku igogora, buri gikorwa gishingiye ku guhuza neza ibikoresho bikoreshwa neza. Byaba ari ugusuzuma kanseri hakiri kare cyangwa gukuramo amabuye y'inkari mu buryo bugoye, izi "ntwali zihishe inyuma" zigena mu buryo butaziguye umutekano n'igipimo cy'intsinzi mu gusuzuma no kuvura. Iyi nkuru isesengura mu buryo bwimbitse imikorere, udushya mu ikoranabuhanga, n'uburyo bwo guhitamo imiti 37 y'ingenzi ikoreshwa, bigafasha abaganga n'abarwayi gukemura neza ibibazo by'indwara z'igifu!
I. Ibizamini by'ibanze (Ubwoko 5)
1. Ingufu zo mu bwonko (Biopsy Forceps)
- Imikorere: Ikoreshwa mu gukura neza ingero z'uturemangingo twa biopsy mu mara no mu nzira z'ubuhumekero kugira ngo bisuzumwe indwara (nk'uko byasuzumwe hakiri kare kanseri).
- Imikorere: Ikoreshwa mu kubona ingero z'uturemangingo mu bice bito (nk'umuyoboro w'amaraso n'imiyoboro y'amaraso) kugira ngo ifashe mu gusesengura indwara.
3. Ibara ry'umukara wa Indigo Carmine
- Imikorere: Iterwaho ifuro kugira ngo igaragaze imiterere y'ibisebe byo mu mucosa, ikongera igipimo cyo kumenya kanseri hakiri kare ku kigero cya 30%.
4. Umupfundikizo ubonerana
- Imikorere: Ishyirwa ku mpera y'imbere ya endoscope kugira ngo yagure aho ireba, ifashe mu gufunga amaraso, ikureho ibintu by'amahanga, cyangwa ihamye aho urwego rwo kubaga ruhagaze.
- Imikorere: Isukura imiyoboro ya endoskopi kugira ngo hirindwe kwandura indwara zitandukanye (ikoreshwa rimwe gusa kugira ngo habeho umutekano mwinshi).
II. Uburyo bwo kuvura (Ubwoko 18)
Ibikoresho byo kubaga by'amashanyarazi bikunze gukoreshwa cyane
6. Imbugita yo kubaga hakoreshejwe amashanyarazi
- Imikorere: Gushushanya amagufwa, gukata no kuyacamo ibice (igikoresho cy'ingenzi mu buryo bwa ESD/POEM). Biboneka mu buryo buterwa n'amazi (kugira ngo bigabanye kwangirika k'ubushyuhe) n'ubundi butaterwa n'amazi.
7. AmashanyaraziImitego yo kubaga polypectomy
- Imikorere: Gukuraho polyps cyangwa ibibyimba (mm 25-35 z'umurambararo). Insinga ziboshye zongerera aho zihurira kandi zikagabanya ibyago byo kuva amaraso.
8. Ingufu zo mu bwonko zishyushye (Hot Biopsy Forceps)
- Imikorere: Gukuraho polyps ntoya ziri munsi ya mm 5 hakoreshejwe electrocoagulation. Bihuza uburyo bwo gufungana kw'ingingo no gufunga amaraso.
9. Udupira two mu maraso(Ibice bya Titanium)
- Imikorere: Gufunga ibikomere cyangwa gufunga imitsi. Uburyo bwo guhinduranya bushobora kuzunguruka kuri 360° burahari. Buboneka mu buryo bwa 90° na 135° bwo gukora ubuvuzi bwimbitse.
10. Igikoresho cyo Kuzingira Umuzingo wa Nayiloni
- Imikorere: Kuramo urufatiro rw'udusimba twinshi twa polyps kugira ngo hirindwe kuva amaraso atinda.
11. Argon Electrode
- Imikorere: Gutera ibisebe byo hejuru (nk'ibisigazwa by'uturemangingo). Ubujyakuzimu bw'ibice ni 0.5 mm gusa, bitanga umutekano mwinshi.
Gutera inshinge no kuvura indwara ya sclerotherapy
12.Urushinge rwo guterwamo inshinge mu ikoranabuhanga
- Imikorere: Gutera urushinge rwa submucosal (ikimenyetso cyo kuzamura), gukurura imitsi yo mu bwonko, cyangwa kuziba kw'imitsi. Biboneka mu nshinge za 21G (zifite viscous) na 25G (zifite impumuro nto).
13. Umukinnyi w'itsinda ry'abaririmbyi
- Imikorere: Gufunga imigozi y'urubura ku mitsi yo mu gifu cyangwa hemorrhoids zo mu nda. Imigozi ≥ 3 ishobora kurekurwa icyarimwe.
14. Kole y'ingirabuzimafatizo/Sclerosant
- Imikorere: Gufunga imitsi yo mu nda (urugero, cyanoacrylate kugira ngo imitsi yo mu gifu ikore neza).
Kwaguka no Gushyira Stent mu mwanya wayo
15. Ibaluni yo kwagura
- Imikorere: Kwaguka buhoro buhoro kw'imitsi (umuyoboro w'amazi/inda nini). Umurambararo: mm 10-20.
16. Ifu yo mu gifu
- Imikorere: Ishyigikira imitsi mibi. Igishushanyo gitwikiriye kirinda kwinjira kwa kanseri.
17. Seti y'ibinyabutabire byo mu ruhu (Percutaneous Gastrostomy Set)
- Imikorere: Ishyiraho uburyo bwo kubona intungamubiri zo mu nda igihe kirekire, zikwiriye abarwayi batabasha kurya mu kanwa
III.ERCP-Ibicuruzwa byihariye (Ubwoko 9)
- Imikorere: Ifungura papilla ya duodenal hanyuma igafungura umuyoboro w'inyongo n'umuyoboro wa pancreas. Urushinge rufite inkingi rutuma byoroha kuyihindura.
19.Igikapu cyo gukuramo amabuye
- Imikorere: Ikuraho amabuye yo mu nda (mm 20-30). Agaseke k'icyuma kitagira umugese karabyerekana neza munsi ya X-ray.
20. Katheteri ya Lithotomy Balloon
- Imikorere: Ikuraho amabuye n'amabuye. Umurambararo w'urukiramende rwa mm ≥8.5 utuma habaho umuvuduko wuzuye wo kuyikuramo.
21. Igikapu cya Lithotripsy
- Imikorere: Gukata amabuye manini mu buryo bwa tekiniki. Igishushanyo mbonera gihuriweho cyemerera uburyo bwo gufata amabuye mu buryo bwa lithotripsy no kuyakura icyarimwe.
22.Katheteri yo kuvoma amazi mu mazuru
- Imikorere: Gusohora amazi y'inkondo y'umura inyuma. Imiterere y'umurizo w'ingurube irinda kunyerera. Igihe cyo guturamo iminsi ≤7.
23. Indwara y'imitsi y'amenyo
- Imikorere: Ibyuma bya pulasitiki bitanga amazi y'igihe gito (amezi 3-6). Ibyuma bya stenti bikoreshwa mu gufasha igihe kirekire kuziba kwa kanseri.
24. Catheter ya Angiography
- Imikorere: Itanga ishusho ya cholangiopancreatography. Igishushanyo mbonera cya lumen imwe cyangwa ebyiri gifasha mu gutunganya insinga z'ubuyobozi.
25. ImparageInsinga z'ubuyobozi
- Imikorere: Iyobora ibikoresho mu miterere y’umubiri igoye. Igitambaro gitwikira amazi kigabanya uburyaryate ku kigero cya 60%.
26. Umusunika w'amastent
- Imikorere: Irekura neza stent kugira ngo hirindwe kwimuka.
IV. Ibikoresho (ubwoko 5)
27. Urufunguzo rw'ibinure
- Imikorere: Ikingira endoscope yo mu kanwa ikoresheje imiterere idapfa kurumwa. Igabanya ububabare bw'ururimi yongera ihumure.
28. Isahani mbi
- Imikorere: Itanga uruziga rw'umutekano rw'amashanyarazi rufite frequency yo hejuru kugira ngo hirindwe ubushyuhe bw'amashanyarazi (ntibikenewe ku byuma bipima amashanyarazi).
29. Umuyoboro wo kuhira
- Imikorere: Yoza amacandwe cyangwa amaraso mu gihe cyo kubaga kugira ngo ahantu ho kubaga hakomeze kuba hasobanutse.
30. Imiyoboro y'ingufu z'umubiri w'amahanga/Umuyoboro w'urushundura
- Imikorere: Gukuraho ibintu by'amahanga byamizwe (ibiceri, amenyo y'ingore, nibindi).
31. Akabuto k'amazi/umwuka
- Imikorere: Kugenzura imikorere y'amazi, umwuka, n'iy'imashini ikora ku rutoki.
Ibisobanuro
- Isesengura ry'imibare ry'ibintu 37: Ibi birimo ibisobanuro bigabanyijemo ibice biri mu cyiciro kimwe (urugero, ubwoko bune bw'ibyuma bigabanya cyane, ubwoko butatu bw'inshinge zo guterwamo inshinge), bitanga uburyo bwo guhuza ubuvuzi bushingiye ku bikenewe.
- Ubufasha ku mikorere y'ibanze: Ishyirwa mu byiciro ryavuzwe haruguru rikubiyemo ibice byose by'ibanze by'imikorere, bihura n'ibikenewe mu bihe byose, kuva ku gusuzuma kanseri hakiri kare (ibipimo bya biopsy forceps, amarangi) kugeza ku kubagwa gukomeye (ESDibyuma,ERCPibikoresho).
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ni uruganda rukora ibikoresho byo mu Bushinwa rwihariye mu bikoresho byo mu bwoko bwa endoscopic, rurimo umurongo wa GI nka biopsy forceps, hemoclip, polyp snare, sclerotherapy energetic, spray catheter, cytology brushes, guidewireth wire, amabuye retrieving bag, noir driving cathete nibindi bikoreshwa cyane muri EMR, ESD, ERCP. Ibicuruzwa byacu bifite icyemezo cya CE kandi byemejwe na FDA 510K, kandi inganda zacu zifite icyemezo cya ISO. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika ya Ruguru, Uburasirazuba bwo Hagati no mu gice cya Aziya, kandi bihabwa abakiriya benshi ishimwe n'ishimwe!
Igihe cyo kohereza: Kanama-18-2025