Uko ikoranabuhanga ryo gusuzuma no kuvura indwara mu buryo bwa endoscopic ritera imbere cyane, ni gute ibisebe byo mu gifu byakurwaho nta mvune nyinshi kandi bigatanga umusaruro mwinshi? Kugaragara kwa Disposable Polypectomy Hot Snare bitanga igisubizo gishya ku baganga n'abarwayi. Ibi bikoresho si ibikoresho nyabyo byo kubaga mu buryo budakoresha imiti myinshi, ahubwo ni igikoresho gishya kigabanya ibyago byo kwandura no kongera umutekano wo kubaga.
Uburyo bwo gukata hakoreshejwe polypectomy ishyushye bukoreshwa mu kuvura hakoreshejwe endoscope. Iki gikoresho kigizwe ahanini n'umukingo, imigozi y'intoki, electrode, imipfundikizo, imitwe yoroshye, icyuma cyo hanze, n'insinga zo gukata. Binyuze mu ngaruka zihuriweho zo gukata hakoreshejwe imbaraga nyinshi n'imashini, bituma hacibwa neza ingirangingo z'ibisebe.
Ikoreshwa mu gukuraho polyps zo mu gifu, ndetse n'ibisebe byo hejuru n'ibitonyanga, ndetse na kanseri yo mu gifu itangira (urugero, MBM). Ikoreshwa nk'igikoresho cy'ingenzi mu buryo bwo gupima endoscope nka Endoscopic Mucosal Resection (EMR) na polypectomy.
Ibyiza byaBishyushyeKubaga (polypectomy) Imitego
Imitego ishyirwa mu byiciro bibiri: Imitego yo mu bwoko bwa Hot Polypectomy naUbukonjeUmutego wo kubaga polypectomyshashingiwe ku kuba batanga amashanyarazi.
Mu ikoreshwa ry’ubuvuzi, imitego yo mu bwoko bwa Hot Polypectomy (cyane cyane imitego ivanze n’umuyoboro w’amashanyarazi ukoresha imbaraga nyinshi) igaragaza ibyiza bikomeye ugereranije n’imitego gakondo yo mu bwoko bwa Cold Polypectomy Snares. Irahebuje cyane cyane mu bijyanye n’ingaruka zo kuva amaraso mu mubiri, imikorere myiza yo kubaga, ibimenyetso bitandukanye, no kugenzura ingorane. Hasi hari isesengura rirambuye ry’izi nyungu zihariye zo mu buvuzi:
| Ikintu | Imitego Ishyushye yo Gukuramo Polypectomy | Imitego yo mu bwoko bwa polypectomy iterwa n'ibicurane |
| Ubushobozi bwo gusohora amaraso mu mubiri | Guhagarika amaraso binyuze mu muyoboro w'amazi ukoresha amashanyarazi menshi: Bigabanya kuva amaraso mu gihe cyo kubagwa na nyuma yo kubagwa. | Ishingira gusa ku gufungana kw'imitsi, itanga ubushobozi buke bwo kuva amaraso mu maraso kandi igatera ibyago byinshi byo kuva amaraso atinda. |
| Gukata neza | Ihuza uburyo bwo gukata hakoreshejwe amashanyarazi n'uburyo bwo gukata ingingo vuba. | Gukata hakoreshejwe imashini gusa; bifata igihe kinini. |
| Urutonde rw'ibimenyetso | Ikwiriye gucibwamo polyps zishingiye ku gice cyo hasi, ibisebe binini, n'imitsi itera amaraso menshi. | Bigarukira gusa kuri polyps nto cyangwa zigira peduncles nto kandi ndende. |
| Ingaruka zo kwangirika kw'uturemangingo | Gufungana kw'ingingo birinda kwangirika kw'ingingo z'umubiri. | Imbaraga zo gukurura ibyuma zishobora gutuma igice cy'umuyoboro w'amazi gicika cyangwa kigatoboka. |
| Ingorane zo mu gihe cyo kubagwa | Bigabanya cyane ibyago byo kuva amaraso no gutobora. | Ingaruka nyinshi zo kuva amaraso no kwandura. |
Ubufasha ku makuru: Imibare yo kwa muganga igaragaza ko igipimo cyo kuva amaraso nyuma yo kubagwa hakoreshejwe Hot Polypectomy Snare kiri hasi ho 50%-70% ugereranyije n'igipimo cyo kuva amaraso nyuma yo kubagwa hakoreshejwe Polypectomy Cold Snare.
Imikoreshereze y'Imiterere itandukanye y'Imizunguruko
Imirongo y'imitego ishyirwa mu byiciro hakurikijwe imiterere: Oval, Crescent na hexagonal. Izi tandukaniro zemerera uburyo bwo gushyira ibikomere mu buryo buboneye kuva kuri polyps nto kugeza ku bikomere binini binini, bigabanya gukenera gucibwa ibice bito bityo bikongera imikorere myiza.
1. Ibara ry'umutuku: Ishusho ikunze kugaragara cyane, ikwiriye gufatwa kwa polyps zisanzwe.
2. Crescent: Yagenewe gufata polyps ahantu hagoye cyangwa hagoye kuhagera.
3. Bikwiriye gufata polyps zigororotse.
Ikoreshwa mu buvuzi: Kuva kuri polypectomy kugeza ku buvuzi bwa kanseri y'intangiriro
● Guca intanga mu mara: Gukuraho vuba, kugabanya kongera kwisubiramo
Aho kubabara:Udukoko two mu bwoko bwa sessile polyps tugira amaraso menshi mu gice cyo hasi. Gufata imigozi gakondo akenshi bitera ibisigazwa by'ingingo cyangwa kuva amaraso buhoro buhoro.
Igisubizo:
1. Ingano ikoreshwa mu buryo butandukanye: Ingano y'umurambararo w'urukiramende (10–30mm) ituma ihura neza n'ingano ya polyp, bigatuma ifatwa vuba ku gice cyo hasi no gucibwa burundu ibisebe, bityo bikagabanya ibyago byo kwangirika kw'ibisigazwa.
2. Guhagarika amaraso icyarimwe: Uburyo bwo kubaga hakoreshejwe amashanyarazi butanga guhagarara kw'amaraso icyarimwe, bigabanya cyane ibyago byo kuva amaraso nyuma yo kubagwa.
3. Ibimenyetso by’ubuvuzi: Ubushakashatsi bwakorewe mu bitaro runaka bwagaragaje ko gukoresha imitego ikoreshwa mu gusimbuza amaraso byagabanyije igipimo cya polyp gisigara kuva kuri 8% kugeza kuri 2%, hamwe n’igabanuka rya 40% ry’igipimo cyo kuva amaraso nyuma yo kubagwa.
●EMR yo kurwanya indwara ya GI Neoplasia yo mu ntangiriro: Gukuraho burundu, gusuzuma neza indwara
Ishusho y'ikimenyetso: Intambwe z'imikorere ya EMR Igice cya A: Impuzandengo ya 0.8 × 0.8 cm igaragara mu mara. Igice cya B: Igisebe kigaragaza kuzamura (ikimenyetso cyo kuzamura) nyuma yo gutera umuti urimo indigo carmine, epinephrine, na saline isanzwe. Igice cya C–D: Igisebe kigenda kizunguruka ku gice cyo hasi hakoreshejwe umutego. Insinga irakomera, maze igisebe gikurwamo hakoreshejwe amashanyarazi. Igice cya F: Impuzandengo y'igisebe ifungwa n'ibyuma bikingira kuva amaraso.
●Guhagarika amaraso mu buryo bwihutirwa: Gutabara byihuse, Kurokora ubuzima mu bihe bikomeye
Aho kubabara:Ahantu hava amaraso haterwa ibisebe cyangwa udusebe twa Dieulafoy akenshi haba hihishe, bigatuma ahantu nyaho hagorana kubagwa hakoreshejwe amashanyarazi.
Igisubizo:Ifite umugozi uzenguruka kuri 360° hamwe n'igishushanyo mbonera cya catheter gito, iyi mashini igera ku bice bigoye by'umubiri nko muri duodenum imanuka. Uburyo bworoshye bwo gufunga amaraso butuma amaraso ahita ahagarara, bigatuma igihe cyo gutabara kigabanuka cyane.
Ibyifuzwa kuri wewe Imitego yo kubaga polypectomy
ZRHmedUburyo bwo gupima indwara zishyushye bukoreshwa mu gupima indwara (Disposable Hot Polypectomy Snare) bwagenewe gukorana n'ibyuma bipima indwara bihindagurika hamwe n'ibikoresho bitanga amashanyarazi menshi mu gupima indwara zishyushye mu gifu.
Ikoresha ingufu z'ubushyuhe zikomoka ku muyoboro w'amashanyarazi ukoresha amashanyarazi menshi kugira ngo ishyushye vuba ingingo zigenewe, bigatuma poroteyine zihinduka, zigashonga, kandi zigahinduka umwuka, bityo ikagera ku ngaruka nziza zo gukata. Iri koranabuhanga ritanga ibyiza byo kutagira ingaruka nyinshi, gukira vuba, no kugabanya amaraso, bigatuma rikoreshwa cyane mu buvuzi.
Ibiranga Ibicuruzwa
◆ Insinga z'icyuma zitumizwa mu mahanga, ntizoroshye guhindura imiterere yazo, zicibwa vuba, zikora neza mu buryo bw'amashanyarazi
◆ Ubuso bunini buhuza insinga n'urupapuro kugira ngo byoroshye gukata
◆ Igipimo gisobanutse neza, kigera ku guhuza neza hagati y'impinduka mu buryo bwo kuzunguruka kw'umugozi n'uburyo bwo kuzunguruka kw'umugozi
◆ Ihuye n'ibikoresho byose bikomeye byo kubaga bikoreshwa cyane ku isoko
◆ Hari imiterere itandukanye ihari kugira ngo ihuze n'ibyo abaganga bakeneye mu buvuzi butandukanye
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ni uruganda rukora ibikoresho byo mu Bushinwa rwihariye mu bikoresho bikoreshwa mu ikoranabuhanga, harimo umurongo wa GI nkaforceps za biopsy, hemoklip, Imitego yo kubaga polypectomy, urushinge rwo kuvura sclerotherapy, katheteri itera umuti,uburoso bwa cytology, insinga y'ubuyobozi, agasanduku ko gukurura amabuye, cathete yo gusohora amazi mu mazuru n'ibindi. bikoreshwa cyane muriEMR, ESD, ERCP.
Ibicuruzwa byacu bifite icyemezo cya CE, naho inganda zacu zifite icyemezo cya ISO. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika ya Ruguru, Uburasirazuba bwo Hagati no mu gice kimwe cya Aziya, kandi birushaho kumenyekana no gushimwa n'abakiriya!
Igihe cyo kohereza: 30 Mutarama 2026