Colonoscopy: Gucunga ibibazo

Mu kuvura colonoscopique, ingorane zihagarariye ni ugutobora no kuva amaraso.
Gutobora bivuga leta aho urwobo ruhurira mu bwisanzure bw'umubiri kubera inenge yuzuye yuzuye, kandi kuba hari umwuka wubusa ku isuzuma rya X-ray ntabwo bigira ingaruka kubisobanuro byayo.
Iyo impande zose zifite inenge yuzuye yuzuye inenge zifunitse kandi zidafite itumanaho ryubusa hamwe nu mwobo wumubiri, byitwa gutobora.
Igisobanuro cyo kuva amaraso ntabwo gisobanuwe neza; ibyifuzo byubu birimo kugabanuka kwa hemoglobine irenze 2 g / dL cyangwa gukenera guterwa.
Kuva amaraso nyuma yo kubagwa asobanurwa nkibibaho byamaraso akomeye kuntebe nyuma yo kubagwa bisaba kuvura indwara ya hemostatike cyangwa guterwa amaraso.
Ibibaho byibyabaye biratandukanye nukuvura:
Igipimo cyo gutobora:
Polypectomy: 0,05%
Endoscopic mucosal resection (EMR): 0.58% ~ 0.8%
Gutandukana kwa Endoscopique (ESD): 2% ~ 14%
Igipimo cyo kuva amaraso nyuma yo kubagwa:
Polypectomy: 1,6%
EMR: 1.1% ~ 1.7%
ESD: 0.7% ~ 3.1

1. Nigute wakemura ikibazo cyo gutobora
Kubera ko urukuta rw'amara runini rworoshye kurusha urw'igifu, ibyago byo gutobora ni byinshi. Imyiteguro ihagije irakenewe mbere yo kubagwa kugirango uhangane nibishoboka byo gutobora.
Kwirinda ibikorwa:
Menya neza imikorere ya endoscope.
Hitamo endoskopi ikwiye, ibikoresho byo kuvura, amazi yo gutera inshinge nibikoresho bya gaze ya gaze karuboni ukurikije aho biherereye, morphologie hamwe na fibrosis yikibyimba.
Ubuyobozi bwo gutobora intoperative:
Gufunga ako kanya: Utitaye kumwanya, gufunga clip nuburyo bwatoranijwe (imbaraga zo gusaba: Icyiciro cya 1, urwego rwibimenyetso: C).

In ESD, kugirango wirinde kwivanga mubikorwa byo gutandukana, tissue ikikije igomba kubanza gucibwa kugirango harebwe umwanya uhagije wo gukora mbere yo gufunga.
Indorerezi nyuma yo kubagwa: Niba gutobora bishobora gufungwa burundu, kubagwa birashobora kwirindwa gusa kuvura antibiyotike no kwiyiriza ubusa.
Icyemezo cyo kubaga: Gukenera kubagwa bigenwa hashingiwe ku guhuza ibimenyetso byo munda, ibisubizo byo gupima amaraso, hamwe no gufata amashusho aho gushingira gusa kuri gaze yubusa yerekanwe kuri CT.
Kuvura ibice byihariye:
Urukiramende rwo hasi ntirushobora gutobora munda kubera imiterere yarwo, ariko rushobora gutera intanga ngore, bikagaragaza nka retroperitoneal, mediastinal, cyangwa emphysema yo munsi y'ubutaka.
Icyitonderwa:
Gufunga ibikomere nyuma yo kubaga bishobora gukumira ingorane ku rugero runaka, ariko nta bimenyetso bihagije byerekana ko bishobora gukumira neza gutobora gutinda.

2. Igisubizo cyo kuva amaraso
Gucunga amaraso adakorana:
Koresha ubushyuhe bwa coagulation cyangwa climostatike kugirango uhagarike kuva amaraso.
Amaraso mato ava amaraso:
EMR, umutego wumutego urashobora gukoreshwa mugukoresha ubushyuhe.
ESD, isonga ryicyuma cyamashanyarazi kirashobora gukoreshwa muguhuza ubushyuhe bwumuriro cyangwa imbaraga za hemostatike kugirango bahagarike kuva amaraso.
Amaraso manini ava amaraso: Koresha imbaraga za hemostatike, ariko ugenzure urugero rwa coagulation kugirango wirinde gutobora gutinda.
Kwirinda kuva amaraso nyuma yo kubagwa:
Gukomeretsa ibikomere nyumaEMR :
Ubushakashatsi bwerekanye ko gukoresha imbaraga za hemostatike mu gukumira indwara yo gukumira nta ngaruka nini bigira ku gipimo cyo kuva amaraso nyuma yo kubagwa, ariko hari inzira yo kugabanuka.
Gukata gukingira indwara bigira ingaruka nke ku bisebe bito, ariko bigira ingaruka ku bisebe binini cyangwa abarwayi bafite ibyago byinshi byo kuva amaraso nyuma yo kubagwa (nk'abakira imiti igabanya ubukana).
ESD, igikomere kivanyweho kandi imiyoboro y'amaraso yagaragaye irashyizwe hamwe. Amashusho ya Hemostatike arashobora kandi gukoreshwa kugirango wirinde kwifata kw'imiyoboro minini y'amaraso.
Icyitonderwa:
Kuri EMR y'ibisebe bito, ntabwo bisanzwe bivurwa byo gukumira ntibisabwa, ariko kubisebe binini cyangwa abarwayi bafite ibyago byinshi, gukuramo imiti yo gukumira nyuma yo kubaga bigira ingaruka runaka (imbaraga zibyifuzo: Urwego 2, urwego rwibimenyetso: C).
Gutobora no kuva amaraso nibibazo bisanzwe bya endoskopi yibara.
Gufata ingamba zikwiye zo gukumira no kuvura ibintu bitandukanye birashobora kugabanya neza kwandura indwara zidakira kandi bikarinda umutekano w’abarwayi.

Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., Ni uruganda mu Bushinwa ruzobereye mu gukoresha endoskopi, nkabiopsy imbaraga, hemoclip, umutego, inshinge, spray catheter,cytology, kuyobora, igitebo cyo kugarura amabuye, izuru rya biliary drainage catheter,uriteral access sheathnaurureral yinjira sheath hamwe no gusweranibindi bikoreshwa cyane muriEMR, ESD, ERCP. Ibicuruzwa byacu byemewe na CE, 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!