Inkororangingo y'imitsi: Uburyo bwo kuvura ingorane

Mu kuvura indwara ya colonoscopy, ingorane zigaragara ni ukubomoka no kuva amaraso.
Gutobora bivuga imimerere aho umwobo uhujwe n'umwobo w'umubiri bitewe n'ubusembwa bw'ingingo, kandi kuba hari umwuka wigenga mu isuzuma rya X-ray ntibigira ingaruka ku gisobanuro cyawo.
Iyo impande z'umubiri wuzuye w'ubugari zitwikiriwe kandi nta itumanaho ryihariye rigirana n'umwobo w'umubiri, byitwa gutobora.
Ibisobanuro byo kuva amaraso ntabwo bisobanutse neza; inama zitangwa ubu zirimo kugabanuka kwa hemoglobine irenga 2 g/dL cyangwa gukenera guterwa amaraso.
Kuva amaraso nyuma yo kubagwa bisobanurwa nk'aho amaraso menshi agaragara mu mwanda nyuma yo kubagwa bisaba kuvurwa amaraso cyangwa guterwa amaraso.
Ingano y'ibi bibazo iratandukanye bitewe n'uburyo bivurwa:
Igipimo cyo gutobora:
Kubaga polypectomy: 0.05%
Gukuraho uturemangingo tw’amaraso mu ruhu (EMR): 0.58% ~ 0.8%
Gucamo ibice bya endoscopic submucosal (ESD): 2% ~ 14%
Igipimo cyo kuva amaraso nyuma yo kubagwa:
Kubaga hakoreshejwe polypectomy: 1.6%
EMR: 1.1%~1.7%
ESD: 0.7%~3.1

1. Uburyo bwo guhangana n'ibyimbirwa
Kubera ko urukuta rw'amara manini ari ruto ugereranyije n'urw'igifu, ibyago byo gutobora ni byinshi. Mbere yo kubagwa hakenewe kwitegura bihagije kugira ngo habeho gutobora.
Uburyo bwo kwirinda mu gihe cyo kubagwa:
Menya neza ko endoscope ikora neza.
Hitamo endoscope zikwiye, ibikoresho byo kuvura, amazi yo guterwa inshinge n'ibikoresho byo gutanga imyuka ya dioxyde de carbone bitewe n'aho ikibyimba giherereye, imiterere yacyo n'ingano ya fibrosis yacyo.
Uburyo bwo gucunga icyuho cyo gutobora mu gihe cyo kubaga:
Gufunga ako kanya: Uko ahantu hose haherereye, gufunga igice ni bwo buryo bwiza (imbaraga z'inama: Icyiciro cya 1, urwego rw'ibimenyetso: C).

In ESD, kugira ngo hirindwe ko habaho kubangamira igikorwa cyo gukata, ingingo zikikije zigomba kubanza gukata kugira ngo habeho umwanya uhagije wo gukora mbere yo gufunga.
Kwitegereza nyuma yo kubagwa: Iyo aho gutobora hashobora gufungwa burundu, kubagwa bishobora kwirindwa hakoreshejwe imiti igabanya ubukana bw'ibiyobyabwenge no kwiyiriza ubusa gusa.
Icyemezo cyo kubagwa: Gukenera kubagwa bigenwa hashingiwe ku bimenyetso byo mu nda, ibisubizo by'ibizamini by'amaraso, n'ishusho aho kugenwa gusa n'umwuka w'ubuntu ugaragara kuri CT.
Uburyo bwihariye bwo kuvura ibice:
Agace ko hasi k'umura ntabwo kazatera gutobora inda bitewe n'imiterere yayo, ariko gashobora gutera gutobora ikibuno, bikagaragara nk'indwara yo mu nda isubira inyuma, ifata impande zombi cyangwa iziba munsi y'umubiri.
Amabwiriza yo kwirinda:
Gufunga igikomere nyuma yo kubagwa bishobora gukumira ingorane ku rugero runaka, ariko nta bimenyetso bihagije bigaragaza ko bishobora gukumira gutinda gutobora.

2. Igisubizo ku kuva amaraso
Uburyo bwo kuvura kuva amaraso mu gihe cyo kubagwa:
Koresha ubushyuhe butuma amaraso ahagarara cyangwa agakoresho ko gufungana kugira ngo uhagarike kuva amaraso.
Kuva amaraso mu mitsi mito:
EMR, agace k'umutego gashobora gukoreshwa mu gufungana k'ubushyuhe.
ESD, umutwe w'icyuma cy'amashanyarazi ushobora gukoreshwa mu gukora ku gufungana kw'ubushyuhe cyangwa gukoresha imbaraga zo gufungana kugira ngo uhagarike kuva amaraso.
Kuva amaraso mu mitsi minini: Koresha forceps zo mu maraso, ariko ugenzure urwego rw'ingufu zifatana kugira ngo wirinde gutinda gutobora.
Kwirinda kuva amaraso nyuma yo kubagwa:
Gucibwa igikomere nyuma yo gucibwaEMR :
Ubushakashatsi bwagaragaje ko gukoresha forceps zo mu maraso mu gukumira gufungana kw'amaraso nta ngaruka nini bigira ku muvuduko wo kuva amaraso nyuma yo kubagwa, ariko hari icyerekezo cyo kugabanuka.
Gukata uduce duto bigira ingaruka nke ku dusebe duto, ariko bigira ingaruka nziza ku dusebe duto cyangwa abarwayi bafite ibyago byinshi byo kuva amaraso nyuma yo kubagwa (nk'abahabwa imiti igabanya ubukana bw'imitsi).
ESD, igikomere kirakurwaho maze imiyoboro y'amaraso igaragara igafunga. Udupira two mu maraso dushobora kandi gukoreshwa mu gukumira gufunga imiyoboro minini y'amaraso.
Icyitonderwa:
Ku birebana na EMR y'ibisebe bito, uburyo bwo kwirinda busanzwe ntibwasabwa, ariko ku bisebe binini cyangwa abarwayi bafite ibyago byinshi byo kubagwa, gukata nyuma yo kubagwa bigira ingaruka runaka (imbaraga z'inama: Urwego rwa 2, urwego rw'ibimenyetso: C).
Gutobora no kuva amaraso ni ingorane zikunze kugaragara mu gupima umwijima.
Gufata ingamba zikwiye zo kwirinda no kuvura mu bihe bitandukanye bishobora kugabanya neza indwara zidakira kandi bikanoza umutekano w'abarwayi.

Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ni uruganda rukora ibikoresho byo mu Bushinwa byihariye mu gukoresha ibikoresho byo mu nda, nkaforceps za biopsy, hemoklip, umutego wa polyp, urushinge rwo kuvura sclerotherapy, katheteri itera umuti,uburoso bwa cytology, insinga y'ubuyobozi, agasanduku ko gukurura amabuye, katheteri itwara amazi mu mazuru,agakingirizo k'umuyoboro w'inkarinaagakoresho ko kwinjira mu muyoboro w'inkari gafite uburyo bwo gukururan'ibindi bikoreshwa cyane muriEMR, ESD, ERCPIbicuruzwa 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!