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 zuzuye inenge yuzuye yuzuye kandi ntihabeho itumanaho ryubusa hamwe nu mwobo wumubiri, byitwa gutobora. Igisobanuro cyo kuva amaraso ntigisobanuwe neza, kandi ibyifuzo byubu birimo kugabanuka kwa hemoglobine irenga 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%
Ibijyanye na Endoskopi ikoreshwa: Umutego wa Polypectomy
Endoscopic mucosal resection (EMR): 0.58% ~ 0.8%
Ibijyanye na Endoskopi ikoreshwa: Amashanyarazi ya Hemostasis
Ibijyanye na Endoskopi ikoreshwa: Urushinge rushobora guterwa
Gutandukana kwa Endoscopique (ESD): 2% ~ 14%
Ibijyanye na Endoskopi ikoreshwa: Ikoreshwa rya ESD
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, hamwe nibikoresho byo gutanga gaze ya karubone ukurikije aho biherereye, morphologie, hamwe na fibrosis yikibyimba.
Ubuyobozi bwo gutobora intoperative:
Gufunga ako kanya: Utitaye kumwanya, clips zihitamo gufunga (imbaraga zicyifuzo: urwego 1, urwego rwibimenyetso: C). Muri ESD, rimwe na rimwe agace kegeranye kagomba gukurwaho mbere kugirango wirinde kubangamira imikorere yo gukuramo.
Tissue, menya 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 kwerekana amashusho aho kuba gaze yubusa yerekanwe kuri CT yonyine.
Kuvura ibice byihariye:
Urukiramende rwo hasi ntirushobora gutobora munda kubera imiterere yarwo, ariko rushobora gutera
Pelvic perforation, igaragara nka retroperitoneal, mediastinal, cyangwa emphysema yo munsi y'ubutaka.
Icyitonderwa:
Gufunga igikomere nyuma yo kubagwa birashobora gukumira ingorane ku rugero runaka, ariko sibyo
Hariho ibimenyetso bihagije byerekana ko bifite akamaro mukurinda gutobora gutinda.
2. Igisubizo cyo kuva amaraso
Gucunga amaraso adakorana:
Koresha ubushyuhe bwa coagulation cyangwa climostatike kugirango uhagarike kuva amaraso.
Amaraso mato ava amaraso:
Muri EMR, umutego urashobora gukoreshwa mugukoresha ubushyuhe.
Muri ESD, isonga ryicyuma cyamashanyarazi rirashobora 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 nyuma ya EMR:
Ubushakashatsi bwerekanye ko gukoresha clamps ya hemostatike mu gukumira indwara yo gukumira nta ngaruka nini bigira ku gipimo cyo kuva amaraso nyuma yo kubagwa, ariko hari inzira yo kugabanuka. Kwirinda gukumira bigira ingaruka nke ku bisebe bito, ariko bigira akamaro ku bikomere binini cyangwa abarwayi bafite ibyago byinshi byo kuva amaraso nyuma yo kubagwa (nk'abakira imiti igabanya ubukana).
Gukomeretsa ibikomere nyuma ya ESD:
Imiyoboro y'amaraso yagaragaye irashyizwe hamwe, kandi clips ya hemostatike irashobora 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!
Igihe cyo kohereza: Werurwe-21-2025