(1). Tekinike shingiro yubuhanga bwibanze bwa Emr ni bukurikira:
Urukurikirane rw'amahanga
① Menyesha igisubizo cyaho munsi yigitutsi.
②lace umutego uzengurutse igikomere.
Umutego uragongwa gusobanukirwa no kuniga ibisebe.
④continue yoroheje umutego mugihe akoresha amashanyarazi kugirango atere ibisebe.
⑤Kiribaza urugero rwaciwe.
(2). Inama
1.Ibikoresho byo guhitamo umubiri hamwe na endoscope
Kuberako ibitambo bigomba gufatwa mugihe ishusho yose igaragara, umwanya wumurwayi ni ngombwa. Gerageza kugoreka urugero kugirango igisambo kiherereye hafi yingabo za biopsy gufungura, ni ukuvuga kuva kuri 5 kugeza kuri 7 kuri ecran.
Mbere yo kuvurwa, ibisigisigi na pigment birenze gukaraba hanyuma bikurwaho no guswera.
Kurugero, niba igiterane muri colon ya proxide yakuweho muri supine cyangwa kuva kuruhande rwa ocubitus, ingero zizahita zigenda zisubira muri colon zimanuka, zikagora kugarura, bityo bikagora kugarura, bityo bikagora kugarura, bityo iburyo bwuruhande rwirundi ni byiza kubwo kuguta.
Mu buryo nk'ubwo, ukurikije uko unyurwa no kugarura ibintu bikabije, hateganijwe umwanya wo kugenzura uhitamo kugabura ibikomere bya colon.
2.Tips yo gutera inshinge zaho
Urushinge rwinshi rwaho rushobora guterwa nigitutu cyo hasi, ariko ntabwo gikaze bihagije kandi umwobo ufite inshinge ni munini cyane, nuko umwanditsi akoresha urushinge rwa 25G.
Ntabwo ari ugukabya kuvuga ko intsinzi cyangwa gutsindwa kwa EMR biterwa ahanini no gutera inshinge.
Kubintu bito, Gucumita byakozwe kuva kuruhande rwamabyiniro kugera munsi yigitutsi.
Kubintu byinshi bigoramye cyangwa hejuru yububiko, niba inshinge zaho zakozwe kuva kuruhande, akenshi ibikomere birumvikana kuko bahura nimpande mbi, bityo inshinge zaho zigomba gutangirira kumunwa.
Ibyingenzi kubatekinisiye Endoscoy
Niba amazi yamenetse, cyangwa hari itandukaniro rikomeye mugihe urwariritse mugihe amazi yinjira ariko hashyizweho imigezi, hagomba guhagarikwa, inshinge igomba guhagarikwa, uwashinje agomba kuba yarahagaritswe kandi akaba uwukoresha agomba kumenyeshwa ibintu mugihe gikwiye kugirango tuganire ku gihe kigeze kingana.
Inzitizi nyinshi, nibyiza.
Amayeri nugukomeza gutera inshinge bishoboka binyuze mu gutoza rimwe kugeza igihe ibikomere byose byazamuwe.
3.ibi kugirango uhitemo umutego
Niba umutego uri muburyo bwa oval ndende, mucosa isanzwe ku kanwa ka lesion no kumpande zombi birashobora kuba byoroshye kandi bitari ngombwa.
Umutego niba ari byiza cyane hafi kuzenguruka, byoroshye gufungura kuruhande, ntabwo byoroshye kunyerera, kandi ufite ubukana runaka bwo gukanda ibibyimba kugirango mbone ibisebe.
Ingano yumutego igomba guhuzwa nubunini bwa lesion.
Umutego wa polyikijwe
Ingero za Emr
a. Ishusho Yera
Ubwoko bwa mm 25 mm isaba hamwe nigice cyo hagati cyo hagati.
b. Itsinda rigufi ryamanuc (nbi) amashusho
c. Gutera Indigo Carmine kugirango wagure ishusho
Byagaragaye ko kwiheba kwabonwaga no kwitegereza bisanzwe mubyukuri byari bikonje hagati yamababi.
d. Ishusho yagutse ya Crystal Violet Staining
Uburyo bwo mu mwobo bw'urugomo rwo muri Glanduland kumpera ya Lesion yari ubwoko IV.
e. Ishusho yagutse ya Crystal Violet Staining
Hagati mu gituza hari vi, bidasanzwe, kandi nta ruhare rwa submucosal rwabonetse.
f. Inshinge zaho
Gucumita no gutera inshinge byakorewe hagati ya dosion, bikaviramo umuvuduko mwiza.
g. Fungura umutego
Kanda umutego urwanya urukuta rwa colon kugirango ufungure umutego.
h. Funga umutego
Funga umutego ufate ibisebe.
I.Kungagura kwikuramo
Nta kugoramye, habonetse ikibyimba cyangwa ibibyimba bisigaye.
j. Gukosora
Icyitegererezo cyateganijwe cyari gifatanye nurupapuro rwa rubber.
Gusuzuma Pathologiya:Intramucosal Carcinoma (TIS)
4.Ibikorwa byo gukora umutego
Impaka z'umutego zishyirwa mu bwifatanye mu munwa wo mu kanwa k'umusaruro, hanyuma zikingurira buhoro buhoro kandi imizi y'umutego irakanda uruhande rwa anal. Kugirango wirinde gutemagure kuva kuba mwiza, umubare muto wa mucosa usanzwe ugomba kwinjizwamo.
Twabibutsa ko mugihe inama yumutego idashobora kuboneka, birashoboka ko Mucosa isanzwe yinjijwe kuruta uko byari byitezwe. Umutego umaze gukomera rwose, gusunika kandi ukuremo amaboko yo hanze yumutego kugirango witegereze kugenda kwa lesion. Niba byinjijwe mu gice cy'imitsi, kugenda kw'igitumbumba bizagabanuka.
INAMA ZA ELECTRORESETION
Ntukande umutego urwanya urukuta rw'amara, ariko uzamure gato igituba cyo gutangwa. Ibyago byo gutinda gutobora ni bike mugihe ukoresheje amashanyarazi, ariko bikunze kubura amashanyarazi (hakiri kare nyuma yo kuva amaraso.
Gukemura byihuse birashobora gutera kuva amaraso, mugihe ukennye cyane bishobora gutera kugandukira. Niba umurwayi yumva abababaye, cyangwa umufasha wumva ko hari umwihato nka reberi kandi biragoye guca, birashoboka ko tissue ifite uruhare mu mitsi, kandi ibisabwa bigomba guhagarara ako kanya.
Ibyingenzi kubatekinisiye Endoscoy
Niba Endoscopiste yumva ko tissue ari elastique nka reberi kandi bigoye guca, agomba guhita amenyesha umukoresha kugirango aganire ku makimbirane.
INAMA ZA SHARDING EMR
Kubitutsi binini, rimwe na rimwe bihumuriza gukora agace k'amashusho aho guhatirwa byose. Ariko, ibindi bindi biriho, birakomeye bishoboka ko bidasubirwaho. Ndetse hamwe na emr emr, ingwate yambere igomba gukorwa nini ishoboka hamwe numutego munini kugirango ugabanye umubare wibice.
Twe, Jiagxi ZhuoruHhua Igikoresho cy'ubuvuzi Co, Ltd. Catheter Catheter nibindi bikoreshwa cyane muri Emr, Esd, Escp. Ibicuruzwa byacu ni byemewe, kandi ibimera byacu ni ISO yemewe. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika ya Ruguru, Uburasirazuba bwo hagati n'igice cya Aziya, kandi ibona cyane umukiriya kumenyekana no guhimbaza!
Ingabo za biopsy:
https://www.zrhendoscopy.com/single-ise-endoscopic-tissue-iniopsy-ibisobanuro-
Hemoclip
https://www.zrhendoscopy.com/ubwirwa-rotable-etoscopic- hemoclip- kuko-gastcopy-use-
umutego wa polyp
https://www.zrhendoscopy.com/disposable-endoscopic-resection-polypectomy-snare-for-gastroenterology-product/
Uruhu rwa sclerothethe
https://www.zrhendoscopy.com/gastroenterology-ccess-endoscopic- yamashanyarazi-Icle-Peedle-
Spray catheter
https://www.zrhendoscopy.com/ce-certified-disposable-endoscopic-spray-catheter-for-digestive-chromoendoscopy-product/
cytology brushes
https://www.zrhendoscopy.com/endoscopy-accescouse- Isuzuma-endoscopic-cytology-Rology-rush-Komeka neza/
Kuyobora
https://www.zrhendoscopy.com/gastrointestinal-Inyuma-ptfe-Crouted-ardrophilic-ProdeWire-
Igitebo cya rene
https://www.zrhendoscopy.com/errument-GullStoone-Sone Tootone-ibisobanuro-ibikeri-Konda-Ibicuruzwa /
Amashanyarazi ya Izuru
https://www.zrhendoscopy.com/medical-Imibare-Ibyo-Ibisabwa-Nasaleary-Ibikorwa-ibisabwa-Propetions/
Emr
https://www.zrhendoscopy.com/emresd/
Esd
https://www.zrhendoscopy.com/emresd/
Ercp
https://www.zrhendoscopy.com/ercirp/
Igihe cyagenwe: Gashyantare-13-2025