(1). Ubuhanga bw'ibanze Ubuhanga bw'ibanze bwa EMR ni ubu bukurikira:
Urukurikirane rw'amayeri
① Shyira umuti wo gutera inshinge mu gace kawe munsi gato y'aho igisebe kiri.
② Shyira umutego hafi y'aho habaye igisebe.
③Umutego urapfundikirwa kugira ngo ufate kandi uce intege igisebe.
④Komeza gukaza umutego mu gihe ukoresha amashanyarazi kugira ngo uce igisebe.
⑤ Kuramo icyitegererezo cyakuwemo.
(2). Inama
1. Inama zo guhitamo aho umubiri uherereye no gushyira endoscope mu mwanya wawo
Kubera ko igisebe gikeneye kuvurwa mu gihe ishusho yose igaragara, aho umurwayi ahagaze ni ingenzi cyane. Gerageza kuzunguza umurongo kugira ngo igisebe gishyirwe hafi y'aho biopsy forceps ifunguye, ni ukuvuga kuva saa kumi n'imwe kugeza saa moya z'umugoroba kuri ecran.
Mbere yo kuvurwa, ibisigazwa n'ibara rirenze bigomba kozwa hanyuma bigakurwaho hakoreshejwe uburyo bwo gukurura.
Urugero, iyo igisebe kiri mu mara y’uruhinja yo hafi ya sigmoid gikuwe mu mwanya wo kuryama cyangwa ibumoso bwo ku maguru, ingero akenshi zijya mu mara y’uruhinja amanuka, bigatuma bigorana kuyabona, bityo umwanya wo ku maguru y’iburyo ni mwiza wo gucibwamo.
Mu buryo nk'ubwo, ukurikije uburyo ingero zisubirana, aho igice cy'ibumoso cy'inyuma cy'uruti rw'umura giherereye niho hifashishwa cyane mu gukata ibisebe by'amara arenga.
2. Inama zo gutera inshinge zo mu gace runaka
Urushinge rw'inshinge rufite ubugari bushobora guterwa ku gitutu gito, ariko ntabwo rukarishye bihagije kandi umwobo w'urushinge ni munini cyane, bityo umwanditsi akoresha urushinge rw'inshinge rwa 25G.
Ntabwo ari ugukabya kuvuga ko gutsinda cyangwa gutsindwa kwa EMR biterwa ahanini n'inshinge zo mu gace runaka.
Ku bikomere bito, gutobora bikorerwa kuva ku ruhande rw'ikibuno cy'igisebe kugeza munsi gato y'igisebe.
Ku bisebe biri mu gice cy’inyuma cyangwa mu mikufi, iyo hakozwe inshinge zo mu kibuno, akenshi ibisebe ntibisobanuka neza kuko biba byerekeye ku ruhande rw’umunwa, bityo inshinge zo mu gace zigomba gutangirira ku ruhande rw’umunwa.
Ibintu by'ingenzi ku batekinisiye ba Endoscopy
Iyo amazi yavuyemo, cyangwa hari ubudahangarwa bwinshi mu gihe cyo gutera, cyangwa nta budahangarwa buhari iyo amazi yinjiye ariko nta bubyimba bubaye, gutera inshinge bigomba guhagarikwa kandi uwabikoze agomba kumenyeshwa ikibazo vuba kugira ngo baganire ku ngamba zo kubyirinda.
Uko ingano y'inshinge iba nyinshi, ni ko biba byiza kurushaho.
Amayeri ni ugukomeza gutera inshinge uko bishoboka kose binyuze mu gutobora rimwe kugeza igihe igisebe cyose kizavaho.
3. Inama zo guhitamo umutego
Iyo umutego ufite ishusho y'inyuma, ururenda rusanzwe ku kanwa k'igisebe no ku mpande z'ikibuno rushobora gushyirwamo byoroshye kandi bitari ngombwa.
Umutego uba mwiza cyane, woroshye kuwufungura mu mpande, ntugoye kunyerera, kandi ufite ubukana runaka bwo gukanda ku gisebe kugira ngo umenye icyo gisebe.
Ingano y'umutego igomba guhindurwa kugira ngo ihuzwe n'ingano y'igisebe.
Umutego wo kuvanga polypectomy ukoreshwa mu buryo butazwi
Ingero za EMR
a. Ishusho y'urumuri rwera
Igisebe cyo mu bwoko bwa IIa cya mm 25 gifite igice cyo hagati cyacitsemo gato.
b. Amashusho ya Narrow Band Imaging (NBI)
c. Gutera indigo carmine kugira ngo wongere ishusho
Byaragaragaye ko uduce tw’ibihombo twabonwaga n’abantu basanzwe mu by’ukuri twari imiyoboro iri hagati y’amababi.
d. Ishusho yagutse y'irangi rya crystal violet
Imiterere y'umwobo w'umuyoboro w'imyakura ku nkengero z'igisebe yari ubwoko bwa IV.
e. Ishusho yagutse y'irangi rya crystal violet
Hagati mu gisebe hari VI, hadakunze kugaragara neza, kandi nta gice cy’umuyoboro w’amaraso cyagaragaye.
f. Gutera inshinge mu gace
Gutera no gutera urushinge hagati mu gisebe, bituma habaho kubyimba neza.
g. Fungura umutego
Kanda umutwe w'umutego ku rukuta rw'amara kugira ngo ufungure umutego.
h. Funga umutego
Funga umutego hanyuma ufate igisebe.
i. Ingufu zo gukuraho
Nta gutobora, kuva amaraso cyangwa ikibyimba cyasigaye cyabonetse.
j. Gushyiraho ingero
Icyitegererezo cyakuwemo cyari gifatanye n'urupapuro rw'umukara.
Isuzuma rya nyuma ry’indwara:kanseri yo mu maraso (Tis)
4. Inama zo gukoresha umutego
Agace k'umutego gashyirwa ku mucosa wo mu kanwa w'ikibyimba, hanyuma kagafungurwa buhoro buhoro hanyuma umuzi w'umutego ugakandagirwa ku ruhande rw'ikibyimba rw'ikibyimba. Kugira ngo hirindwe ko igisebe cyo ku ruhande kitagaragara neza, hagomba gushyirwamo agace gato k'umugongo usanzwe.
Icyitonderwa ni uko iyo umutwe w'umutego utagaragara, birashoboka ko hari utuntu duto two mu mucosa twashyizwemo kurusha uko byari byitezwe. Nyuma y'uko umutego ufashwe neza, kanda hanyuma ukuremo agakoresho ko hanze k'umutego kugira ngo urebe uko igisebe kigenda. Iyo kishyizwe mu gice cy'imitsi, kugenda kw'igisebe bizagabanuka.
Inama zo gukata amashanyarazi
Ntugakandagire umutego ku rukuta rw'amara, ahubwo uzamure gato igisebe kugira ngo ugikure. Ingaruka zo gutinda gutobora ni nke iyo ukoresheje uburyo bwo kubaga hakoreshejwe amashanyarazi, ariko bishobora kuva amaraso mu gihe cyo kubagwa (nyuma yo kubagwa hakiri kare).
Gukata vuba cyane bishobora gutera kuva amaraso, mu gihe gukata buhoro cyane bishobora gutera gutinda gutobora. Niba umurwayi yumva ububabare, cyangwa umufasha we yumva ko ingingo imeze nk'umukara kandi bigoye kuyikata, birashoboka ko ingingo iba iri mu gice cy'imitsi, kandi gukata bigomba guhagarara ako kanya.
Ibintu by'ingenzi ku batekinisiye ba Endoscopy
Iyo umuganga w’indwara z’imitsi yumva ko urugingo rufite uburibwe nk’umukara kandi bigoye kurukata, agomba guhita abimenyesha umuganga kugira ngo baganire ku ngamba zo kurwirinda.
Inama zo Gukoresha Sharding EMR
Ku bikomere binini, rimwe na rimwe ni byiza gukata ibice bito aho gukata ku ngufu icyarimwe. Ariko, uko ibice byinshi bihari, ni ko amahirwe yo kongera gusigara mu gace k'umubiri aba menshi. Nubwo haba hari EMR ito, gukata ibice bito bigomba gukorwa ku buryo bunini bushoboka hakoreshejwe umutego munini kugira ngo bigabanye umubare w'ibice.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ni uruganda rukora ibikoresho byo mu Bushinwa rwibanda ku bikoresho byo mu ikoranabuhanga, nka biopsy forceps, hemoclip, polyp snare, sclerotherapy energetic, spray catheter, cytology brushes, guidewireth wire, guarding bag, noir drainage catheter n'ibindi bikoreshwa cyane muri EMR, ESD, ERCP. Ibicuruzwa byacu bifite icyemezo cya CE, kandi inganda zacu zifite icyemezo cya ISO. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika ya Ruguru, Uburasirazuba bwo Hagati no mu gice cya Aziya, kandi birushaho kumenyekana no gushimwa n'umukiriya!
Imiti yo mu bwoko bwa Biopsy forceps:
https://www.zrhendoscopy.com/single-use-endoscopic-tissue-biopsy-forceps-with-graduation-product/
Hemoclip
https://www.zrhendoscopy.com/disposable-rotatable-endoscopic-hemoclip-for-gastroscopy-use-product/
umutego wa polyp
https://www.zrhendoscopy.com/disposable-endoscopic-resection-polypectomy-snare-for-gastroenterology-product/
urushinge rwo kuvura sclerotherapy
https://www.zrhendoscopy.com/gastroenterology-accessories-endoscopic-sclerotherapy-injection-needle-product/
Katheteri iterwa mu bwoko bwa spray
https://www.zrhendoscopy.com/ce-certified-disposable-endoscopic-spray-catheter-for-digestive-chromoendoscopy-product/
uburoso bwa cytology
https://www.zrhendoscopy.com/endoscopy-accessories-disposable-endoscopic-cytology-brush-for-gastrointestinal-tract-product/
Insinga z'ubuyobozi
https://www.zrhendoscopy.com/gastrointestinal-endoscopic-ptfe-coated-ercp-hydrophilic-guidewire-product/
agasanduku ko gukurura amabuye
https://www.zrhendoscopy.com/ercp-instrument-gallstone-stone-retrieval-basket-for-endoscopy-product/
katheteri itwara amazi mu mazuru
https://www.zrhendoscopy.com/medical-instrument-disposable-nasal-biliary-drainage-catheter-for-ercp-operation-product/
EMR
https://www.zrhendoscopy.com/emresd/
ESD
https://www.zrhendoscopy.com/emresd/
ERCP
https://www.zrhendoscopy.com/ercp/
Igihe cyo kohereza: Gashyantare-13-2025