Endoscopic Biopsy nigice cyingenzi cyikizamini cya Endoscopique. Ibizamini hafi ya bose Endoscopique bisaba inkunga ya patologi nyuma ya biopsy. Kurugero, niba inzira ya distive ikekwaho kuba ifite umuriro, kanseri, atrophy, na methisaplasia yinyama, na hp, pathologiya irasabwa gutanga ibisubizo bifatika.
Kugeza ubu, tekinike esheshatu za biopsy ikorwa mu Bushinwa:
1. Ikizamini cya Cytobrush
2. Tiswe Biopsy
3. Tunnel Tunpsy Techsic
4. EMR hamwe na tekinike ya biopsy
5. Ibibyimba byose bya biopsy esd
6. Ultrasound-iyobowe na ultrasound
Uyu munsi tuzibanda ku gusuzuma ibinyabuzima bya Tissue, bikunze kwitwa "guhindagira inyama".
Biopsy munsi ya Distoscopy ntishobora gukorwa nta mbaraga za biopsy, nayo nayo mubikoresho bikoreshwa cyane nabarimu bo muri endoscopic. Abigisha bakora ubuforomo bwa Endoscopic bashobora gutekereza ko imbaraga za biopsy ziroroshye gukoresha, nkuko byoroshye nko gufungura no gufunga. Mubyukuri, gukoresha imbaraga za biopsy neza no gutungana, umuntu akeneye kugira ubushishozi nakazi gakomeye, ndetse nibyiza kuba mwiza muri make.
I.Ubanza, reka dusubiremo imiterere yaIngabo za biopsy:
. Ibikoresho byinshi nk'ibihugu by'umubiri by'amahanga, ibinyabuzima biopsy, imikasi, Korettes, nibindi bisa nimiterere yingabo za biopsy.
Inama: Inama igizwe na urwasaya rumeze nk'igikombe cy'igikombe gishobora gufungurwa kirafuzwa. Imiterere y urwasaya nurufunguzo rwimikorere yimbaraga zitandukanye za biopsy. Birashobora kugabanywa muburyo bubiri: ubwoko bufunguye, ubwoko bufunguye, ubwoko bwidirishya, ubwoko bwa oval, ubwoko bwa oval, ubwoko bw'ingona, hamwe nubwoko bugoramye. Urwasaya rw'ingabo za biopsy rukozwe mubyuma bidafite imipaka kandi rufite blade. Nubwo ibyuma byingufu za Biopsy ishoboka nabyo, barimo kwambara nabi. Ibyerekeranye n'ingabo za biopsy zishingiye ku biopsy ivurwa cyane kugirango bashobore kuramba.
Ubwoko rusange bwaIngabo za biopsy
1.Umurongo wubwoko hamwe nidirishya
Hano hari idirishya hagati yikikombe cyingufu, kigabanya cyane ibyangiritse kandi byongera umubare wa biopsy.
2. Ubwoko busanzwe hamwe nidirishya nurushinge
Urushinge ruherereye mu gikombe cy'ingufu kugirango wirinde biopsy kuva kunyerera muri Mucosa no gufasha gusobanukirwa icyitegererezo cya tissue.
3. Ubwoko bwa alligator
Igikombe cya Clamp Clamp neza kibuza neza igikombe cya Clamp kuva kunyerera, kandi gukata hakaze neza kugirango ufate neza.
4. UBWOKO BWA ALIGATOR N'INGENZI
Urwasaya rufite inguni yo gufungura kugirango yongere amajwi ya biopsy; inkombe ya blade ityaye kugirango ufate neza.
Hano hari urushinge hagati yumutwe wa clamp, rushobora gukora ibyo dukosora neza kandi neza.
Bikwiranye na biopsy kumyenda ikomeye nkibibyimba.
Umubiri wa Forceps: Umubiri wingabo za biopsy ukozwe mubyuma byicaroheje, birimo insinga yicyuma yo gukurura imbaraga zo gufungura no gufunga. Kubera imiterere yihariye ya Tube, Tissue Mucus, amaraso nibindi bintu birashobora kubyinjira byoroshye, ariko ntabwo byoroshye kuyisukura neza. Kunanirwa gusukura neza bizatera ikibazo mubikorwa byibiops byibiops, kandi gufungura no gufunga ntibizaba byoroshye cyangwa ntibishoboka gufungura. Imodoka ikora: impeta ku gihome ikora ikoreshwa mugufata igikumwe, kandi uburebure bwagutse bukoreshwa mugushyira urutoki no hagati yintoki. Mu mikorere y'intoki eshatu, ingufu zishyikirizwa ingufu zinyura mu mitsi yo gukwirakwiza mu gufungura no gufunga.
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1. Kumenya mbere:
Mbere yo gukoresha, menya neza ko imbaraga za biopsy zimaze guhonyora kandi zikoreshwa mubibazo bya sterisiyo nziza. Mbere yo gushyiramo umuyoboro wa Endoscope, gufungura no gufunga imbaraga bigomba kugeragezwa (Ishusho 2).
Igicapo cya biopsy
Uburyo bwihariye ni uguhuza umubiri wingabo za biopsy muruziga runini (diameter yuruziga rufite hafi 20cm), hanyuma ugakora ibikorwa byo gufungura no gufunga kugirango witegereze kandi hafi. Niba hari inshuro 1-2 inshuro, nibyiza kudakoresha imbaraga za biopsy. Icya kabiri, birakenewe kugerageza gufunga imbaraga za biopsy. Fata igice cyimpapuro nkinyuguti zinyuguti hanyuma ushimangire hamwe nimbaraga za biopsy. Yujuje ibisabwa niba impapuro zoroshye zitaguye. Icya gatatu, birakenewe kubona niba ibikombe bibiri byibikombe bya Forceps bihujwe rwose (Ishusho 3). Niba hari nabi, reka kubikoresha ako kanya, bitabaye ibyo bizashushanya umuyoboro.
Igicapo Cuto 3 Forks Flap
Inyandiko Mugihe cyo gukora:
Mbere yo kwinjiza imbaraga, urwasaya rugomba gufungwa, ariko ibuka kudakoresha imbaraga nyinshi zo gutinya gufunga, bizatuma urwasaya rufunga rugomba gufungura no gufunga urwasaya. 2. Iyo winjije umuyoboro, andika ku cyerekezo cyo gufungura ingufu kandi ntugasige ifu yo gufungura. Niba uhuye no kurwanya mugihe winjiye, ugomba kurekura buto yinguni hanyuma ugerageze kwinjira muburyo busanzwe. Niba ugishobora gutsinda, gukuramo Endoscope mumubiri kugirango ugerageze, cyangwa uyisimbuze izindi mbaraga za biopsy nkicyitegererezo gito. 3. Mugihe ukuramo imbaraga za biopsy, irinde gukoresha imbaraga zikabije. Umufasha agomba kubifata n'amaboko yombi hanyuma akananama. Ntukarambure amaboko menshi. 4. Iyo urwasaya rudashobora gufungwa, ntugakureho ku gahato. Muri iki gihe, bigomba gusunikwa mumubiri hamwe hamwe na Endoscope kugirango arusheho gutunganya.
II. Incamake yubuhanga bumwe bwa biopsy
1. Gufungura no gufunga ingufu za biopsy ni imirimo ya tekiniki. Gufungura bisaba icyerekezo, cyane cyane inguni nini, bigomba kuba perpendicular kurubuga rwa biopsy. Gufunga bisaba igihe. Impamvu ya Gastrointestinal hamwe niki gikorwa cyo kubaga kirahagaze kandi ntishobora gukosorwa ubudahwema. Umufasha agomba gufata amahirwe yo kunoza neza kandi neza.
2. Imyigaragambyo ya biopsy igomba kuba nini bihagije kandi yimbitse bihagije kugirango igere kuri Mucosa Mucosa.
3. Reba ingaruka zo kuva amaraso nyuma ya biopsy kuri biopque yakurikiye. Igihe inguni nini na Antrum bigomba kuba biopsie icyarimwe, inguni ya gastric igomba kuba mbere ya ariopied hanyuma antrum; Iyo agace ka lesion ari ibice binini kandi byinshi bigomba kugaragazwa, igice cya mbere gikwiye kuba cyumvikana, kandi ni ngombwa kandi gutekereza ko amaraso nyuma yo gupfukaho kandi bikagira ingaruka kubikorwa byerekezo, bitabaye ibyo nyuma Gutaka bizaba impumyi kandi birasa.
Urwego rusanzwe rwa Biopsy kugirango ibikomere ku mfuruka ya gastric, hitawe ku ngaruka zamaraso kuri biopque yakurikiye
4. Gerageza gukora igitutu gihagaritse biopsy ahantu hagenewe, hanyuma ukoreshe guswera mugihe bibaye ngombwa. Kurega bigabanya impagarara z'ubuso bwa mucosa, berekanwa tissue bakomata cyane kandi ntibakunze kunyerera.
Biopsy igomba gukorwa nko guhagarira bishoboka, kandi uburebure bwo kwagura ingufu za biopsy ntigomba kurenga 2CM.
5. Witondere guhitamo ingingo zimpimbano muburyo butandukanye bwibisimba; Guhitamo ingingo z'icyitegererezo bifitanye isano nigipimo cyiza. Umuganga ubaga afite ijisho rityaye kandi agomba kandi kwitondera ubumenyi bwibikoresho.
Ahantu ho kuba ahantu haopsied kutagomba kuba biopsied
6. Ibice bigoye kuri biopsy birimo inkunga yigifu hafi ya cardia, agace gake k'umubiri wa gastri hafi y'urukuta rw'inyuma, n'imfuruka yo hejuru ya duodenum. Umufasha agomba kwibanda ku gufatanya. Niba ashaka kugera ku bisubizo bitangaje, agomba kwiga gutegura mbere no guhindura icyerekezo cya clamp umwanya icyo aricyo cyose. Muri icyo gihe, agomba guhita acira igihe cyo guhanura akoresheje amahirwe yose. Rimwe na rimwe iyo utegereje amabwiriza yatanzwe nagabaga, lag ya 1 ya kabiri irashobora kuganisha ku mahirwe yabuze. Nshobora gutegereza yihanganye amahirwe ataha.
Imyambi yerekana aho bigoye kubona ibikoresho cyangwa guhagarika kuva amaraso.
7. Guhitamo Imbaraga za Biopsy: Ingabo za biopsy zirimo ibyakozwe nigikombe kinini kandi byimbitse, bamwe bafite inshinge zumwanya, ndetse bamwe bakinguye uruhande kandi baruma.
8. Kumenyera hamwe na Stating ya elegitoronike yo kuyobora biopsy irasobanutse neza, cyane cyane yo gutoranya Mucosa ya Esophage.
Twe, Jiagxi ZhuoluHhua Igikoresho cy'ubuvuzi Co, Ltd., ni uruganda mu Bushinwa rwihariye muri endoscopic ikoresha ibikoresha muri Endoscopic, nkaIngabo za biopsy, hemoclip, umutego wa polyp, Uruhu rwa sclerothethe, spray catheter, cytology brushes, kuyobora, Igitebo cya rene, Amazi ya Izuru Amashanyarazi nibindi. bikoreshwa cyane muriEmr, Esd, Ercp. 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!
Igihe cya nyuma: Jan-23-2025