Gupima mu buryo bwa endoscopic ni cyo kintu cy'ingenzi cyane mu gusuzuma mu buryo bwa endoscopic buri munsi. Isuzuma rya endoscopic hafi ya ryose risaba ubufasha bw’indwara nyuma yo gusuzuma. Urugero, niba mucosa y’igifu ikekwaho kubyimba, kanseri, gucika intege, metaplasia y’amara, n’ubwandu bwa HP, indwara irakenewe kugira ngo haboneke igisubizo nyacyo.
Ubu, uburyo butandatu bwo gupima ibizamini (biopsy) bukorwa buri gihe mu Bushinwa:
1. Gusuzuma Cytobrush
2. Gusuzuma ingingo z'umubiri
3. Uburyo bwo gusuzuma imiterere y'umubiri mu nzira y'amazi
4. EMR hakoreshejwe uburyo bwa "bulk biopsy"
5. Uburyo bwo gusuzuma ikibyimba cyose ESD
6. FNA iyobowe na Ultrasound
Uyu munsi tuzibanda ku gusuzuma biopsy y'inyama, izwi cyane nka "gufunga igice cy'inyama".
Uburyo bwo gupima indwara hakoreshejwe endoskopi y'igifu ntibushobora gukorwa hatabayeho uburyo bwo gupima indwara, kandi ni kimwe mu bikoresho bikunze gukoreshwa n'abarimu b'abaforomo bavura indwara. Abarimu bakora ubuforomo bwo gupima indwara bashobora gutekereza ko uburyo bwo gupima indwara bworoshye cyane gukoresha, kimwe no gufungura no gufunga. Mu by'ukuri, kugira ngo umuntu akoreshe neza kandi neza imikorere y'umubiri, agomba kugira ubushishozi n'umuhate, ndetse no kuba umuhanga mu gusobanura neza.
I.Ubwa mbere, reka dusuzume imiterere yaforceps za biopsy:
(I) Imiterere ya forceps za biopsy (Ishusho ya 1): forceps za biopsy zigizwe n'umutwe, umubiri n'umukono ukoreshwa. Ibikoresho byinshi nk'imashini zo mu mahanga, forceps zishyushye za biopsy, imikasi, curettes, nibindi bisa n'imiterere ya forceps za biopsy.
Inama: Isonga rigizwe n'iminwa ibiri isa n'igikombe ishobora gufungurwa no gufungwa. Imiterere y'iminwa ni ingenzi ku mikorere ya forceps zitandukanye za biopsy. Zishobora kugabanywamo ubwoko burindwi: ubwoko bufunguye bumwe, ubwoko bufunguye kabiri, ubwoko bw'idirishya, ubwoko bw'urushinge, ubwoko bw'inyuma, ubwoko bw'umunwa w'ingona, n'ubwoko bw'isonga rigonze. Iminwa ya forceps za biopsy ikozwe mu cyuma kitagira umugese kandi ifite ibyuma bityaye. Nubwo ibyuma bya forceps za biopsy zikoreshwa rimwe na rimwe nazo zityaye, ntizishobora kwangirika neza. Iminwa ya forceps za biopsy zishobora kongera gukoreshwa ivurwa by'umwihariko kugira ngo ikomere cyane.
Ubwoko busanzwe bwaforceps za biopsy
1. Ubwoko busanzwe bufite idirishya
Hagati mu gikombe cya forceps hari idirishya, rigabanya cyane kwangirika kw'ingingo kandi rikongera ingano y'ingingo za biopsy.
2. Ubwoko busanzwe bufite idirishya n'urushinge
Urushinge ruri hagati mu gikombe cya forceps kugira ngo hirindwe ko biopsy yanyura mu mucosa no gufasha gufata icyitegererezo cy'ingingo.
3. Ubwoko bw'ingona
Igikombe cy'icyuma gipfundikiye kirinda neza igikombe cy'icyuma gipfundikiye kunyerera, kandi inkombe igezweho iba ityaye kugira ngo ifate neza.
4. Ubwoko bw'ingona ifite urushinge
Utwasaya dufite inguni nini yo gufungura kugira ngo twongere ingano y'ibipimo bya biopsy; impande z'icyuma ziratyaye kugira ngo gifate neza kurushaho.
Hari urushinge hagati mu mutwe w'icyuma gifunga, rushobora gutuma uburyo bwo gufunga burushaho kuba bwiza kandi bunoze.
Bikwiriye gukoreshwa mu gupima ingirabuzima fatizo zikomeye nka kanseri.
Umubiri wa Forceps: Umubiri wa biopsy forceps ukozwe mu muyoboro w'icyuma kidashonga, urimo insinga y'icyuma yo gukurura valve ya forceps kugira ngo ifunguke kandi ifungwe. Bitewe n'imiterere yihariye y'umuyoboro w'icyuma, ururenda rw'ingingo, amaraso n'ibindi bintu bishobora kwinjiramo byoroshye, ariko ntabwo byoroshye kuwusukura neza. Kudasukura neza bizatera ingorane mu mikorere ya biopsy forceps, kandi gufungura no gufunga ntibizaba byoroshye cyangwa ngo binashoboke gufungura. Umukono wo gukoresha: Impeta iri ku mukono wo gukoresha ikoreshwa mu gufata igikumwe, kandi umuyoboro mugari uzengurutse ukoreshwa mu gushyira urutoki rw'imbere n'urutoki rwo hagati. Mu gihe cy'imikorere y'izi ntoki eshatu, imbaraga zoherezwa kuri valve ya forceps binyuze mu mugozi wo gukurura kugira ngo zifunguke kandi zifungwe.
(II) Ingingo z'ingenzi zo gukoresha forceps za biopsy: Hagomba kwitonderwa cyane mu gukoresha, gukoresha no kubungabunga forceps za biopsy, bitabaye ibyo byagira ingaruka ku ikoreshwa rya endoscope.
1. Gusuzuma mbere y'igihe:
Mbere yo gukoresha, banza urebe neza ko forceps za biopsy zakozwe neza kandi zigakoreshwa mu gihe cyo gufunga neza. Mbere yo gushyiramo forceps za endoscope, ugomba gusuzuma uburyo forceps zifunguka n'uko zifungwa (Ishusho ya 2).
Igishushanyo cya 2 Gusuzuma ingufu za Biopsy
Uburyo bwihariye ni ugufunga umubiri wa forceps za biopsy mu ruziga runini (umurambararo w'uruziga ni nka cm 20), hanyuma ugakora ibikorwa byinshi byo gufungura no gufunga kugira ngo urebe niba forceps zifunguka kandi zifunga neza. Niba hari inshuro 1-2 zidasobanutse neza, ni byiza kudakoresha forceps za biopsy. Icya kabiri, ni ngombwa gupima ifunga rya forceps za biopsy. Fata urupapuro ruto nk'urupapuro rw'ibaruwa hanyuma urufatanye na forceps za biopsy. Birakenewe niba urupapuro ruto rutaguye. Icya gatatu, ni ngombwa kureba niba ibikombe bibiri by'impande za forceps bigororotse neza (Ishusho ya 3). Niba hari aho bihurira nabi, hagarika gukoresha ako kanya, bitabaye ibyo bizashwanyaguza umuyoboro wa forceps.
Ishusho ya 3: Ipfundo rya Biopsy forceps
Inyandiko mu gihe cy'igikorwa:
Mbere yo gushyiramo umuyoboro wa forceps, urwasaya rugomba gufungwa, ariko wibuke kudakoresha imbaraga nyinshi kubera gutinya ko insinga yo gukurura irambura, bigatuma insinga yo gukurura irambuka kandi ikagira ingaruka ku gufungura no gufunga urwasaya. 2. Mu gushyiramo umuyoboro, jya mu cyerekezo cy'umwobo wa forceps kandi ntugakore ku mwobo. Niba uhuye n'ubudahangarwa bw'inguni winjira, ugomba kurekura akabuto k'inguni hanyuma ugerageze kwinjira mu buryo bugororotse. Niba udashobora kurenga, kuraho endoscope mu mubiri kugira ngo ikoreshwe, cyangwa uyisimbuze izindi forceps za biopsy nk'imashini nto. 3. Mu gukuramo forceps za biopsy, irinde gukoresha imbaraga nyinshi. Umufasha agomba kuyifata n'amaboko yombi hanyuma akayipfuka. Ntukarambure amaboko yawe cyane. 4. Mu gihe urwasaya rudashobora gufungwa, ntukarukure ku ngufu. Muri iki gihe, rugomba gusunikwa mu mubiri hamwe na endoscope kugira ngo ikomeze gutunganywa.
II. Incamake y'uburyo bumwe na bumwe bwo gukora biopsy
1. Gufungura no gufunga forceps za biopsy byombi ni imirimo ya tekiniki. Gufungura bisaba icyerekezo, cyane cyane inguni y'igifu, igomba kuba igororotse aho biopsy yakorewe. Gufunga bisaba igihe. Uburyo bwo kugenda mu gifu n'uburyo umuganga ubaga bihagaze neza kandi ntibishobora gukosorwa buri gihe. Umufasha agomba gukoresha amahirwe yo gufata forceps za biopsy neza kandi mu mutekano.
2. Icyitegererezo cya biopsy kigomba kuba kinini bihagije kandi gifite uburebure buhagije kugira ngo kigere ku gice cy'imitsi.
3. Tekereza ku ngaruka zo kuva amaraso nyuma yo gupimwa ku biopsies zikurikira. Iyo inguni y'igifu n'umugongo bigomba gupimwa icyarimwe, inguni y'igifu igomba kubanza gupimwa hanyuma hagakurikiraho umugongo; iyo agace k'igisebe ari kanini kandi ibice byinshi by'umubiri bigomba gufungwa, igice cya mbere kigomba kuba gisobanutse neza, kandi ni ngombwa no gusuzuma niba kuva amaraso nyuma yo gufungwa bizatwikira ingingo zikikije kandi bigira ingaruka ku buryo bwo kureba, bitabaye ibyo gufungwa nyuma bizaba bitagaragara kandi bidakora.
Uburyo busanzwe bwo gusuzuma ibisebe ku nguni y'igifu, hazirikanwa ingaruka z'amaraso atembera ku biopsies bikurikiraho.
4. Gerageza gukora biopsy yo gupima umuvuduko uhagaze ku gace kagenewe, kandi ukoreshe uburyo bwo gukurura mu gihe bibaye ngombwa. Gukurura mu mubiri bigabanya umuvuduko w'ubuso bw'umuyoboro w'amaraso, bigatuma ingingo zihambirwa cyane kandi zidakunda kunyerera.
Isuzuma rya biopsy rigomba gukorwa mu buryo buhagaze uko bishoboka kose, kandi uburebure bw'insinga za biopsy ntibugomba kurenza 2CM.
5. Witondere guhitamo aho bafatira ingero z'ubwoko butandukanye bw'ibisebe; guhitamo aho bafatira ingero z'ibisebe bifitanye isano n'igipimo cyiza. Umuganga w'inzobere mu kubaga afite ijisho rityaye kandi agomba no kwita ku buhanga bwo guhitamo ibikoresho.
Ahantu ho gupimwa indwara z'umubiri Ahantu ho gupimwa indwara z'umubiri
6. Ibice bigoye gupimwa birimo fundus y'igifu hafi ya cardia, igifu kidakora neza hafi y'urukuta rw'inyuma, n'imfuruka yo hejuru ya duodenum. Umufasha agomba kwibanda ku gukorana. Niba ashaka kugera ku musaruro mwiza, agomba kwiga gutegura mbere y'igihe no guhindura icyerekezo cy'aho clamp flap iherereye igihe icyo ari cyo cyose. Muri icyo gihe, agomba guhita asuzuma igihe cyo gufunga akoresheje amahirwe yose. Rimwe na rimwe iyo ategereje amabwiriza y'umuganga ubaga, gutinda kw'isegonda rimwe bishobora gutuma amahirwe abura. Nshobora gutegereza nihanganye amahirwe akurikira.
Imyambi igaragaza ahantu bigoye kubona ibikoresho cyangwa guhagarika kuva amaraso.
7. Guhitamo uburyo bwo gupima ibyuma bikoreshwa mu gupima: Uburyo bwo gupima ibyuma bikoreshwa mu gupima ibyuma birimo ibyuma bifite imyenge minini n'ibiri mu bikombe birebire, bimwe bifite inshinge zo gushyiramo inshinge, ibindi bifite imyenge yo ku ruhande n'ibice bito.
8. Gupima hamwe no gusiga irangi ry'ikoranabuhanga kugira ngo biyobore uburyo bwo gusuzuma ibiyobyabwenge ni byiza cyane, cyane cyane mu gupima umwobo w'umuhogo.
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, Catheter yo gusohora amazi mu mazuru n'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!
Igihe cyo kohereza: Mutarama-23-2025