Uburyo bwo gukuraho amabuye yo mu miyoboro y'inyo isanzwe ukoresheje ERCP
ERCP yo gukuraho amabuye y’imiyoboro y’inkondo y’umura ni uburyo bw’ingenzi mu kuvura amabuye y’imiyoboro y’inkondo y’umura, hamwe n’inyungu zo gukira vuba kandi zidatera kwangirika cyane. ERCP yo gukuraho amabuye y’imiyoboro y’inkondo y’umura ni ugukoresha endoskopi kugira ngo hemezwe aho amabuye y’imiyoboro y’inkondo y’umura aherereye, ingano n’umubare w’amabuye y’imiyoboro y’inkondo y’umura binyuze muri intracholangiography, hanyuma ukavaneho amabuye y’imiyoboro y’inkondo y’umura mu gice cyo hasi cy’imiyoboro y’inkondo y’umura binyuze mu gikapu cyihariye cyo gukuramo amabuye. Uburyo bwihariye ni ubu bukurikira:
1. Gukuraho hakoreshejwe lithotripsy: umuyoboro w'inyongo usanzwe ufunguka muri duodenum, kandi hari sphincter ya Oddi mu gice cyo hasi cy'umuyoboro w'inyongo usanzwe ku mucyo w'umuyoboro w'inyongo usanzwe. Niba ibuye ari rinini, sphincter ya Oddi igomba gucibwamo igice kugira ngo wongere umwobo w'inyongo usanzwe, ibyo bikaba byorohereza gukuraho amabuye. Iyo amabuye ari manini cyane ku buryo adashobora gukurwaho, amabuye manini ashobora gucibwamo amabuye mato binyuze mu gusya amabuye, ibyo bikaba byoroshye kuyakuraho;
2. Gukuraho amabuye binyuze mu kubaga: Uretse kuvura indwara ya choledocholithiasis hakoreshejwe endoscope, holedocholithotomy isanzwe ishobora gukorwa kugira ngo amabuye akurweho binyuze mu kubaga.
Byombi bishobora gukoreshwa mu kuvura amabuye y’imiyoboro y’amaraso isanzwe, kandi hagomba gutoranywa uburyo butandukanye bitewe n’imyaka y’umurwayi, urwego rw’imiyoboro y’amaraso igenda yaguka, ingano n’umubare w’amabuye, ndetse niba aho igice cyo hasi cy’imiyoboro y’amaraso isanzwe kidakingiye hatabayeho kubangamira.
Ibikoresho byacu bikoreshwa mu gukuraho amabuye y'imiyoboro y'amaraso isanzwe hamwe na ERCP.
Insinga zo mu rwego rwa ZhuoRuiHua Medical zikoreshwa rimwe gusa, zagenewe gukoreshwa mu gihe cyo gukoresha imiyoboro y'amaraso n'imiyoboro ya pancreati mu gushyiramo catheter no kuyihinduranya, no kongera umusaruro wa ERCP. Insinga ziyobora zigizwe n'inkingi ya Nitinol, umutwe wa radiopaque woroshye cyane (ugororotse cyangwa ufite imiterere) n'igitambaro cy'umuhondo / umukara gifite imiterere miremire cyane. Ku rundi ruhande, izi nsinga zifite igitambaro gitwikira amazi. Kugira ngo zirinde kandi zikore neza, insinga ziba mu gikoresho cya pulasitiki gifite ishusho y'uruziga. Izi nsinga ziyobora ziboneka mu gipimo cya 0.025" na 0.035" hamwe n'uburebure bwa cm 260 na cm 450. Umutwe w'insinga zo mu rwego rwa Guide ufite uburyohe bwiza bwo gufasha mu gupima stricture kandi umutwe w'insinga zo mu rwego rwa Guide utuma imiyoboro y'amaraso irushaho kugenda neza.
Igikapu cyo gukuramo amazi gikoreshwa na ZhuoRuiHua Medical gifite imiterere myiza kandi ikora neza, kugira ngo cyoroshye kandi gikureho amabuye y'inkari n'ibindi bimera. Imiterere y'igikoresho cyo gukuramo amazi ifasha mu gukuramo no gukuramo amazi hakoreshejwe ukuboko kumwe mu buryo bwizewe kandi bworoshye. Ibikoresho bikozwe mu cyuma kitagira umugese cyangwa Nitinol, buri kimwe gifite umutwe utagira ihungabana. Inzira yoroshye yo guteramo amazi ituma umuntu ashobora kuyitera mu buryo bworoshye kandi bworoshye. Igishushanyo mbonera gisanzwe gifite insinga enye harimo diyama, oval, imiterere y'uruziga kugira ngo haboneke amabuye menshi atandukanye. Ukoresheje igikapu cyo gukuramo amabuye cya ZhuoRuiHua, ushobora guhangana n'ikibazo icyo ari cyo cyose mu gihe cyo gukuramo amabuye.
Katheteri zo mu mazuru zo mu mazuru zo mu bwoko bwa ZhuoRuiHua Medical Biliary Drainage Catheteri zikoreshwa mu kugabanya by'agateganyo imiyoboro y'inkari n'iya pancreas. Zitanga uburyo bwo gusohora amazi neza bityo zikagabanya ibyago byo kurwara cholangitis. Katheteri zo mu mazuru zo mu bwoko bwa biliary drainage ziboneka mu buryo bubiri bw'ibanze mu ngano 5 Fr, 6 Fr, 7 Fr na 8 Fr buri imwe: umurizo w'ingurube n'umurizo w'ingurube bifite ishusho ya alpha curve. Itsinda rigizwe na: probe, umuyoboro w'izuru, umuyoboro w'amazi uhuza n'umuyoboro w'amazi n'icyuma gihuza na Luer Lock. Catheteri yo mu mazuru ikozwe mu cyuma cya radiopaque n'ibikoresho byiza by'amazi, bigaragara neza kandi bishyirwa ahantu hamwe.
Igihe cyo kohereza: Gicurasi-13-2022