Amabuye mato yo mu muyoboro w'inkari ashobora kuvurwa mu buryo burambye cyangwa busanzwe buterwa n'ingufu zikomoka ku miyoboro y'inkari, ariko amabuye manini, cyane cyane ayo mu miyoboro, akeneye kubagwa hakiri kare.
Bitewe n'aho amabuye yo hejuru y'umura aherereye, ashobora kutaboneka hakoreshejwe ureteroscope ikomeye, kandi amabuye ashobora kuzamuka mu kibuno cy'impyiko byoroshye mu gihe cyo gupima. Indwara yo mu ruhu yongera ibyago byo kuva amaraso mu mpyiko mu gihe cyo gushyiraho umuyoboro.
Kwiyongera kwa "flexible ureteroscopy" byakemuye neza ibibazo byavuzwe haruguru. Byinjira mu muyoboro w'inkari n'impyiko binyuze mu mwobo usanzwe w'umubiri w'umuntu. Ni byiza, bifite akamaro, ntibitera indwara nyinshi, biva amaraso make, ububabare buke ku murwayi, kandi nta mabuye menshi akoreshwa. Ubu bwabaye uburyo bukoreshwa cyane mu kubaga mu kuvura amabuye yo hejuru y'inkari.
Kugaragara kwaagakingirizo k'umuyoboro w'inkaribyagabanyije cyane ingorane zo kwangirika kw'imitsi yo mu muyoboro w'amaraso. Ariko, uko umubare w'abantu bavurwa wiyongera, ingorane zayo zagiye zikurura abantu buhoro buhoro. Ingorane nko gutobora imitsi yo mu muyoboro w'amaraso no gutobora imitsi yo mu muyoboro w'amaraso ni ibintu bisanzwe. Ibi bikurikira ni ibintu bitatu by'ingenzi bituma imitsi yo mu muyoboro w'amaraso itobora imitsi yo mu muyoboro w'amaraso itobora imitsi yo mu muyoboro w'amaraso.
1. Indwara, umurambararo w'ibuye, ingaruka z'ibuye
Abarwayi bafite indwara igihe kirekire bakunda kugira amabuye manini, kandi amabuye manini aguma mu muyoboro w'inkari igihe kirekire kugira ngo afungwe. Amabuye ari aho yakubiswe agabanya uturemangingo tw'inkari, bigatuma amaraso adakwirakwira neza, amaraso agabanuka mu muyoboro w'inkari, kubyimba no kurema inkovu, ibyo bikaba bifitanye isano rya hafi no kurema uturemangingo tw'inkari.
2. Gukomereka mu mura
Ureteroscope yoroshye gupfundika, kandi hagomba gushyirwaho agakoresho ko kwinjira mu muyoboro w'inkari mbere yo gukoresha lithotripsy. Gushyiramo agakoresho ko mu muyoboro w'inkari ntibikorwa mu buryo bwo kureba neza, bityo ni ngombwa ko uturemangingo tw'inkari twangirika cyangwa tugatobora bitewe no kunama k'agakoresho ko mu muyoboro w'inkari cyangwa urumuri ruto mu gihe cyo gushyiramo agakoresho.
Byongeye kandi, kugira ngo bashyigikire ureter no gusohora amazi mu muyoboro w'amaraso kugira ngo bagabanye umuvuduko ku mpyiko, ubusanzwe hatoranywa shelegi inyura kuri F12/14, ishobora gutuma shelegi ikanda urukuta rw'inkari. Iyo uburyo bwa muganga butaragera igihe kandi igihe cyo kubagwa kigakomeza, igihe cyo gukanda cy'urukuta rw'inkari kiziyongera ku rugero runaka, kandi ibyago byo kwangirika k'urukuta rw'inkari bizaba byinshi.
3. Kwangirika kwa laser ya Holmium
Gucikamo ibice kw'ibuye rya laser ya holmium ahanini bishingiye ku ngaruka zayo ku bushyuhe bw'izuba, bituma ibuye rifata ingufu za laser mu buryo butaziguye rikongera ubushyuhe bwo mu gace kugira ngo rigere ku ntego yo gucikamo ibice by'ibuye. Nubwo ubujyakuzimu bw'imirasire y'ubushyuhe mu gihe cyo gusya amabuye ari 0.5-1.0 mm gusa, ingaruka zihurirana ziterwa no gusya amabuye mu buryo buhoraho ntizigereranywa.
Ingingo z'ingenzi zo gushyiramoagakingirizo k'umuyoboro w'inkarini ibi bikurikira:
1. Hari uburyo bworoshye bwo gushyiramo umuyoboro w'inkari (ureter) iyo urimo kwinjira, kandi wumva umeze neza iyo urimo kuzamuka. Iyo urimo kwinjira bigoye, ushobora kuzunguza insinga y'inyobora kugira ngo urebe niba insinga y'inyobora yinjira kandi isohoka neza, kugira ngo umenye niba umuyoboro w'insinga uri kugenda werekeza ku nsinga y'inyobora, nko kuba hari uburyo bugaragara bwo guhangana n'insinga, icyerekezo cyo gufunga kigomba guhindurwa;
Agashishwa k'umuyoboro gashyizwemo neza kaba gahagaze neza kandi ntikajyamo cyangwa ngo gasohoke uko umuntu abyifuza. Iyo agashishwa k'umuyoboro gasohotse neza, bivuze ko gapfundikiye mu ruhago kandi insinga y'ubuyobozi yavuye mu muyoboro w'inkari bityo ikaba igomba kongera gusimburwa;
3. Ibikoresho byo mu muyoboro w'inkari bifite ibisobanuro bitandukanye. Abarwayi b'abagabo muri rusange bakoresha icyitegererezo cya cm 45 z'uburebure, naho abarwayi b'igitsina gore cyangwa abagufi bakoresha icyitegererezo cya cm 35 z'uburebure. Iyo icyitegererezo cy'inkari gishyizwemo, gishobora kunyura mu mwenge w'inkari gusa cyangwa ntikishobora kuzamuka ku rwego rwo hejuru. Aho giherereye, abarwayi b'abagabo bashobora kandi gukoresha icyitegererezo cya cm 35, cyangwa bagahindura icyitegererezo cya 14F cyangwa cyaba gito cyane kugira ngo hirindwe ko icyitegererezo cyoroshye kidashobora kuzamuka kikagera mu kibuno cy'impyiko;
Ntugashyiremo agace k'umuyoboro mu ntambwe imwe. Siga cm 10 hanze y'umwobo w'inkari kugira ngo wirinde kwangirika kw'umuyoboro w'inkari cyangwa parenchyma y'impyiko kuri UPJ. Nyuma yo gushyiramo agace k'umuyoboro gashobora guhindurwa uko icyuma cy'umuyoboro gihagaze urebe neza.
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, katheteri itwara amazi mu mazurun'ibindi bikoreshwa cyane muriEMR, ESD, ERCPKandiUruhererekane rw'indwara z'inkari, nkaImashini ikura amabuye ya Nitinol, Uburyo bwo gusuzuma urological biopsy (Uburyo bwo kuvura urology), naAgakoresho ko kwinjira mu muyoboro w'inkarinaInyoboranyigisho ku mikorere y'inkariIbicuruzwa 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 ubutumwa: 11 Nzeri 2024