Amabuye mato ya ateteral arashobora gufatwa nabi cyangwa kwikuramo imisumari ya lithotriety, ariko amabuye manini ya diamester, cyane cyane amabuye abuza gutabara hakiri kare.
Bitewe na ahantu hihariye harerera amabuye yo hejuru, ntibashobora kuboneka hamwe na urengeroscope, kandi amabuye arashobora kuzamuka byoroshye muri pelvis yimpyisi mugihe cya Ltotrips. Percutaneous NephrollitHomy yongera ibyago byo kuva amaraso mugihe ashyiraho umuyoboro.
Kuzamuka kwa Ureteroscopy byakemuye neza ibibazo byavuzwe haruguru. Yinjira muri UTeter na renal pelvis binyuze mubisanzwe byumubiri wumuntu. Nibyiza, bifite akamaro, bitera byinshi, bifite amaraso make, ububabare buke kubarwayi, hamwe nigipimo kinini cyamabuye. Ubu yahindutse uburyo busanzwe bwo kubaga bwo gufata amabuye yo hejuru.
Kugaragara kwaUreteral Kubona Sheathyagabanije cyane ingorane za ureteroscopic lithotripy. Ariko, hamwe no kwiyongera kumubare wimanza zo kuvura, ingorane zayo zagiye zitaho buhoro buhoro. Ingorabahizi nka Ureteration ya Ureterali na Ureteral basanzwe. Ibikurikira ni ibintu bitatu byingenzi biganisha ku bazira utteral no kumugabanya.
1.. Inzira, Diameter ya diameter, impimuro yamabuye
Abarwayi bafite igihe kirekire cyindwara bakunda kugira amabuye manini, kandi amabuye manini aguma muri ureter igihe kinini kugirango akurikire. Amabuye abigenewe abuza Mucosa ya Utteral, bitanga umusaruro w'amaraso adahagije, Ischemia idahagije, yaka kandi ifitanye isano rya bugufi no gushiraho ureteral.
2. Gukomeretsa ku Burerera
UretterorobleCope yoroshye yoroshye kunama, kandi umutsima wa Urete ukeneye kwinjizwa mbere yuko Lithotripsy. Kwinjiza umuyoboro wa channel ntabwo bikorwa mubyerekezo bitaziguye, bityo ntibishoboka ko Mucosa ya Ureral izangirika cyangwa igaboganwa kubera kunyeganyega kwa uretter cyangwa lumer ifunganye mugihe cyinjije umushinga.
Mubyongeyeho, kugirango ushyigikire ureter kandi umane amazi ya parefusi kugirango ugabanye igitutu kuri felvis renal, umuyoboro unyuze muri f12 / 14 mubisanzwe byatoranijwe, bishobora gutuma umuyoboro ugereranya mu buryo butaziguye urukuta rwa ureste. Niba tekinike yo kubaga idakuze kandi itangira igihe kirekire, igihe cyo guturika k'umuyoboro uzura ku rukuta runaka, ruziyongera ku rukuta runaka, kandi ibyago byo kwangiza urukuta rwa uveteral ruzaba rwinshi.
3. Holmium yangiritse
Ibice bya Holly ya Hollymium bishingiye cyane ku ngaruka zayo zamatora, bigatera ibuye bakuramo imbaraga za laser no kongera ubushyuhe bwaho kugirango bagere ku ntego yo guhagarika amabuye. Nubwo imirambo yubushyuhe mugihe cya kaburimbo ya gravel ni mm 0.5-1.0 gusa, ingaruka zivuguruza zatewe no guhomba guhoraho biratoroshye.
Ingingo z'ingenzi zo gushiramoUreteral Kubona Sheathni izi zikurikira:
1. Hariho imyumvire igaragara yo guterana mugihe yinjije muri ureter, kandi irumva koroshya iyo izamutse muri ureter. Niba kwinjiza bigoye, urashobora kuzunguruka insinga inyuma no kureba niba kwitegereza niba byiza ko umuyoboro uyobora ugenda utera imbere, nkaho hari aho urwanya, icyerekezo cyo gushiramo kigomba guhinduka;
Umuyoboro washyizwe neza washyizwe ahagaragara kandi ntuzinjira kandi hanze. Niba umuyoboro ururamye biragaragara ko, bivuze ko ihujwe nuruhago kandi insinga ziyobora zarangije ureter kandi zigomba kongera gushyirwaho;
3. Umuyoboro wa ureetel ufite ibisobanuro bitandukanye. Abarwayi b'abagabo muri rusange bakoresha moderi 45 z'uburebure, n'abarwayi b'abagore cyangwa bagufi b'abagabo bakoresha icyitegererezo cya CM kirekire. Niba umuyoboro ushyizwemo, birashobora kunyura mu gufungura ureete cyangwa ntushobora kuzamuka kurwego rwo hejuru. Umwanya, abarwayi b'abagabo nabo barashobora gukoresha cm 35 kumenyekanisha urushyi, cyangwa bahindukire kuri 14f cyangwa hamwe no kwaguka gushimisha guhindagura utteroskopi yo gukumira kutazamuka kuri pelvis.
Ntugashyire umuyoboro ushiramo intambwe imwe. Kureka cm 10 hanze ya orifice yo gukumira ibyangiritse kuri Mucosa ya Ucosa cyangwa Renalma kuri UPJ. Nyuma yo kwinjiza urugero rwiza, umuyoboro wuzuye urunwa rushobora kongera guhinduka muburyo butaziguye.
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, Amashanyarazi ya Izurunibindi bikoreshwa cyane muriEmr, Esd, Ercp. KandiUrologiya, nkaNitinal ibuye, Ihuriro rya Biopsy, naUreteral Kubona SheathnaUrologyyobora. 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 cyohereza: Sep-11-2024