Umukino w'Ubuhanga mu Gupima Indwara mu Guca Umutego: Ibintu Bibiri Bigaragaza Intsinzi mu Guca Umutego

Mu buryo bwo gukata endoscopic, dukunze kwishingikiriza ku bikoresho bigezweho, ariko akenshi tukirengagiza ibintu by'ingenzi mu buryo bwo gukora. Kuki nubwo igisebe gisa n'aho cyafashwe neza, kigenda kibura iyo dufashe umutego? Uyu munsi, tuvana ibitekerezo mu gitaboUburyo bwa Oho: Uburyo bw'ibanze mu gupima igogora ry'igogora, reka turebe amakuru arambuye mu gukoresha imitego mu buryo butaziguye, amaherezo akagaragaza intsinzi cyangwa gutsindwa.

Abahanga mu by’imitsi bashobora kuba bose barahuye n’ibi bihe byo 'kwiyongera k’umuvuduko w’amaraso': Ukora witonze ukoresheje umugozi hejuru y’igisebe, ugashyiraho neza uburyo bwo gufungana kw’amaraso, hanyuma ugakandagira ku gitereko—maze ukumva 'gukubita', maze igisebe kikavamo, cyangwa se ikibiruta, kikavamo ibice.

Muri ibi bihe, abantu benshi babanza kwitwaza ko ari bo bateza ibyago cyangwa ibikoresho bibi. Ariko, mu maso y'impuguke z'inararibonye zasuzumye uburyo bwinshi bwo gukora, ibi akenshi biba ari ikibazo cy'amahirwe. Akenshi ni igisasu gitezwe n'imyitwarire mibi mu mikorere.

Uyu munsi, dushingiye ku filozofiya ya tekiniki y’umuhanga mu by’ubuvuzi bw’indwara z’umubiri w’Umuyapani witwa Dr. Ken Oho, reka twirebere ku bintu bibiri bitagaragara mu gukata ibyuma, ibyo bikaba byoroshye kwirengagizwa n’abashya ndetse n’abahoze ari abasirikare—icyerekezon'hagati.

Iyo bakoresha umutego, abashya benshi bakunda kwihutira gufata ikibyimba bakimara kubona igikoresho. Nubwo ingendo zabo zihuta, akenshi ziba zirimo akajagari kandi zidakora neza.

Muri "Uburyo bwa Oho," gukosora umutego bikurikiza urukurikirane rukomeye rw'imitekerereze, muri rusange bigabanyijemo intambwe enye:

Iyi gahunda ishobora kumvikana nk'iyoroshye, ariko buri ntambwe isaba urwego rwo hejuru rwo guhuza ikiganza n'amaso.

Kuki agace k'umunwa ari ingenzi cyane? Kubera ko mu rumuri rworoshye kandi rukora neza rw'amara, agace k'umunwa kakora nk'"agakoresho kacu gakomeye".

Abaganga benshi bamenyereye gukoresha igice gito cy'amara cyangwa uruhande ruteganye n'aho afatanye na mesenteric nk'igice cy'ingenzi, ariko ibi akenshi bituma umuntu anyerera.

Ibanga rya "Oho Method" riri muri ibi:gukoresha umutwe w'umutego ubwawo nk'icyitegererezo.

Hari uburyo bubiri bwihariye bwo kubigeraho. Buri wese ashobora kureba neza Ishusho ya 1 (Gukemura Umutego), nakuye muri iki gitabo:

Kuki? Hari ikintu kidasanzwe cyane kirimo gukorwa hano.

Iyo dufashe umutego, uhita usubira inyuma ukajya mu gikonoshwa cyo hanze. Muri iki gikorwa, igice cyo hasi cy'umutego (impera ifatanye n'igikonoshwa) gikoresha imbaraga zo gusunika inyuma. Ibi bitanga ingaruka zikomeye: igisebe gikunze gukururwa cyane kijya hagati y'umutego aho kugana ku rufatiro rwawo.

Niba utarahindura neza aho wahagaze mbere yo gufunga, igice cy'igisebe gishobora kuba kiri mu mutego mu gihe ikindi gisigaye gisigaye hanze. Iyo umaze gukoresha amashanyarazi, igice cyagaragaye ntikizakurwamo, bigatuma "hakorwa reseption piecemeal".

None se, igisubizo ni ikihe?

Mu gihe cyo gukaza umutego, ugomba gutera imbere igice cyo hanze buhoro buhoro. Intego yo gusunika igice cyo hanze mu gihe ugikaza ni ukugira ngo igisebe kigume hagati mu mutego (nk'uko bigaragara ku Ishusho ya 2).

Ntugasuzugure iki gikorwa cyoroshye cyo 'gusunika gato mbere yo gukaza'—bigufasha kubona neza igisebe kiri mu gipfundikizo, aho kwishingikiriza gusa ku 'kumva'.

Dr. Ohba yavuze muri make ishingiro ry'ingenzi ryo gukoresha imitego.

Iyo umutwe w'umutego udakandagijwe bihagije ku ngingo, umutwe uzagenda uko ukomeje umutego, bigatuma igisebe kigwa. Ku rundi ruhande, iyo umutwe ukandagijwe cyane, igice cy'umugongo kizava ku mutwe kijya ku gice cyo hanze cy'umugongo. Kubwibyo, ni ngombwa ko“Inkokora y’umutego ubwayo iba iherezo.”

Iyi mvugo irashishikaje cyane abahanga mu by’ubuvuzi bw’indwara z’imitsi. Icyo twita "amahirwe mabi" mu by’ukuri ni ukwirengagiza gusa uburyo bwacu bwo gukora ibintu.

Usomye ibi, ufite "aha moment"? Byaragaragaye ko utuntu duto dukunze kwirengagiza mu gihe cy'ibikorwa twamaze gusobanurwa neza n'abatubanjirije.

Gukoresha neza igikoresho cy'ingenzi n'icyitegererezo ni ishingiro. Ariko umuhanga mu by'ubuhanga akeneye igikoresho cyizewe. Igikoresho cyiza cyaneumutego wo kubaga polypectomyigomba gutanga:

Muri ZRHmed, dukora imitego yo gupima ibice bikoreshwa mu gupima ibice ikoreshwa mu buryo bwa polypectomy ikoreshwa mu gihe runaka, twatekereje kuri ibi bintu by’ubuvuzi. Imitego yacu iboneka mu buryo bw’ibara ry’umurambararo, uburebure bwa hexagonal, n’uburebure bwa crescent, ifite uburyo bwo kuzunguruka n’ubwo kuzunguruka, ikoreshwa mu buryo bukonje n’ubushyuhe, kandi uburebure bw’imikorere buri hagati ya mm 1200 na mm 2300. Ibicuruzwa byose bifite icyemezo cya MDR CE kandi bikorerwa hakurikijwe ISO 13485.