ESDibikorwa birabujijwe cyane gukorwa ku buryo butunguranye cyangwa butunguranye.
Uburyo butandukanye bukoreshwa ku bice bitandukanye. Ibice by'ingenzi ni umwobo, igifu, n'umura w'igifu. Igifu kigabanyijemo ibice bibiri: agace ka antrum, agace ka prepyloric, inguni y'igifu, fundus y'igifu, n'igorofa ry'umubiri w'igifu. Umura w'igifu ugabanyijemo amara n'umura w'igifu. Muri byo harimo:ESD y'ibisebe byo kuzenguruka kw'umutwe w'imbereni igice cyo mu cyiciro cy’ibanze, mu gihe ESD y’inguni y’igifu, indwara z’umutima, n’ibisebe byo mu mara iburyo bigoranye cyane.
Ihame rusange ni ukureba imbaraga nke z'igifu hanyuma ugatangirira ku gice kigoye hanyuma igice cyoroshye. Tangira gukata no gukuramo uhereye ku mwanya muto w'igifu. Mu gihe cyo gukuramo, gukuramo bigomba no gutangirira ku gice kigoye cyane. ESD yo mu nda ishobora gukorwa hakoreshejwe uburyo bwo gusunika. Icyerekezo cyo gukata no gukuramo ibisebe byo mu nda bigomba gutegurwa mbere y'igihe. Ibisebe mu nguni y'igifu, imiterere mike y'umubiri w'igifu, n'agace ka prepyloric bishobora kugaragara hakoreshejwe gukurura. Ikoranabuhanga rya tunnel n'uburyo bwo gufunga byombi ni bimwe mu bigize ingamba za ESD. Ikoranabuhanga rikomoka kuri ESD ririmo ESTD, EFTR, ESE, POEM, nibindi. Iri koranabuhanga naryo ni ikoranabuhanga rigaragara mu buryo busanzwe nyuma y'uko ubuhanga bwa ESD bumenyerewe. Rero ESD niyo shingiro.
2. Ibisobanuro birambuye ku mikorere ya ESD
ESDIbisobanuro birambuye ku mikorere ni ibisobanuro birambuye hakurikijwe ingamba nini.
Ibisobanuro birambuye ku mikorere
Ibisobanuro birambuye ku gikorwa birimo gushyira ikimenyetso, gutera, gukurura, nibindi.
Hari amayeri abiri: rimwe ni ugutora icyuma ukoresheje amaso yawe (koresha uburyo bwo gutora icyuma ukoresheje icyuma kitagaragara), irindi ni ugutunganya imipaka n'ibigo bito bito.
Gushyiraho ibirango no gutera inshinge
Gupima amashanyarazi hakoreshejwe amashanyarazi (Electrocoagulation). Muri rusange, umupaka w'igisebe (mm 2-5 hanze) ni wo ukoreshwa nk'ikimenyetso. Gupima bishobora gukorwa ingingo ku yindi cyangwa kuva ku nini kugeza ku nto. Amaherezo, hagati y'ingingo ebyiri zigaragaza bigomba kuba muri mm 5, kandi bigomba kugaragara iyo endoscope iri hafi y'aho umuntu abona.
Ku ngingo ikurikiraho. Gutera urushinge bishingiye ku byo umuntu akunda. Nyuma yo gutera urushinge mu gice cy’umuyoboro w’amaraso, urushinge rugomba gukurwaho gato hanyuma rukongera guterwa kugira ngo igisebe kizamuke kugeza ku burebure buhagije kugira ngo gitereke kandi gikureho.
Gukata
Gukata ibice bimwe na bimwe bicibwa kuva kure kugeza hafi cyangwa kuva hafi kugeza kure (gukata), hakurikijwe ingeso z'umuntu ku giti cye n'ibice byihariye, ni ngombwa kandi kubanza gukata kuva hasi cyane. Gukata birimo gukata mbere y'uko bijya hasi no gukata mbere y'uko bijya hasi. Gukata mbere y'uko bijya bigomba kuba "by'ukuri" kandi "bihagije". Ubujyakuzimu bw'ikata bugomba kuba buhagije mbere y'uko igikorwa cyo gukuraho gikurikiraho gitangira. Urugero nko gufata icyuma no gushyiraho idirishya ry'umumarayika. Umaze kwinjira mu idirishya ry'umumarayika,
ESD bivuze kugera ku buryo bwiza. Ariko mu by'ukuri, si buri ESD ishobora kwinjira mu Idirishya rya Malayika. Ibisebe byinshi byo mu gace gato n'ibisebe byihariye ESD ntabwo ishobora kwinjira mu Idirishya rya Malayika. Muri iki gihe, ahanini biterwa n'uburyo icyuma gikozwe neza.
Kuramo: Banza ukureho igice kigoye gufata. Mu gukuraho igice cyo munsi y'umuyoboro, bigomba gukorwa uhereye ku mpande zombi ugana hagati, bigakorwamo "urufunguzo" rumeze nka V. Ubujyakuzimu bw'igice cyo ku ruhande bugomba kuba buhagije, bitabaye ibyo biroroshye gukuraho inyuma y'umupaka. Uko igice gisigaye kiba gito, niko uburebure bw'umuyoboro buba bwinshi. Ni ngombwa kugenzura icyuma kugira ngo uce igice mu buryo butaziguye, cyane cyane igice cya nyuma. Iyo uburyo bwo kugenzura butari bwiza, biroroshye gukata byinshi cyangwa bike cyane.
Uburyo bwo gufata indorerwamo
Hari uburyo bubiri bwo gufata scope ya ESD, byombi bigenzura umubiri wa scope, utubuto, n'ibikoresho byinjira n'ibisohoka. Hari uburyo bubiri: "icyerekezo cy'ibumoso + ibikoresho" na "amaboko abiri kugeza ku maboko ane". Ihame ry'ingenzi ryo gufata scope ni ugukomeza urubuga rw'imikorere ruhamye kandi rugenzurwa. Kuri ubu, uburyo bwo gukoresha amaboko abiri kugeza ku maboko ane bufite ubushobozi bwo kugenzura scope neza kandi bukoreshwa cyane. Iyo scope ihamye ni bwo gusa imikorere y'uturemangingo duto + uduce duto ishobora gukorwa neza.
Uburyo bwo gufata indorerwamo ni bwo bwonyine bushobora kugenzurwa neza. Uburyo bwo gutora icyuma bushobora kugenzura neza icyerekezo, intego ni ukurinda urwego rw'imitsi no gukata ingingo. Mu gihe ukora ikintuESDGukata igice cy'umura, ni ngombwa gukata hafi y'urwego rw'imitsi, uburebure bw'ingingo zitose burahagije, kandi biroroshye guhagarika kuva amaraso. Ikintu cy'ingenzi ni ukumenya neza ko incision idatose cyane cyangwa ngo inyuremo, kandi ubuhanga bwo gutoragura icyuma ni bwo buhanga bw'ingenzi muri iki gihe.
Kugenzura uburyo bwo kureba
Igenzura ry’icyerekezo rigaragarira no mu buryo urwego rw’ishusho rugaragaramo no kugenzura aho imiterere y’ishusho iherereye. Uretse kuzunguruka agapfundo n’umubiri w’ikirahuri, imipfundikizo ibonerana n’ibindi bikoresho bikoreshwa mu kugaragaza aho imiterere y’ishusho iherereye cyangwa ingingo y’ishusho iherereye, cyane cyane imbaraga nto zikoreshwa mu kugaragaza no kuzamura ingingo nto, ari na ko imiterere y’ingingo ntoya cyane ihinduka.
Genzura intera iri hagati y’aho umuntu abona. Iyo aho umuntu abona hashyizwe intera ikwiye niho honyine hashobora gukoreshwa no kugenzurwa. Iyo ari kure cyane cyangwa hafi cyane, bizagorana kugenzura icyuma neza. Ingendo zito zishobora gusa nkaho nta ntambwe zigenda, ariko ingingo ifite imbaraga zo guhindura imiterere yayo. Niyo mpamvu ESD igomba gukoresha intera ikwiye n’impinduka ikwiye.
Ibisobanuro byavuzwe haruguru, gufata lens, no kugenzura aho umuntu areba ni byo by'ingenzi biri muriESD"Kugenzura lensi".
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ni uruganda rukora ibikoresho byo mu Bushinwa byihariye mu gukoresha ibikoresho byo mu nda, nkaingufu za biopsys, 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 mazuru,agakingirizo k'umuyoboro w'inkarinaagakoresho ko kwinjira mu muyoboro w'inkari gafite uburyo bwo gukururan'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: Nyakanga-14-2025