Mu gihe Inama Ngarukamwaka ya 32 y’Ishyirahamwe ry’Abaganga b’Inkari (CUA) igiye kubera i Dalian, ndimo gutangira bundi bushya, nongera gusuzuma ubumenyi bwanjye bwa kera ku bijyanye na endoscopy y’inkari. Mu myaka yose namaze nkora endoscopy, sinigeze mbona ishami na rimwe ritanga ubwoko bwinshi bwa endoscopy, harimo optique, electronic, n’ibindi bitandukanye. Byongeye kandi, endoscopy y’inkari iri guhinduka vuba, kandi mu gihugu, ihabwa amazina akomeye nka "cannonscope" na "aircraft carrier scope". Ubunararibonye bwanjye bwa mbere nabukoranye bwari butangaje. Nabanje gukora urutonde rw’isura n’ibirango bya endoscopy zoroshye kandi zikomeye, zikora nk’uburambe bw’ingirakamaro mu kazi kanjye.
Vuba aha, nize endoscopiya y’inkari nta mitekerereze ishingiye kuri zeru. Nzabyandika nkurikije aho indwara iherereye. Mbere yo kwiga, nzabanza gusobanukirwa amakuru y’ibanze.
Amakuru n'umubare w'ababaga bakenewe ku ndwara zimwe na zimwe zo mu miyoboro y'inkari
Ubu urology igabanyijemo ibice bibiri: inzira yo hejuru y'inkari (impyiko n'imiyoboro y'inkari), inzira yo hasi y'inkari (uruhago na prostate), na andrology. Byongeye kandi, hamwe n'abaturage bakuze, indwara z'inkari zitezwe kwiyongera. Inkomoko y'amakuru: Ubushakashatsi bwasohotse muri Scientific Reports bwakozwe n'ikipe y'urology y'ibitaro bya mbere bifitanye isano bya Kaminuza ya Soochow bwakoze isesengura rya mbere ryimbitse ku mutwaro wa BPH ku isi (benign prostatic hyperplasia) kuva mu 1990 kugeza 2021 hashingiwe ku bubiko bwa GBD 2021. Isesengura ryakozwe ku igabanuka ry'imyanya ryemeje ko 61% by'ubwiyongere bw'abarwayi ku isi bwatewe no gusaza kw'abaturage, 29% by'ubwiyongere bw'abaturage, na 10% by'impinduka mu mikorere y'indwara.
Mu mpera za 2024, abaturage b'Ubushinwa bafite imyaka 60 kuzamura bageze kuri miliyoni 310.31 (hafi miliyoni 310), bangana na 22.0% by'abaturage bose; muri bo, abaturage bafite imyaka 65 kuzamura ni miliyoni 220.23 (hafi miliyoni 220), bangana na 15.6% by'abaturage bose.
Kanseri ya porositate (CA): Iza ku mwanya wa mbere mu ndwara za kanseri zo mu nzira y'inkari, aho umubare w'abantu 13.42 ku bantu 100.000 bandura iyi kanseri. Dukurikije umujyi utuwe n'abaturage miliyoni 5, hari abantu 671 bashya bandura buri mwaka. Dukurikije isuzuma rya 2025 ryakozwe mu “Imiterere y'indwara za kanseri ya porositate, Imiterere ya Genome, n'amabwiriza y'ejo hazaza mu Bushinwa,” abarwayi bagera kuri 54% mu gihugu cyanjye baba bafite kanseri za metastases mu gihe cyo kuyisuzuma bwa mbere. Kubwibyo, umubare w'abarwayi bafite ibimenyetso byo kubagwa ni hafi 671 * 0.46 = 308.
Kanseri y'inkari: Igipimo cy'abarwayi ba kanseri ni 9.29 kuri 100.000, aho umubare w'abarwayi bashya buri mwaka ugera kuri 465 mu mujyi utuwe n'abaturage miliyoni 5. Hashingiwe ku makuru ya interineti, dukurikije igipimo cya 75% cya NMIBC (Tis, Ta, T1), umubare w'abarwayi bashya buri mwaka bafite ibimenyetso byo kubagwa ni 348. Kanseri y'impyiko ya Laparoscopic: Igipimo cy'abarwayi ni 7.37 kuri 100.000, naho umubare w'abarwayi bashya buri mwaka ugera kuri 368 mu mujyi utuwe n'abaturage miliyoni 5. Hashingiwe ku miterere y’indwara ya “Ubushakashatsi bw’imyaka icumi ku isano iri hagati y’imigendekere yo kubaga n’imiterere y’indwara zo mu impyiko za kanseri y’impyiko” bwasohotse mu bitaro bya mbere bya Peking University, icyiciro cya pT1 kiri ku kigero cya 79.6%, bigatuma hagaragara ikimenyetso cyo kubaga kingana na 293. Laparoscopic benign prostatic hyperplasia (BPH): Hashingiwe ku makuru yavuzwe haruguru, mu 2024, hazaba hari abantu miliyoni 310.31 mu gihugu cyanjye bafite imyaka 60 kuzamura, bangana na 22.03% by’abaturage, muri bo abagera kuri 48.73% ni abagabo (reka abagabo, ntimuzabaho igihe kirekire nk’abagore). Umubare w’abarwaye BPH mu bafite imyaka 60 kuzamura ni 50%, muri bo 10% bakeneye kubagwa. Umubare w'abantu bakeneye kuvurwa na BPH mu mujyi utuwe n'abaturage miliyoni 5 ni: miliyoni 5 * 22.03% * 48.73% * 50% * 10% ≈ abantu 26.838, ni benshi cyane.
Amabuye yo mu nkari: Nta makuru yemewe ahari. Hashingiwe ku gipimo cya 5% cy’ubwiyongere bw’indwara, 25% bakeneye kubagwa. Mu mujyi utuwe n’abaturage miliyoni 5, indwara n’ubuvuzi bibageraho buri mwaka ni hafi 62.500, bikaba ari byinshi cyane. Birumvikana ko iki ari cyo gihe ntarengwa cyo hejuru. Hakoreshwa uburyo bwo kuvura indwara hanze y’umubiri, uburyo bwo kuvura indwara hakoreshejwe laser ya ureteroscopic, na percutaneous nephrolithotomy hamwe na pneumatic (laser) lithotripsy.
Kuva hejuru kugeza hasi ukurikije aho umubiri uherereye
Nephrolithotomie yo mu ruhu
Uburyo bwo gupima impyiko hakoreshejwe icyuma gipima uruhu (PCNL) ni uburyo bwo gupima uruhu mu buryo budakoresha uburyo bwinshi butuma habaho inzira inyura mu ruhu kugira ngo havurwe amabuye cyangwa ibisebe by'impyiko. Bukoreshwa cyane cyane mu kuvura amabuye manini (> 2 cm) cyangwa akomeye mu mpyiko. Inyungu zabwo z'ingenzi ni ugupima uburwayi buke, gukira vuba, no gukuraho amabuye menshi mu buryo bukabije. Imashini zipima uburebure zigenda zirushaho kuba nto mu murambararo, aho inzira zisanzwe (24-30 Fr), imiyoboro mito (16-22 Fr), n'imiyoboro mito cyane (<16 Fr). Ibikoresho bifite ishusho y'urushinge bifite umurambararo wa mm 1.4 ubu nabyo birahari. Imashini zipima uburebure ni ibikoresho bisanzwe mu bigo bipima impyiko.
Nephroscope ifite aho ireba uburebure bwa 12°, icyuma gifata uruziga, umurambararo w'inyuma wa 8.5 Fr/12 Fr, uburebure bukora neza bwa mm 250, n'umuyoboro ukorera hafi 6 Fr.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ni uruganda rwo mu Bushinwa rwibanda ku bikoresho byo mu nda, birimo umurongo wa GI nka biopsy forceps, hemoclip, polyp snare, sclerotherapy energetic, spray catheter, cytology brushes, guidewireth wire, stone retrieving bag, noir duct drainage catheter nibindi bikoreshwa cyane muri EMR, ESD, ERCP. Na Urology Line, nkaagakoresho ko kwinjira mu muyoboro w'inkari gafite uburyo bwo gukururanaagakingirizo k'umuyoboro w'inkari,Agasanduku ko gusana amabuye yo mu nkari gakoreshwa mu gusana, nainsinga ziyobora urologyn'ibindi.
Ibicuruzwa 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: 22 Nzeri 2025