01.Lithotripsy ya Ureteroscopique ikoreshwa cyane mukuvura amabuye yo mu nkari zo hejuru, umuriro wanduye ukaba ingorane zikomeye nyuma yo kubagwa. Gukomeza kwishora mubikorwa byongera umuvuduko wimbere (IRP). IRP irenze urugero irashobora gutera urukurikirane rwangirika rya sisitemu yo gukusanya, amaherezo biganisha ku ngaruka nko kwandura. Hamwe nogukomeza gutera imbere muburyo bwa tekinike ya interacavitarike yoroheje, ureteroskopi yoroheje ihujwe na holmium laser lithotripsy imaze gukoreshwa mugutunganya amabuye yimpyiko arenze cm 2,5 kubera ibyiza byo guhahamuka gake, gukira vuba nyuma yibikorwa, ibibazo bike, no kuva amaraso make. Nyamara, ubu buryo butandukanya ibuye gusa, ntabwo bukuraho burundu ibice byahinduwe. Inzira ahanini ishingiye kubiseke byo kugarura amabuye, bitwara igihe, bituzuye, kandi bikunda kwibumbira mumihanda. Kubwibyo, kuzamura ibiciro bitarimo amabuye, kugabanya igihe cyo gukora, no kugabanya ibibazo nyuma yibikorwa ni ingorabahizi.
22. Mu myaka yashize, hashyizweho uburyo butandukanye bwo kugenzura imikoranire idahwitse ya IRP, kandi tekinoroji yo gukuramo umuvuduko muke yagiye ikoreshwa kuri ureteroskopi lithotripsy.
Y-shusho /suctionureteralkwinjirasheath
Gukoresha
Byakoreshejwe mugushiraho ibikoresho mugihe cya ureteroscopic urology.
Inzira
Flexible / rigid ureteroscopy
Ibyerekana
Flexible holmium laser lithotripsy,
Isuzuma rya Microscopique no kuvura inzira yinkari zo hejuru hematuria,
Flexible holmium laser endoincision hamwe namazi ya parapelvic cysts,
Gukoresha endoskopi yoroheje mu kuvura inkari,
Gukoresha byoroshye holmium laser lithotripsy mubihe bidasanzwe.
Uburyo bwo kubaga:
Mugushushanya kwa muganga, amabuye agaragara muri ureter, uruhago, cyangwa impyiko. Imiyoboro yinjizwa binyuze mu gufungura urethral yo hanze. Munsi yubuyobozi, icyuma cyumuvuduko ukurura ureteral sheath gishyirwa ahakuweho amabuye. Imiyoboro hamwe na dilator umuyoboro uri mu cyerekezo cya ureteral ikurwaho. Umutwe wa silicone uhita ushyirwa. Binyuze mu mwobo wo hagati mu gipangu cya silicone, ureteroskopi yoroheje, endoskopi, fibre ya fibre, hamwe na kabili ikora byinjizwa binyuze mu muyoboro munini w’umuyoboro w’inkari werekeza kuri ureter, uruhago, cyangwa impyiko zifata inzira zo kubaga. Mugihe cyo kubikora, umuganga ubaga ashyiramo endoskopi na fibre ya laser binyuze mumiyoboro ya sheath. Mugihe cya lithotripsy ya laser, umuganga ubaga icyarimwe yifuza kandi akuraho amabuye akoresheje igikoresho cyogusohora vacuum gihuza icyambu cya vacuum. Umuganga ubaga ahindura umuvuduko wa vacuum muguhindura ubukana bwumutwe wa Luer uhuza kugirango ukureho amabuye yuzuye.
Ibyiza kurenza gakondokwinjira mu nkarisheaths
01. Gukuraho Amabuye Yisumbuyeho: Igipimo kitarimo amabuye kubarwayi babazwe amabuye bakoresheje icyuma cyumuvuduko ukabije wa ureteral uyobora cyageze kuri 84.2%, ugereranije na 55-60% gusa kubarwayi bakoresheje icyuma gisanzwe.
22. Igihe cyihuse cyo kubaga, Ihahamuka rito: Icyuma cya vacuum-pressure ureteral sheath irashobora icyarimwe gucamo ibice no kuvanaho ibuye mugihe cyo kubagwa, bikagabanya cyane igihe cyo gukora ndetse ningaruka zo kuva amaraso no kwandura bagiteri.
03. Icyerekezo gisobanutse neza mugihe cyo kubaga: Icyuma cyumuvuduko wa ureteral uyobora ibyatsi byihutisha gukuramo no gushiramo parufe, bikuraho neza ibintu bya flocculent mugihe cyo kubagwa. Ibi bitanga umurongo ugaragara neza mugihe cyo kubagwa.
Ibiranga ibicuruzwa
Urugereko
Ihuza nigikoresho cyokunywa kandi ikora nkumuyoboro woguswera, ituma amazi yamazi asohoka kandi no kwifuza ibice byamabuye.
Umuhuza
Hindura ubukana bwumutwe kugirango uhindure igitutu cyo guswera. Iyo agapira kamaze gukomera, guswera kwinshi, bikavamo imbaraga zo guswera cyane. Irashobora kandi gukoreshwa nkicyumba cyo kuhira.
Silicone cap
Iyi capeti ifunga umuyoboro nyamukuru. Igaragaza umwobo muto wo hagati, yemerera kwinjiza ureteroskopi yoroheje, endoskopi, fibre ya laser, cyangwa umugozi ukora unyuze kumuyoboro munini wurururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururururغاغاurururururururururururururururururururururururururururururur.
Twe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., Ni uruganda mu Bushinwa ruzobereye mu gukoresha endoskopi. Dufite umurongo wa GI, nka imbaraga za biopsy, hemoclip, umutego wa polyp, urushinge rwa sclerotherapi, gutera catheter, guswera cytologiya, kuyobora, igitebo cyo kugarura amabuye, amazuru ya biliary drainage catheter zikoreshwa cyane muriEMR, ESD, ERCP. Kandi umurongo wa urology, nkaIgiseke cyo gukuramo inkari, Guidewire, Urupapuro rwinjira naUreteral Access Sheath hamwe no guswera n'ibindiIbicuruzwa byacu byemewe na CE, kandi ibihingwa byacu byemewe na ISO. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika y'Amajyaruguru, Uburasirazuba bwo hagati ndetse no muri Aziya, kandi bigera ku bakiriya bamenyekana kandi bashimwe!
Igihe cyo kohereza: Kanama-02-2025