01.Uburyo bwo kuvura uturemangingo tw’inkari bukoreshwa cyane mu kuvura amabuye yo mu gice cyo hejuru cy’inkari, umuriro wandura ukaba ikibazo gikomeye nyuma yo kubagwa. Gutera amaraso mu gihe cyo kubagwa bikomeza byongera umuvuduko w’imbere mu kibuno (IRP). IRP nyinshi cyane ishobora gutera kwangirika k’uburyo bwo gukusanya, amaherezo bigatera ingorane nko kwandura. Hamwe n’iterambere rihoraho ry’uburyo bwo gupima uturemangingo tw’imbere mu kibuno, uburyo bworoshye bwo gupima ureteroscopy hamwe na holmium laser lithotripsy byatangiye gukoreshwa mu kuvura amabuye y’impyiko afite uburebure bwa cm 2.5 bitewe n’inyungu zayo zo kuba ari nke cyane, gukira vuba nyuma yo kubagwa, ibibazo bike, no kuva amaraso make. Ariko, ubu buryo bugabanya gusa ibuye, ntibukuraho burundu ibice byavunitse. Ubu buryo bushingiye ahanini ku gikapu cyo gukuramo amabuye, gitwara igihe kinini, nticyuzuye, kandi gishobora gutera amabuye mu muhanda. Kubwibyo, kunoza umubare w’amabuye adapfa, kugabanya igihe cyo kubagwa, no kugabanya ibibazo nyuma yo kubagwa ni imbogamizi zikomeye.
02. Mu myaka ya vuba aha, uburyo butandukanye bwo kugenzura IRP mu gihe cyo kubaga bwaratanzwe, kandi ikoranabuhanga ryo gukurura umuvuduko mubi ryagiye rikoreshwa buhoro buhoro kuri ureteroscopic lithotripsy.
Ishusho ya Y/subucuruziureteralikwinjiraagati
Ikoreshwa Riteganijwe
Ikoreshwa mu kwemeza uburyo igikoresho gikoreshwa mu gihe cyo gukora urology ya ureteroscopic.
Inzira
Gupima ureteroscopy ihindagurika/ikomeye
Ibimenyetso
Ikoranabuhanga rya laser ya holmium rihindura imiterere,
Gusuzuma no kuvura indwara yo mu gice cyo hejuru cy'inkari, hifashishijwe mikorosikope,
Gukata no gusohora amazi hakoreshejwe laser ya holmium ikora neza ku ndwara zo mu bwonko zifata imyanya ndangagitsina,
Gukoresha endoskopiya ihindura imiterere mu kuvura imiyoboro y'inkari,
Gukoresha uburyo bwa "flexible holmium laser lithotripsy" mu bihe byihariye.
Uburyo bwo kubaga:
Mu isuzuma rya muganga, amabuye agaragara mu muyoboro w’inkari, mu ruhago, cyangwa mu mpyiko. Insinga y’ubuyobozi ishyirwa mu mwenge wo hanze w’inkari. Munsi y’insinga y’ubuyobozi, agace k’ubuyobozi k’inkari gashyirwa aho amabuye akurwa. Insinga y’ubuyobozi n’umuyoboro w’ubugari biri mu muyoboro w’ubuyobozi bw’inkari birakurwaho. Hanyuma hashyirwa umupfundikizo wa silicone. Binyuze mu mwobo wo hagati mu mupfundikizo wa silicone, ureteroscope ihindagurika, endoscope, fibre ya laser, n’insinga y’imikorere binyuzwa mu muyoboro mukuru w’agace k’ubuyobozi bw’inkari ku muyoboro w’inkari, mu ruhago, cyangwa mu mpyiko kugira ngo habeho kubagwa. Mu gihe cyo kubaga, umuganga ashyira endoscope na fibre ya laser binyuze mu muyoboro w’icyuma. Mu gihe cyo kubaga laser lithotripsy, umuganga ahita asohora amazi mu buryo bumwe kandi agakuraho amabuye akoresheje igikoresho gikurura ubushyuhe gihujwe n’aho amazi asohoka. Umuganga ahindura umuvuduko w’ubushyuhe ahindura uburyo umupfundikizo w’urukiramende ufatana na Luer kugira ngo arebe ko amabuye akurwaho burundu.
Ibyiza ugereranije n'ibya gakondokwinjira mu muyoboro w'inkariibyuma
01. Uburyo bwo gukuraho amabuye mu buryo bwiza: Igipimo cyo gukuraho amabuye ku barwayi babazwe amabuye hakoreshejwe icyuma gikoresha umwuka uvacuum-pressure ureteral guide sheath cyageze kuri 84.2%, ugereranyije na 55-60% gusa ku barwayi bakoresha icyuma gikoresha umurongo usanzwe.
02. Igihe cyo Kubagwa cyihuse, Gitera Ihungabana Rike: Agakoresho k'umuyoboro w'inkari gakoresha umwuka uvacuum-pressure gashobora gucikamo ibuye icyarimwe mu gihe cyo kubagwa, bigabanura cyane igihe cyo kubagwa n'ibyago byo kuva amaraso no kwandura bagiteri.
03. Kubona neza mu gihe cyo kubaga: Agakoresho ko mu muyoboro w'ubuhumekero gakoresha umwuka uvacuum-pressure gafasha kwihutisha gukuramo no gushyiramo perfusate, bigakuraho neza ibintu bivanze n'amazi mu gihe cyo kubaga. Ibi bitanga ubushobozi bwo kureba neza mu gihe cyo kubaga.
Ibiranga Igishushanyo mbonera cy'Ibicuruzwa
Icyumba cyo gukurura
Ihuzwa n'igikoresho gikurura amazi kandi ikora nk'umuyoboro wo gukurura amazi, bigatuma amazi asohoka ndetse n'ibice by'amabuye bisohoka.
Umuhuza wa Luer
Hindura uburyo umupfundikizo ufata kugira ngo uhindure umuvuduko wo gukurura. Iyo umupfundikizo ufashe neza, umupfundikizo wo gukurura uba mwinshi, bigatuma habaho imbaraga nyinshi zo gukurura. Ushobora kandi gukoreshwa nk'icyumba cyo kuhira.
Umupfundikizo wa silikoni
Uyu mupfundikizo ufunga umuyoboro mukuru. Ufite umwobo muto wo hagati, wemerera kwinjiramo imashini ikoresha ureteroscope, endoscope, fibre ya laser, cyangwa insinga ikoresha ikoranabuhanga binyuze mu muyoboro munini w'icyuma cy'inyongera cy'umuyoboro w'inkari kijya mu muyoboro w'inkari, uruhago, cyangwa impyiko kugira ngo babagwe mu buryo budafite aside.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ni uruganda rukora ibikoresho byo mu Bushinwa rwihariye mu gukoresha ibikoresho byo mu nda. Dufite umurongo wa GI, nka forceps za biopsy, hemoclip, polyp trabell, urushinge rwa sclerotherapy, spray catheter, cytology brushes, guidewirethreat, gusohora amabuye, catheter yo kuvoma amenyo mu mazuru bikoreshwa cyane muriEMR, ESD, ERCP. Kandi umurongo w'ubuvuzi bw'inkari, nkaAgaseke ko gusana amabuye y'inkari, Insinga z'ubuyobozi, Agakoresho ko kwinjira mu muyoboro w'inkari naAgakoresho ko kwinjira mu mura gafite ipfundikizo n'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: Kanama-02-2025