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Igikoresho cyo gukurura umuvuduko muke mu impyiko UAS gishobora gukoreshwa mu gukurura umuyoboro w'inkari gifite umuvuduko mubi wo kwirinda indwara ya sepsis
Ibisobanuro bigufi:
Igabanya cyane IRP kugira ngo hirindwe ko amaraso asubira inyuma atera sepsis.
Gukurura amazi mu cyuma bikongera umuvuduko wo kutagira amabuye kandi bigabanya gusubiramo ibikorwa.
Irinda indwara ya IRP nubwo yavomerewe cyane, ikarinda impyiko.
Ikuraho imyanda buri gihe kugira ngo igaragare neza, igihe gito CYANGWA igihe gito.
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Agakoresho ko gukurura impyiko gashobora gukoreshwa mu buryo bw'ibuye rinini. Agakoresho ko gukurura impyiko gafite aho kabohera amabuye y'impyiko.
Gukoresha rimwe, umuyoboro wa Y (utandukanya umuyoboro munini n'umuyoboro w'inyuma), no gukuraho amabuye - hamwe bigabanya ingaruka z'amaso, bigabanya igihe cyo kuyakoresha, kandi binoza umusaruro.
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Ikoreshwa rimwe ry'abafana b'inkari. Ikiyiko cy'inkari gikoresha uburyo bwo gukurura imiyoboro y'inkari. Igikingi cy'inkari gikoreshwa mu gukurura imiyoboro y'inkari gikoreshwa mu gukurura imiyoboro y'inkari.
Igishushanyo mbonera gikoreshwa rimwe gusa - Gituma idapfa kwandura kandi kikavanaho ibyago byo kwandura.
Umuyoboro wa Y-Shape bypass – Utandukanya umuyoboro n'umuyoboro mukuru kugira ngo ukomeze kugaragara neza.
Gukuraho amabuye mu buryo bufatika - Bituma habaho uburyo bwiza bwo gukuraho imyanda no gusohora amabuye.
Kongera imikorere myiza - Bigabanya uburyo bwo kubangamira amaso, bigabanya igihe cyo gukora, kandi bikongera umusaruro.
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Uduseke two gusana amabuye akoreshwa mu gihe runaka
● Insinga za Nitinol zigondana n'ikimenyetso cy'amashanyarazi, ntabwo zigondana na cyo.
● Imiterere y'agaseke kane bivuze ko ufite igikoresho gikwiye kuri buri hantu hose hashyirwa amabuye.
● Igishushanyo mbonera cyo kurwanya gusubira inyuma gihindura igitebo nk'inyuma, ntabwo ari ikintu cyo gufata gusa.
● Gutera EO sterilization bivuze kutandura nta ngaruka z'imirasire ku bikoresho.
● Udupaki dufunguye kamwe, dukoreshe kamwe, nta myanda.
● Gukurikirana ibipimo by'ibice bisubiza buri gitebo mu itsinda ryacyo.
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Uduseke two gusana amabuye akoreshwa mu gihe runaka
● Insinga za Nitinol zigonda nta gucika cyangwa ngo zicike
● Imiterere y'agaseke kenshi ku mabuye atandukanye
● Igiciro cyo hejuru cyo kutagira amabuye ku nshuro ya mbere
● Umukono umwe ukoreshwa mu gupima neza, uburyo bwo kugenzura neza
● Utubuto twizengurutse two mu mutwe tugabanya imvune mu mucosa
Ikoreshwa rimwe gusa, nitinol, ikoreshwa na laser - nta kwandura, nta kwangirika, ihagarika kwimuka kw'amabuye, ikiza OR igihe.
Ikoreshwa mu buvuzi
● Ibimenyetso: Gukuramo amabuye yo mu muyoboro w'inkari n'ay'impyiko hakoreshejwe endoscope
● Uburyo bwo gukora: Ureteroscopy (URS), Kubaga Impyiko zo mu Gifu (RIRS), Percutaneous Nephrolithotomy (PCNL)
●Ubuhanga bwo kwa muganga:
1. Gukuraho igice cya nyuma ya lithotripsy
2. Kurwanya gusubira inyuma (bibuza kwimuka kw'amabuye)
3. "Ubuhanga bwo guhuza ivumbi n'igitebo"
4. Gusuzuma amabuye kugira ngo hakorwe isesengura ry'imiterere yayo
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Uduseke two gusana amabuye akoreshwa mu gihe runaka
● Irinda umwobo w'inkari gukomereka
● Gushyiramo byoroshye binyuze mu buryo bworoshye
●Kubagwa n'ukuboko kumwe - umunaniro muke
● Gufata amabuye cyane – kudacika intege
● Ihuye n'imashini nyinshi zikoresha ureteroscope
Gucukura amabuye meza ku giciro giteganijwe kuri buri gikorwa.
Ikoreshwa mu buvuzi
● Ibimenyetso: Gukuramo amabuye yo mu muyoboro w'inkari n'ay'impyiko hakoreshejwe endoscope
● Uburyo bwo gukora: Ureteroscopy (URS), Kubaga Impyiko zo mu Gifu (RIRS), Percutaneous Nephrolithotomy (PCNL)
● Ubuhanga bwo kwa muganga:
1. Gukuraho igice cya nyuma ya lithotripsy
2. Kurwanya gusubira inyuma (bibuza kwimuka kw'amabuye)
3. Uburyo bwo guhuza "ivumbi n'agaseke"
4. Gusuzuma amabuye kugira ngo hakorwe isesengura ry'imiterere yayo
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Sisitemu yo gukuraho amabuye y'inkari mu buryo bwa CE yemewe na CE yo gukurura umuvuduko ukabije no gukuraho impyiko.
● Igishushanyo mbonera cy'ibikoresho bisukuye gikoreshwa rimwe gusa
● Umuyoboro wo kunyura mu ishusho ya Y
● Gukuraho amabuye mu buryo bufatika
● Kongera ubushobozi bwo gukora neza
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Uduseke two gusana amabuye akoreshwa mu gihe runaka
●Insinga z'agasanduku ka Nitinol - zirinda imikurire y'ishusho, zirinda imiterere
●Imiterere ya parashutike ikoze mu cyuma / umuzenguruko / uruziga / parashuti
●Umushumi w'intoki - uburyo bwo kugenzura hakoreshejwe ukuboko kumwe
● Ikoreshwa rimwe, EO irasukurwa
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Agakoresho ko kwinjira mu muyoboro w'inkari gafite ishusho ya Y gashobora kunama gafite isura ya Y gafite ipfundo ry'umuyoboro w'inkari.
Ikigega cya ZRHmed Bendable and Suction Ureteral Access Sheath ni igikoresho cy’ubuvuzi kigezweho, gikoreshwa rimwe gusa, cyagenewe kunoza uburyo bwo kureba no gukora neza mu kubaga urological. Kigizwe n’umuyoboro udasanzwe wa Y-Shape bypass uri iruhande rw’umuyoboro mukuru ukora, iki gigega kigabanya cyane uburyo amaso anyuramo bitewe n’imyanda kandi gikoroshya gusohora amabuye.
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Uduseke two gusana amabuye akoreshwa mu gihe runaka
●Igitebo cyashyizwe hafi y'amabuye nk'uruzitiro rufatika:Birinda ko ibice by'umubiri bisohoka mu mitsi; bigabanya kubagwa kenshi
●Ifite imiti ihumanya, ipakiye ukwayo, ikoreshwa rimwe gusa:Nta kwanduzanya kwandura hagati y'umurwayi n'umurwayi
●Igishushanyo gikoreshwa rimwe gusa — gishya buri gihe:Imikorere ihoraho 100%
●Imiterere y'agaseke k'umuzenguruko ifite ubushobozi bwo koroha cyane:Ikoresha uburyo bworoshye bwo kugenzura imiterere y'umubiri
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Igiciro cy'umukozi w'inkari ikoreshwa mu gufunga imiyoboro y'inkari idafite umwanda ikoreshwa mu gufunga imiyoboro y'inkari idafite umuvuduko uhagije
1. Igitutu cy'ikoreshwa gishobora guhindurwa neza n'intoki.
2. Gukoresha ibikoresho bya PTFE.
3. Inyubako ikomeye y'icyuma gikonjesha isoko yongera imbaraga zo gushyigikira radial no kudakomera kw'igitambaro.
4. Ubuso bw'ikirenge n'igisenge bifite igishishwa gitwikira amazi.
5. Umutwe ushobora kunamikwa mu mfuruka iyo ari yo yose.
6. Agace koroshye gafite umugozi gatuma gasa neza kandi koroshye.
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Uduseke two gusana amabuye akoreshwa mu gihe runaka
● Ikoreshwa rimwe gusa, idakoresha imiti:Nta ngaruka mbi ku kwandura kwandurira mu buryo bw’umubiri; nta kiguzi cyo kongera gutunganya
●Insinga z'agaseke ka Nitinol: Irakomera cyane, irinda ikibyimba, ihora yibuka imiterere
●Imiterere y'agaseke myinshi: Imiterere ya helikopta, elayo, uruziga, parashuti
●Uburyo bworoshye bwo gufataho: Gufungura/gufunga neza, n'ukuboko kumwe
