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Uduseke two gusana amabuye akoreshwa mu gihe runaka
Ibisobanuro ku bicuruzwa ● Igipimo cy'urushinge: 21 / 23 / 25 ● Kwagura urushinge: 4 / 5 / 6 / 8 / 10 mm ● Uburebure bw'akazi: 12 / 16 / 18 / 23 (x100mm) ● Umukingo: Gutembera ukoresheje ingufuri ● Gutera sterilization: EO Gas ● Igihe cyo kuruhuka: Imyaka 3 Gukoresha: ✅ Ikoreshwa ry'ingenzi: EMR, ESD, sclerotherapy, gushushanya tatouage, ERCP contrast, no gutanga imiti yo mu gace – urushinge rumwe ku ntera zose zo guterwa mu ruhu. ● Endoscopic Mucosal Resection (EMR) – Gukuramo submucosal polyps na neoplasms za GI hakiri kare. ● Endoscopic Submucosal Dissection (ESD) – Hydrodissec... -
Iruta Ikoreshwa rya UAS risanzwe rikoreshwa mu gukurura uturemangingo, rituma umuntu abona neza kandi rigakuraho imyanda y'amabuye.
1. Gukurura mu buryo bwihuse bikuraho imyanda mu gihe bigabanya umuvuduko w'impyiko.
2. Igishushanyo mbonera cy’isuku, gikoreshwa rimwe gusa, gikuraho ibyago byo kwandura no kongera gukoresha ikiguzi cyo gutunganya.
3. Agakoresho gafite umugozi muto kandi karinda umugozi katuma umuntu yinjira neza kandi agafata neza.
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Imashini zikoreshwa mu nganda 9Fr-16Fr zikoreshwa mu gukurura ureteral sheath uburebure bwo gukora 40cm-50cm kuri ureteroscope ihindagurika
1. Gukoresha vacuum mu gihe nyacyo bikuraho imyanda mu buryo bufatika ariko bigatuma umuvuduko w'imbere mu mpyiko ugabanuka neza.
2. Ikoreshwa rimwe gusa—igamije gukuraho ibyago byo kwandura no kongera kuyitunganya burundu.
3. Ifite agakoresho gakomeye kandi kadacika intege gatuma umuntu yinjira mu buryo bworoshye kandi gafite imbaraga zo gukurura.
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Igitambaro cyo gukurura no gukurura umwobo w'inkari. Igitambaro cyo gukurura ivumbi n'umuyoboro w'inkari. Igitambaro cyo gukurura ivumbi gikoreshwa mu kuvura urolithiasis.
1. Gukurura hakoreshejwe vacuum bituma ivumbi/igice cy'umukungugu gikurwaho mu buryo bw'igihe nyacyo, bigagabanya umuvuduko w'imbere mu mpyiko.
2. Igishushanyo mbonera gikoreshwa rimwe gusa kigabanya ibyago byo kwandura indwara zitandukanye ndetse n'ikiguzi cyo kongera gutunganya.
3. Agakoresho gafite umugozi muto kandi kadapfa gukururwa n'ikirenge gatuma umuntu yinjira neza kandi agakoresha imbaraga zihamye zo gukurura.
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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 kwanduzwa n'ibindi.
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 bikanoza 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
