A cikin maganin colonoscopic, matsalolin da ke tattare da su sune rami da zubar jini.
Hudawa tana nufin yanayin da ramin ke haɗe da ramin jiki saboda lahani na nama mai kauri, kuma kasancewar iska kyauta a lokacin gwajin X-ray ba ta shafi ma'anarsa ba.
Idan aka rufe gefen lahani na nama mai kauri kuma ba shi da sadarwa kyauta da ramin jiki, ana kiransa da huda.
Ba a fayyace ma'anar zubar jini sosai ba; shawarwarin da ake bayarwa a yanzu sun haɗa da raguwar haemoglobin fiye da 2 g/dL ko kuma buƙatar ƙarin jini.
Zubar jini bayan tiyata yawanci ana bayyana shi a matsayin faruwar babban jini a cikin bayan gida bayan tiyata wanda ke buƙatar maganin hemostatic ko ƙarin jini.
Yawan faruwar waɗannan abubuwan da suka faru ya bambanta dangane da magani:
Yawan hudawa:
Yin tiyatar cire ciki: 0.05%
Ragewar mucosa ta endoscopic (EMR): 0.58% ~0.8%
Ragewar jijiyoyin ciki (ESD): 2% ~14%
Yawan zubar jini bayan tiyata:
Gyaran mahaifa: 1.6%
EMR: 1.1%~1.7%
ESD: 0.7%~3.1
1. Yadda ake magance hudawa
Tunda bangon babban hanji ya fi siririn ciki, haɗarin huda ya fi yawa. Ana buƙatar isasshen shiri kafin a yi tiyata don magance yiwuwar huda.
Gargaɗin da ake yi a lokacin tiyata:
Tabbatar da cewa endoscope ɗin yana aiki yadda ya kamata.
Zaɓi na'urorin endoscopes masu dacewa, kayan aikin magani, ruwan allura da kayan aikin isar da iskar carbon dioxide bisa ga wurin, yanayin jiki da matakin fibrosis na ƙari.
Gudanar da huda a lokacin tiyata:
Rufewa nan take: Ko da kuwa wurin da aka yi amfani da shi, rufewar maƙallin shine hanyar da aka fi so (ƙarfin shawarar: Aji na 1, matakin shaida: C).
In ESD, domin gujewa tsangwama ga aikin raba sassan, ya kamata a fara yanke nama da ke kewaye don tabbatar da isasshen sararin aiki kafin a rufe.
Lura bayan tiyata: Idan za a iya rufe ramin gaba ɗaya, za a iya guje wa tiyata ta hanyar maganin ƙwayoyin cuta da azumi kawai.
Shawarar tiyata: Ana tantance buƙatar tiyata bisa ga haɗakar alamun ciki, sakamakon gwajin jini, da hoton da aka ɗauka maimakon kawai a kan iskar gas kyauta da aka nuna akan CT.
Maganin sassa na musamman:
Babbaren dubura ba zai haifar da toshewar ciki ba saboda yanayin jikinsa, amma yana iya haifar da toshewar ƙashin ƙugu, wanda ke bayyana a matsayin retroperitoneal, mediastinal, ko subcutaneous emphysema.
Matakan kariya:
Rufewar raunuka bayan tiyata na iya hana rikitarwa zuwa wani mataki, amma babu isassun shaidu da ke nuna cewa zai iya hana jinkirin huda raunuka yadda ya kamata.
2. Amsa ga zubar jini
Gudanar da zubar jini a lokacin tiyata:
Yi amfani da maganin hana zubar jini ko kuma maganin hana zubar jini na hemostatic don dakatar da zubar jini.
Zubar da ƙananan jijiyoyin jini:
EMR, ana iya amfani da ƙarshen tarko don daidaita yanayin zafi.
ESD, ana iya amfani da ƙarshen wukar lantarki don taɓa haɗin thermal ko kuma forceps na hemostatic don dakatar da zubar jini.
Zubar jini a manyan tasoshin jini: Yi amfani da forceps na hemostatic, amma ka kula da yawan zubar jini domin gujewa jinkirin huda jini.
Rigakafin zubar jini bayan tiyata:
Rage rauni bayan tiyataEMR :
Bincike ya nuna cewa amfani da hemostatic forceps don hana zubar jini ba shi da wani tasiri mai mahimmanci akan yawan zubar jini bayan tiyata, amma akwai yanayin raguwar jini.
Yin rigakafin yankewa ba shi da tasiri sosai ga ƙananan raunuka, amma yana da tasiri ga manyan raunuka ko marasa lafiya da ke cikin haɗarin zubar jini bayan tiyata (kamar waɗanda ke karɓar maganin hana thrombosis).
ESD, ana cire raunin kuma jijiyoyin jini da aka fallasa za su taru. Haka kuma ana iya amfani da maƙallan hemostatic don hana matse manyan jijiyoyin jini.
Lura:
Ga ƙananan raunukan EMR, ba a ba da shawarar yin maganin rigakafi na yau da kullun ba, amma ga manyan raunuka ko marasa lafiya masu haɗarin gaske, yanke rigakafin bayan tiyata yana da wani tasiri (ƙarfin shawarar: Mataki na 2, matakin shaida: C).
Hudawa da zubar jini sune matsalolin da ake yawan samu sakamakon binciken ƙoda na hanji (colonectal endoscopy).
Daukar matakan rigakafi da magani masu dacewa ga yanayi daban-daban na iya rage yawan kamuwa da cututtuka lokaci-lokaci da kuma inganta lafiyar marasa lafiya.
Mu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., kamfani ne da ke kera kayayyaki a China wanda ya ƙware a fannin amfani da endoscopic, kamar suƙarfin biops, hemoclip, tarkon polyp, allurar sclerotherapy, feshi catheter,gogewar cytology, waya mai jagora, Kwandon ɗaukar dutse, catheter na magudanar ruwa ta hanci,rufin shiga ureteralkumarufin shiga ureteral tare da tsotsada sauransu waɗanda ake amfani da su sosai a cikinEMR, ESD, ERCPKayayyakinmu an ba su takardar shaidar CE, kuma masana'antunmu an ba su takardar shaidar ISO. An fitar da kayayyakinmu zuwa Turai, Arewacin Amurka, Gabas ta Tsakiya da wani ɓangare na Asiya, kuma yana sa abokin ciniki ya yaba da kuma yaba masa sosai!
Lokacin Saƙo: Mayu-24-2025