Colonoscopy: Gudanar da Matsalolin da ke tattare da shi

Abubuwan da ke da alaƙa da Endoscopic: Wukar ESD da za a iya zubarwa

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 endoscope masu dacewa, kayan aikin magani, ruwan allura, da kayan aikin isar da iskar carbon dioxide bisa ga wurin, yanayin jiki, da kuma matakin fibrosis na ƙari.

Gudanar da huda a lokacin tiyata:

Rufewa nan take: Ko da kuwa wurin da aka yi amfani da shi, ana fifita maɓallan don rufewa (ƙarfin shawarar: mataki na 1, matakin shaida: C). A cikin ESD, wani lokacin ya kamata a fara cire yankin da ke kewaye don guje wa tsoma baki ga aikin barewa.

Nama, tabbatar da isasshen sararin aiki kafin rufewa.

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 jiki maimakon iskar gas kyauta da aka nuna akan CT kawai.

Maganin sassa na musamman:

Babbaren dubura ba zai haifar da toshewar ciki ba saboda yanayin jikinsa, amma yana iya haifar da

Hudawar ƙashin ƙugu, wadda take bayyana a matsayin emphysema na baya, na tsakiya, ko na ƙarƙashin ƙasa.

Matakan kariya:

Rufe raunin bayan tiyata na iya hana rikitarwa zuwa wani mataki, amma ba haka yake ba

Akwai isassun shaidu da ke nuna cewa yana da tasiri wajen hana jinkirin hudawa.

 

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:

A cikin EMR, ana iya amfani da ƙarshen tarko don coagulation na thermal.

A cikin ESD, ana iya amfani da ƙarshen wukar lantarki don tuntuɓar 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:

Ragewar Rauni Bayan EMR:

Bincike ya nuna cewa amfani da maƙallan hemostatic don hana zubar jini ba shi da wani tasiri mai mahimmanci akan yawan zubar jini bayan tiyata, amma akwai yanayin ragewa. Maƙallin rigakafi yana da ɗan tasiri kaɗan akan 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 zubar jini).

Cire rauni bayan ESD:

Jijiyoyin jini da aka fallasa suna taruwa, kuma ana iya amfani da maƙallan hemostatic don hana matse manyan jijiyoyin jini.

Lura:

Ga ƙananan raunukan EMR, ba a ba da shawarar 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!