ERCP Ta Shiga Sabon Zamani Na Tiyatar Robot

Likitocin Latin Amurka sun yi matukar farin ciki da hakanERCPya shiga sabon zamani na tiyatar robot kuma yana yaɗa labarin zuwa ko'ina.

A lokacin wata tattaunawa ta baya-bayan nan da likitoci a Latin Amurka, na ambaciERCProbot ɗin tiyata daga Ausway Endoscopy, wanda a halin yanzu ake gudanar da gwaje-gwajen asibiti. Lokacin da suka fahimci cewa wannan tsarin zai iya yin aikin robot ta hanyar amfani da shiERCP, sarrafa na'urar endoscope mai sassauƙa da kayan aiki ta hanyar amfani da hannu mai amfani da robot don kammala ayyuka kamar sanya stent na biliary ba tare da sanya apron na gubar ba kuma tare da raguwar fallasa ga radiation sosai, yanayin ya zama mai amfani da wutar lantarki nan take. Likitoci da yawa sun yi matukar farin ciki har suka kusan yaɗa labarin.

 

A lokacin hutuna, na yi mamaki: me yasa suka yi farin ciki haka?

Da wannan tambayar a zuciyata, na sake yin bitar littattafai da bayanai masu dacewa, kuma yayin da nake ƙara karantawa, haka nan ya fi bayyana—ERCProbot ɗin tiyata hakika abin alfahari ne ga masu binciken endoscope, har ma da fasahar da ke canza rayuwa.

A ƙasa, ina so in raba muku: Mai Kisan Kai a Endoscopy: Matsalar Radiation da ta Kusa da Ku Fiye da Yadda Kuke Tunani! Kowa Yana Yin AikiERCPDole ne Karanta Wannan

Abu mafi sauƙin mantawa da shi a ɗakin tiyata ba rikitarwa ba ne, amma hasken da ke taruwa a hankali.

Yawancin likitocin endoscope sun san hakanERCPyana amfani da fluoroscopy, amma ƙila ba ku sani ba—Hukumar FDA ta lissafa wannan hanyar a matsayin gwajin haɗari mai girma wanda "zai iya haifar da mummunan lalacewar radiation."

Muna aiki tukuru wajen magance matsalolin gallstones da stitures, amma sau da yawa muna mantawa da wani abu mafi ban tsoro:

Hasken rana yana cutar da marasa lafiya a hankali, kuma yana cutar da duk wanda ke tsaye kusa da C-arm.

A yau, ta hanya mafi sauƙi da za a fahimta, zan yi bayani game da jagororin ƙasashen duniya da kuma ainihin bayanan bincike:

Nawa ne ainihin abin da kake fuskanta? Waɗanne halaye ne ke "satar" lafiyarka? Ta yaya za ka iya tabbatar da tsaro da gaske?

Ni. Me yasaERCPan yi la'akari da shi a matsayin wata hanya mai haɗari mai yawa da ta shafi radiation?

Domin kuwaERCPya cika dukkan sharuɗɗan "shawo kan yawan shan ƙwayoyi"

● Yana buƙatar duba fluoroscopy

● Tsarin aiki mai rikitarwa

● Kusa da likita

● Tsawon lokaci

● Tsarin maimaitawa

Yaya ainihin alkaluman suke da ban tsoro?

Adadin radiation na ɗayaERCPTsarin aikin yana daidai da hasken X-ray 312 na ƙirji (matsakaici).

- Bincike daga waniERCPAikin auna hasken rana a Uruguay

Mafi mahimmanci: Kuna samun daruruwa, ɗaruruwa, ko ma fiye da haka a shekara.

II. Waɗanne irin tasiri radiation ke yi maka?

An rarraba lalacewar radiation zuwa rukuni biyu:

1) Lalacewa mai yiwuwa (zai faru idan allurar ta isa)

● Ja na fata

● Asarar gashi

● Ragewar Kariya

● Ciwon ciki

● Ciwon ido (mai saurin taruwa da guba na dogon lokaci)

Ruwan tabarau yana ɗaya daga cikin gabobin da suka fi rauni, kuma ICRP ta rage ƙimar zuwa 20 mSv/shekara.

Da yawaERCPkwararru da suka yi aiki sama da shekaru goma sun riga sun fuskanci rashin haske a ido.

2) Lalacewar bazata (lalacewar yuwuwar)

Babu iyaka.

Da yawan maganin da ake sha, to haɗarin ya fi girma.

Kiyasin ICRP: 1 mSv = ƙaruwar 0.005% a cikin haɗarin kamuwa da cutar kansa a rayuwa. ƊayaERCP≈ 6 mSv → 0.03% ƙaruwar haɗari.

Ba za ka yi shi "sau ɗaya" ba.

Kana yin sa sau da yawa a shekara, dubbai sau a rayuwarka.

III. Wuri mafi haɗari a cikinERCPɗaki a zahiri shine inda kake tsayawa kowace rana.

A takaice: Da zarar an kusa da bututun X-ray, to, yawan maganin zai karu.

Wuraren da ke da haɗarin kamuwa da ma'aikata sun haɗa da:

● Gefe ɗaya na bututun X-ray na hannu na C-arm

● A lokacin ɗaukar hoton kusurwa mai kusurwa

● Yankin da ke kewaye da majiyyaci (mafi girman tushen radiation da aka watsa)

● Matsayin da likitocin sa barci da ma'aikatan jinya ke aiki

Mutane da yawa ba su san haka ba: Matsayin da suke tsayawa a kai shine mafi girman wuraren fallasa radiation.

IV. Bincike Na Gaske: Kashi 90% na Ma'aikatan Lafiya Ba Su Ɗauki Matakan Kariya Masu Kyau Ba

Sakamakon binciken Sociedad Interamericana de Endoscopía Digestiva (SIED) binciken yana da ban mamaki sosai:

● Kashi 22% ne kawai na likitoci suka sami horon kariya daga radiation.

● Kashi 17% ne kawai na ma'aikatan jinya suka sami horo.

● Baya ga aprons na gubar, yawan amfani da sauran kayan kariya yana da ƙasa sosai.

Shin kana ɗaukar kanka a matsayin "mai aminci"? Gaskiyar magana ita ce: Yawancin mutane suna yawo tsirara.

V. Ka'idar ALARA: Dokoki 3 Dole ne Kowa Ya Bi

ALARA = Ƙasa Kamar Yadda Ya Kamata A Samu

1. Lokaci: Gajere kamar yadda zai yiwu.

● Binciken bugun jini

● Yi amfani da "Frame na Ƙarshe Mai Daskarewa"

● Hana ci gaba da yin amfani da fluoroscopy

2. Nisa: Da zarar an yi nisa, zai fi kyau. Da kowane mataki na baya, adadin → zai zama 1/4 na ainihin.

3. Kariya: Toshewa gwargwadon iyawa.

● Tufafin gubar (≥0.35 mmPb)

● Kariyar thyroid

● Gilashin gubar (don rigakafin cataract)

● Labulen gubar

● Allon da aka dakatar

Labulen gubar zai iya rage hasken da ke warwatse da fiye da kashi 95%.

VI. Ina ainihin haɗarin da ke tattare da marasa lafiya?

Babban BMI, an maimaita shiERCP, yawan allurai masu bambanci, tsawon lokacin tiyata. Duk waɗannan na iya haifar da tarin allurai masu sauri a cikin fata ga marasa lafiya.

Kulawa ta musamman:

● Mata

● Mata masu juna biyu

● Yara (masu saurin amsawa × 3–5)

● Maimaita hasken rana a yankin ɗaya

Dole ne waɗannan marasa lafiya su sami allurai masu iyaka.

VII. Mata Masu Ciki da Yara: Ƙungiyoyi Masu Haɗari Masu Yawa da Dole a Tattauna Su Raba.

ERCPKa'idoji ga Mata Masu Ciki

● Shin "da gaske ya zama dole"?

● Za a iya ɗage shi?

● Shin likita mafi ƙwarewa ne yake yin sa?

● Shin an rage lokacin fluoroscopy zuwa matsakaicin iyaka?

● Lokacin da ya fi hatsari a cikin ciki (makonni 10-25).

ERCPƙa'idodi ga yara

● Babban ƙarfin amsawar sinadarai.

● tsananin haske da kuma sarrafa haɗakar abubuwa yana da matuƙar muhimmanci.

● Masu aiki masu ƙwarewa sosai ne kawai ake ba su izini.

VIII. Abubuwa biyar ƙwararru ne na gaskeERCPdakin dole ne ya yi:

1. Tsarin dosimeter guda biyu (daidaitacce): Ɗaya a wajen apron na jagora, ɗaya a ciki.

2. Kafa DRL (Matakin Tunani na Ganewa): Sabon DRL na Japan: 32 Gy·cm² (kashi 75 cikin ɗari).

3. Duba aprons na gubar kowace shekara (za ku yi mamakin yadda suka karye).

4. Ba wa marasa lafiya takardar bayanai game da radiation (aiki na yau da kullun a sassan da aka kula da su sosai).

5. A bi diddigin marasa lafiya masu yawan shan magani na tsawon makonni 2-4 (lalacewar fata na iya jinkirtawa).

A ƙarshe: Kare kanka shine kawai hanyar kare ƙarin marasa lafiya.

Hasken da aka fallasa ka ga idonsa shine: ba a gani, ba shi da zafi, kuma baya haifar da ja, ba za ka ji shi nan take ba, amma yana taruwa yana cutar da kai kowace rana.

Koyi kariya mai kyau don ku iya:

● Yi aiki na tsawon lokaci

● Yi aiki lafiya sosai

● Aiki cikin koshin lafiya

● Yi aiki da ƙwarewa sosai

Kowace MayuERCPlikita ya kasance a ƙarƙashin haske, amma kada ku taɓa cutar da shi.

ERCPJerin kayayyaki masu zafi daga ZRHmed.

Sphincterotome	Jagorar da ba ta jijiyoyin jini ba	Kwandon Maido da Dutse Mai Zartarwa	Katheter na Nasobiliary da za a iya zubarwa

Mu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., kamfani ne da ke kera kayayyaki a China, wanda ya ƙware a fannin amfani da endoscopic, wanda ya haɗa da layin GI kamar biopsy forceps, hemoclip, polyp snare, allurar sclerotherapy, feshi catheter, gogaggun cytology,waya mai jagora, Kwandon ɗaukar dutse, cathete na magudanar ruwa ta hanci da sauransu, waɗanda ake amfani da su sosai a cikin EMR, ESD,ERCPKayayyakinmu suna da takardar shaidar CE kuma suna da amincewar FDA 510K, kuma masana'antunmu suna da takardar shaidar ISO. An fitar da kayayyakinmu zuwa Turai, Arewacin Amurka, Gabas ta Tsakiya da wani ɓangare na Asiya, kuma suna ba wa abokin ciniki yabo da yabo sosai!