Ana iya magance ƙananan duwatsun ureteral ta hanyar kiyayewa ko kuma ta hanyar amfani da lithotripsy na girgizar jiki, amma manyan duwatsu masu diamita, musamman duwatsun da ke toshe hanyoyin jini, suna buƙatar tiyata da wuri.
Saboda wurin da duwatsun mafitsara na sama suke, ba za a iya isa gare su da na'urar duba fitsari mai tsauri ba, kuma duwatsun na iya hawa cikin ƙugu cikin sauƙi yayin lithotripsy. Percutaneous nephrolithotomy yana ƙara haɗarin zubar jini a koda lokacin da aka kafa hanyar shiga.
Ci gaban ureteroscopy mai sassauƙa ya magance matsalolin da ke sama yadda ya kamata. Yana shiga cikin ureter da koda ta hanyar bututun fitsari na yau da kullun na jikin ɗan adam. Yana da aminci, tasiri, ba shi da haɗari sosai, yana da ƙarancin zubar jini, ƙarancin zafi ga majiyyaci, kuma yana da yawan zubar da jini. Yanzu ya zama hanyar tiyata da aka saba amfani da ita don magance duwatsun ureter na sama.
Fitowarrufin shiga ureteralya rage wahalar yin amfani da lithotripsy mai sassauci na ureteroscopic sosai. Duk da haka, tare da ƙaruwar adadin shari'o'in magani, rikitarwarsa ta jawo hankali a hankali. Matsaloli kamar su hudawar ureteral da kuma stimulation na ureteral sun zama ruwan dare. Ga manyan abubuwa uku da ke haifar da tauri da kuma hudawar ureteral.
1. Ciwon da ke faruwa, diamita na dutse, tasirin dutse
Marasa lafiya da suka daɗe suna fama da cutar suna da manyan duwatsu, kuma manyan duwatsu suna zama a cikin fitsari na dogon lokaci don su zama fursunoni. Duwatsu a wurin da aka yi wa tiyatar suna matse mucosa na fitsari, wanda ke haifar da rashin isasshen jinin da ake samu a wurin, ciwon ciki na mucosa, kumburi da kuma tabo, waɗanda ke da alaƙa da samuwar matsewar fitsari.
2. Raunin mafitsara
Na'urar ureteroscope mai sassauƙa tana da sauƙin lanƙwasawa, kuma ana buƙatar saka murfin shiga ureteral kafin lithotripsy. Ba a yin shigar da murfin tashar a ƙarƙashin gani kai tsaye, don haka ba makawa mucosa na ureteral zai lalace ko ya huda saboda lanƙwasa na ureter ko kunkuntar lumen yayin saka murfin.
Bugu da ƙari, domin tallafawa ureter da kuma fitar da ruwan da ke zubar da ruwa don rage matsin lamba a kan ƙashin ƙugu, yawanci ana zaɓar murfin hanyar da ke ratsa F12/14, wanda zai iya sa murfin hanyar ya matse bangon ureter kai tsaye. Idan dabarar likitan tiyata ba ta cika ba kuma lokacin aikin ya tsawaita, lokacin matsewar murfin tashar da ke kan bangon ureter zai ƙaru zuwa wani mataki, kuma haɗarin lalacewar ischemic ga bangon ureter zai fi girma.
3. Lalacewar laser ta Holmium
Ragewar dutse na laser holmium ya dogara ne akan tasirinsa na hasken rana, wanda ke sa dutsen ya sha ƙarfin laser kai tsaye kuma ya ƙara zafin gida don cimma manufar rabewar dutse. Duk da cewa zurfin hasken zafi yayin niƙa tsakuwa yana da milimita 0.5-1.0 kawai, tasirin da ke tattare da niƙa tsakuwa akai-akai ba za a iya misaltawa ba.
Muhimman abubuwan da ake buƙata don shigar darufin shiga ureteralsune kamar haka:
1. Akwai wata alama ta ci gaba a lokacin da ake sakawa a cikin fitsari, kuma yana jin laushi idan ya hau sama a cikin fitsari. Idan sakawa yana da wahala, za ku iya juya wayar jagora gaba da baya don lura ko wayar jagora tana shiga da fita cikin sauƙi, don tantance ko murfin tashar yana tafiya zuwa ga hanyar wayar jagora, kamar Idan akwai juriya a bayyane, dole ne a daidaita alkiblar murfin;
Murhun da aka sanya a cikin hanyar da aka yi nasarar gyarawa yana da ɗan gyara kuma ba zai shiga ko fita ba kamar yadda aka ga dama. Idan murhun ya fito a bayyane, yana nufin cewa an naɗe shi a cikin mafitsara kuma wayar jagora ta faɗi daga ureter kuma yana buƙatar a sake sanya shi;
3. Tabarmar hanyar fitsari tana da takamaiman bayanai daban-daban. Maza marasa lafiya galibi suna amfani da samfurin tsawon santimita 45, kuma mata ko maza masu gajeru suna amfani da samfurin tsawon santimita 35. Idan aka saka tabarmar hanyar, tana iya wucewa ne kawai ta hanyar buɗewar fitsari ko kuma ba za ta iya hawa zuwa wani mataki mafi girma ba. Matsayi, maza marasa lafiya kuma za su iya amfani da tabarmar da ke shiga ta santimita 35, ko kuma su canza zuwa tabarmar faɗaɗa ta 14F ko ma siririyar tabarmar fascia don hana ureteroscope mai sassauƙa daga hawa zuwa ƙugu na koda;
Kada a sanya murfin tashar a mataki ɗaya. A bar santimita 10 a wajen bututun fitsari don hana lalacewar mucosa na ureteral ko kuma renal parenchyma a UPJ. Bayan an saka na'urar mai sassauƙa, ana iya sake daidaita matsayin murfin tashar a ƙarƙashin gani kai tsaye.
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 hancida sauransu waɗanda ake amfani da su sosai a cikinEMR, ESD, ERCPKumaJerin Ilimin Urology, kamarMai Cire Dutse na Nitinol, Maganin Binciken Jijiyoyin Urological, kumaKurmin Shiga MahaifakumaJagorar Ilimin UrologyKayayyakinmu 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: Satumba-11-2024