Ana iya kula da ƙananan duwatsun urethra ta hanyar ra'ayin mazan jiya ko extracorporeal shock wave lithotripsy, amma manyan diamita, musamman duwatsun toshewa, suna buƙatar shiga tsakani da wuri.
Saboda wuri na musamman na duwatsun urethra na sama, ƙila ba za a iya samun su da tsayayyen ureteroscope ba, kuma duwatsu suna iya motsawa cikin ƙashin ƙugu cikin sauƙi a lokacin lithotripsy. Percutaneous nephrolithotomy yana ƙara haɗarin zubar jini na koda yayin kafa tashoshi.
Yunƙurin m ureteroscopy ya magance matsalolin da ke sama yadda ya kamata. Yana shiga cikin ɓangarorin urethra da na koda ta hanyar madaidaicin yanayin jikin ɗan adam. Yana da lafiya, tasiri, ƙarancin ɓarna, yana da ƙarancin zubar jini, ƙarancin zafi ga majiyyaci, da ƙimar dutse mai girma. Yanzu ya zama hanyar tiyata da aka fi amfani da ita don magance tsakuwar fitsari na sama.
Fitowar taurethra samun kumfaya rage wahalhalun m ureteroscopic lithotripsy. Duk da haka, tare da karuwa a yawan adadin maganin, matsalolinsa sun jawo hankali a hankali. Matsaloli irin su huɗar fitsari da ƙumburi sun zama ruwan dare. Wadannan su ne manyan abubuwa guda uku da ke haifar da takurewar fitsari da hushi.
1. Course na cuta, diamita na dutse, tasirin dutse
Marasa lafiya da ke da tsawon lokaci na cutar suna da manyan duwatsu, kuma manyan duwatsun suna zama a cikin fitsari na dogon lokaci don zama ɗaurin kurkuku. Duwatsu a wurin da ke da tasiri suna damfara mucosa na urethra, wanda ke haifar da rashin isasshen jini na gida, ischemia na mucosal, kumburi da samuwar tabo, waɗanda ke da alaƙa da haɓakar ƙwayar urethra.
2. Raunin fitsari
Ureteroscope mai sassauƙa yana da sauƙin lanƙwasa, kuma ana buƙatar shigar da kumfa mai shiga fitsari kafin lithotripsy. Ba a aiwatar da kullin tashar ta hanyar hangen nesa kai tsaye, don haka babu makawa a lalata magudanar magudanar ta hanyar lankwasawa ko ƙunƙunwar lumen yayin shigar da kwafin.
Bugu da kari, domin a tallafa wa magudanar ruwa da kuma zubar da ruwa mai rugujewa don rage matsa lamba a kan kwarangwal na renal, ana zabar tashoshi ta hanyar F12/14, wanda zai iya haifar da kullin tashar ya danne bangon urethra kai tsaye. Idan dabarar likitan likitancin ba ta da girma kuma lokacin aiki ya tsawaita, lokacin matsawa na kullin tashar akan bangon urethra zai ƙara zuwa wani matsayi, kuma haɗarin lalacewar ischemic ga bangon urethra zai fi girma.
3. Lalacewar Laser na Holmium
Rushewar dutse na Laser holmium ya dogara ne akan tasirinsa na photothermal, wanda ke sa dutsen ya sha makamashin Laser kai tsaye kuma yana ƙara yawan zafin jiki na gida don cimma manufar rarrabuwar dutse. Ko da yake zurfin radiation thermal a lokacin aikin murkushe tsakuwa shine kawai 0.5-1.0 mm, tasirin abin da ya haifar da ci gaba da murkushe tsakuwa ba shi da ƙima.
Mahimman abubuwan da za a shigar da kumbon shiga urethra sune kamar haka:
1. Akwai bayyananniyar ma'anar samun nasara yayin sanyawa a cikin fitsari, kuma yana jin santsi idan ya hau a cikin fitsarin. Idan shigarwar ke da wuya, za ku iya murɗa wayar jagorar gaba da gaba don lura da ko wayar jagorar tana shiga da fita ba tare da matsala ba, don sanin ko kullin tashar yana gaba ta hanyar wayar jagora, kamar Idan akwai. juriya bayyananne, shugabanci na sheathing yana buƙatar daidaitawa;
Kunshin tashar da aka samu nasarar sanya shi yana da ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun bayanai kuma ba zai shigo da fita yadda ya kamata ba. Idan kullin tashar ya fito fili, yana nufin cewa an murƙushe shi a cikin mafitsara kuma wayar jagora ta zazzage daga urethra kuma tana buƙatar sake sanya shi;
3. Sheaths tashar Uretral suna da ƙayyadaddun bayanai daban-daban. Maza marasa lafiya gabaɗaya suna amfani da samfurin tsayin cm 45, kuma mata ko gajarta maza marasa lafiya suna amfani da samfurin tsayin cm 35. Idan an shigar da kullin tashar, zai iya wucewa kawai ta hanyar bude urethra ko kuma ba zai iya hawa zuwa matsayi mafi girma ba. Matsayi, majinyata maza kuma za su iya amfani da 35 cm gabatar da shea, ko canza zuwa 14F ko ma fiɗaɗɗen kumfa na faɗaɗa don hana ureteroscope mai sassauƙa daga rashin iya hawa zuwa ƙashin ƙashin ƙugu;
Kada ku sanya kullin tashar a mataki ɗaya. Bar 10 cm a waje da bangon urethra don hana lalacewa ga mucosa na urethra ko parenchyma na koda a UPJ. Bayan shigar da iyawar mai sassauƙa, za'a iya daidaita matsayin kube na tashar a ƙarƙashin hangen nesa kai tsaye.
Mu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., wani manufacturer ne a kasar Sin ƙware a cikin endoscopic consumables, kamarbiopsy forceps, hemoclip, polyp tarko, allurar sclerotherapy, fesa catheter, cytology goge, jagora, kwandon dawo da dutse, hanci biliary drainage catheterda sauransu wadanda ake amfani da su sosai a cikiEMR, ESD, ERCP. Samfuran mu suna da takaddun CE, kuma tsire-tsirenmu suna da takaddun ISO. An fitar da kayanmu zuwa Turai, Arewacin Amurka, Gabas ta Tsakiya da wani yanki na Asiya, kuma suna samun abokin ciniki yabo da yabo!
Lokacin aikawa: Satumba-11-2024