ʻO ke kūlana kiʻekiʻe o ka Gastric Endoscopy Polypectomy Cold Snarewith Braided Loop nā mea hana a me nā mea hoʻolako

ʻO ka Endoscopy Gastric Polypectomy Cold Snarewith Braided Loop Kiʻi i hōʻike ʻia

ʻO ka Gastric Endoscopy Polypectomy Cold Snarewith Braided Loop hiki ke hoʻolei ʻia

Wehewehe Pōkole:

Nā ʻano

Nā ʻano like ʻole o ke ʻano a me ka nui o ka loop.

●ʻAno Pōʻai: Oval(A), Hexagonal(B) a me Crescent(C)

●Nui o ke Kaʻapuni: 10mm-15mm

Pahele Anu

●0.24 a me 0.3mm ka mānoanoa.

●ʻAno kū hoʻokahi, ʻano pale

●Ua hōʻoia ʻia kēia ʻano Snare ma ke ʻano lapaʻau e ʻoki palekana a maikaʻi i ka polyp liʻiliʻi me ka hoʻohana ʻole ʻana i ka cautery.

E leka uila mai iā mākou

Nā kikoʻī huahana

Nā Lepili Huahana

Noi

Hāʻawi ʻo ZRH Med i nā ʻūpā anu hoʻolei ʻia e kaulike pono ana i ke kūlana kiʻekiʻe me ka pono o ke kumukūʻai. Loaʻa i nā ʻano like ʻole, nā hoʻonohonoho a me nā nui e kūpono i nā pono lapaʻau like ʻole.

Hoʻohana ʻia no ka ʻoki ʻana i nā polyps liʻiliʻi a waena paha i loko o ka ʻōpū gastrointestinal.

Nā kikoʻī

Hoʻohālike	Ka laulā o ka loop D-20% (mm)	Ka Lōʻihi Hana L ± 10% (mm)	ʻO ka ʻūpā ODD ± 0.1 (mm)	Nā ʻano
ZRH-RA-18-120-15-R	15	1200	Φ1.8	ʻO ka pahele ʻōwili	Hoʻohuli
ZRH-RA-18-160-15-R	15	1600	Φ1.8
ZRH-RA-24-180-15-R	15	1800	Φ2.4
ZRH-RA-24-230-15-R	15	2300	Φ2.4
ZRH-RB-18-120-15-R	15	1200	Φ1.8	ʻO ka pahele hexagonal	Hoʻohuli
ZRH-RB-18-160-15-R	15	1600	Φ1.8
ZRH-RB-24-180-15-R	15	1800	Φ1.8
ZRH-RB-24-230-15-R	15	2300	Φ2.4
ZRH-RC-18-120-15-R	15	1200	Φ1.8	ʻO Crescent Snare	Hoʻohuli
ZRH-RC-18-160-15-R	15	1600	Φ1.8
ZRH-RC-24-180-15-R	15	1800	Φ2.4
ZRH-RC-24-230-15-R	15	2300	Φ2.4

Wehewehe Huahana

Hoʻolālā Pahele Hoʻohuli 360°
E hoʻohuli i 360 kekelē e kōkua i ke komo ʻana i nā polyp paʻakikī.

Uea i loko o kahi Hana Ulana
ʻaʻole hiki ke paheʻe maʻalahi nā polys

ʻAno wehe a pani ʻo Soomth
no ka maʻalahi o ka hoʻohana maikaʻi loa

Ke kila kila kila paʻa
Hāʻawi i nā waiwai ʻoki pololei a wikiwiki.

ʻUhi Laumania
E pale i ka hōʻino ʻana i kāu kahawai endoscopic

Hoʻohui Mana Maʻamau
Kūlike me nā polokalamu alapine kiʻekiʻe nui a pau ma ka mākeke

Hoʻohana Lapaʻau

Polyp Pahuhopu	Mea Hana Wehe
Polyp <4mm ka nui	Nā forceps (ka nui o ke kīʻaha 2-3mm)
ʻO ka nui o ka polyp he 4-5mm	Nā forceps (nui kīʻaha 2-3mm) Nā forceps Jumbo (nui kīʻaha> 3mm)
Polyp <5mm ka nui	Nā forceps wela
ʻO ka nui o ka polyp he 4-5mm	ʻO ka Mini-Oval Snare (10-15mm)
ʻO ka nui o ka polyp he 5-10mm	Mini-Oval Snare (makemake ʻia)
Polyp>10mm ka nui	Nā Pahele ʻŌwili, Hexagonal

Nā Pōmaikaʻi o ka ʻoki ʻana i ka polyp cold snare

1. Ka maʻalahi a me ka ho'ōla wikiwiki.
2. Palekana ke ʻoki anu ʻana i nā polyp kūpono, a palekana ke hoʻonui i ka wā e pono ai. Wahi a nā hōʻike palapala, ʻaʻole maʻalahi ke kahe ʻana o ke koko a me ka perforation.
3. ʻO ka polyp snare wale nō ke hoʻohana ʻia, e hoʻopau ana i ka pono no nā nila injection, nā pahi uila, a pēlā aku. ʻO ke komo hohonu ʻana o ka uila me ka ʻole o ka injection, a me ke komo hohonu ʻana o nā tweezers wela a me nā lāʻau ʻē aʻe.
4. E mālama i nā kumukūʻai.
5. Ua paʻa loa ka sessile. Ma hope o ka hoʻokomo ʻana i ka sessile, ʻaʻole maʻalahi ka paʻa ʻana o ka EMR (EMRC) i huki ʻia e ka pāpale ʻaʻole moakaka.
6. Hiki nō hoʻi iā ia ke hana me ka ʻole o ka pahi uila.
7. Hiki ke hoʻohuli ʻia ka ʻūlū anu polyp, he maʻalahi a kūpono hoʻi e hoʻohana.
8. Kūpono no nā haukapila mua, hiki ke koho ʻia no ka hoʻolaha hihia.
9. ʻO ka hoʻohana pinepine ʻana i ka pahele he excision, akā ʻaʻole maopopo ka mālama ʻana me nā forceps biopsy.
10. ʻOi aku ka kikoʻī o ke kāwele ma mua o nā forceps biopsy.
11. ʻAʻole pono e hoʻohana ka poʻe e lawe ana i ka mannitol i ke ʻoki uila. He kūpono ia no ka ʻoki anu ʻana i nā polyps me ka pahele anu. I ka wā kūpono, he mea kūpono ka mālama ʻana ma kahi no nā mea maʻi.
12. Hiki i kahi pahele liʻiliʻi me ke anawaena o 15mm ke ana i ka nui o ka polyp, he mea kōkua ia no ka hoʻoholo ʻana inā ua lawa ke kūlana o ka ʻoki ʻana o ka polyp.