ʻO ka wehe ʻana a me ka pani ʻana o ka Hemoclip Gastric i hoʻolei ʻia
ʻO ka wehe ʻana a me ka pani ʻana o ka Hemoclip Gastric i hoʻolei ʻia
Noi
Hoʻohana ʻia e hoʻopaʻa i nā kīʻaha koko. ʻO ka endoclip kahi mea hana metala i hoʻohana ʻia i ka endoscopy i mea e pani ai i ʻelua mau ʻili mucosal me ka ʻole o ka pono no ke ʻoki ʻana a me ke kāpili ʻana. Ua like kāna hana me ka suture i nā noi ʻoki kino nui, no ka mea, hoʻohana ʻia ia e hoʻohui i ʻelua mau ʻili i hoʻokaʻawale ʻia, akā, hiki ke hoʻopili ʻia ma o ke kahawai o kahi endoscope ma lalo o ka nānā pololei ʻana. Ua loaʻa ka hoʻohana ʻana i nā Endoclips i ka mālama ʻana i ke kahe koko gastrointestinal (ma ke ala GI luna a me lalo), i ka pale ʻana i ke kahe koko ma hope o nā kaʻina hana therapeutic e like me ka polypectomy, a me ka pani ʻana i nā perforations gastrointestinal.
Nā kikoʻī
| Hoʻohālike | Ka nui o ka wehe ʻana o ke kiʻi (mm) | Ka Lōʻihi Hana (mm) | Kahawai Endoscopic (mm) | Nā ʻano | |
| ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | ʻO ka ʻōpū | ʻAʻohe i uhi ʻia |
| ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Kolon | |
| ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
| ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | ʻO ka ʻōpū | Uhi ʻia |
| ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
| ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
| ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Kolon | |
| ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 | ||
Wehewehe Huahana
Hoʻolālā ʻokiʻoki hiki ke hoʻohuli ʻia 360°
Hāʻawi i kahi hoʻonohonoho pololei.
Manaʻo Atraumatic
pale i ka endoscopy mai ka hōʻino ʻana.
ʻŌnaehana Hoʻokuʻu Koʻikoʻi
hoʻolako maʻalahi e hoʻokuʻu i ka clip.
Kīʻaha wehe a pani hou ʻia
no kahi hoʻonohonoho kūpono.
ʻO ka lima i hoʻonohonoho pono ʻia
Mea hoʻohana maʻalahi
Hoʻohana Lapaʻau
Hiki ke waiho ʻia ka hemoclip i loko o ke ala Gastro-intestinal (GI) no ke kumu o ka hemostasis no:
Nā kīnā mucosal/sub-mucosal< 3 kenimika
Nā ʻeha koko, -Nā ʻaʻa< 2 mm
Nā Polyps< 1.5 kenimika ke anawaena
ʻO ka diverticula i loko o ka #colon
Hiki ke hoʻohana ʻia kēia ʻūmiʻi ma ke ʻano he ala kōkua no ka pani ʻana i nā perforations luminal o ke ala GI< 20 mm a i ʻole no ka māka #endoscopic.
Hoʻohana ʻia ʻo Hemoclip ma ESD
(1) Māka, e hoʻohana i kahi ʻoki nila a i ʻole ka coagulation ion argon e māka i ka ʻāpana resection me ka electrocoagulation 0.5cm ma ka lihi o ka lesion;
(2) Ma mua o ka hoʻokomo ʻana i ka wai ma lalo o ka mucosal, ʻo nā wai i loaʻa ma ke ʻano lapaʻau no ka hoʻokomo ʻana i ka submucosal e komo pū me ka saline physiological, glycerol fructose, sodium hyaluronate a pēlā aku.
(3) ʻOki mua i ka mucosa a puni: e hoʻohana i nā lako ESD e ʻoki i kahi ʻāpana o ka mucosa a puni ka lesion ma ke kiko māka a i ʻole ka lihi o waho o ke kiko māka, a laila e hoʻohana i ka pahi IT e ʻoki i nā mucosa a puni;
(4) Wahi a nā ʻāpana like ʻole o ka lesion a me nā ʻano hana o nā mea hoʻohana, ua koho ʻia nā lako ESD IT, Flex a i ʻole HOOK knife a me nā mea hana ʻoki ʻē aʻe e ʻili i ka lesion ma ka submucosa;
(5) No ka mālama ʻana i nā ʻeha, ua hoʻohana ʻia ka coagulation ion argon e electrocoagulate i nā kīʻaha koko liʻiliʻi i ʻike ʻia i loko o ka ʻeha e pale ai i ke kahe koko postoperative. Inā pono, ua hoʻohana ʻia nā clamps hemostatic e hoʻopaʻa i nā kīʻaha koko.
