Hoʻohana ʻia e hoʻopaʻa mechanically 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 ʻāpana mucosal me ka ʻole o ka ʻoki a me ke humuhumu. Ua like kona hana me ka suture i loko o nā noi ʻoki kino nui, ʻoiai ua hoʻohana ʻia e hui pū i ʻelua mau ʻāpana i hoʻokaʻawale ʻia, akā, hiki ke hoʻohana ʻia ma o ke kahawai o kahi endoscope ma lalo o ka ʻike maka. Ua loaʻa ka hoʻohana ʻana o Endoclips i ka mālama ʻana i ke koko o ka ʻōpū (ma ka ʻāpana GI luna a me lalo), i ka pale ʻana i ke koko ma hope o nā kaʻina hana lapaʻau e like me ka polypectomy, a me ka pani ʻana i nā perforations ʻōpū.
Hoʻohālike | Nui wehe ʻia (mm) | Ka lōʻihi hana (mm) | Kaila Endoscopic (mm) | Nā hiʻohiʻona | |
ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | ʻAʻole 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 | Kolona | |
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 | Gastro | i 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 | Kolona | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Hoʻolima ʻano Ergonomically
Mea hoʻohana Friendly
Hoʻohana lāʻau lapaʻau
Hiki ke waiho ʻia ka hemoclip i loko o ka ʻāpana Gastro-intestinal (GI) no ke kumu o ka hemostasis no:
Nā hemahema mucosal/sub-mucosal<3 knm
Ma'i ma'i koko, -A'a< 2 mm
Polyps< 1.5 knm ke anawaena
Diverticula i loko o ka #colon
Hiki ke hoʻohana ʻia kēia clip ma ke ʻano he ala hoʻohui no ka pani ʻana i ka GI tract luminal perforations< 20 mm a i ʻole no ka hōʻailona #endoscopic.
(1) E kaha, e hoohana i ka nila a i ole ka argon ion coagulation e kaha i ka wahi resection me 0.5cm electrocoagulation ma ka lihi o ka lesion;
(2) Ma mua o ka submucosal injection o ka wai, ʻo nā wai i loaʻa i ke kino no ka submucosal injection me ka physiological saline, glycerol fructose, sodium hyaluronate a pēlā aku.
(3) E ʻoki mua i ka mucosa a puni: e hoʻohana i ka mea hana ESD e ʻoki i kahi ʻāpana o ka mucosa a puni ka lesion ma ke kiko māka a i ʻole ka ʻaoʻao o waho o ka māka, a laila e hoʻohana i ka pahi IT e ʻoki i nā mucosa a puni;
(4) Ma muli o nā ʻāpana like ʻole o ka lesion a me nā hana maʻamau o nā mea hana, ua koho ʻia nā lako ESD IT, Flex a i ʻole HOOK pahi a me nā mea hana ʻē aʻe e ʻili i ka ʻili ma ka submucosa;
(5) No ka mālama ʻana i ka ʻeha, ua hoʻohana ʻia ka argon ion coagulation e electrocoagulate i nā kīʻaha koko liʻiliʻi a pau i ʻike ʻia i loko o ka ʻeha e pale ai i ke koko ma hope o ka hana. Inā pono, ua hoʻohana ʻia nā lāʻau hemostatic e hoʻopaʻa i nā kīʻaha koko.