ʻO ke kūlana kiʻekiʻe o ka EMR EDS Instrument Polypectomy Cold Snare no ka hoʻohana hoʻokahi nā mea hana a me nā mea hoʻolako

Kiʻi i hōʻike ʻia ʻo EMR EDS Instrument Polypectomy Cold Snare no ka hoʻohana hoʻokahi

ʻO ka mea hana EMR EDS Polypectomy Cold Snare no ka hoʻohana hoʻokahi

Wehewehe Pōkole:

Nā ʻano

● Hoʻomohala ʻia no nā polyps < 10 mm

● Uea ʻoki kūikawā

● Hoʻolālā pahele i hoʻomaikaʻi ʻia

● ʻOki pololei a like

● Kiʻekiʻe o ka mana

● Paʻa lima ergonomic

E leka uila mai iā mākou

Nā kikoʻī huahana

Nā Lepili Huahana

Noi

ʻO ke Cold snare kahi mea hana kūpono loa no ka ʻoki anu ʻana o nā polyps< 10 mm. Ua hoʻomohala kūikawā ʻia kēia uea ʻoki lahilahi a ulana ʻia no ka ʻoki anu ʻana a hana i kahi ʻoki pololei a maʻemaʻe hoʻi i hui pū ʻia me ka hoʻolālā pahele i hoʻonohonoho pono ʻia no ka ʻoki ʻana i nā polyp liʻiliʻi. ʻAʻohe hemahema wela o ka polyp i ʻoki ʻia a hōʻoia i ka hāʻawi ʻana o ka loiloi histological i ka ʻike waiwai.

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 hana palekana no ka ʻoki ʻana i ka polyp cold snare

1. Ua kaupalena ʻia nā polyp nui.
2. Kūpono no ka EMR a me ESD endoscopy, hiki ke koho ʻia ka ʻenehana wehe EMR a i ʻole ESD oʻo a piha.
3. Hiki ke hoʻopaʻa pololei ʻia ka polyp pedicle no ka ʻoki uila, ʻaʻole ka ʻoki anu maikaʻi a kūikawā, a waiho ʻia ka ʻaoʻao o loko o ka pedicle, a hiki i ke clip ke hoʻopaʻa i ke aʻa.
4. Hiki ke hoʻohana ʻia ke ʻano pahele maʻamau, a ʻoi aku ka kūpono o ke ʻano pahele polyp lahilahi kūikawā no ka ʻoki anu.
5. ʻAʻole kūpono ka excision anu i loko o nā palapala, a ʻaʻole i hoʻopaʻa pololei ʻia ka excision uila, a ua hoʻololi hope ʻia i EMR.
6. E makaʻala i ka ʻoki piha ʻana.
Ke kiʻekiʻe nei ka nui o nā maʻi ʻaʻai gastrointestinal e like me ke kanesa colorectal. ʻO nā helu maʻi a me ka make kekahi o nā maʻi ʻaʻai kiʻekiʻe loa, a pono e hana ʻia nā nānā ʻana i ka manawa kūpono inā pono.

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

Aʻe: ʻO ka paipu catheter Endoscopic lapaʻau hoʻokahi hoʻohana no Gastroenterology

E kākau i kāu leka ma aneʻi a hoʻouna mai iā mākou