Colonoscopy: Ka mālama ʻana i nā pilikia

I ka mālama ʻana o ka colonoscopy, ʻo nā pilikia maʻamau ka perforation a me ke kahe ʻana o ke koko.
ʻO ka perforation e pili ana i kahi kūlana kahi i pili pono ai ka lua i ka lua o ke kino ma muli o kahi kīnā ʻiʻo piha-mānoanoa, a ʻo ke alo o ka ea manuahi ma ka hoʻokolokolo X-ray ʻaʻole ia e hoʻopilikia i kona wehewehe ʻana.
Ke uhi ʻia ka ʻaoʻao o ke kīnā ʻiʻo mānoanoa piha a ʻaʻohe ona pilina manuahi me ka lua o ke kino, ua kapa ʻia ia he perforation.
ʻAʻole i wehewehe pono ʻia ka wehewehe ʻana o ke kahe ʻana o ke koko; ʻo nā ʻōlelo paipai o kēia manawa e pili ana i ka emi ʻana o ka hemoglobin ma mua o 2 g/dL a i ʻole ka pono no ka hoʻoili koko.
ʻO ka maʻamau, ua wehewehe ʻia ke kahe koko ma hope o ke ʻoki ʻana ʻo ia ke ʻano o ke koko nui i loko o ka ʻōpala ma hope o ke ʻoki ʻana e pono ai ka mālama hemostatic a i ʻole ka hoʻoili koko.
ʻOkoʻa ka nui o kēia mau hanana ulia pōpilikia me ka mālama ʻana:
Ka helu o ka puka ʻana:
Polypectomy: 0.05%
ʻO ka ʻoki ʻana o ka mucosal endoscopic (EMR): 0.58% ~ 0.8%
ʻO ka hoʻokaʻawale ʻana o ka submucosal endoscopic (ESD): 2% ~ 14%
Ka nui o ke kahe koko ma hope o ke ʻoki ʻana:
Polypectomy: 1.6%
EMR1.1%~1.7%
ESD: 0.7%~3.1

1. Pehea e hana ai me ka perforation
ʻOiai ʻoi aku ka lahilahi o ka paia o ka ʻōpū nui ma mua o ko ka ʻōpū, ʻoi aku ke kiʻekiʻe o ka pilikia o ka perforation. Pono ka hoʻomākaukau kūpono ma mua o ke ʻoki ʻana e hoʻoponopono ai i ka hiki ke perforation.
Nā hana palekana i loko o ke ʻoki kino:
E hōʻoia i ka hana maikaʻi o ka endoscope.
E koho i nā endoscopes kūpono, nā mea hana lapaʻau, nā wai injection a me nā lako lawe kinoea carbon dioxide e like me ka wahi, ke ʻano a me ke kekelē o ka fibrosis o ka puʻupuʻu.
Ka mālama ʻana i ka perforation intraoperative:
Pani koke: Me ka nānā ʻole i ka wahi, ʻo ka pani ʻana o ke clip ke ʻano makemake ʻia (ikaika manaʻo: Papa 1, pae hōʻike: C).

In ESD, i mea e pale aku ai i ke keakea ʻana i ka hana ʻokiʻoki, pono e ʻoki mua ʻia nā ʻiʻo a puni e hōʻoia i ka lawa ʻana o ka wahi hana ma mua o ka pani ʻana.
Nānā ma hope o ke ʻoki ʻana: Inā hiki ke pani loa ʻia ka perforation, hiki ke pale ʻia ke ʻoki ʻana ma o ka mālama ʻana i nā lāʻau antibiotic a me ka hoʻokē ʻai wale nō.
Hoʻoholo ʻoki kino: Hoʻoholo ʻia ke koi ʻana no ke ʻoki kino ma muli o ka hui pū ʻana o nā hōʻailona o ka ʻōpū, nā hopena o nā hoʻāʻo koko, a me ke kiʻi ʻana ma mua o ke kinoea manuahi i hōʻike ʻia ma ka CT.
Ka mālama ʻana i nā ʻāpana kūikawā:
ʻAʻole e hoʻoulu ka rectum lalo i ka perforation o ka ʻōpū ma muli o kona mau ʻano anatomical, akā hiki iā ia ke hana i ka perforation pelvic, e hōʻike ana ma ke ʻano he retroperitoneal, mediastinal, a i ʻole subcutaneous emphysema.
Nā Mālama:
Hiki i ka pani ʻana o ka ʻeha ma hope o ke ʻoki ʻana ke pale i nā pilikia i kekahi ʻano, akā ʻaʻole lawa nā hōʻike e hōʻike ai hiki iā ia ke pale pono i ka perforation lohi.

2. Pane i ke kahe koko
Ka mālama ʻana i ke kahe koko intraoperative:
E hoʻohana i ka hoʻopili wela a i ʻole nā ​​​​​​kīpī hemostatic e hoʻōki i ke kahe ʻana o ke koko.
Ke kahe koko ʻana o nā kīʻaha koko liʻiliʻi:
EMR, hiki ke hoʻohana ʻia ka piko o ke pahele no ka hoʻopili wela.
ESD, hiki ke hoʻohana ʻia ka piko o ka pahi uila e hoʻopili ai i ka coagulation thermal a i ʻole nā ​​​​forceps hemostatic e hoʻōki i ke kahe ʻana o ke koko.
Ke kahe ʻana o ke koko ma nā kīʻaha koko nui: E hoʻohana i nā forceps hemostatic, akā e kaohi i ka laulā o ke coagulation e pale aku i ka lohi o ka perforation.
Kāohi ʻana i ke kahe koko postoperative:
ʻOki ʻana o ka ʻeha ma hope oEMR :
Ua hōʻike ʻia nā haʻawina ʻaʻohe hopena koʻikoʻi o ka hoʻohana ʻana i nā forceps hemostatic no ka pale ʻana i ke coagulation i ka nui o ke kahe koko postoperative, akā aia kekahi ʻano e emi ana.
He palena ka hopena o ka ʻoki ʻana i nā ʻeha liʻiliʻi, akā he hopena kūpono ia no nā ʻeha nui a i ʻole nā ​​​​maʻi i loaʻa ka pilikia nui o ke kahe koko ma hope o ka hana ʻoki ʻana (e like me ka poʻe e loaʻa ana i ka lāʻau antithrombotic).
ESD, ua wehe ʻia ka ʻeha a ua hoʻopaʻa ʻia nā kīʻaha koko i hōʻike ʻia. Hiki ke hoʻohana ʻia nā ʻūpā hemostatic e pale aku i ka hoʻopaʻa ʻana o nā kīʻaha koko nui.
Hoʻomaopopo:
No ka EMR o nā ʻeha liʻiliʻi, ʻaʻole ʻōlelo ʻia ka lāʻau pale maʻamau, akā no nā ʻeha nui a i ʻole nā ​​​​maʻi pilikia kiʻekiʻe, loaʻa i ka ʻoki ʻana i ka pale ma hope o ka hana kahi hopena (ikaika ʻōlelo paipai: Pae 2, pae hōʻike: C).
ʻO ka perforation a me ke kahe ʻana o ke koko he mau pilikia maʻamau o ka endoscopy colorectal.
ʻO ka lawe ʻana i nā hana pale a me ka mālama kūpono no nā kūlana like ʻole e hiki ke hōʻemi pono i ka nui o nā maʻi sporadic a hoʻomaikaʻi i ka palekana o ka mea maʻi.

ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina e loea ana i nā mea hoʻopau endoscopic, e like menā forceps biopsy, hemoclip, ʻūpā polyp, nila sclerotherapy, ʻaukā pīpī,nā palaki cytology, uea alakaʻi, hīnaʻi kiʻi pōhaku, catheter hoʻokahe wai biliary ihu,ʻūpā komo uretera meʻūpā komo ureteral me ka omoa pēlā aku i hoʻohana nui ʻia maEMR, ESD, ERCPUa hōʻoia ʻia kā mākou huahana e CE, a ua hōʻoia ʻia kā mākou mau mea kanu e ISO. Ua hoʻokuʻu ʻia aku kā mākou waiwai i ʻEulopa, ʻAmelika ʻĀkau, Hikina Waena a me kekahi ʻāpana o ʻAsia, a ua loaʻa nui ka ʻike a me ka hoʻomaikaʻi ʻia e ka mea kūʻai aku!