Colonoscopy: Ka mālama ʻana i nā pilikia

Nā mea hoʻopau Endoscopic pili: ʻO ka pahi ESD hoʻolei

Ka nui o ke kahe koko ma hope o ke ʻoki ʻana:

Polypectomy: 1.6%

EMR: 1.1%~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 kahi, makemake ʻia nā ʻūmiʻi no ka pani ʻana (ikaika manaʻo: pae 1, pae hōʻike: C). I ka ESD, i kekahi manawa pono e ʻili mua ʻia ka ʻāpana a puni e pale aku i ke keakea ʻana i ka hana ʻili.

ʻIʻo lole, 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 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 wale nō.

Ka mālama ʻana i nā ʻāpana kūikawā:

ʻAʻole e hoʻoulu ka rectum lalo i ka perforation obdominal ma muli o kona mau ʻano anatomical, akā hiki ke hana

ʻO ka perforation pelvic, i hōʻike ʻia e like me ka retroperitoneal, mediastinal, a i ʻole ka emphysema subcutaneous.

Nā Mālama:

ʻO ka pani ʻana i ka ʻeha ma hope o ke ʻoki ʻana e pale aku i nā pilikia i kekahi ʻano, akā ʻaʻole ia

Aia nā hōʻike kūpono e hōʻike ana he pono ia i ka pale ʻana 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:

I EMR, hiki ke hoʻohana ʻia ka piko o ka pahele no ka coagulation thermal.

I ka 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:

ʻO ka wehe ʻana o nā ʻeha ma hope o EMR:

Ua hōʻike ʻia nā haʻawina ʻaʻohe hopena koʻikoʻi o ka hoʻohana ʻana i nā clamps hemostatic no ka coagulation pale i ka nui o ke kahe koko postoperative, akā aia kahi ʻano e hōʻemi ai. He hopena palena ko ka clamping pale i nā ʻeha liʻiliʻi, akā he kūpono ia no nā ʻeha nui a i ʻole nā ​​​​maʻi i ka pilikia nui o ke kahe koko postoperative (e like me ka poʻe e loaʻa ana i ka lāʻau antithrombotic).

ʻO ka ʻoki ʻana i nā ʻeha ma hope o ka ESD:

Hoʻopaʻa ʻia nā kīʻaha koko i hōʻike ʻia, a hiki ke hoʻohana ʻia nā ʻūmiʻi hemostatic e pale aku ai i ka hoʻopaʻa ʻana o nā kīʻaha koko nui.

Hoʻomaopopo:

No ka EMR o nā ʻeha liʻiliʻi, ʻaʻole ʻōlelo ʻia ka mālama pale maʻamau, akā no nā ʻeha nui a i ʻole nā ​​​​maʻi pilikia kiʻekiʻe, loaʻa i ka ʻoki pale postoperative 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!