Colonoscopy: Hoʻoponopono i nā pilikia

Nā mea hoʻohana Endoscopic e pili ana: Hoʻopau ESD Knife

Ka nui o ke koko postoperative:

Polypectomy: 1.6%

EMR: 1.1%~1.7%

ESD: 0.7%~3.1%

 

1. Pehea e hana ai me ka perforation

No ka mea ʻoi aku ka lahilahi o ka pā o ka ʻōpū nui ma mua o ka ʻōpū, ʻoi aku ka nui o ka pilikia o ka perforation. Pono ka hoʻomākaukau kūpono ma mua o ka ʻoki ʻana e hoʻoponopono ai i ka hiki o ka perforation.

ʻO nā hana mālama intraoperative:

E hōʻoia i ka hana maikaʻi o ka endoscope. E koho i nā endoscope kūpono, nā mea hana lapaʻau, nā wai hoʻoheheʻe, a me nā lako lawe kalapona kalapona e like me ka wahi, morphology, a me ke kiʻekiʻe o ka fibrosis o ka ʻōpū.

Ka mālama ʻana i ka perforation intraoperative:

Pani koke: ʻAʻohe o ka wahi, makemake ʻia nā kiʻi no ka pani ʻana (ikaika manaʻo: pae 1, pae hōʻike: C). I ka ESD, i kekahi manawa pono e ʻili mua ʻia ka wahi a puni i mea e pale ai i ka hana ʻili.

Tissue, e hōʻoia i ka lawa o ka wahi hana ma mua o ka pani ʻana.

Ka nānā ʻana ma hope o ka hana: Inā hiki ke pani piha ʻia ka perforation, hiki ke pale ʻia ke ʻoki ʻana me ka mālama antibiotic a me ka hoʻokē ʻai.

ʻO ka hoʻoholo o ka ʻokiʻoki: Hoʻoholo ʻia ka pono o ka ʻoki ʻana ma muli o ka hui pū ʻana o nā hōʻailona o ka ʻōpū, nā hopena hoʻāʻo koko, a me ke kiʻi ʻana ma mua o ke kinoea manuahi i hōʻike ʻia ma CT wale nō.

Hana ʻāpana kūikawā:

ʻAʻole hiki i ka rectum haʻahaʻa ke hoʻoheheʻe i ka ʻōpū ma muli o kona ʻano anatomical, akā hiki ke kumu

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

Nā mea e mālama ai:

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

Loaʻa nā hōʻike kūpono e hōʻike ai i ka maikaʻi o ka pale ʻana i ka hoʻopaneʻe ʻana.

 

2. Pane i ke koko

Ka mālama ʻana i ke koko intraoperative:

E hoʻohana i ka coagulation wela a i ʻole ka hemostatic clip e hoʻōki i ke koko.

Ke kahe koko liʻiliʻi:

I ka EMR, hiki ke hoʻohana ʻia ka snare tip no ka coagulation thermal.

I ka ESD, hiki ke hoʻohana ʻia ka piko o ka pahi uila e hoʻopili i ka coagulation thermal a i ʻole hemostatic forceps e hoʻōki i ke koko.

ʻO ke koko o ka moku nui: E hoʻohana i ka hemostatic forceps, akā e hoʻomalu i ka laulā o ka coagulation e pale i ka lohi ʻana i ka perforation.

Ka pale ʻana i ke koko postoperative:

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

Ua hōʻike ʻia nā haʻawina ʻaʻohe hopena koʻikoʻi o ka hoʻohana ʻana i ka hemostatic clamps no ka coagulation preventive i ka nui o ke koko postoperative, akā aia ke ʻano i ka hōʻemi. He liʻiliʻi ka hopena o ka hoʻopaʻa ʻana i nā liʻi liʻiliʻi, akā maikaʻi no nā ʻeha nui a i ʻole nā ​​​​mea maʻi i pilikia nui i ke kahe koko postoperative (e like me ka poʻe e loaʻa ana i ka antithrombotic therapy).

ʻO ka wehe ʻana i ka ʻeha ma hope o ESD:

Hoʻopili ʻia nā kīʻaha koko i hōʻike ʻia, a hiki ke hoʻohana ʻia nā clip hemostatic e pale ai i ka pipili ʻana o nā kīʻaha koko nui.

Nānā:

No ka EMR o nā ʻeha liʻiliʻi, ʻaʻole ʻōlelo ʻia ka mālama pale maʻamau, akā no nā ʻeha nui a i ʻole nā ​​​​mea maʻi kiʻekiʻe, loaʻa kekahi hopena i ka hoʻopaʻa ʻana i ka postoperative (ikaika manaʻo: Papa 2, pae hōʻike: C).

ʻO ka perforation a me ke kahe ʻana 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 hiki ke hōʻemi pono i ka ulu ʻana o nā maʻi sporadic a hoʻomaikaʻi i ka palekana o ka maʻi.

 

ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina i mea kūikawā i nā mea hoʻohana endoscopic, e like mebiopsy forceps, hemoclip, pahele polyp, nila sclerotherapy, pulupulu pulupulu, cytology brushes, alakai, hīnaʻi kiʻi pōhaku, ihu biliary drainage catheter,ureteral access sheathapuʻu ureteral me ka ʻūhāetc. i hoohana nui ia maEMR, ESD, ERCP. ʻO kā mākou huahana i hōʻoia ʻia ʻo CE, a ua hōʻoia ʻia kā mākou mea kanu. Ua lawe ʻia kā mākou waiwai i ʻEulopa, ʻAmelika ʻAmelika, Middle East a me kahi hapa o Asia, a loaʻa nui i ka mea kūʻai aku o ka ʻike a me ka hoʻomaikaʻi!