Hiki ke mālama ʻia nā pōhaku ureter liʻiliʻi ma ke ʻano mālama ʻole a i ʻole ka extracorporeal shock wave lithotripsy, akā ʻo nā pōhaku anawaena nui, ʻoiai nā pōhaku ālai, pono ke hana ʻoki kino koke.
Ma muli o ke kūlana kūikawā o nā pōhaku ureteral o luna, ʻaʻole paha e hiki ke komo me kahi ureteroscope paʻa, a hiki i nā pōhaku ke neʻe maʻalahi i luna i loko o ka pelvis renal i ka wā lithotripsy. Hoʻonui ka nephrolithotomy percutaneous i ka pilikia o ke kahe koko ʻana o ka renal i ka wā e hoʻokumu ai i kahi kahawai.
Ua hoʻoponopono pono ka piʻi ʻana o ka ureteroscopy palupalu i nā pilikia i luna. Komo ia i loko o ka ureter a me ka pelvis renal ma o ka puka maʻamau o ke kino kanaka. He palekana, he pono, he liʻiliʻi ka invasive, he emi ke kahe koko, emi ka ʻeha no ka mea maʻi, a he kiʻekiʻe ka nui o ka ʻole o nā pōhaku. I kēia manawa ua lilo ia i ʻano hana ʻoki maʻamau e mālama ai i nā pōhaku ureter luna.
ʻO ka puka ʻana mai oʻūpā komo ureterua hoʻemi nui ʻia ka paʻakikī o ka lithotripsy ureteroscopic maʻalahi. Eia nō naʻe, me ka piʻi ʻana o ka nui o nā hihia lapaʻau, ua huki mālie ʻia kona mau pilikia. He mea maʻamau nā pilikia e like me ka perforation ureteral a me ka ureteral stricture. Eia nā kumu nui ʻekolu e alakaʻi ana i ka ureteral stricture a me ka perforation.
1. Ka hele ʻana o ka maʻi, ke anawaena o ka pōhaku, ka hoʻopaʻi ʻana o ka pōhaku
ʻO nā maʻi me ka lōʻihi o ke kaʻina o ka maʻi, he mau pōhaku nui ko lākou, a noho nā pōhaku nui i loko o ka ureter no ka manawa lōʻihi e hoʻopaʻa ai. Hoʻopaʻa nā pōhaku ma kahi i hoʻopaʻa ʻia ai ka mucosa ureter, e hopena ana i ka lawa ʻole o ke koko kūloko, ka ischemia mucosal, ka mumū a me ka hoʻokumu ʻana o nā ʻōpala, e pili pono ana i ka hoʻokumu ʻia ʻana o ka ureteral stricture.
2. ʻEha ureteral
He maʻalahi ke kulou ʻana i ka ureteroscope palupalu, a pono e hoʻokomo ʻia kahi ʻūpā komo ureter ma mua o ka lithotripsy. ʻAʻole hana ʻia ke komo ʻana o ka ʻūpā kahawai ma lalo o ka ʻike pololei ʻana, no laila he mea hiki ʻole ke pale ʻia e hōʻino ʻia a puka paha ka mucosa ureter ma muli o ke kulou ʻana o ka ureter a i ʻole ka lumen haiki i ka wā e hoʻokomo ʻia ai ka ʻūpā.
Eia kekahi, i mea e kākoʻo ai i ka ureter a hoʻokahe i ka wai perfusion e hōʻemi i ke kaomi ma ka pelvis renal, koho pinepine ʻia kahi ʻūpā kahawai ma o F12/14, kahi e hiki ai i ka ʻūpā kahawai ke hoʻopaʻa pololei i ka paia ureteral. Inā ʻaʻole i oʻo ke ʻano hana a ke kauka lapaʻau a hoʻolōʻihi ʻia ka manawa hana, e hoʻonui ʻia ka manawa hoʻopaʻa o ka ʻūpā kahawai ma ka paia ureteral i kekahi ʻano, a e ʻoi aku ka nui o ka pilikia o ka hōʻino ischemic i ka paia ureteral.
3. Ka pōʻino laser Holmium
ʻO ka ʻāpana pōhaku o ka laser holmium e hilinaʻi nui ʻia ma kāna hopena photothermal, ka mea e hoʻoulu ai i ka pōhaku e omo pololei i ka ikehu laser a hoʻonui i ka mahana kūloko e hoʻokō ai i ke kumu o ka ʻāpana pōhaku. ʻOiai ʻo ka hohonu o ka radiation thermal i ka wā o ke kaʻina hana ʻokiʻoki ʻiliʻili he 0.5-1.0 mm wale nō, ʻo ka hopena overlapping i hoʻokumu ʻia e ka ʻokiʻoki ʻiliʻili mau he mea nui ʻole.
ʻO nā kumu nui no ka hoʻokomo ʻana i kaʻūpā komo ureterpenei:
1. Aia kahi manaʻo maopopo o ka holomua i ka wā e hoʻokomo ai i loko o ka ureter, a he laumania ka manaʻo ke piʻi i luna i loko o ka ureter. Inā paʻakikī ke hoʻokomo ʻana, hiki iā ʻoe ke hoʻoluliluli i ke kaula alakaʻi i mua a i hope e nānā inā e komo mālie ana ke kaula alakaʻi i loko a i waho, i mea e hoʻoholo ai inā e holomua ana ka ʻūpā kahawai i ke kuhikuhi o ke kaula alakaʻi, e like me Inā he kū'ē maopopo, pono e hoʻoponopono i ke kuhikuhi o ka ʻūpā;
Ua paʻa pono ka ʻūpā kahawai i kau pono ʻia a ʻaʻole e komo a puka i waho i ka makemake. Inā puka maopopo ka ʻūpā kahawai, ʻo ia hoʻi ua ʻōwili ʻia i loko o ka ʻōpū mimi a ua puka ka uea alakaʻi mai ka ureter a pono e hoʻololi hou ʻia;
3. He ʻokoʻa nā kikoʻī o nā ʻūpā kahawai ureteral. Hoʻohana pinepine nā maʻi kāne i ke kumu hoʻohālike 45 cm ka lōʻihi, a hoʻohana nā maʻi wahine a i ʻole nā maʻi kāne pōkole i ke kumu hoʻohālike 35 cm ka lōʻihi. Inā hoʻokomo ʻia ka ʻūpā kahawai, hiki iā ia ke hele wale ma ka puka ureteral a i ʻole ʻaʻole hiki ke piʻi i luna. Kūlana, hiki i nā maʻi kāne ke hoʻohana i kahi ʻūpā hoʻolauna 35 cm, a i ʻole e hoʻololi i kahi ʻūpā hoʻonui fascial 14F a i ʻole ka lahilahi e pale aku i ka ureteroscope palupalu mai ka hiki ʻole ke piʻi i ka pelvis renal;
Mai kau i ka ʻūpā kahawai i hoʻokahi ʻanuʻu. E waiho i 10 cm ma waho o ka puka urethral e pale aku i ka hōʻino ʻana i ka mucosa ureteral a i ʻole ka parenchyma renal ma UPJ. Ma hope o ke kau ʻana i ka scope flexible, hiki ke hoʻoponopono hou ʻia ke kūlana o ka ʻūpā kahawai ma lalo o ka ʻike pololei.
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 ihua pēlā aku i hoʻohana nui ʻia maEMR, ESD, ERCPA meMoʻo Urology, e like meMea Hoʻokaʻawale Pōhaku Nitinol, Nā Forceps Biopsy Urological, a meʻUpena komo Ureterala meʻUra alakaʻi UrologyUa 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!
Ka manawa hoʻouna: Sep-11-2024