Cystoscope ni iki?

Cystoscope nigikoresho cyihariye cya endoskopi ikoreshwa mugushushanya neza urethra nu ruhago rwo gusuzuma no kuvura. Byinjijwe binyuze mu gufungura urethral, ​​cystoscope itwara urumuri ndetse na fibre optique bundles cyangwa sensor ya digitale kugirango itange amashusho akomeye. Mugutanga igihe nyacyo cya mucosa, ibikomere, nibikoresho biri munzira yo hepfo yinkari, cystoscope ituma biopies igenewe, kugarura amabuye, gutera ibibyimba, hamwe na stent manipulation - akenshi mugihe kimwe - kugabanya gushidikanya, kugabanya inzira zubuvuzi, no kunoza ibisubizo.

Impamvu Cystoscope ifite akamaro muri Urology igezweho

Iyo abarwayi bagaragaje indwara ya hematuria, kwandura kenshi, ibimenyetso byo mu nkari zo hasi, ububabare budasobanutse, cyangwa amateka ya kanseri y'uruhago, umuvuduko nukuri ni ngombwa. Kwerekana amashusho nka ultrasound na CT birashobora kwerekana ibintu bidasanzwe, ariko ntibishobora gusimbuza icyerekezo cystoskopi itanga. Cystoscopy isobanura niba igicucu ari igikomere cyangwa igicucu, niba ibuye ryarashizwemo cyangwa rigendanwa, kandi niba gukomera ari bigufi, bisa nimpeta, cyangwa igice kirekire. Ubudahemuka butwara neza, kuvura neza, no gukurikirana neza.

• Amashusho ataziguye atezimbere kwisuzumisha kandi akayobora gutabara ako kanya.

• Kwisuzumisha hamwe no kuvura hamwe mugihe kimwe bigabanya anesthesia.

• Inyandiko-nyayo ishyigikira itumanaho ryitsinda, kwigisha, no kuzamura ireme.
  
  

Amateka magufi ya Cystoscope

Mu mpera z'ikinyejana cya 19 abapayiniya bagaragaje ko urumuri n'inzira bishobora gutuma inzira y'inkari igaragara, nubwo ibikoresho bya mbere byari bikomeye, binini kandi bitagaragara. Hagati yikinyejana cya 20 fibre optique yazamuye urumuri no guhinduka, bituma sisitemu yo kwisuzumisha ishingiye kuri biro. Iyemezwa rya chip-on-tip ya sensor sensor yazanye ibisobanuro bihanitse cyane, imikorere myiza-yumucyo mwiza, hamwe no gufata amajwi yizewe. Vuba aha, gukoresha-cystoskopi imwe yaguye uburyo bwo kugenzura kwandura no guhinduka byihuse murwego rwo hejuru rwinjiza.

• Igihe cya Fibre-optique: bundle bundles yatwaye amashusho kumaso, ariko yakundaga "utudomo twumukara" kuva kumeneka kwa fibre.

• Igihe cya videwo ya digitale: ibyuma bya kure bya CMOS byatanze HD, ubudahemuka bwamabara, hamwe no gufata amajwi byoroshye mumahugurwa na QA.

• Inzira zishobora gukoreshwa: yakuyeho intambwe zo gusubiramo amafaranga yikiguzi cyakoreshejwe kumyanda.

Anatomy Cystoscope igomba kuyobora

Inzira yo munsi yinkari anatomy yerekana urugero rwa diameter, guhinduka, hamwe ningamba zo kuyobora. Mu bagabo, amajwi ya curvature na sphincter ijwi bituma iterambere ryoroheje, risizwe neza; ku bagore, urethra ni ngufi kandi ikomeye ariko bisaba asepsis yitonze. Mu ruhago, ubushakashatsi butunganijwe bukubiyemo trigone, orifike ya ureteric, umusozi wa interureteric, dome, inyuma, kuruhande, no kurukuta rwimbere.

• Urethra yumugabo: inyama → fossa navicularis → penile → bulbar → membrane → prostate urethra → ijosi ryuruhago.

• Uretra y'abagore: amasomo magufi hamwe no kurakara bitandukanye no kwirinda indwara.

• Ibimenyetso byerekana uruhago: trigone, ureteric orifices, umusozi wa interureteric, na dome bisaba kwaguka bihagije no kurakara.

Niki Cystoscope Yakozwe

• Kwinjiza umuyoboro hamwe nicyatsi: biocompatible, irwanya kink, nini kugirango ihumurizwe kandi igerweho binyuze mubikomerezwa.

• Optics no gufata amashusho: fibre bundles cyangwa CMOS ya kure; anti-igihu, hydrophilique, cyangwa Windows idashobora kwihanganira.

• Kumurika: LED inkomoko hamwe nimbaraga zishobora guhinduka kumirima yera cyangwa hemorhagie.

• Gutandukana no kuyobora: kugenzura ibiziga hejuru / hasi (kandi rimwe na rimwe kuruhande) gutandukana muburyo bworoshye.

• Imiyoboro ikora no kuhira: kunyuramo ibikoresho no kwaguka bihoraho; imiyoboro ibiri itezimbere ituze.

• Koresha na UI: gufata ergonomic, gufata / guhagarika buto, no gucunga insinga kugirango ugabanye umunaniro muke.

• Kwihuza: ikurikirana / itunganya hamwe nububiko bwamashusho, DICOM yohereza hanze, hamwe numuyoboro wizewe.
  
  

Ubwoko bwa Cystoscope

• Cystoscope Rigid: optique nziza hamwe numuyoboro ukomeye; bikunze gukoreshwa mubikorwa bikora (urugero, inkunga ya TURBT, imirimo yamabuye).

• Cystoscope yoroheje: ihumure ryinshi no kugera; nibyiza byo gusuzuma ibiro no kugenzura.

• Video (chip-on-tip) cystoscope: Kwerekana amashusho ya HD no gufata amajwi kugirango tumenye uko ibintu bimeze no kwigisha.

• Koresha inshuro imwe cystoskopi: inyungu zo kugenzura kwandura no guhanura kuboneka; hejuru kuri buri rubanza ikiguzi.

• Impinduka zabana: kugabanya diameter, kugabanuka kworoheje, hamwe nibikoresho bito bihuza.

Ibimenyetso bya Cystoscopy

• Imikorere igaragara cyangwa microscopique hematuria kugirango ikore amaraso kandi wirinde indwara mbi.

• Gukurikirana kanseri y'uruhago kugirango hamenyekane ibisubiramo kandi biyobore imiti ivura.

• Indwara zinkari zisubiramo kugirango umenye amabuye, diverticula, cyangwa imibiri yamahanga.

• Ibimenyetso byo mu nkari zo hepfo kugirango wirinde gukumirwa cyangwa gukomeretsa.

• Isuzuma rikomeye rya Urethral kugirango risobanure urubuga, uburebure, na kalibiri yo gutegura gahunda.

• Kugarura umubiri wamahanga, gushyira stent, no gukuraho.

• Isuzuma nyuma yo kubagwa pelvic cyangwa imirasire ya fistulae, necrosis, cyangwa imirasire ya cystite.

Inzira y'abarwayi: Gutegura, inzira, gukira

Gutegura no gutanga inama

• Sobanura intego (kwisuzumisha vs bishobora kuvurwa), intambwe, ibyiyumvo, nibimenyetso byerekana nyuma yuburyo bukurikira.

• Ongera usuzume amateka, allergie, imiti, nibisubizo byumuco; gucunga anticoagulation na antibiotique kuri politiki.

• Reba ibikoresho byiteguye: uburinganire bwuzuye, ibikoresho, kuvomerera, hamwe na sisitemu yo gufata amajwi.

Umunsi w'ibikorwa

• Umwanya (lithotomy cyangwa dorsal recumbent), kwitegura neza, hamwe na anesthetic ya gel nkuko byerekanwe.

• Iterambere mu iyerekwa ritaziguye; ntuzigere uhatira kurwanya.

• Komeza intera imwe hamwe no kuhira isotonic; kora ubushakashatsi bwuruhago.

• Witabare nkuko byateganijwe (biopsy, hemostasis, kugarura amabuye, imirimo ya stent) hamwe ninyandiko hamwe namashusho.

Gukira no Gukurikirana

• Shishikariza amazi; tanga ubuyobozi bwa analgesia nibimenyetso bitukura-ibendera (umuriro, kugumana, ibibyimba biremereye).

• Gahunda yo gukurikirana ibya patologiya, intera yo kugenzura, hamwe no gusuzuma ibimenyetso.

Gusuzuma Cystoscopi: Ubuhanga bwo Kwizerwa

• Tangira ukuraho panoramic; guhindura urumuri / inyungu; kuzenguruka kugirango ukomeze icyerekezo.

• Kuranga ibikomere ukurikije ubunini, ibara, imitsi, imiterere, imipaka, no kuba hafi ya orifices.

• Koresha ingufu zingana na biopsy; ikirango ingero ukurikije ahantu nyaburanga.

• Reba itandukaniro rya digitale cyangwa uburyo bwa fluorescence (aho bihari) kugirango utezimbere ibisebe byoroshye.

Cystoscopi ikora: Ibikorwa bisanzwe

• Inkunga ya TURBT: ibikomere byikarita, impande za biopsy, kumenya satelite; inyandiko hamwe nisaha-yerekana icyerekezo.

• Gucunga amabuye: igitebo gito calculi; gucamo amabuye manini (ultrasonic, pneumatic, laser) hanyuma ugarure ibice.

• Gucunga bikomeye: gusobanura anatomy; gukora kwaguka cyangwa gutemagura igihe bibaye ngombwa; tegura urethroplasti kubice birebire.

• Hemostasis: igenzura ryerekana amaraso hamwe ningufu zingirakamaro hamwe no kubona neza.

• Akazi ka stent: gushyira neza no gukuraho hamwe no kureba neza trigone na orifices.
  
  

Ingaruka n'ingorane: Kumenyekana no Kugabanya

• UTI: gabanya hamwe no guhitamo neza, tekinike ya sterile, hamwe na disipuline yo gusubiramo; suzuma umuriro uhoraho cyangwa ububabare bwuruhande.

• Hematuria: mubisanzwe yigenga; tanga hydration kandi usubize ingamba zo kwirinda.

• Gutobora: ntibisanzwe; irinde imbaraga zimpumyi, cyane cyane mubikomerezwa; gucunga kuva amazi ya catheter kugirango usane ukurikije ubukana.

• Ububabare / ihahamuka: kugabanya amavuta, guhitamo ingano, no gufata neza.

• Amazi arenze urugero: gukurikirana iyinjira / isohoka mumwanya muremure; koresha isotonic yo kuhira iyo ihujwe ningufu zingufu.

Kwirinda kwandura no gusubiramo

• Ingingo-yo-kwitaho: mbere-isuku kugirango wirinde biofilm; ikizamini gisohoka mbere yo kwibizwa.

• Isuku y'intoki: ibikoresho byo kwisiga hamwe no gukaraba umuyoboro kuri IFU.

• Kwanduza urwego rwohejuru cyangwa sterisizione: chemisties yemewe cyangwa sisitemu yubushyuhe buke; kumisha byuzuye no kubika birinzwe.

• Automation: AERs igena ibipimo; amahugurwa nubugenzuzi bikomeza kubahiriza.

• Gukoresha inshuro imwe: ingirakamaro aho ubushobozi bwo gusubiramo bugarukira cyangwa kugenzura ibyorezo nibyingenzi.

Ubwiza bwo Kwerekana: Niki "Cyiza" gisa

• Icyemezo / urwego rugaragara: uzigame ibisobanuro mubitekerezo byiza kandi byicucu.

• Ibara ryukuri / uburinganire bwera: ibara ryukuri rifasha gutandukanya umuriro na neoplasia.

• Ishusho itajegajega: igishushanyo mbonera cya ergonomique, gutandukana neza, gutwikira ibicu, no kuhira imyaka.

• Inyandiko: ibisanzwe byerekana uturere twose hamwe nuhagarariye amashusho / amashusho.

Ibintu byabantu: Operator Ergonomics nuburambe bwabarwayi

• Gufata neza, guhuza ibizunguruka, hamwe na micro-break bigabanya umunaniro wabaganga.

• Intambwe ku yindi kuvuga hamwe no kwizeza ubuzima bwite biteza imbere ihumure no kwizerana.

• Analgesia itangirira kuri geles yibanze na NSAIDs kugeza kugabanuka gake kubibazo byatoranijwe.

Amasoko: Guhitamo ibikoresho bya Cystoscope

Sobanura ibikenewe mu mavuriro

• Ibipimo byo gusuzuma ibiro, ibikorwa bigoye, umugabane wabana, na gahunda yo kugenzura kanseri.

Ibipimo bya tekiniki

• Sensor generation, gukemura, ibara rihamye, ingano yumurongo, intera ihindagurika, diameter yo hanze, kumurika, no kuramba.

Igiciro cyose cya nyirubwite

• Igiciro cyimari vs ubuzima bwose, gusana inzinguzingo, abatanga inguzanyo, ibiciro byo gusubiramo, birukanwa vs byongeye gukoreshwa, amasezerano ya serivisi, hamwe namakuru agezweho.

Kwishyira hamwe

• Gufata amashusho / Guhuza EHR, kubika ibikoresho, kubara, no guhugura abakozi / kwemeza ubushobozi.

Kubungabunga no Kwemeza Ubwiza

• Igenzura ryateganijwe kumyenda yimyenda, gushushanya lens, gukina kuyobora, hamwe nubusugire bwihuza.

• Kwipimisha kumeneka kugirango wirinde kwinjiza amazi no kwangirika kwa elegitoroniki.

• Ibiti byabaye bihuza buri koresha umurwayi / ukora; inzira yo gusana intego yo kongera imyitozo.

• Porogaramu itunganya ama software kandi ikurikirana ibara ryibara kugirango ubudahemuka buhoraho.

Ubukungu bwubuzima ningaruka zakazi

• Ibiro bishingiye kuri cystoskopi byagura ubushobozi burenze OR kandi bigabanya igihe cyo gutegereza.

• Igenzura ryizewe rya kanseri rigabanya ibiganiro byihutirwa kandi rihuza ubuvuzi nubuyobozi.

• Gusubiramo gukomeye cyangwa guhitamo inshuro imwe ikoreshwa bigabanya ibyago byo guturika no guhagarika serivisi.

Abaturage badasanzwe

• Indwara z'abana: ahantu hato, ihahamuka rito, itumanaho rishingiye ku muryango, kwikinisha.

• Uruhago rwa Neurogenic: teganya impinduka zidakira hamwe nimpinduka zijyanye na catheter; biopsy mubushishozi.

• Abarwayi barwanya indwara: kuringaniza amaraso hamwe ningaruka za trombotique; guhuza gahunda za periprocedural.

• Imirasire ya cystitis: mucosa ikaranze; gukoresha ingufu za conservateur no guteganya kuvura intravesical.

Amahugurwa no gutanga impamyabumenyi

• Kwigana, kwimenyereza intebe, no kugenzurwa byubaka ubumenyi bwa psychomotor.

• Ibikorwa byingenzi: gukemura, ubushakashatsi butunganijwe, kuranga ibikomere, ibikorwa byibanze.

• Amahugurwa yitsinda ryabaforomo n'abakozi basubiramo; kwambukiranya imipaka bikomeza serivisi.

• Kugenzura hamwe namafoto yerekana, igipimo cya UTI, ingorane, hamwe nibisubizo byatanzwe nabarwayi.

Kazoza ka Cystoscope

• Gufashwa na AI gutahura: algorithms to flag ibisebe byoroshye kandi bigatanga raporo.

• Uburyo bwa Spectral / fluorescence: itandukaniro rya digitale kugirango utezimbere ibyiyumvo bibi.

• Ntoya, ifite ubwenge, icyatsi: ahantu hanini cyane, gutunganya neza, hamwe na flet-ubuzima.

• Tele-nkunga: umutekano wuzuye-gusangira ibitekerezo kubitekerezo bya kabiri hamwe nuburezi bwa kure.

Umusanzu wa XBX kuri Cystoscopi igezweho

XBX ishyira portfolio yayo ya cystoscope hafi yumvikana, guhoraho, no gukomeza guhuza ibikorwa byubuvuzi nyabyo aho kuba ibicuruzwa bimwe.

• Ubusobanuro: gushimangira ibara rihamye, intera yagutse, hamwe na optique yo kurwanya ibicu bifasha gutandukanya ibicanwa nibikomere bikabije hamwe nikarita yikarita yizeye.

• Guhoraho: ergonomic ihuriweho mubunini / moderi igabanya kwiga; guhuza umuyoboro bituma ibikoresho bishyiraho kimwe; gufata kugenzura kugenzura inyandiko.

• Gukomeza: amahugurwa yo kwishyiriraho, kuvugurura abakozi bahinduranya, n'inzira za serivisi zishyira imbere amasaha; kuvanga kongera gukoreshwa / gukoresha-ingamba imwe yo gukemura ibibazo byo kwandura no guteganya ibikenewe.

Mu kwibanda ku musanzu kuruta amagambo, XBX ishyigikira amatsinda ya urologiya mugukomeza gahunda ya cystoskopi itekanye, yizewe, kandi ishingiye ku barwayi mu myaka myinshi ikoreshwa.

Gufunga Icyerekezo

Cystoscope ikomeza kuba urufatiro rwa urologiya kuko ihuza neza kwisuzumisha, kuvura neza, hamwe nubushobozi bushingiye ku barwayi mugikoresho kimwe. Kuva kuri optique ikarishye kugeza kuri videwo yoroheje ya HD no guhitamo uburyo bumwe bwo gukoresha, ubwihindurize bwagiye bwagura ibyo abaganga bashobora kubona no gukora nta gutemagura. Hamwe nogusubiramo disipuline, gutanga amasoko yatekerejweho, amahugurwa akomeye, hamwe ninganda zishingiye ku musanzu nka XBX, cystoscopi izakomeza gushikama ku mutekano, ku gihe, kandi neza wo kwita ku ruhago no mu nkari mu myaka icumi iri imbere.

Ibibazo

1. Ni ubuhe buryo bwo kwa muganga busaba gukoresha cystoskopi?

   Cystoscopes ikoreshwa mugukurikirana kanseri y'uruhago, iperereza rya hematuria, gusuzuma neza, gucunga amabuye, no kwandura inkari.

2. Ni irihe tandukaniro nyamukuru riri hagati ya cystoskopi ikomeye kandi yoroheje?

   Cystoscopes ikaze itanga optique nziza hamwe numuyoboro ukomeye, byiza muburyo bwo gukora, mugihe cystoskopi yoroheje itanga ihumure ryinshi kubarwayi kandi ikoreshwa kenshi mugupima ibiro.

3. Nigute videwo ya cystoskopi itezimbere uburyo bwo gusuzuma?

   Video cystoskopi ikoresha chip-on-tip ya sensor sensor kugirango itange ibisobanuro bihanitse byerekana amashusho, inyandiko-nyayo, hamwe nibitekerezo bisangiwe kubyigisha no kwizeza ubuziranenge.

4. Ni izihe ngamba zo kurwanya indwara zingenzi mugihe ukoresheje cystoskopi?

   Ibitaro bigomba gukurikiza protocole isubirwamo, igasuzuma ikoreshwa rya cystoskopi imwe mugihe bikenewe, kandi ikareba niba ibizamini bisohoka, kwanduza urwego rwo hejuru, hamwe nububiko bukwiye kugirango birinde kwanduza.

5. Ni ibihe bintu itsinda ryamasoko ryakagombye gusuzuma mugihe cyo gusuzuma ibikoresho bya cystoscope?

   Ibintu byingenzi birimo gukemura amashusho, ingano yumuyoboro, diameter yo hanze kugirango ihumurize abarwayi, iramba, ikiguzi cyo gusubiramo, inkunga ya serivise, hamwe no guhuza ibikorwa byibitaro.

6. Nigute ihumure ryabarwayi ricungwa mugihe cystoscopi?

   Ihumure ritezimbere binyuze muri geles ya anesthetic, amavuta yo kwisiga, tekinike yo kwinjiza neza, ubunini bukwiye, hamwe no gushyikirana neza numurwayi.

7. Nibihe bikoresho bikunze gukoreshwa na cystoskopi?

   Imbaraga za biopsy, ibitebo byamabuye, fibre ya lazeri, electrode ya cautery, hamwe nabafata stent biri mubikoresho bishobora kunyuzwa mumiyoboro ikora ya cystoskopi.

8. Ni mu buhe buryo cystoscopi ishyigikira gucunga kanseri y'uruhago?

   Ifasha kumenya hakiri kare, gushushanya ibibyimba, biopsies igamije, no gukomeza kugenzura kugirango byongere kubaho, bikabera urugero rwa zahabu mukuvura kanseri y'uruhago.