Igisubizo kibangamiye ubuvuzi bwa Endoskopi mubuvuzi bwihariye bwo gusuzuma no kuvura abana

1 program Gahunda idasanzwe kubana bavutse nimpinja (0-1 ans)

(1) Ultra nziza ya transnasal endoskopi sisitemu

Iterambere ry'ikoranabuhanga:

Gastroscope ya diametero 1.8mm (nka Olympus XP-190): Kugenzura atresia esophageal unyuze mu mazuru y'abana bato batagejeje igihe (≥ 2.4mm).

CO ₂ guhora ushiramo igitutu: komeza umuvuduko <8mmHg kugirango wirinde guturika gastrica (uburebure bwa gastric neonatal ni 1-2mm gusa).

Agaciro ka Clinical:

Ubundi buryo bwa X-ray yerekana amashusho ya dogiteri esophageal atresia ivuka hamwe nimirasire yumuriro igaruka kuri zeru.

Intsinzi yo kugaragara neza enema yo guhagarika amara ya meconium yavuye kuri 60% igera kuri 92%.

(2) Bronchoscopic bronchoalveolar lavage (BAL)

Micro bronchoscope:

Icyitegererezo cyuzuye cya patogene yumusonga ukabije ukoresheje umuyoboro wa 2.2mm ukora (nka Storz 27005K).

Kugereranya kwipimisha buhumyi: Igipimo cyo kumenya virusi cyiyongereye kiva kuri 40% kigera kuri 85% (J Pediatr 2023).

2 diagn Gusuzuma no kuvura udushya kubana bato (1-3 ans)

(1) Magnetic igenzurwa na capsule endoscope

Guhanga udushya mu ikoranabuhanga:

8mm yamira capsules (nka CapsoCam Pediatric): igenzurwa numurima wa magneti wo hanze kugirango uyohereze mumara mato.

AI ihita imenya ingingo ziva mumaraso muri diverticulum ya Meckel hamwe na sensibilité ya 94%.

Ibyiza:

Simbuza colonoscopi gakondo kandi wirinde anesthesia rusange.

(2) Cystourethroscope idafite ububabare

Ikoreshwa rya amavuta ya Hydrogel:

Hydrogel ya thermosensitive irimo lidocaine yagabanije ububabare bwo kwinjiza (amanota yububabare yagabanutse kuva kuri 7 kugeza kuri 2).

Igipimo cyukuri cyo gusuzuma inyuma ya urethral valve ni 100%.

3 treatment Kuvura byibuze kubana bari mumashuri (3-12 ans)

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Kurwanya abana:

Icyuma giciriritse cya 1.9mm (nka Olympus KD-655) gikoreshwa mukuvura achalasia.

Igihe cyo kubaga cyagabanutse kuva ku minota 90 muri verisiyo y'abakuze kugera ku minota 35.

Ingaruka zo kuvura:

Kurya byasubukuwe nyuma yamasaha 48 nyuma yo kubagwa, bikaba byihuta iminsi 5 kuruta kubaga Heller gakondo.

(2) Amabwiriza ya Arthroscopic epiphyseal

Ibyingenzi bya tekinike:

2.7mm ya arthroscopie (nka Arthrex NanoScope) iyobora ishyirwaho rya plaque ifite ibyuma 8.

Gukosora neza kuvura ivi valgus ni 0.5 ° (osteotomy gakondo ifite ikosa rya 3 °).

4 Program Gahunda yo Kubungabunga Imikorere Yingimbi (Imyaka 12-18)

(1) Kurekura endoskopi ya scoliose

Iterambere ry'ikoranabuhanga:

3mm umwobo umwe endoscope ikoreshwa mugukata ligamente (nka Joimax iLESSYS).

Huza inkoni zo gukura za magnetiki (MAGEC) kugirango ugabanye kubaga rimwe kumugaragaro.

(2) Kuvura endoskopique yo gukura kwamabere yingimbi

Ikoranabuhanga ryo gusesa amavuta:

1.6mm ya endoskopi ifasha gutera inshinge za fosifatiqueylcholine byatumye igipimo cya 91% kigaruka kumikurire yabagabo.

5 Technology Ikoranabuhanga ryubwenge kandi ryoroshye

(1) Sisitemu yo Kurangaza VR

Gushyira mu bikorwa tekinike:

Kwambara Meta Quest 3 mugihe cyibizamini byerekanaga gukina imikino, kandi igihe cyo kwihanganira ububabare cyongerewe inshuro eshatu.

(2) Gukurikirana ubujyakuzimu bwa AI

Umufasha wo kugaburira abana ：

Guhindura byikora dosiye ya propofol ishingiye kubisesengura mumaso byatumye igabanuka rya 70% mubihe byo guhumeka.

(3) Imashini yafashaga bronchoscopy

Miniature Miniature:

Ukuboko kwa robo ya 3mm yageze kurwego rwa 10 bronchus, kandi intsinzi yo gukuramo umubiri wamahanga yari 99%.

6 direction Icyerekezo cy'ikoranabuhanga kizaza

Inzira mbi yo guhumeka:

Ibikoresho bya polycaprolactone bifata amezi 6 kugirango bivure koroshya tracheal.

Nano endoskopi sensor:

Gukurikirana igihe nyacyo cyibikorwa byo mu mara kugirango tumenye kutoroherana.

Kwigana chip organisation:

Kwipimisha microfluidic mbere yo gutangira gahunda yo kubaga gahunda yo kuvuka kwa biliary atresia.

Imbonerahamwe yo Kugereranya Inyungu

Ibyifuzo byingamba zo gushyira mubikorwa

NICU: ifite ibikoresho bya 1.8mm ya bronchoscope na sisitemu ya CO ₂.

Ikigo cyita ku bana: Kubaka Magnetron Capsule AI Isesengura.

Icyerekezo cyubushakashatsi: Gutezimbere imikurire ya endoskopique ikura (nko kwaguka kwa esophageal stent).

Izi tekinoroji zirimo guhindura paradizo yo gusuzuma no kuvura abana binyuze mu bintu bitatu by'ingenzi: inzira ya milimetero, inzira zo mu mutwe zeru, no kuvura indwara. Biteganijwe ko mu 2028, 90% y’ibizamini by’abana bitera bizaba inshinge kandi nta bubabare.