Igisubizo kibangamiye ubuvuzi bwa endoskopi mugihe cyihutirwa kandi gikomeye cyo gusuzuma no kuvura

1 techni Uburyo bwo kurokora ubuzima bwo kuva amaraso akomeye gastrointestinal

(1) Sisitemu ya Endoskopi Ako kanya Hemostasis

Hemospray ifu yifu ya spray:

Ihame rya tekiniki: Uduce duto twa Titanate dukora inzitizi ya mashini hejuru yamaraso, ihagarika kuva amasegonda 30.

Amakuru y’amavuriro: Igipimo cyo kugenzura amaraso y’indege ya Forrest Ia ni 92%, kikaba cyihuta inshuro eshatu ugereranije na clip ya titanium gakondo.

Hejuru ya Clip Clip (OTSC):

Igishushanyo cya Bear Claw: Funga ibisebe bitobora hamwe na diameter ya 3cm (nka Dieulafoy lesion), hamwe no kugabanuka kwa munsi ya 5%.

(2) Guhanura ibyago byo kuva amaraso

Igihe nyacyo cyo kubona algorithm:

Kimwe n'amanota ya Cosmo AI, amanota ya Rockall ahita abarwa mumashusho ya endoskopi kugirango ayobore ubuvuzi bwambere.

2 treatment Kwivura byibuze byihutirwa byumuyaga

(1) ECMO ihujwe na bronchoscopy

Iterambere ry'ikoranabuhanga:

Portable ECMO (nka Cardiohelp) ikoreshwa mukubungabunga ogisijeni no gukora lavage ya bronchoalveolar (BAL) kugirango ikureho amashanyarazi ya COVID-19.

Agaciro ka Clinical: Kwemeza umutekano wibikorwa kubarwayi bafite PaO ₂ / FiO ₂ <100mmHg (Lancet Respir Med 2023).

(2) Cryoprobe airway recanalisation

Ikoranabuhanga ryihuta:

-40 be ubushyuhe buke (nka ERBE CRYO2) bukoreshwa muguhagarika ibibyimba byo mumuyaga, hamwe no kuva amaraso ya <10ml (ugereranije na electrocautery> 200ml).

3 intervention Kwivanga kwa endoskopi kuri pancreatite ikabije

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Guhanga udushya mu ikoranabuhanga:

(2) Sisitemu ikomeza ya peritoneal

Endoskopi ishyirwa mubikorwa byo kuhira:

Bayobowe numuyoboro wa endoskopi ebyiri, urwego rwa amylase mumazi ya lavage rukurikiranwa mugihe nyacyo.

4 application Endoskopique ikoreshwa mubuvuzi bwihutirwa

(1) Hemostasis yihutirwa ikoresheje thoracoscopy

Umwobo umwe rukomeye thoracoscopy:

Shakisha icyuho cyigituza ukoresheje 5mm, koresha amashanyarazi kugirango uhagarike kuva amaraso, kandi wirinde thoracotomy (nka Storz 26003BA).

Gusaba ubuvuzi bwa gisirikare: kurugamba rwinjira mu mvune igihe cyo kugenzura amaraso yagabanutse kugera ku minota 15.

(2) Duodenoscopy yo kuvura ibikomere byinzira

ERCP gukuraho amabuye yihutirwa + stent:

Gushyira icyuma gipfundikijwe neza mugihe cyo kubagwa kumitsi isanzwe yamenetse ifite intsinzi ya 98%.

5 solution Igisubizo kibangamira gukurikirana ICU kuryama

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Ikoreshwa rya elegitoroniki ya elegitoroniki:

Cortrak ® Sisitemu yerekana inzira ya catheter mugihe nyacyo, kandi igipimo cyo kwinjira kubwimpanuka cyinjira mumihanda gisubizwa kuri zeru.

Kugereranya umwanya wa X-ray: Igihe cyo gukora cyagabanutse kuva kumasaha 2 kugeza kuminota 20.

(2) Micro cystoscopi yo gukurikirana imikorere yimpyiko

10Fr cystoskopi ya elegitoroniki:

Komeza ukurikirane impyiko papillary ischemia yimiterere yabarwayi barembye cyane (nka sepsis ifitanye isano na AKI).

6 direction Icyerekezo cy'ikoranabuhanga kizaza

(1) Nano hemostatike endoscope:

Magnetique nanoparticles itwara trombine, magnetiki yumurima yayoboye neza embolisation (igeragezwa ryinyamaswa igihe cya amasegonda 10).

(2) Holographic AR igenda:

Microsoft HoloLens 2 umushinga uhuza ibice bitatu-byo guhuza ingingo yo guturika kw'imitsi.

(3) Inzira yo guhumeka yangirika:

Ibikoresho bya polycaprolactone bigomba kwinjizwa mugihe cyibyumweru 4 kugirango wirinde gukurwaho kabiri.

Imbonerahamwe yo Kugereranya Inyungu

Ibyifuzo byingamba zo gushyira mubikorwa

Ishami ryihutirwa: Iza bisanzwe hamwe na Hemofray + OTSC "Hemostasis Kit".

Ihahamuka: Kubaka icyumba cyo gukoreramo (CT + endoskopi ihuza).

Ubushakashatsi bwibanze: Gutezimbere ihahamuka bio adhesive endoscopic spray sisitemu.

Izi tekinoroji zirimo gusunika endoskopi yihutirwa kumwanya wingenzi wokuvura "isaha ya zahabu" binyuze mubintu bitatu byingenzi: "igisubizo cyumunota, kwangirika kwa zeru, no kubungabunga imikorere ya physiologiya". Biteganijwe ko muri 2027, 50% byihutirwa byo gufungura inda / thoracic kubagwa bizasimburwa na endoscopi.