Disruptive Solution of Medical Endoscopy mu kuzuula n’okujjanjaba abaana mu ngeri ey’ekikugu

1、 Enteekateeka ey'enjawulo eri abalongo n'abaana abawere (emyaka 0-1)

(1) Enkola ya ultra fine okuyita mu nnyindo endoscopic

Okukulaakulana mu tekinologiya:

1.8mm diameter gastroscope (nga Olympus XP-190): Kebera esophageal atresia okuyita mu nnyindo y’abaana abawere abazaalibwa nga tebanneetuuka (≥ 2.4mm).

CO 2 okufuyira puleesa etakyukakyuka: kukuuma puleesa<8mmHg okwewala okukutuka kw’olubuto (obuwanvu bw’ekisenge ky’olubuto mu baana abazaalibwa buba mm 1-2 zokka).

Omugaso gw’obujjanjabi:

Okuzuula mu ngeri endala ey’okukuba ebifaananyi ku X-ray okuzuula obulwadde bw’okusannyalala kw’omumwa gwa nnabaana obuzaaliranwa nga ddoozi y’amasannyalaze ezzeemu okuteekebwa ku ziro.

Obuwanguzi bwa enema ey’okulaba obutereevu ku kuzibikira ekyenda kya meconium bweyongedde okuva ku bitundu 60% okutuuka ku bitundu 92%.

(2) Okulongoosa emisuwa mu nnyindo (BAL) .

Micro bronchoscope: eddagala eriyitibwa micro bronchoscope.

Okutwala sampuli z’obuwuka obuleeta endwadde mu bujjuvu ku kifuba eky’amaanyi nga tukozesa omukutu ogukola ogwa mm 2.2 (nga Storz 27005K).

Okugerageranya okukebera nga bazibe b’amaaso: Omuwendo gw’okuzuula obuwuka obuleeta endwadde gweyongedde okuva ku bitundu 40% okutuuka ku bitundu 85% (J Pediatr 2023).

2、 Okuzuula n'okujjanjaba abaana abato (emyaka 1-3) mu ngeri ey'obuyiiya .

(1) Endoscope ya capsule efugibwa magineeti

Obuyiiya mu tekinologiya:

Ensigo ezimira mmita 8 (nga CapsoCam Pediatric): zifugibwa ekifo kya magineeti eky’ebweru okuddamu okulung’amya munda mu kyenda ekitono.

AI ezuula otomatika ebifo ebivaamu omusaayi mu Meckel’s diverticulum nga ewunyiriza ebitundu 94%.

Ebirungi ebirimu:

Kikyuseemu eddagala ly’ekinnansi erya colonoscopy era weewale okubudamya abantu bonna.

(2) Enkola ya cystourethroscope etaliimu bulumi

Tekinologiya w’okusiiga hydrogel:

Hydrogel ewunyiriza ebbugumu erimu lidocaine yakendeeza ku bulumi bw’okuyingiza (obubonero bw’obulumi bwakendeera okuva ku 7 okutuuka ku 2).

Omuwendo gw’obutuufu bw’okuzuula vvaalu y’omusulo ogw’emabega guli 100%.

3、 Obujjanjabi obutono ennyo eri abaana abali mu myaka egy’okusoma (emyaka 3-12)

(1) Enkyusa ekyusiddwa ey’okusalako obuwuka obuyitibwa transoral endoscopic myomectomy (POEM) .

Okutuukagana n’embeera z’abaana:

Ekiso eky’amasannyalaze ekitono ekya mm 1.9 (nga Olympus KD-655) kikozesebwa okujjanjaba obulwadde bwa achalasia.

Obudde bw’okulongoosebwa bukendeezeddwa okuva ku ddakiika 90 mu nkyusa y’abantu abakulu okutuuka ku ddakiika 35.

Enkola y’obujjanjabi:

Okulya kwaddamu oluvannyuma lw’essaawa 48 nga balongooseddwa, nga kino kisinga ennaku 5 okusinga okulongoosebwa kwa Heller okw’ekinnansi.

(2) Okulungamya ebitundu by’omubiri (arthroscopic epiphyseal regulation).

Ebikulu mu by’ekikugu:

2.7mm arthroscopy (nga Arthrex NanoScope) elungamya okuteekebwamu ekyuma ekikuba enkula 8.

Obutuufu bw’okutereeza okujjanjaba valgus y’okugulu buli 0.5 ° (okusala amagumba okw’ekinnansi kulina ensobi nga 3 °).

4、 Enteekateeka y'okukuuma emirimu eri abatiini (Emyaka 12-18)

(1) Okufulumya obulwadde bwa scoliosis mu endoscopic

Okukulaakulana mu tekinologiya:

3mm single hole endoscope ekozesebwa okusala omusuwa ogukonvu (nga Joimax iLESSYS).

Gatta emiggo gya magineeti egy’okukula (MAGEC) okukendeeza ku kulongoosa okumu okuggule buli mwaka.

(2) Okujjanjaba enkula y’amabeere g’abavubuka mu ngeri ya endoscopic

Tekinologiya w’okusaanuusa amasavu:

1.6mm endoscopic assisted injection ya phosphatidylcholine yavaamu 91% regression rate y’enkula y’amabeere g’abasajja.

5、 Tekinologiya ow'amagezi era omulungi

(1) Enkola y’okuwugulaza VR

Okussa mu nkola mu ngeri ey’ekikugu:

Okwambala Meta Quest 3 mu kukeberebwa kwalaga emizannyo egy’okukwatagana, era obudde bw’okugumira obulumi bwayongezebwayo emirundi esatu.

(2) Okulondoola obuziba bw’okukkakkanya AI

Omuyambi w’okukkakkanya abaana:

Okutereeza ddoozi ya propofol mu ngeri ey’otoma nga kwesigamiziddwa ku kwekenneenya enneeyisa mu maaso kyavaamu okukendeeza ebitundu 70% mu bikolwa eby’okwennyamira mu kussa.

(3) Okukebera ennyindo nga bayambibwako roboti

Enkyusa Entono eya Monarch:

Omukono gwa robotic ogwa mm 3 gwatuuka ku ddaala ery’ekkumi erya bronchus, era obuwanguzi mu kuggyawo emibiri egy’ebweru gyali 99%.

6、 Endagiriro za tekinologiya mu biseera eby’omu maaso

Stent y’emikutu gy’empewo evunda:

Stent ya polycaprolactone material eyingizibwa okumala emyezi 6 okujjanjaba okugonza kw’omukka.

Sensulo ya nano endoscopic:

Okulondoola mu kiseera ekituufu emirimu gya lactase mu byenda okuzuula obutagumira.

Okukoppa chip z’ebitundu by’omubiri:

Okukebera microfluidic chip nga tebannaba kulongoosebwa ku nteekateeka y’okulongoosa ku congenital biliary atresia.

Omulongooti gw’okugeraageranya emigaso gy’obujjanjabi

Ebiteeso ku nkola y’okussa mu nkola

NICU: eriko ekyuma ekikebera empewo ekya mm 1.8 n’enkola y’okufuyira CO 2.

Ekifo ky’abaana eky’okugaaya emmere: Okuzimba ekifo eky’okwekenneenya amagye ga Magnetron Capsule AI.

Essira mu kunoonyereza: Okukola ebyuma ebiteekebwa mu mubiri (endoscopic implants) ebituukagana n’okukula (nga expandable esophageal stents).

Tekinologiya ono azzeemu okukola enkola y’okuzuula n’okujjanjaba abaana nga bayita mu kumenyawo okusatu okunene: enkola z’omutindo gwa milimita, zero psychological trauma, n’obujjanjabi obw’omukwano mu kukula. Kisuubirwa nti omwaka 2028 we gunaatuukira, ebitundu 90% ku kukeberebwa kw’abaana okuyingira mu mubiri kujja kuba tekulina mpiso era nga tekuluma.