Disruptive solution of medical endoscopy mu bujjanjabi bw’enkola y’omusulo

1、 Okumenyawo enkyukakyuka mu kujjanjaba amayinja

(1) Ekyuma ekikebera omusulo mu ngeri ya digito (fURS) .

Okutaataaganyizibwa mu tekinologiya:

4K digital imaging (nga Olympus URF-V3): okusalawo kweyongera okutuuka ku 3840 × 2160, omuwendo gw’okutegeera amayinja gweyongera ebitundu 30% bw’ogeraageranya ne fiber optic microscopy.

271 ° active bending: Omuwendo gw’obuwanguzi okutuuka ku kibumba pelvis gweyongedde okuva ku 65% mu endoscopy ey’ekinnansi okutuuka ku 98%.

Okumenyawo mu bujjanjabi:

Combined holmium laser (nga Lumenis Pulse 120H) lithotripsy esobola okutuuka ku kigero ekimu eky’okugogola amayinja ekisukka mu 90% ku mayinja g’ekibumba agali wansi wa sentimita 2.

Okulongoosa nga tolina tube: Tewali double J tube esigalawo oluvannyuma lw’okulongoosebwa, era omulwadde asiibulwa ku lunaku lwe lumu.

(2) Okukebera ekibumba okuyita mu lususu (UMP) .

Ebikulu mu by’ekikugu:

13Fr channel (nga 4.3mm): ekendeeza ku buvune ebitundu 80% bw’ogeraageranya ne PCNL eya bulijjo (24-30Fr).

Enkola y’okuggyawo amayinja aga puleesa embi (nga ClearPetra): okusonseka mu kiseera ekituufu eky’amayinja, puleesa y’ekisambi ky’ekibumba<20mmHg (okwewala okusaasaana kw’obulwadde).

Okugeraageranya amawulire:

(3) Okwekenenya mu kiseera ekituufu eby’obutonde bw’amayinja

Okukebera okumenya okuleetebwa layisi (LIBS):

Amangu ago manya ebirungo by’amayinja (nga uric acid/cysteine) mu kiseera ky’okulongoosebwa era olambika ennongoosereza mu mmere oluvannyuma lw’okulongoosebwa.

Ebiwandiiko okuva mu yunivasite y’e Munich mu Girimaani biraga nti omuwendo gw’amayinja okuddamu okulwala gukendedde ebitundu 42%.

2、 Obujjanjabi obutuufu n’obutayingirira nnyo ebizimba

(1) Blue laser okusalako ekizimba mu kibumba mu bujjuvu

Ebirungi ebiri mu by’ekikugu:

Layisi ya wavelength 450nm esunsulamu okufuuwa ebizimba, ng’efuga obuziba obutuufu obwa mm 0.5.

Bw’ogeraageranya n’okukozesa amasannyalaze ag’ekinnansi, omuwendo gw’obulwadde bwa obturator reflex bukendedde okuva ku bitundu 15% okutuuka ku bitundu 0%.

Ebikwata ku bujjanjabi:

Omuwendo gw’omwaka gumu ogw’okuddamu okukwatibwa kookolo w’ekibumba atali mu binywa (NMIBC) gwali 8% zokka (24% mu kibinja ekyasalibwako).

(2) Obulagirizi obukubiddwa mu ngeri ya 3D okusobola okusalako ekitundu ky’ekibumba

Enkola y’emirimu:

omutendera 1. Kuba ekifaananyi ky’ekibumba ekitangaavu nga kyesigamiziddwa ku data ya CT era n’ossaako akabonero ku nsalo y’ekizimba.

eddaala2. Nga egattibwa ne fluorescence laparoscopy (nga da Vinci SP) okusobola okusalako obulungi ate nga bakuuma ebitundu by’ekibumba ebya bulijjo.

Enkola y’obujjanjabi:

Omuwendo omubi ogw’ebitundu by’ebizimba guli 100%, ate omuwendo gw’okusengejja glomerular filtration (GFR) gukendeera ebitundu 7% byokka.

(3) Okuggyamu omukka gw’enseke (Rez ū m) .

Enkola:

Omukka gwa 103 °C gufukibwa okuyita mu musulo okusobola okuggyamu ddala endwadde eziyitibwa hyperplastic glands (okwewala omusulo gw’omusulo).

Ebirungi ebirimu:

Empeereza y’abalwadde abatali balwadde esobola okuggwa mu ddakiika 15, nga omuwendo gw’okukuuma emirimu gy’okwegatta gusukka mu 95% (bw’ogeraageranya ne 60% ku TURP).

3、 Obuyiiya mu endoscopic ku ndwadde eziziyiza

(1) Enkola ya bracket ey’amagezi

Stent y’omusulo ekwata PH:

pH y’omusulo bw’eba waggulu wa 7, ejja kugaziwa otomatiki okumalawo okuzibikira, ate pH bw’eba eya bulijjo, ejja kudda emabega (okwewala okusigala okumala ebbanga eddene).

Stent evunda ebiramu:

Ekintu kya asidi wa polylactic kinywibwa mu bujjuvu mu myezi 6 era tekyetaagisa kuggyibwamu kyakubiri.

(2) Okulongoosa okuyimiriza omusulo mu ngeri ya endoscopic

Obujjanjabi bw’obuzibu bw’okufulumya omusulo ku situleesi y’abakyala:

Transvaginal Urethral Tensionless Suspension (TVT-O), obudde bw’okulongoosebwa

Omuwendo gw’okuwona guli 92%, nga kino kikendeeza ku buvune ebitundu 90% bw’ogeraageranya n’okulongoosebwa mu lwatu.

4、 Andrology ne Functional Urology

(1) Enkola ya seminal vesicle endoscopy

Okusaba okumenyawo:

Endabirwamu eya mm 0.8 ultra-thin yakozesebwa okudda emabega okumalamu okuyita mu mudumu gw’amazzi okujjanjaba omusaayi (hematospermia) (obuwanguzi bwa 96%).

Okuzuula n’okuzimba amasannyalaze g’amayinja/ebizimba by’ensigo, okukuuma enkola y’okuzaala.

(2) Okuteeka obusajja mu ngeri ya roboti

Enkola ya Da Vinci SP:

Enkola y’ekituli kimu emaliriza okusalako ekitundu ky’omubiri ekiyitibwa corpus cavernosum, ekikendeeza ku kwonooneka kw’emisuwa n’obusimu.

Ekiseera ky’okuwona emirimu gy’okusituka oluvannyuma lw’okulongoosebwa kikendeezeddwa okuva ku wiiki 6 okutuuka ku wiiki 2.

5、 Endagiriro za tekinologiya mu biseera eby’omu maaso

(1) Enkola y’okulabula kw’amayinja ga AI:

Okufaananako Dario Health’s urine analysis AI, okulagula akabi k’amayinja nga bukyali emyezi 3.

(2) Endoscope ya roboti eya Nano:

Nanorobot eya magineeti eyakolebwa mu Switzerland esobola okuggyawo obulungi amayinja amatono agakwata ku kibumba.

(3) Okukoppa chip z’ebitundu by’omubiri:

Koppa ekkubo ly’okulongoosa mu endoscopic ku chip nga tonnalongoosebwa okukendeeza ku learning curve.

Omulongooti gw’okugeraageranya emigaso gy’obujjanjabi

Ebiteeso ku nkola y’okussa mu nkola

Amalwaliro agasookerwako: Kulembeza ensengeka ya holmium laser ne digital ureteroscope, nga zibikka ebitundu 90% ku misango gy’amayinja.

Eddwaaliro ery’omutindo ogw’okusatu: Okuteekawo ekifo ekikebera endoscopy eya roboti okukola okulongoosa okuzibu nga kookolo w’enseke cryoablation.

Essira ly’okunoonyereza: Okukola molekyu ebifaananyi endoscopy (nga PSMA targeted fluorescence) okusobola okuteeka mu kitundu ky’ebizimba ebitono.

Tekinologiya ono addamu okukola enkola y’obujjanjabi bw’omusulo nga bayita mu birungi bisatu ebikulu: sub millimeter precision, okukuuma emirimu gy’omubiri, n’okuddaabiriza amangu. Kisuubirwa nti omwaka 2026 we gunaatuukira, ebitundu 70% eby’okulongoosa omusulo bijja kumalibwa nga bayita mu nkola z’obutonde ez’okukebera munda.