Disruptive solution of medical endoscopy mu kuzuula n‟obujjanjabi obw‟amangu n‟obujjanjabi obw‟amaanyi

1、 Obukodyo obutaasa obulamu ku kuvaamu omusaayi ogw’amaanyi mu lubuto

(1) Enkola y’okuziyiza omusaayi mu bwangu mu endoscopic

Okufuuyira obuwunga obuziyiza omusaayi okufuuyira omusaayi:

Omusingi gw’eby’ekikugu: Obutoffaali bwa titanate bukola ekiziyiza eky’ebyuma ku ngulu w’omusaayi, ne buyimiriza okufulumya omusaayi mu sikonda 30.

Ebikwata ku bujjanjabi: Omuwendo gw’okufuga omusaayi gwa Forrest Ia grade jet guli 92%, nga kino kisinga emirundi esatu okusinga titanium clips ez’ekinnansi.

Ekitundu Ekikwata ku Bunene (OTSC):

Bear Claw Design: Okuggalawo ebituli by’amabwa nga biriko diameter ya 3cm (nga Dieulafoy lesion), nga omuwendo gw’okuddamu okuvaamu omusaayi guli wansi wa 5%.

(2) Okuteebereza akabi k’okuvaamu omusaayi mu AI

Enkola y’okulaba mu kiseera ekituufu:

Okufaananako n’obubonero bwa Cosmo AI obwa BLEED, obubonero bwa Rockall bubalirirwa mu ngeri ey’otoma mu bifaananyi eby’omunda okulungamya okukulembeza obujjanjabi.

2、 Obujjanjabi obutono obuyingirira embeera ez’amangu ez’emikutu gy’empewo

(1) ECMO nga egattibwa wamu n’okukebera emisuwa

Okukulaakulana mu tekinologiya:

Portable ECMO (nga Cardiohelp) ekozesebwa okukuuma omukka gwa oxygen n’okukola bronchoalveolar lavage (BAL) okuggyamu ebizigo by’omusulo gwa COVID-19.

Omuwendo gw’obujjanjabi: Okukakasa obukuumi bw’okulongoosa mu balwadde abalina PaO 2/FiO 2<100mmHg (Lancet Respir Med 2023).

(2) Okuzzaawo emikutu gy’empewo mu Cryoprobe

Tekinologiya w’okufumbisa amangu:

-40 °C low-temperature probe (nga ERBE CRYO2) ekozesebwa okufiriza ebizimba by’emikutu gy’empewo, nga omusaayi guvaamu <10ml (bw’ogeraageranya ne electrocautery>200ml).

3、 Okuyingira mu nsonga mu endoscopic ku bulwadde bw’olubuto obw’amaanyi

(1) Okusalako ebitundu ebifu (EUS-NEC) nga bikulembeddwamu endoscopic .

Obuyiiya mu tekinologiya:

(2) Enkola y’okunaaba mu lubuto obutasalako

Okuteeka endoscopic catheter y’okufukirira:

Wansi w’obulagirizi bwa dual channel endoscopy, omutindo gwa amylase mu mazzi aga lavage gulondoolebwa mu kiseera ekituufu.

4、 Okukozesa endoscopic mu bujjanjabi obw’amangu obw’obuvune

(1) Okuziyiza omusaayi mu bwangu nga bayita mu kukebera mu kifuba

Okukebera ekifuba ekikaluba ekituli kimu:

Yeekenneenya ekituli ky’ekifuba ng’osalako mm 5, kozesa electrocoagulation okukomya okuvaamu omusaayi, era weewale okusala ekifuba (nga Storz 26003BA).

Okukozesa obujjanjabi mu magye: okuyingira mu lutalo obuvune okufuga omusaayi okufuga obudde bukendeezeddwa okutuuka ku ddakiika 15.

(2) Duodenoscopy okujjanjaba obuvune mu nkola y’omusaayi

ERCP okuggyawo amayinja mu bwangu+stent:

Okuteeka stent ey’ekyuma ekibikkiddwa mu bujjuvu mu kiseera ky’okulongoosebwa olw’okukutuka kw’omukutu gw’entuuyo ogwa bulijjo kulina obuwanguzi bwa bitundu 98%.

5、 Disruptive solution for ICU okulondoola ku kitanda

(1) Okuteekebwa mu nnyindo mu nnyindo (transnasal endoscopic placement) mu ttanka efulumya amazzi mu lubuto

Tekinologiya w’okutambulira mu mazzi ag’amasannyalaze:

Cortrak ® Enkola eno eraga ekkubo lya catheter mu kiseera ekituufu, era omutindo gw’okuyingira mu butanwa mu kkubo ly’empewo guddamu okuteekebwa ku ziro.

Okugerageranya ekifo ky’ekifo kya X-ray: Obudde bw’okulongoosa bukendeezeddwa okuva ku ssaawa 2 okutuuka ku ddakiika 20.

(2) Micro cystoscopy okulondoola enkola y’ekibumba

10Fr ekyuma ekikebera omubiri (cystoscope) eky’amasannyalaze:

Okulondoola obutasalako embeera ya renal papillary ischemia y’abalwadde abalwadde ennyo (nga sepsis related AKI).

6、 Endagiriro za tekinologiya mu biseera eby’omu maaso

(1) Endoscope eziyiza omusaayi mu ngeri ya nano:

Nanoparticles za magineeti ezitwala thrombin, ekifo kya magineeti ekilungamizibwa embolization entuufu (ebisolo okugezesa hemostasis time<10 seconds).

(2) Okutambulira mu AR mu ngeri ya Holographic:

Microsoft HoloLens 2 ekola pulojekiti z’ensengekera z’ebitundu bisatu ez’ensonga y’okukutuka kw’emisuwa.

(3) Stent y’emikutu gy’empewo evunda:

Ekisenge kya polycaprolactone material scaffold kirina okunyigibwa mu wiiki 4 okwewala okuggyibwako ekyokubiri.

Omulongooti gw’okugeraageranya emigaso gy’obujjanjabi

Ebiteeso ku nkola y’okussa mu nkola

Ekitongole ky'abalwadde ab'amangu: Kijja ku mutindo ne Hemofray+OTSC "Hemostasis Kit".

Trauma Center: Zimba ekisenge ekilongoosebwamu eky’omugatte (CT+endoscopic integration).

Okunoonyereza kwe kussa essira: Okukola enkola y’okufuuyira mu ngeri ya trauma bio adhesive endoscopic spraying system.

Tekinologiya ono asika endoscopy ey'amangu okutuuka mu kifo ekikulu eky'obujjanjabi "essaawa ya zaabu" nga bayita mu kumenyawo okusatu okunene: "okuddamu ku ddaala ly'eddakiika, zero okwonooneka okw'enjawulo, n'okukuuma emirimu gy'omubiri". Kisuubirwa nti omwaka 2027 we gunaatuukira, ebitundu 50% ku kulongoosa okw’amangu okw’olubuto/ekifuba okuggule bijja kukyusibwamu ne bifuulibwa endoscopy.