Disruptive Solution of Medical Endoscopy mu Gynecology n'Eddagala ly'okuzaala Okuzuula n'okujjanjaba

1、 Enkyukakyuka mu tekinologiya w’okukebera nnabaana(1)Enkola y’okukebera nnabaana mu kiso ekinyogovuOkutaataaganyizibwa mu tekinologiya:Okuteekateeka ebyuma (nga MyoSure) ®): Ekyuma ekikyukakyuka nga kiriko sipiidi ya 2500rpm pr

1、 Enkyukakyuka mu tekinologiya w’okukebera nnabaana

(1)Enkola y’okukebera nnabaana mu kiso ekinyogovu

Okutaataaganyizibwa mu tekinologiya:

Mechanical planing (nga MyoSure) ®): Ekyuma ekizimbulukuka nga kiriko sipiidi ya 2500rpm kiggyawo ddala fibroids okwewala okwonooneka kw’amasannyalaze olw’ebbugumu eri iner membrane substrate.

Enkola y’okufuga puleesa y’amazzi: Kuuma puleesa ya nnabaana wakati wa 50-70mmHg (traditional electrocautery>100mmHg) okukendeeza ku bulabe bw’amazzi okuyitirira.

Omugaso gw’obujjanjabi:

Obudde bw’okuddaabiriza endometrium oluvannyuma lw’okusalako submucosal fibroid bukendeezeddwa okuva ku wiiki 12 okutuuka ku wiiki 4 oluvannyuma lw’okufumita amasannyalaze.

Omuwendo gw’embuto ez’obutonde ez’abalwadde abatazaala oluvannyuma lw’okulongoosebwa gweyongera okutuuka ku bitundu 58% (bw’ogeraageranya n’ebitundu 32% byokka mu kibinja ky’abakozesa amasannyalaze).


(2)Okulambula mu ngeri ya 3D hysteroscopy

Ebikulu mu by’ekikugu:

Real time 3D modeling (nga Karl Storz IMAGE 1 S Rubina): okulaga obuziba bw’ejjembe lya nnabaana n’enkula y’okugguka kw’omusuwa gw’omu nnabaana.

Bw’ogattako ebikwata ku MRI nga tebannaba kulongoosa, obutuufu bw’okuzuula obuzibu mu nnabaana (nga mediastinum enzijuvu) buli 100%.

Ensonga z’okusaba:

Stereoscopic quantitative grading of ebikwatagana mu nnabaana (Asherman syndrome).


(3)Ekyuma ekikebera nnabaana mu ngeri ya fluorescence

Okukulaakulana mu tekinologiya:

5-ALA ereeta ekizimba protoporphyrin IX fluorescence, nga okuzuula sensitivity ya 91% ku kookolo w’olubuto nga bukyali (65% zokka wansi wa white light microscopy).

Okusinziira ku data okuva mu National Cancer Center of Japan, atypical endometrial hyperplasia lesions ezitasukka 1MM zisobola okuzuulibwa.


2、 Okuddamu okuzimba enkola ya tekinologiya wa laparoscopic

(1) Ekyuma ekiyitibwa robotic laparoscope eky’omwalo gumu (SPRS) .

Enkola ya Da Vinci SP:

Okusalako omulundi gumu okwa mm 25 kukozesebwa okumaliriza okuggyamu nnabaana gwonna, ekyongera ku diguli y’okwewunda ebitundu 80% bw’ogeraageranya n’okulongoosa obutuli.

Ekintu kino eky’omu ngalo ekirina patent kituuka ku kukola kwa diguli 7 ez’eddembe, nga kitunga n’okusiba obutuufu bwa mm 0.1.

Ebikwata ku bujjanjabi:

Omuwendo gw’okusigala kw’ebitundu by’enkwaso ebya bulijjo mu kiseera ky’okusala enkwaso gusukka ebitundu 95% (okukebera enkwaso okw’ekinnansi kuli nga 70%).


(2) Okutambulira okumpi n’okutambulira mu mazzi agayitibwa infrared fluorescence navigation (NIR) .

Okukola maapu y’amazzi mu ICG:

Okwolesebwa mu kiseera ekituufu okw’ennywanto za sentinel mu kiseera ky’okulongoosebwa kookolo w’omumwa gwa nnabaana kikendeeza ku kusalako ennywanto eziteetaagisa ebitundu 43%.

Fudan University Affiliated Cancer Hospital Plan: Nga bagatta indocyanine green ne nanocarbon dual labeling, omuwendo gw’okuzuula gulinnyiddwa okutuuka ku bitundu 98%.


(3)Okulongoosa mu Ultrasonic Energy Platform

Harmonic ACE+7:

Okutereeza mu ngeri ey’amagezi ku frequency y’okukankana (55.5kHz ± 5%), okusala n’okuggalawo emisuwa gya mm 5 omulundi gumu.

Omuwendo gw’omusaayi ogufuluma mu kiseera ky’okulongoosa okuggyamu fibroid mu nnabaana guli wansi wa 50ml (traditional electrocautery>200ml).


3、 Ebizigo ebitono ebiyingirira eddagala ly’okuzaala

(1) Okuyingira mu nsonga z’okukebera nnabaana (hysteroscopy intervention) okusobola okuddamu okukola amazzi mu nnabaana (recanalization of fallopian tubes).

Okugatta eby’ekikugu:

Endabirwamu ya 0.5mm ultra-fine fiber (nga Olympus HYF-1T) nga egattibwa waya ya guide waya hydraulic expansion.

Enkola y’okulondoola puleesa mu kiseera ekituufu (<300mmHg) okuziyiza okukutuka kw’omusuwa gw’omu nnabaana.


Enkola y’obujjanjabi:

Omuwendo gw’okuzza embuto mu proximal obstruction guli 92%, ate omuwendo gw’olubuto olw’obutonde ku myezi 6 oluvannyuma lw’okulongoosebwa guli 37%.


(2) Okufuumuula ebitundu by’enkwaso+okusimbibwa mu ngeri ya endoscopic

Enkola y’okutabangula:

Omutendera 1: Funa ekitundu ky’enkwaso ng’oyita mu kukebera enkwaso (transvaginal laparoscopy) (wewale okusala enkwaso).

Omutendera 2: Okukola vitrification n’okukuuma mu firiigi.

Omutendera 3: Okusimbuliza autologous mu ovarian fossa oluvannyuma lw’okujjanjabwa eddagala okuzzaawo enkola y’endocrine.


eby'okunoonyereza

Enteekateeka ya Brussels mu Bubirigi: Omuwendo gw’okufuluma kw’enkwaso gwa bitundu 68% oluvannyuma lw’okusimbibwa mu balwadde abamaze emyaka gy’obutiini.


(3) Okukebera obusobozi bw’okukkiriza mu lubuto (ERT) .

Tekinologiya wa molekyu endoscopic:

Kuŋŋaanya ebitundu by’omu lubuto wansi w’okukebera nnabaana (hysteroscopy) era ozuule eddirisa ly’okuteekebwamu ng’oyita mu nsengeka ya RNA.

Okulongoosa omuwendo gw’embuto mu bujjanjabi bw’abalwadde abalemererwa okuteekebwamu enfunda eziwera okuva ku bitundu 21% okutuuka ku bitundu 52%.


4、 Minimally invasive obuyiiya mu kuddaabiriza wansi mu kifuba

(1) Okuteekebwamu akatimba mu bukyala (TVM) .

Enkulaakulana mu tekinologiya:

3D okukuba ebitabo personalized polypropylene mesh ne porosity>70% kikendeeza ku bulabe bw'okukwatibwa.

Robot assisted precise placement okwewala okwonooneka kw’obusimu obuziba.

Enkola y’obujjanjabi:

Omuwendo gw’okuddamu okugwa kw’ebitundu by’omu kifuba (POP) mu myaka 5 guli wansi wa 10% (okulongoosa mu ngeri ey’ekinnansi ey’okutunga 40%).


(2) Okulungamya obusimu bw’omugongo endoscopic implantation

InterStim TM Enteekateeka etali ya kuyingirira nnyo:

Sacral 3-hole puncture under cystoscopy, nga omuwendo ogukola gusukka mu 80% mu kiseera ky’okukebera nga tebannaba kuteekebwamu enkalakkalira.

Omuwendo gw’okulongoosa mu kufuga omusulo mu kujjanjaba obutaziyiza musulo guli 91%.


5、 Endagiriro za tekinologiya mu biseera eby’omu maaso

(1)Real time diagnosis of AI uterine cavity lesions:Enkola ya EndoFinder okuva mu Samsung erina obutuufu bwa 96% mu kuzuula endometrial polyps ne kookolo.


(2) Absorbable electronic bracket:Ekifo ekiyitibwa magnesium based scaffold ekyakolebwa Northwestern University mu Amerika kivunda era ne kifulumya ebintu ebitumbula okukula mu myezi 6.


(3) Organ chip simulation transplantation:Okwegezaamu okukyusa nnabaana enkola ya anastomosis emisuwa ku microfluidic chip.


Omulongooti gw’okugeraageranya emigaso gy’obujjanjabi

Ensonga eziruma enkola za tekinologiya ow’ennono/obulungi bw’ebigonjoola ebitabangula

Cold knife hysteroscopy/electrosurgical injury of endometrial stem cells/omuwendo gw’okunywerera oluvannyuma lw’okulongoosebwa gwakendeera okuva ku bitundu 28% okutuuka ku bitundu 5%

Single hole robotic laparoscopic/multi hole surgery nga waliwo enkovu ezeeyolese/okuzzaawo obulamu obwa bulijjo essaawa 24 oluvannyuma lw’okulongoosebwa

High false positive rate of fluorescence falloposcopy/hysterosalpingography/okuteekebwa mu kifo ekituufu eky’okuziyiza okwa nnamaddala okutuuka ku 0.1mm

Ovarian tissue freezing transplantation/post chemotherapy enkwaso okulemererwa nga tekunnabaawo/omuwendo gw’okuwona mu nsonga z’ekikyala>60%


Ebiteeso by’ekkubo ly’okussa mu nkola

Amalwaliro agasookerwako: galina enkola ya high-definition hysteroscopy n’enkola y’ekiso ekinyogovu, nga gabikka ebitundu 90% ku biwundu ebiri mu nnabaana.

Ekifo ky’okuzaala: Okuteekawo enkola ekwataganye ey’okukebera endoscopy mu nseke z’omu nnabaana n’okutambuza embuto.

Oncology Specialty: Tutumbula okusalako ekizimba mu ngeri entuufu nga okozesa NIR fluorescence navigation.


Tekinologiya ono azzeemu okunnyonnyola omutindo gw’okulongoosa abakyala mu ngeri etali ya maanyi nnyo nga bayita mu kumenyawo ebintu bisatu ebikulu: okutuufu ku ddaala lya milimita, okwonooneka kw’obuzaale obutaliimu, n’okuddamu okuzimba emirimu gy’omubiri. Kisuubirwa nti omwaka 2027 we gunaatuukira, ebitundu 90% eby'okulongoosebwa kw'endwadde z'abakyala ezitali za bulabe bijja kutuuka ku bujjanjabi "emisana".