Ekyuma ekikebera omusaayi mu by’obujjanjabi

Urological Endoscopy gwe mutindo gwa zaabu ogw’okuzuula n’okujjanjaba endwadde z’enkola y’omusulo, okutuuka ku kunoonyereza okutali kwa kuyingirira, okuzuula okutuufu n’okujjanjaba okuyingirira okutono okuyita mu bifo eby’obutonde oba obuteme obutonotono. Wammanga kwekenneenya okujjuvu okuva mu bitundu mukaaga:

1. Emisingi gy’ebyekikugu n’enkulaakulana y’ebyuma

Ebitundu ebikulu

Enkola y’amaaso: 4K ultra-high-definition/3D imaging, NBI narrow-band light okuzuula amangu ebizimba

Ekika ky’obuwanvu:

▸ Hard scope (0°-70° viewing angle, ekozesebwa ku kibumba/omusulo)

▸ Soft scope (okufukamira 270°, okutuuka ku kisambi ky’ekibumba) .

Omukutu ogukola: guwagira fiber ya laser, ekisero ky’amayinja, biopsy forceps n’ebikozesebwa ebirala

Okuddiŋŋana kwa tekinologiya

Okuva ku fiberscope okudda ku electronic scope: pixel okweyongera emirundi 100 (kati okutuuka ku pixels 500,000)

Okuva ku kitangaala ekyeru okutuuka ku kukuba ebifaananyi mu ngeri ey’amagezi: obubonero obutangaavu (nga 5-ALA) bufuula obutoffaali bwa kookolo okweyaka

2. Full spectrum y’okukozesa mu bujjanjabi

Ennimiro y’endwadde Okukozesa okuzuula obulwadde Okukozesa obujjanjabi

Ekibumba Okuteekebwa mu mitendera gy’ekizimba, okwekenneenya obulwadde bw’ekizimba mu bitundu by’omubiri (interstitial cystitis) Okusalako ekizimba (TURBT), okusala amayinja

Ureter Stricture positioning, okuzuula ebintu ebitali bimu Okuteeka stent, laser lithotripsy

Okulondoola omusaayi mu kibumba, okukebera ebiwundu ebikwata ekifo mu kibumba Percutaneous nephrolithotomy (PCNL) .

Okukebera obulwadde bw’enseke n’okufulumya enseke (HoLEP) .

III. Okugeraageranya ebyuma ebikulu

Ekika Diameter Ebirungi Ensonga za classic

Cystoscopy 16-22Fr Omukutu omunene n’ebikozesebwa ebingi okukolagana Okusalako enseke

Ureteroscopy 7.5-9.9Fr Active bending 270° Okufuuwa pawuda mu layisi mu mayinja g’ekibumba mu kibumba

Percutaneous nephroscope 18-30Fr Okuteekawo obutereevu omukutu gw’ekibumba Okuggyawo ejjinja lya Staghorn

Disposable electronic scope 6.5Fr Zero risk of cross infection Okukebera amangu abalwadde abatali balwadde

IV. Ebikulu mu nkola z’okulongoosa (nga tutwala ureteroscopic lithotripsy ng’ekyokulabirako)

Nga tannalongoosebwa

Enteekateeka ya CT ey’ebitundu bisatu ey’ekifo ky’amayinja, okubudamya abantu bonna

Nga balongoosebwa mu kiseera ky’okulongoosebwa

Teeka endoscope ennyogovu wansi w’obulagirizi bwa guidewire, era holmium laser alya amayinja okutuuka ku <2mm

Teeka double J tube okuziyiza stenosis bwe kiba kyetaagisa

Oluvannyuma lw’okulongoosebwa

Nywa amazzi 2000ml ku lunaku lwe lumu, era oggyemu ekituli mu nnaku 3

V. Okuziyiza n’okufuga ebizibu

Okuvaamu omusaayi: plasma bipolar electrocoagulation

Obulwadde: okukuza omusulo nga tonnalongoosebwa + eddagala eritta obuwuka erigendereddwamu

Okutomera: okulondoola puleesa mu kiseera ekituufu nga balongoosebwa (<40cmH2O)

VI. Endagiriro ttaano enkulu ez’okumenyawo mu biseera eby’omu maaso

AI real-time pathology: okwawula okw’otoma wakati wa kookolo w’omusuwa ow’omutindo ogwa wansi n’ogw’omutindo ogwa waggulu wansi wa microscope

Microrobot: endoscope ya capsule efugirwa magineeti okukebera ebiwundu ebisooka

Okutendekebwa mu virtual reality: abasawo bakoppa okulongoosa ku bitundu by’omubiri ebiddamu okuzimba mu ngeri ya 3D

Stents ezivunda: tekyetaagisa kuggyibwako secondary oluvannyuma lw’okulongoosebwa

Obujjanjabi obugendereddwamu obw’ekitangaala: okumalawo obulungi obutoffaali bwa kookolo mu kifo

Mu bufunze omuwendo gw’amakolero

Tekinologiya wa Uroscopic asobozesa urology okutuuka ku:

🔹 Okulongoosa mu kuzuula: omuwendo gw'okuzuula ebizimba nga bukyali gweyongedde emirundi 3

🔹 Obuyiiya mu bujjanjabi: 90% ku kulongoosa amayinja tezeetaaga kulongoosebwa

🔹 Emigaso gy'omulwadde: okusula mu ddwaaliro kukendeezeddwa okutuuka ku nnaku 1-2

Olw’okugatta enkola ya single-port laparoscope ne endoscope, ebiseera eby’omu maaso bijja kuleeta omulembe omupya ogw’okulongoosa awatali nkovu.